School mental health services

学校心理健康服务
  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    随着学校人群中心理健康风险的增加和普遍的欺凌行为,学校心理健康专业人员(SMHP)在全球范围内至关重要。本研究探讨了SMHP对阿曼学校欺凌行为的看法,专注于定义,类型,目前的做法,未来战略。涉及来自马斯喀特省的50个阿曼SMHP,至少有三年的经验,数据通过结构化访谈收集,并使用Braun和Clarke的六步主题分析进行分析。出现了六个关键主题:欺凌的定义,其组成部分,常见类型,当前的反欺凌行为,挑战,和未来的建议。欺凌,称为“”(SulukAudwani),意味着攻击性行为,包括五个组成部分:肇事者,受害者,有害行为,观众,和社会心理因素。言语欺凌,身体上的欺凌,和网络欺凌是常见的,并因年龄而异。SMHP经常采用提高认识和心理急救。挑战包括来自学生和家长的抵制以及体制障碍。在未来,SMHP将强调提高意识,以有效解决SulukAudwani。阿曼采用了国际最佳做法来招聘SMHP。SMHP对SulukAudwani的看法反映了他们的训练和阿曼文化影响。未来的研究应该探索各个社会阶层,以提高对SulukAudwani的循证理解和预防。
    With increasing mental health risks among school populations and prevalent bullying, school mental health professionals (SMHP) are crucial globally. This study explores the perspectives of SMHP on bullying in Omani schools, focussing on definitions, types, current practices, and future strategies. Involving 50 Omani SMHP from Muscat Governorate with at least three years of experience, data was collected through structured interviews and analyzed using Braun and Clarke\'s six-step thematic analysis. Six key themes emerged: The definition of bullying, its components, common types, current anti-bullying practices, challenges, and future suggestions. Bullying, termed \"سلوكعدواني\" (Suluk Audwani), meaning aggressive behavior, includes five components: perpetrators, victims, harmful behavior, spectators, and psychosocial factors. Verbal bullying, physical bullying, and cyberbullying are common and vary by age. SMHP frequently employ awareness-raising and psychological first aid. Challenges include resistance from students and parents and institutional barriers. In the future, SMHP will emphasize greater awareness to effectively address Suluk Audwani. Oman has adopted international best practices to recruit SMHP. SMHP\'s perspectives on Suluk Audwani reflect both their training and Omani cultural influences. Future research should explore various social strata to improve evidence-based understanding and prevention of Suluk Audwani.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    心理健康素养(MHL)是25年前引入的关于精神障碍的知识和信念,有助于他们的识别,管理,或预防。这项范围界定综述绘制了同行评审的文献,以评估在校青年中基于中学的调查的特征,并探讨了在该人群中培养MHL的基于学校的计划的组成部分。搜索是按照JoannaBriggs研究所(JBI)的范围审查方法进行的。在四个科学数据库中进行搜索,没有时间限制,尽管所有来源都必须用英语写。主要研究(N=44)提供了对MHL调查和针对6大洲上学青年的计划的见解。研究报告说,大多数年轻人在参与计划之前经历中等或较低的MHL。校本MHL课程在MHL的定义和措施上相对统一,使用封闭式刻度,小插曲,或两者的结合来衡量青年MHL。然而,在制定额外的干预措施之前,应采取措施解决当前规划中的薄弱领域,例如缺乏评估MHL水平的标准化工具。未来的研究可以评估开发和实施标准测量协议的可行性,教育者对将MHL的努力融入课堂的看法。确定在校青年中MHL的基本水平可促进有针对性的计划的发展,并审查与计划组成部分的一致性将使研究人员能够在可行的基础上再接再厉,改变没有的东西,并提出新的方法来应对这些复杂的挑战,最终提高MHL的知识,提高MHL的水平。
    Mental health literacy (MHL) was introduced 25 years ago as knowledge and beliefs about mental disorders which aid in their recognition, management, or prevention. This scoping review mapped the peer-reviewed literature to assess characteristics of secondary school-based surveys in school-attending youth and explore components of school-based programs for fostering MHL in this population. The search was performed following the method for scoping reviews by the Joanna Briggs Institute (JBI). Searches were conducted in four scientific databases with no time limit, although all sources had to be written in English. Primary studies (N = 44) provided insight into MHL surveys and programs for school-attending youth across 6 continents. Studies reported that most youth experience moderate or low MHL prior to program participation. School-based MHL programs are relatively unified in their definition and measures of MHL, using closed-ended scales, vignettes, or a combination of the two to measure youth MHL. However, before developing additional interventions, steps should be taken to address areas of weakness in current programming, such as the lack of a standardized tool for assessing MHL levels. Future research could assess the feasibility of developing and implementing a standard measurement protocol, with educator perspectives on integrating MHL efforts into the classroom. Identifying the base levels of MHL amongst school-attending youth promotes the development of targeted programs and reviewing the alignment with program components would allow researchers to build on what works, alter what does not, and come away with new ways to approach these complex challenges, ultimately advancing knowledge of MHL and improving levels of MHL.
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  • 文章类型: Journal Article
    教师的心理健康素养(MHL)是识别和帮助患有精神障碍的学生的基础。这项研究的目的是评估世界卫生组织学校心理健康计划(WHO-SMHP)在卡塔尔中学教师中推广MHL的有效性。我们进行了一项双臂随机对照试验。在政府中学工作的教师有资格被选拔。共有16所学校(8所干预,8个对照)随机选择并按性别分层,然后随机分配(1:1)。参与者和研究小组知道小组分配。对教师MHL的评估是在第0天,第3天,然后是第3个月。在分析中使用双变量分析和广义估计方程。主要结果是教师MHL。次要结果是社会人口统计学特征对MHL水平的影响。在2018年10月30日至2019年3月21日期间,我们随机分配了来自16所学校的195名教师参加关于WHO-SMHP(n=95)或常规实践(n=100)的培训研讨会。与对照组相比,干预组教师在第3天的MHL水平有显著改善(平均差异=19.1,95%CI=17.0-21.2,Cohen'sd=2.63;p<0.001).)和三个月后(平均差16.61,95%CI=13.96-19.26,科恩d=1.86;p<001)。其他变量对MHL的影响无显著差异。据我们所知,这是证明(WHO-SMHP)在促进教师MHL方面的有效性的第一个试验,可以在更广泛的范围内成功实施。
    Teachers\' mental health literacy (MHL) is fundamental for recognizing and assisting students with mental disorders. The aim of this study was to assess the effectiveness of the World Health Organization School Mental Health Program (WHO-SMHP) in promoting MHL among secondary schools\' teachers in Qatar. We conducted a two-arm randomized control trial. Teachers working in governmental secondary schools were eligible for selection. A total of 16 schools (8 intervention, 8 control) randomly selected and stratified by gender then randomly assigned (1:1). Participants and study team were aware of group assignment. Assessment of teachers\' MHL was at day 0, 3 then 3 months afterward. Bivariat analysis and Generalized Estimating Equations were used in analysis. The primary outcome was teachers MHL. Secondary outcome was the influence of sociodemographic characteristics on the level of MHL. Between October 30, 2018 and March 21, 2019, we randomly assigned 195 teachers from 16 schools to attend training workshop on WHO-SMHP (n = 95) or usual practice (n = 100). Compared with controls, teachers from intervention group demonstrated a significant improvement in the level of MHL at day three (mean difference = 19.1, 95% CI = 17.0-21.2, Cohen\'s d = 2.63; p < 0.001).) and after three months (mean difference 16.61, 95% CI = 13.96-19.26, Cohen\'s d = 1.86; p < 001). There were no significant differences related to influence of other variables on MHL. To our knowledge, this is the first trial to prove the effectiveness of the (WHO-SMHP) in promoting teachers MHL, which can be successfully implemented in a wider scale.
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  • 文章类型: Journal Article
    目标:新青年在获得行为健康服务方面经历了健康差异。基于学校的心理健康计划被提出了解决这些差异的潜在解决方案。本研究使用范围审查方法来检查针对新青年的基于学校的心理健康计划的证据基础的最新水平。使用国家学校心理健康中心建立的框架,将研究分类为分层类型学。
    方法:检查了几个数据库以及一个范围界定和两个系统近期综述的结果。
    结果:本分析共纳入37项研究,超过过去十年的一半。大多数研究是在美国和欧洲进行的,大多数计划都集中在心理健康促进和健康(Tier1)或多层次。面向年幼儿童的节目,尤其是那些在儿童早期的环境中,代表性不足。
    结论:虽然有关新人编程的文献很有希望,特别是复杂的多层编程的出现,仍然存在许多差距。例如,大多数程序没有提供有关编程如何适应具有不同文化和上下文需求的不同新来者群体的信息。第1层程序缺乏程序设计的理论基础或变化理论。Further,对于高收入和中等收入国家数量不断增加的群体,需要更多的研究,特别是针对儿童早期和中期的节目。
    OBJECTIVE: Newcomer youth experience health disparities in accessing behavioral health services. School-based mental health programming is proposed a potential solution to address these disparities. The present study uses a scoping review methodology to examine the state-of-the-art of the evidence base for school-based mental health programming for newcomer youth. Studies were categorized into a tiered typology using the framework established by the National Center for School Mental Health.
    METHODS: Several databases were examined as well as the results of one scoping and two systemic recent reviews.
    RESULTS: A total of 37 studies were included in the present analysis, over half from the last decade. Most studies were conducted in the United States and Europe, and most programs were focused on mental health promotion and wellness (Tier 1) or were multi-tiered. Programming for younger children, especially those in early childhood settings, were underrepresented.
    CONCLUSIONS: While the literature is promising regarding programming for newcomer youth, particularly the advent of complex multi-tiered programming, many gaps still remain. For example, most programs do not provide information on how programming was adapted for different groups of newcomers with different cultural and contextual needs. Tier 1 programs lack theoretical foundations or theories of change in the design of programming. Further, more research is needed for a group with rising numbers across high- and middle-income countries, particularly for programming targeting early and middle childhood.
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  • 文章类型: Journal Article
    移民学生和家庭经历不成比例的创伤,与移民有关的压力,结构性不平等,以及难以获得精神卫生和社会服务,这可能导致精神卫生不平等。移民学生及其家庭也有许多优势,可以缓冲潜在的负面心理健康结果。学校,除了学术成就之外,还涉及社会和情感发展,是关键的机构,可以在增强优势和满足移民学生和家庭的需求方面发挥独特的作用。在这次审查中,我们调整弱势群体的行为模型,以承认上下文和宏观层面的因素(例如,相关政策,环境影响,和结构因素)和诱发因素,启用,并需要移民学生和家庭经历和影响获得学校心理健康和社会服务的因素。我们讨论了基于学校的干预措施,这些干预措施显示出改善心理健康结果的功效,并着重于解决移民学生中的适应压力。我们还讨论了解决移民学生和学校家庭健康需求的社会决定因素的模型,包括适用于移民学生和家庭的社区学校模式。我们通过为儿科医生和学校提供建议和策略来总结这篇评论,以改变对移民学生和家庭的学校支持并促进公平成果。我们的建议包括纳入多层次的学校支持,以解决心理健康问题,社会需要,移民学生的适应压力,同时加强移民学生的优势,促进学校与儿科医生的合作,校本保健中心,和值得信赖的社区伙伴。
    Immigrant students and families experience disproportionate exposure to trauma, immigration-related stress, structural inequities, and poor access to mental health and social services which can lead to mental health inequities. Immigrant students and their families also have many strengths that can buffer potential negative mental health outcomes. Schools, which address social and emotional development in addition to academic achievement, are critical institutions that can play a unique role in enhancing the strengths and responding to the needs of immigrant students and families. In this review, we adapt the Behavioral Model for Vulnerable Populations to acknowledge the contextual and macro-level factors (e.g., relevant policies, environmental influences, and structural factors) and the predisposing, enabling, and need factors that immigrant students and families experience and impact access to school mental health and social services. We discuss school-based interventions that show efficacy for improving mental health outcomes and focus on addressing acculturative stress among immigrant students. We also discuss models to address social determinants of health need among immigrant students and families within schools, including the community schools model applied to immigrant students and families. We conclude this review by providing recommendations and strategies for pediatricians and schools to transform school-based supports for immigrant students and families and promote equitable outcomes. Our recommendations include incorporating multi-level school supports for addressing mental health, social need, and acculturative stress among immigrant students, along with reinforcing the strengths of immigrant students, and promoting school collaborations with pediatricians, school-based health centers, and trusted community partners.
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  • 文章类型: Clinical Trial Protocol
    背景:精神和神经心理障碍约占全球总健康负担的14%,80%的受影响人口生活在低收入和中等收入国家(LMICs),其中90%的人无法获得精神卫生服务。治疗相互作用研究的主要目的是适应,工具,评估小说的影响,跨部门的预防方法,identify,参考,并通过以用户为中心的任务共享实施治疗互动干预措施来治疗儿童的心理健康问题,受世界卫生组织(WHO)针对Mbale小学教职员工的心理健康差距行动计划干预指南(mhGAP-IG)的启发,乌干达。卫生保健人员将接受mhGAP-IG培训。
    方法:这是一项实用的混合方法混合II型实施-有效性研究,采用共同设计方法。主要研究采用了具有六个起始序列的阶梯式楔形试验设计,在每个间隔随机分配三所学校进行干预,而其余的则充当“控件”。其他设计包括嵌套前瞻性队列研究,病例对照研究,横断面研究,和定性研究。主要参与者的成果包括教师的心理健康素养,污名,对学校儿童的暴力。实施成果包括检测,reach,可持续性和服务交付。儿童和照顾者的结果包括心理健康,心理健康素养,和寻求帮助的行为。
    结论:根据结果,我们将制定关于精神卫生促进的可持续和可扩展的实施建议,并根据世卫组织现行指南起草实施指南.这个项目将产生关于结构的新知识,组织,delivery,以及LMIC环境中心理健康服务的成本,以及关于实施和提供新卫生服务的新知识。
    背景:临床试验,NCT06275672,28.12.2023,回顾性注册。
    BACKGROUND: Mental and neuropsychological disorders make up approximately 14% of the total health burden globally, with 80% of the affected living in low- and middle-income countries (LMICs) of whom 90% cannot access mental health services. The main objective of the TREAT INTERACT study is to adapt, implement, and evaluate the impact of a novel, intersectoral approach to prevent, identify, refer, and treat mental health problems in children through a user centred task-sharing implementation of the TREAT INTERACT intervention, inspired by the World Health Organization (WHO) Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) for primary school staff in Mbale, Uganda. Health care personell will be trained in the mhGAP-IG.
    METHODS: This is a pragmatic mixed-methods hybrid Type II implementation-effectiveness study utilizing a co-design approach. The main study utilize a stepped-wedged trial design with six starting sequences, randomizing three schools to the intervention at each interval, while the remaining act as \"controls\". Other designs include a nested prospective cohort study, case control studies, cross-sectional studies, and qualitative research. Main participants\' outcomes include teachers\' mental health literacy, stigma, and violence towards the school children. Implementation outcomes include detection, reach, sustainability, and service delivery. Child and caregiver outcomes include mental health, mental health literacy, and help-seeking behaviour.
    CONCLUSIONS: Based on the results, we will develop sustainable and scalable implementation advice on mental health promotion and draft implementation guidelines in line with current WHO guidelines. This project will generate new knowledge on the structure, organization, delivery, and costs of mental health services in a LMIC setting, as well as new knowledge on the implementation and delivery of new health services.
    BACKGROUND: ClinicalTrials, NCT06275672, 28.12.2023, retrospectively registered.
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  • 文章类型: Journal Article
    青少年抑郁症的发病率继续以稳定的速度上升,然而,这些年轻人往往得不到心理健康服务(Bertha&Balázs,2013年;托马斯等人。,2011).学校是将青年与心理健康服务联系起来的理想场所;然而,在学校拥有足够的资源和获得适当水平的服务方面,存在许多障碍(Duong等人。,2021年;欧文斯和珀尔帖,2002).学校可以与当地社区提供者合作,利用可用资源来解决这些差距。本文介绍了以学校为基础的心理健康促进计划的试点,该计划旨在通过向社区提供者推荐来促进获得护理的机会,从而减少青少年的抑郁症。收集数据,通过自我报告措施,每3个月,为期12个月,来自北德克萨斯州三所中学和高中的学生。参加该计划的学生(N=88)在12个月结束时抑郁症状明显减轻。该计划强调了学校与社区伙伴关系的重要性,以促进获得护理以解决心理健康问题。我们的试点研究结果表明,以学校为基础的计划在通过社区伙伴关系改善学校青年的心理健康方面具有可行性和潜力。(PsycInfo数据库记录(c)2024APA,保留所有权利)。
    Rates of depression in youth are continuing to increase at a steady rate, yet these youth often do not receive mental health services (Bertha & Balázs, 2013; Thomas et al., 2011). Schools are an ideal setting to connect youth to mental health services; however, many barriers exist with respect to schools having adequate resources and access to the appropriate levels of services (Duong et al., 2021; Owens & Peltier, 2002). Schools may collaborate with local community providers with available resources to address these gaps. The current article describes the pilot of a school-based mental health promotion program intended to reduce depression in youth by promoting access to care through referrals to community providers. Data were collected, via self-report measures, every 3 months for 12 months from students from three middle and high schools in North Texas. The students (N = 88) enrolled in this program experienced significant reductions in their depression symptoms at the end of 12 months. This program highlights the importance of school-community partnerships to promote access to care to address mental health concerns. The results from our pilot study demonstrate the feasibility and the potential of school-based programs in improving the mental health of youth in schools through community partnership. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
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  • 文章类型: Comparative Study
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