scholarly journals Are school-based mental health interventions for war-affected children effective and harmless?

BMC Medicine ◽  
2014 ◽  
Vol 12 (1) ◽  
Author(s):  
Verena Ertl ◽  
Frank Neuner
Author(s):  
Ragaviveka Gopalan ◽  
C Sangeetha ◽  
P Ramakrishnan ◽  
Vijaya Raghavan

BACKGROUND About 70% of mental disorders emerge in late childhood and young peo-ple bear the burden of these disorders throughout life. Yet, to date there has been com-paratively little research on mental health interventions for young people in India and not many attempts have been made to collate the existing literature. This systematic review aims to synthesize the available evidence on school- and community-based mental health interventions for young people in India. METHODS A range of major electronic databases were searched systematically, and the abstracts of relevant papers were independently examined for possible inclusion. Selected papers were read in full text and a standardized set of data items were extracted. RESULTS Four papers met inclusion criteria for the analysis; two studies of school-based interventions for adolescents and two studies evaluating out-of-school community interventions for youth were reviewed. The quality of evidence from the interventions in Indian school and community settings were poor. While two studies evidence the effectiveness of a school-based life skills programme and a community based multicomponent intervention designed to promote youth health, two other studies do not offer sufficient data. CONCLUSION The review findings indicate that the number of interventional studies conducted in India to address youth mental health issues are very limited. Hence, it is extremely difficult to ensure the feasibility and effectiveness of school and community-based interventions in India. Further research is warranted to establish whether interventions promoting youth mental health people can be implemented effectively in Indian settings with positive mental health outcomes. Given the possibility of a huge population of young people at-risk or experiencing mental disorders, evidence for the efficacy of youth mental health interventions is crucial.


Author(s):  
Liam Spencer ◽  
Ruth McGovern ◽  
Eileen Kaner

Abstract Background Preventative interventions may be effective in reducing and preventing symptoms of mental ill health in children and young people. However, there is a paucity of research in this area that explores the views of young people. This paper reports on a qualitative study to inform the future development of attractive and appropriate early and preventative school-based mental health interventions. Methods Semi-structured interviews were conducted with a purposive sample of 12 young people aged 14–17 in North East England. Interviews were audio-recorded, transcribed, anonymised and analysed following a thematic approach. Results Four key themes were identified, relevant to those providing, designing and commissioning early and preventative mental health interventions in schools: ‘mental health literacy’, ‘risk factors for wellbeing decline’, ‘experience of school-based support’ and ‘recommendations for future support’. Conclusions Young people have varying levels of mental health literacy, but are able to identify academic stress, bullying and the transition from primary to secondary school as leading causes of worry. Young people want more regular and in-depth mental health education, tailored levels of support in school and improved training for teachers.


2019 ◽  
Vol 2 (02) ◽  
pp. 14-22
Author(s):  
Ragaviveka Gopalan ◽  
C Sangeetha ◽  
P Ramakrishnan ◽  
Vijaya Raghavan

BACKGROUND About 70% of mental disorders emerge in late childhood and young peo-ple bear the burden of these disorders throughout life. Yet, to date there has been com-paratively little research on mental health interventions for young people in India and not many attempts have been made to collate the existing literature. This systematic review aims to synthesize the available evidence on school- and community-based mental health interventions for young people in India. METHODS A range of major electronic databases were searched systematically, and the abstracts of relevant papers were independently examined for possible inclusion. Selected papers were read in full text and a standardized set of data items were extracted. RESULTS Four papers met inclusion criteria for the analysis; two studies of school-based interventions for adolescents and two studies evaluating out-of-school community interventions for youth were reviewed. The quality of evidence from the interventions in Indian school and community settings were poor. While two studies evidence the effectiveness of a school-based life skills programme and a community based multicomponent intervention designed to promote youth health, two other studies do not offer sufficient data. CONCLUSION The review findings indicate that the number of interventional studies conducted in India to address youth mental health issues are very limited. Hence, it is extremely difficult to ensure the feasibility and effectiveness of school and community-based interventions in India. Further research is warranted to establish whether interventions promoting youth mental health people can be implemented effectively in Indian settings with positive mental health outcomes. Given the possibility of a huge population of young people at-risk or experiencing mental disorders, evidence for the efficacy of youth mental health interventions is crucial.


SLEEP ◽  
2021 ◽  
Vol 44 (Supplement_2) ◽  
pp. A237-A237
Author(s):  
Jill Kaar ◽  
Meredith Ware ◽  
Anne Bowen ◽  
Jessica Chandrasekhar ◽  
Joey Lee ◽  
...  

Abstract Introduction To examine the role of sleep health in a school-based health coaching resiliency intervention for 6th grade students. We hypothesized that participants with insufficient sleep would have poorer mental health outcomes and that the intervention would be less successful for youth with poor sleep health. Methods A total of 285, 11-12-year-old students (72% white, 18% Hispanic, 55% female) participated in the six-week 1:1 Healthy Kids intervention. Youth completed electronic surveys at baseline and 6-week follow-up assessing mental health parameters and self-reported bed and wake time. Participants were categorized as having insufficient sleep opportunity if they reported time in bed of <9 hours per night. General linear models examined differences between groups for each mental health parameter, as well as change in mental health parameters from baseline to follow-up. Results A third of participants (31%) reported time in bed <9 hours per night. Youth with insufficient sleep were less often white (58% vs 73%; p<0.001) or Hispanic (26% vs 15%; p=0.04) and were more likely to be classified with mild to severe depression and anxiety (55% vs 35%; p=0.004). The health coaching intervention was found to have a significant improvement on overall resilience and self-efficacy only among students who reported sufficient sleep, while no significant intervention effect was found for those students who reported insufficient sleep. Conclusion Our findings suggest that youth with poor sleep health may not benefit from school-based resiliency and mental health interventions. Addressing sleep health may be an important consideration for future school-based mental health interventions. Support (if any):


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