scholarly journals Assessing the Effectiveness of Teachers’ Mental Health Literacy Training in Cambodia: A Randomized Controlled Trial

Author(s):  
Bunna Phoeun ◽  
Amanda J Nguyen ◽  
Minh Hoang Dang ◽  
Nam Thanh Tran ◽  
Bahr Weiss

School-based mental health literacy (MHL) programs are used to reduce stigma and promote help-seeking among students and teachers. This study aimed to adapt and evaluate a teacher-delivered MHL program in Cambodia, where the impact of MHL programs has not previously been evaluated. 67 teachers and 275 students from a high school in Phnom Penh voluntarily completed the study. School staff were randomly assigned, and classrooms purposively assigned, to either a 2-day MHL training program or a control condition. Four teachers in the intervention condition were also pragmatically selected to deliver a 6-week classroom MHL curriculum to students; these teachers receive an extra day of implementation training. Teacher and student MHL were assessed before and after the intervention. Results showed significant improvements in all indicators of teacher and student knowledge and attitudes about mental illness; largest improvements were in teachers’ perceptions of dangerousness and willingness to interact. This pilot RCT supports the potential benefits of school-based MHL training in Cambodia, where there is substantial mental health stigma and discrimination. However, small to moderate effect sizes, particularly for students outcomes, suggest a need for further refinement and testing of the curriculum to optimize impact, including further consideration of implementation strategies and supports.

Author(s):  
Briana N. M. Hagen ◽  
Sherilee L. Harper ◽  
Terri L. O’Sullivan ◽  
Andria Jones-Bitton

This study evaluated the impact of “In the Know” mental health literacy training for Canadian agriculture. We hypothesized that “In the Know” would significantly increase participants’ knowledge around mental health, confidence in recognizing mental health struggles, confidence in speaking about mental health with others, and confidence in helping someone who may be struggling with mental health. “In the Know” was a 4-h, in-person program delivered by a mental health professional who also had experience in agriculture. Six sessions were offered in Ontario, Canada in 2018. Participants were farmers and/or worked primarily with farmers. A pre-training paper questionnaire was administered, followed by a post-training questionnaire at the end of the session and 3 and 6 month post-training questionnaires via email. Wilcoxon signed-rank tests were performed to compare participants’ self-reported knowledge and confidence across four timepoints. “In the Know” significantly improved participants’ self-reported mental health knowledge and confidence in recognizing mental health struggles, speaking to others, and helping others who are struggling immediately following training and often at 3 and 6 months post-training. This is the first study among farming populations to measure program impact with 3- and 6-month follow-ups. Given the reported associations between mental health literacy and increased help-seeking, disseminating “In the Know” more broadly across farming communities may help to increase mental health literacy and thus increase help-seeking among farmers.


2020 ◽  
Vol 42 (4) ◽  
pp. 339-355
Author(s):  
Jayna Mumbauer-Pisano ◽  
Sejal Mehta Barden

Although mental health problems in adolescence are increasingly common, 60% of diagnosed youth do not receive appropriate mental health treatment. This service gap is even wider among adolescents from economically disadvantaged backgrounds, who face increased mental health stigma and barriers to treatment. Mental health literacy is a pivotal step in addressing the discrepancy between rates of mental health diagnoses and of individuals treated. This study evaluates the influence of a 6-week mental health literacy intervention on economically disadvantaged adolescents’ mental health literacy, implemented by counselors-in-training. From pretest to posttest, adolescents’ mental health knowledge and attitudes toward help-seeking significantly increased, while mental health stigma significantly decreased. These changes were sustained at 1-month follow-up. The results highlight the importance of brief mental health literacy interventions to encourage healthy coping and help-seeking and to dispel stigmatizing beliefs.


2017 ◽  
Vol 33 (4) ◽  
pp. 314-326 ◽  
Author(s):  
Wendy Carr ◽  
Yifeng Wei ◽  
Stan Kutcher ◽  
Amy Heffernan

Mental health literacy is fundamental to improving knowledge about mental health, decreasing stigma, and, therefore, enhancing help-seeking behaviors. The purpose of this cohort study is to evaluate the impact of a mental health literacy program on preservice teachers’ knowledge, attitudes, and help-seeking efficacy. Sixty preservice teachers in a Canadian university participated in a professional development day and completed a survey of their mental health knowledge, attitudes toward mental illness, and help-seeking efficacy. Compared with baseline data, results demonstrated significant and substantial improvements on all three outcomes immediately following the session and after 3 months. Provision of mental health literacy education among preservice teachers may be an effective approach to help them better address student mental health needs in their future teaching career.


2018 ◽  
Author(s):  
Anouk Tuijnman ◽  
Marloes Kleinjan ◽  
Evert Hoogendoorn ◽  
Isabela Granic ◽  
Rutger CME Engels

BACKGROUND The prevalence of elevated depressive symptoms among youth in most western societies is high. Yet, most adolescents who are experiencing depressive symptoms do not seek help. Low mental health literacy, high stigma, and low social support have been shown to hinder help-seeking. A small number of interventions has been developed to target mental health literacy and stigma, but few focus on actual help-seeking and first aid behavior. We have developed a game-based school program called Moving Stories that targets mental health literacy, including knowledge and behavior, and stigma among adolescents, in regard to depression specifically. OBJECTIVE Our aim is to describe the protocol for a study that will test the effectiveness of the program Moving Stories in a Dutch adolescent sample. We hypothesize that adolescents who participate in the program Moving Stories will have better mental health literacy and less stigma regarding depression compared to adolescents in the nonintervention control group at posttest and at 3- and 6-months follow-up. We also expect a positive change in actual help-seeking and first aid behavior at 3- and 6-months follow-up. METHODS Moving Stories has been developed by a professional game design company in collaboration with researchers and relevant stakeholders. The effectiveness of Moving Stories will be tested through a randomized controlled trial with two conditions: Moving Stories versus control. Participants will fill in questionnaires at pretest, posttest, and 3- and 6-months follow-up. Our power analysis showed a required sample size of 180 adolescents. RESULTS Four high schools have agreed to participate with a total of 10 classes. A total of 185 adolescents filled in the pretest questionnaire. The last of the follow-up data was collected in December 2018. CONCLUSIONS If Moving Stories proves to be effective, it could be implemented as a school-based program to target mental health literacy and stigma regarding depression; this could, in turn, improve early help-seeking in adolescents suffering from depression. CLINICALTRIAL Nederlands Trial Register NTR7033; https://www.trialregister.nl/trial/6855 INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11255


2016 ◽  
Vol 2 (1) ◽  
pp. 47
Author(s):  
Runi Rulanggi ◽  
Thomas Dicky Hastjarjo

This study was to determine the effects of “Ikesmen” (e-mental health)Psychoeducation program in improving mental health literacy in secondary school teachersin Yogyakarta. Thirty secondary school teachers in Yogyakarta participated in the study.Fifteen teachers in the experimental group received “Ikesmen” program and fifteen teachers inthe control group did not receive treatment. The untreated control group design with pretestand posttest samples were used. The validity of “Ikesmen” program was tested in accordanceto Rusell module development principles (V coefficient is 0.775-0.8461). LiteracyQuestionnaires, Mental Health Stigma Questionnaires, and Mental health Knowledge Testwere used to collect data. Mixed analysis of variance was conducted to analyse the data. Theresults showed that there were no differences in the scores of mental health literacy betweenthe experimental group and control group (F=0.188, p =0.01< 0.668). There was no significantimprovement in the experimental group treated with Ikesmen Psychoeducation in comparisonwith the control group (F=0.640, p= 0.01<0.431). Further research is required to obtaindescription on the impact of technology usage in improving mental health literacy.


2018 ◽  
Vol 52 (11) ◽  
pp. 1063-1074 ◽  
Author(s):  
Nicola J Reavley ◽  
Allison J Milner ◽  
Angela Martin ◽  
Lay San Too ◽  
Alicia Papas ◽  
...  

Objective: To assess depression literacy, help-seeking and help-offering to others in members of the police force in the state of Victoria, Australia. Methods: All staff in police stations involved in a cluster randomised controlled trial of an integrated workplace mental health intervention were invited to participate. Survey questions covered sociodemographic and employment information, recognition of depression in a vignette, stigma, treatment beliefs, willingness to assist co-workers with mental health problems, help-giving and help-seeking behaviours, and intentions to seek help. Using the baseline dataset associated with the trial, the paper presents a descriptive analysis of mental health literacy and helping behaviours, comparing police station leaders and lower ranks. Results: Respondents were 806 staff, comprising 618 lower-ranked staff and 188 leaders. Almost 84% of respondents were able to correctly label the problem described in the vignette. Among those who had helped someone with a mental health problem, both lower ranks and leaders most commonly reported ‘talking to the person’ although leaders were more likely to facilitate professional help. Leaders’ willingness to assist the person and confidence in doing so was very high, and over 80% of leaders appropriately rated police psychologists, general practitioners, psychologists, talking to a peer and contacting welfare as helpful. However, among both leaders and lower ranks with mental health problems, the proportion of those unlikely to seek professional help was greater than those who were likely to seek it. Conclusion: Knowledge about evidence-based interventions for depression was lower in this police sample than surveys in the general population, pointing to the need for education and training to improve mental health literacy. Such education should also aim to overcome barriers to professional help-seeking. Interventions that aim to improve mental health literacy and help-seeking behaviour appear to be suitable targets for better protecting police member mental health.


Author(s):  
Chris Gilham ◽  
Sherry Neville-MacLean ◽  
Emily Atkinson

Mental health literacy (MHL) for pre-service teachers seeks to improve knowledge and help-seeking behaviours and decrease stigma. Increased MHL may also change perceived stress and self-efficacy for inclusive practices. This cohort study evaluates the impact of an online MHL resource for educators, embedded within a mandatory Bachelor of Education (BEd) course, on pre-service teachers’ MHL, perceived stress, and teacher efficacy toward inclusive practices. Seventy-one pre-service teachers completed the course as well as pre- and post-surveys. Results demonstrated significant and substantial improvements on knowledge, help-seeking, and perceived efficacy for inclusive practices. Increased MHL may be an effective approach in meeting the requirements of inclusive education. Keywords: mental health literacy, pre-service teachers, inclusive education, self-efficacy


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