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Preventing Mental, Emotional, and Behavioral Disorders Among Young People
Mental health and substance use disorders among children, youth, and young adults are major threats to the health and well-being of younger populations which often carryover into adulthood. The costs of treatment for mental health and addictive disorders, which create an enormous burden on the affected individuals, their families, and society, have stimulated increasing interest in prevention practices that can impede the onset or reduce the severity of the disorders.
Prevention practices have emerged in a variety of settings, including programs for selected at-risk populations (such as children and youth in the child welfare system), school-based interventions, interventions in primary care settings, and community services designed to address a broad array of mental health needs and populations.
Preventing Mental, Emotional, and Behavioral Disorders Among Young People updates a 1994 Institute of Medicine book, Reducing Risks for Mental Disorders , focusing special attention on the research base and program experience with younger populations that have emerged since that time.
Researchers, such as those involved in prevention science, mental health, education, substance abuse, juvenile justice, health, child and youth development, as well as policy makers involved in state and local mental health, substance abuse, welfare, education, and justice will depend on this updated information on the status of research and suggested directions for the field of mental health and prevention of disorders.
eBook
THE CORE CONNECTORS INITIATIVE: DEVELOPMENT OF A YOUTH MENTAL HEALTH PROGRAM
This paper provides an overview of the development and field-test evaluation of a group-based youth mental health promotion program known as the Core Connectors Initiative (CCI). CCI is a program that aims to help youth gain mental health knowledge and peer support competencies, and reinforce positive help-seeking behaviour. The purpose of the study was to evaluate and refine CCI by examining whether it attains its training objectives of mental health literacy, gatekeeper training, and fostering positive youth development, while exploring helpful and unhelpful participant experiences of the program. CCI was field-tested during the latter half of the 2017/2018 school year at 3 different locations: a private school, a community centre, and a public school. Using mixed methods, the evaluation yielded information on the strengths and areas of growth for future program development. The quantitative data were collected from a sample of 29 youth, while the qualitative data were collected from 9 youth using the Enhanced Critical Incident Technique. The converging data highlight the importance of connection, the value of critical mental health literacy, and the importance of clarifying expectations. The lessons learned from implementing this program can be applied to other youth mental health promotion programs.
Journal Article
Mental health promotion in schools : cross-cultural narratives and perspectives
The narratives of the children and young people, school teachers and school leaders, parents and carers, policy makers and service managers, and mental health workers and professionals, presented in this book, should provide an invaluable resource for all those involved in mental health promotion in school. The insights drawn from these direct field experiences may help to inform policy and good practice and serve as an inspiration to schools in their efforts to introduce and promote mental health for their communities. Most of the chapters present original research carried out in schools, services, universities and other contexts across different cultures. Through various qualitative studies carried out in different cultural contexts, Mental Health Promotion in Schools provides a platform for children, teachers, school leaders, parents, professionals, policy makers and teacher educators, to express their views on what works and does not work in mental health promotion in school. In our continued quest for evidence based research, we may tend to underestimate the value and significance of capturing the views and experiences of those most directly involved in mental health promotion, such as children and young people, school teachers and parents/carers, in seeking to enhance policy and practice in the area. This book should be of particular interest to those involved in mental health promotion in school at practice, training and research levels and we are sure that among these chapters, they will discover many new and stimulating insights into the promotion of mental health in such complex systems as schools.
Book
Change in Level of Positive Mental Health as a Predictor of Future Risk of Mental Illness
Objectives. We sought to describe the prevalence of mental health and illness, the stability of both diagnoses over time, and whether changes in mental health level predicted mental illness in a cohort group.
Methods. In 2009, we analyzed data from the 1995 and 2005 Midlife in the United States cross-sectional surveys (n = 1723), which measured positive mental health and 12-month mental disorders of major depressive episode, panic, and generalized anxiety disorders.
Results. Population prevalence of any of 3 mental disorders and levels of mental health appeared stable but were dynamic at the individual level. Fifty-two percent of the 17.5% of respondents with any mental illness in 2005 were new cases; one half of those languishing in 1995 improved in 2005, and one half of those flourishing in 1995 declined in 2005. Change in mental health was strongly predictive of prevalence and incidence (operationalized as a new, not necessarily a first, episode) of mental illness in 2005.
Conclusions. Gains in mental health predicted declines in mental illness, supporting the call for public mental health promotion; losses of mental health predicted increases in mental illness, supporting the call for public mental health protection.
Journal Article
Mental Health Promotion as a New Goal in Public Mental Health Care: A Randomized Controlled Trial of an Intervention Enhancing Psychological Flexibility
Objectives. We assessed whether an intervention based on acceptance and commitment therapy (ACT) and mindfulness was successful in promoting positive mental health by enhancing psychological flexibility.
Methods. Participants were 93 adults with mild to moderate psychological distress. They were randomly assigned to the group intervention (n = 49) or to a waiting-list control group (n = 44). Participants completed measures before and after the intervention as well as 3 months later at follow-up to assess mental health in terms of emotional, psychological, and social well-being (Mental Health Continuum–Short Form) as well as psychological flexibility (i.e., acceptance of present experiences and value-based behavior, Acceptance and Action Questionnaire-II).
Results. Regression analyses showed that compared with the participants on the waiting list, participants in the ACT and mindfulness intervention had greater emotional and psychological well-being after the intervention and also greater psychological flexibility at follow-up. Mediational analyses showed that the enhancement of psychological flexibility during the intervention mediated the effects of the intervention on positive mental health.
Conclusions. The intervention is effective in improving positive mental health by stimulating skills of acceptance and value-based action.
Journal Article
Types and effectiveness of mental health promotion programmes for young people in sub-Saharan Africa: A systematic review
Studies show that mental health promotion is an effective strategy that can reduce the burden of mental health disorders and improve overall well-being in both children and adults. In addition to promoting high levels of mental well-being and preventing the onset of mental illness, these mental health promotion programmes, including mental illness prevention interventions, help increase levels of mental health literacy in community members. While there is evidence showing the effectiveness of mental health promotion, much of what is known about this field is informed by studies conducted in high-income countries. There is a need to gather evidence about the effectiveness of such interventions in low- and middle-income countries (LMICs) where mental health services are often inadequate. In this systematic review, we synthesised the available published primary evidence from sub-Saharan Africa (SSA) on the types and effectiveness of mental health promotion programmes for young people. We performed a search of selected global databases (PubMed, PsycINFO, ScienceDirect and Google Scholar) and regional databases (Sabinet African Journals). We included observational, mixed methods, trials, pilots and quantitative original papers published from 2013 to 2023. We used the Mixed Methods Appraisal Tool (MMAT) to evaluate the quality of methods in selected studies, and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA-2020) for reporting the evidence gathered. We identified 15 types of youth mental health promotion and illness prevention interventions. Among those identified, we found that school-based interventions enhanced mental health literacy, mental health-seeking behaviours and self-assurance and confidence among young people. Family-based interventions also showed a potential to improve relationships between young people and their caregivers. Future studies should explore how to further strengthen school- and family-based interventions that promote mental health among young people.
Journal Article