Mental health first aid training for high school teachers: a cluster randomized trial.

Mental health first aid training for high school teachers: a cluster randomized trial.
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DOI:
10.1186/1471-244x-10-51
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发表时间:
2010-06-24
期刊:
影响因子:
4.4
通讯作者:
Cvetkovski S
Cvetkovski S
中科院分区:
医学2区
文献类型:
--
作者:
Jorm AF;Kitchener BA;Sawyer MG;Scales H;Cvetkovski S

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精神障碍通常在青春期首次发作。因此,高中教师可以为出现心理健康问题的学生提供初步帮助。为了提高教师在这一领域的技能,对心理健康急救培训课程进行了修改,以适合高中教师,并通过整群随机试验进行了评估。该试验是在南澳大利亚高中的教师中进行的。 7 所学校的教师接受了培训,另外 7 所学校的教师已列入未来培训的候补名单。通过培训前、培训后以及 6 个月随访时的问卷调查来评估培训对教师的影响。问卷评估了心理健康知识、污名化态度、向他人提供帮助的信心、实际提供的帮助、学校政策和程序以及教师心理健康。在培训前和后续阶段使用问卷评估对学生的间接影响,评估从学校工作人员那里收到的任何心理健康帮助和信息,以及学生的心理健康。培训增加了教师的知识,改变了对治疗的看法,使其更像心理健康专业人员的看法,减少了某些方面的耻辱感,并增强了向学生和同事提供帮助的信心。这对学生产生了间接影响,他们报告从学校工作人员那里获得了更多的心理健康信息。发现的大多数变化在训练后持续 6 个月。然而,没有发现教师对有心理健康问题的学生的个人支持或学生的心理健康有影响。心理健康急救培训对教师心理健康知识、态度、信心和行为的某些方面具有积极影响。 ACTRN12608000561381
Mental disorders often have their first onset during adolescence. For this reason, high school teachers are in a good position to provide initial assistance to students who are developing mental health problems. To improve the skills of teachers in this area, a Mental Health First Aid training course was modified to be suitable for high school teachers and evaluated in a cluster randomized trial. The trial was carried out with teachers in South Australian high schools. Teachers at 7 schools received training and those at another 7 were wait-listed for future training. The effects of the training on teachers were evaluated using questionnaires pre- and post-training and at 6 months follow-up. The questionnaires assessed mental health knowledge, stigmatizing attitudes, confidence in providing help to others, help actually provided, school policy and procedures, and teacher mental health. The indirect effects on students were evaluated using questionnaires at pre-training and at follow-up which assessed any mental health help and information received from school staff, and also the mental health of the student. The training increased teachers' knowledge, changed beliefs about treatment to be more like those of mental health professionals, reduced some aspects of stigma, and increased confidence in providing help to students and colleagues. There was an indirect effect on students, who reported receiving more mental health information from school staff. Most of the changes found were sustained 6 months after training. However, no effects were found on teachers' individual support towards students with mental health problems or on student mental health. Mental Health First Aid training has positive effects on teachers' mental health knowledge, attitudes, confidence and some aspects of their behaviour. ACTRN12608000561381