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A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial

Ingunn Skre · Oddgeir Friborg · Camilla Breivik · Lars Inge Johnsen · Yngvild Arnesen · Catharina Elisabeth Arfwedson Wang

157 citations0/0 files storedBMC Public Health

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Mental Health Treatment and Access School Health and Nursing Education Psychology and Mental Health

Abstract

BACKGROUND: "Mental health for everyone" is a school program for mental health literacy and prevention aimed at secondary schools (13-15 yrs). The main aim was to investigate whether mental health literacy, could be improved by a 3-days universal education programme by: a) improving naming of symptom profiles of mental disorder, b) reducing prejudiced beliefs, and c) improving knowledge about where to seek help for mental health problems. A secondary aim was to investigate whether adolescent sex and age influenced the above mentioned variables. A third aim was to investigate whether prejudiced beliefs influenced knowledge about available help. METHOD: This non-randomized cluster controlled trial included 1070 adolescents (53.9% boys, M age 14 yrs) from three schools in a Norwegian town. One school (n = 520) received the intervention, and two schools (n = 550) formed the control group. Pre-test and follow-up were three months apart. Linear mixed models and generalized estimating equations models were employed for analysis. RESULTS: Mental health literacy improved contingent on the intervention, and there was a shift towards suggesting primary health care as a place to seek help. Those with more prejudiced beliefs did not suggest places to seek help for mental health problems. Generally, girls and older adolescents recognized symptom profiles better and had lower levels of prejudiced beliefs. CONCLUSIONS: A low cost general school program may improve mental health literacy in adolescents. Gender specific programs and attention to the age and maturity of the students should be considered when mental health literacy programmes are designed and tried out. Prejudice should be addressed before imparting information about mental health issues.

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2005Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication 1997“Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment 2000Mental health literacy 2011Mental health literacy: Empowering the community to take action for better mental health.2005Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma 2003Eating disorders 2011Handbook of Identity Theory and Research 1998Prevalence of psychiatric disorder in the general population: results of the Netherlands Mental Health Survey and Incidence Study (NEMESIS)

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2020Improving mental health literacy in adolescents: systematic review of supporting intervention studies 2022Effectiveness of Mental Health Literacy Programs in Primary and Secondary Schools: A Systematic Review with Meta-Analysis 2019A systematic review of depression literacy: Knowledge, help‐seeking and stigmatising attitudes among adolescents 2018Is It Possible to “Find Space for Mental Health” in Young People? Effectiveness of a School-Based Mental Health Literacy Promotion Program

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