Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study
Autor(a) principal: | |
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Data de Publicação: | 2014 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/37448 http://dx.doi.org/10.1186/1471-2458-14-210 |
Resumo: | Background: in Brazil, like many countries, there has been a failure to identify mental health problems (MHP) in young people and refer them to appropriate care and support. the school environment provides an ideal setting to do this. Therefore, effective programs need to be developed to train teachers to identify and appropriately refer children with possible MHP. We aimed to evaluate teachers' ability to identify and appropriately refer students with possible MHP, and the effectiveness of a psychoeducational strategy to build teachers' capability in this area.Methods: To meet the first objective, we conducted a case-control study using a student sample. To meet the second, we employed longitudinal design with repeated measures before and after introducing the psychoeducational strategy using a teacher sample. in the case control study, the Youth Self-Report was used to investigate internalizing and externalizing problems. Before training, teachers selected 26 students who they thought were likely to have MHP. Twenty-six non-selected students acted as controls and were matched by gender, age and grade. the underlying principle was that if teachers could identify abnormal behaviors among their actual students, those with some MHP would likely be among the case group and those without among the control group. in the longitudinal study, 32 teachers were asked to evaluate six vignettes that highlighted behaviors indicating a high risk for psychosis, depression, conduct disorder, hyperactivity, mania, and normal adolescent behavior. We calculated the rates of correct answers for identifying the existence of some MHP and the need for referral before and after training; teachers were not asked to identify the individual conditions.Results: Teachers were already able to identify the most symptomatic students, who had both internalizing and externalizing problems, as possibly having MHP, but teachers had difficulty in identifying students with internalizing problems alone. At least 50.0% of teachers learned to identify hypothetical cases as problematic and to make the appropriate referral, and 60.0% of teachers who before training could not identify normal adolescence learned to do so.Conclusions: the strategy was partially effective but could be improved mainly by extending its duration, and including discussion of actual cases. |
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Vieira, Marlene Apolinário [UNIFESP]Gadelha, Ary [UNIFESP]Moriyama, Tais Silveira [UNIFESP]Bressan, Rodrigo Affonseca [UNIFESP]Bordin, Isabel Altenfelder Santos [UNIFESP]Universidade Federal de São Paulo (UNIFESP)Natl Inst Dev Psychiat Children & Adolescents INP2016-01-24T14:35:19Z2016-01-24T14:35:19Z2014-02-28Bmc Public Health. London: Biomed Central Ltd, v. 14, 12 p., 2014.1471-2458http://repositorio.unifesp.br/handle/11600/37448http://dx.doi.org/10.1186/1471-2458-14-210WOS000332728400003.pdf10.1186/1471-2458-14-210WOS:000332728400003Background: in Brazil, like many countries, there has been a failure to identify mental health problems (MHP) in young people and refer them to appropriate care and support. the school environment provides an ideal setting to do this. Therefore, effective programs need to be developed to train teachers to identify and appropriately refer children with possible MHP. We aimed to evaluate teachers' ability to identify and appropriately refer students with possible MHP, and the effectiveness of a psychoeducational strategy to build teachers' capability in this area.Methods: To meet the first objective, we conducted a case-control study using a student sample. To meet the second, we employed longitudinal design with repeated measures before and after introducing the psychoeducational strategy using a teacher sample. in the case control study, the Youth Self-Report was used to investigate internalizing and externalizing problems. Before training, teachers selected 26 students who they thought were likely to have MHP. Twenty-six non-selected students acted as controls and were matched by gender, age and grade. the underlying principle was that if teachers could identify abnormal behaviors among their actual students, those with some MHP would likely be among the case group and those without among the control group. in the longitudinal study, 32 teachers were asked to evaluate six vignettes that highlighted behaviors indicating a high risk for psychosis, depression, conduct disorder, hyperactivity, mania, and normal adolescent behavior. We calculated the rates of correct answers for identifying the existence of some MHP and the need for referral before and after training; teachers were not asked to identify the individual conditions.Results: Teachers were already able to identify the most symptomatic students, who had both internalizing and externalizing problems, as possibly having MHP, but teachers had difficulty in identifying students with internalizing problems alone. At least 50.0% of teachers learned to identify hypothetical cases as problematic and to make the appropriate referral, and 60.0% of teachers who before training could not identify normal adolescence learned to do so.Conclusions: the strategy was partially effective but could be improved mainly by extending its duration, and including discussion of actual cases.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Universidade Federal de São Paulo UNIFESP, Dept Psychiat, BR-04038030 São Paulo, BrazilUniversidade Federal de São Paulo UNIFESP, Dept Psychiat, LINC, BR-04038030 São Paulo, BrazilNatl Inst Dev Psychiat Children & Adolescents INP, São Paulo, BrazilUniversidade Federal de São Paulo UNIFESP, Dept Psychiat, BR-04038030 São Paulo, BrazilUniversidade Federal de São Paulo UNIFESP, Dept Psychiat, LINC, BR-04038030 São Paulo, BrazilWeb of Science12engBiomed Central LtdBmc Public HealthMental healthSchool healthAdolescenceEducationPrimary and secondaryProfessional trainingEvaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000332728400003.pdfapplication/pdf248628${dspace.ui.url}/bitstream/11600/37448/1/WOS000332728400003.pdf48b0ef7ea9582c583ed636fceabb582cMD51open accessTEXTWOS000332728400003.pdf.txtWOS000332728400003.pdf.txtExtracted texttext/plain57099${dspace.ui.url}/bitstream/11600/37448/2/WOS000332728400003.pdf.txt2d3f1c483cd28d191bcb6d7c4d20b00aMD52open access11600/374482022-09-27 14:37:30.736open accessoai:repositorio.unifesp.br:11600/37448Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652023-05-25T12:27:07.517831Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
title |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
spellingShingle |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study Vieira, Marlene Apolinário [UNIFESP] Mental health School health Adolescence Education Primary and secondary Professional training |
title_short |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
title_full |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
title_fullStr |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
title_full_unstemmed |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
title_sort |
Evaluating the effectiveness of a training program that builds teachers' capability to identify and appropriately refer middle and high school students with mental health problems in Brazil: an exploratory study |
author |
Vieira, Marlene Apolinário [UNIFESP] |
author_facet |
Vieira, Marlene Apolinário [UNIFESP] Gadelha, Ary [UNIFESP] Moriyama, Tais Silveira [UNIFESP] Bressan, Rodrigo Affonseca [UNIFESP] Bordin, Isabel Altenfelder Santos [UNIFESP] |
author_role |
author |
author2 |
Gadelha, Ary [UNIFESP] Moriyama, Tais Silveira [UNIFESP] Bressan, Rodrigo Affonseca [UNIFESP] Bordin, Isabel Altenfelder Santos [UNIFESP] |
author2_role |
author author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) Natl Inst Dev Psychiat Children & Adolescents INP |
dc.contributor.author.fl_str_mv |
Vieira, Marlene Apolinário [UNIFESP] Gadelha, Ary [UNIFESP] Moriyama, Tais Silveira [UNIFESP] Bressan, Rodrigo Affonseca [UNIFESP] Bordin, Isabel Altenfelder Santos [UNIFESP] |
dc.subject.eng.fl_str_mv |
Mental health School health Adolescence Education Primary and secondary Professional training |
topic |
Mental health School health Adolescence Education Primary and secondary Professional training |
description |
Background: in Brazil, like many countries, there has been a failure to identify mental health problems (MHP) in young people and refer them to appropriate care and support. the school environment provides an ideal setting to do this. Therefore, effective programs need to be developed to train teachers to identify and appropriately refer children with possible MHP. We aimed to evaluate teachers' ability to identify and appropriately refer students with possible MHP, and the effectiveness of a psychoeducational strategy to build teachers' capability in this area.Methods: To meet the first objective, we conducted a case-control study using a student sample. To meet the second, we employed longitudinal design with repeated measures before and after introducing the psychoeducational strategy using a teacher sample. in the case control study, the Youth Self-Report was used to investigate internalizing and externalizing problems. Before training, teachers selected 26 students who they thought were likely to have MHP. Twenty-six non-selected students acted as controls and were matched by gender, age and grade. the underlying principle was that if teachers could identify abnormal behaviors among their actual students, those with some MHP would likely be among the case group and those without among the control group. in the longitudinal study, 32 teachers were asked to evaluate six vignettes that highlighted behaviors indicating a high risk for psychosis, depression, conduct disorder, hyperactivity, mania, and normal adolescent behavior. We calculated the rates of correct answers for identifying the existence of some MHP and the need for referral before and after training; teachers were not asked to identify the individual conditions.Results: Teachers were already able to identify the most symptomatic students, who had both internalizing and externalizing problems, as possibly having MHP, but teachers had difficulty in identifying students with internalizing problems alone. At least 50.0% of teachers learned to identify hypothetical cases as problematic and to make the appropriate referral, and 60.0% of teachers who before training could not identify normal adolescence learned to do so.Conclusions: the strategy was partially effective but could be improved mainly by extending its duration, and including discussion of actual cases. |
publishDate |
2014 |
dc.date.issued.fl_str_mv |
2014-02-28 |
dc.date.accessioned.fl_str_mv |
2016-01-24T14:35:19Z |
dc.date.available.fl_str_mv |
2016-01-24T14:35:19Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Bmc Public Health. London: Biomed Central Ltd, v. 14, 12 p., 2014. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/37448 http://dx.doi.org/10.1186/1471-2458-14-210 |
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1471-2458 |
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WOS000332728400003.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1186/1471-2458-14-210 |
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WOS:000332728400003 |
identifier_str_mv |
Bmc Public Health. London: Biomed Central Ltd, v. 14, 12 p., 2014. 1471-2458 WOS000332728400003.pdf 10.1186/1471-2458-14-210 WOS:000332728400003 |
url |
http://repositorio.unifesp.br/handle/11600/37448 http://dx.doi.org/10.1186/1471-2458-14-210 |
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Biomed Central Ltd |
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