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A systematic review of universal approaches to mental health promotion in schools

Wells, Jane, Barlow, Jane, Stewart-Brown, Sarah·2003·Health Education

DOI 10.1108/09654280310485546

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Abstract

Reviews previous studies of the universal approach to mental health promotion, and disease prevention programmes or interventions in schools. Over 8,000 publications were identified initially and 425 studies obtained for further review. The inclusion criteria were met by 17 (mostly US) studies investigating 16 interventions. Positive evidence of effectiveness was obtained for programmes that adopted a whole-school approach, were implemented continuously for more than a year, and were aimed at the promotion of mental health as opposed to the prevention of mental illness. Provides evidence that universal school mental health promotion programmes can be effective and suggests that long-term interventions promoting the positive mental health of all pupils and involving changes to the school climate are likely to be more successful than brief class-based mental illness prevention programmes.

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Authors: Wells, J., Barlow, J., & Stewart-Brown, S.
Affiliations: Jane Wells is Director of Public Health, Newbury and Community Primary Care Trust, Newbury, UK.
University of Oxford (GB)
University of Warwick (GB)
ORCID: Barlow, Jane
Stewart-Brown, Sarah
Venue: Health Education
Publisher: Emerald
Published: 2003-08-01
Volume: 103
Issue: 4
Pages: 197-220
ISSN: 0965-4283 (ISSN-L)
1758-714X
DOI: 10.1108/09654280310485546
OpenAlex: W2094352589
Cited by: 459
References: 35
Citations by year: 2026: 2 · 2025: 8 · 2024: 14 · 2023: 20 · 2022: 24 · 2021: 26 · 2020: 19 · 2019: 32 · 2018: 27 · 2017: 26 · 2016: 32 · 2015: 27 · 2014: 31 · 2013: 33 · 2012: 24
FWCI: 2.39
Type: journal article
Language: en
Open access: closed
Locations: Health Education (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords: school-based mental health promotion, universal interventions, whole-school approach, school climate, mental illness prevention, long-term intervention, student mental health, intervention effectiveness

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A systematic review of universal approaches to mental health promotion in schools

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