Cited by 131Mental Health Treatment and AccessSchool Health and Nursing EducationChild and Adolescent Psychosocial and Emotional Development

Effectiveness of Universal School‐Based Mental Health Awareness Programs Among Youth in the United States: A Systematic Review

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Salerno, John P.·2016·Journal of School Health

Abstract

BACKGROUND: Stigmatizing attitudes toward mental illness and low mental health literacy have been identified as links to social adversity, and barriers to seeking and adhering to treatment among adolescents suffering from mental illness. Prior research has found that it is possible to improve these outcomes using school‐based mental health awareness interventions. The purpose of this study was to review empirical literature pertaining to universal mental health awareness interventions aiming to improve mental health related outcomes among students enrolled in US K‐12 schools, especially minorities vulnerable to health disparities. METHODS: PsycINFO, Cochrane Library, PUBMED, and reference lists of relevant articles were searched for K‐12 school‐based mental health awareness interventions in the United States. Universal studies that measured knowledge, attitudes, and/or help‐seeking pertinent to mental health were included. RESULTS: A total of 15 studies were selected to be part of the review. There were 7 pretest/post‐test case series, 5 nonrandomized experimental trial, 1 Solomon 4‐groups, and 2 randomized controlled trial (RCT) designs. Nine studies measuring knowledge, 8 studies measuring attitudes, and 4 studies measuring help‐seeking, indicated statistically significant improvements. CONCLUSIONS: Although results of all studies indicated some level of improvement, more research on implementation of universal school‐based mental health awareness programs is needed using RCT study designs, and long‐term follow‐up implementation.

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  • The negative attitudes include blaming the person for the illness and expectations that someone with depression cannot perform familial and occupational roles nor cope with either hardships or the daily routine of life.

    “The negative attitudes include blaming the person for the illness and expectations that someone with depression cannot perform familial and occupational roles nor cope with either hardships or the daily routine of life. 342,343”
  • In the UK, there were no changes from 1998 to 2008 in attitudes such as people with depression are a 'danger to others,' 'they are to blame for their own illness,' and they will never fully recover.

    “In the UK, there were no changes from 1998 to 2008 in attitudes such as people with depression are a 'danger to others,' 'they are to blame for their own illness,' and they will never fully recover. 343”
  • Digital biomarkers hold promise for enabling scalable, time-sensitive, and cost-effective assessment of depression by providing real-time psychological, behavioral, and physiological data, but further validation is required.

    “Digital biomarkers hold promise for enabling scalable, time-sensitive, and cost-effective assessment of depression 13,14 by providing real-time psychological, behavioral, and physiological data, 15 but further validation is required.”

    From Digital health technologies and major depressive disorder (2023) · cites this paper as [14]

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Authors
Salerno, J. P.
Affiliations
University of Miami (US)
Corresponding author
Salerno, John P.
Venue
Journal of School Health
Publisher
Wiley
Published
2016-11-08
Volume
86
Issue
12
Pages
922-931
ISSN
  • 0022-4391 (ISSN-L)
  • 1746-1561
OpenAlex
W2554736587
Cited by
130
References
54
Citations by year
2026: 7 · 2025: 11 · 2024: 16 · 2023: 19 · 2022: 17 · 2021: 22 · 2020: 17 · 2019: 10 · 2018: 7 · 2017: 4
FWCI
1.10
Type
journal article
Language
en
Open access
Locations
  • Journal of School Health (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
Center of Excellence for Health Disparities Research: El Centro, National Center on Minority Health and Health Disparities (P60MD002266)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
school-based mental health programs, mental health awareness programs, universal prevention, adolescents, mental health literacy, mental health stigma, help-seeking, mental health knowledge, attitudes toward mental illness, K-12 students, minority students, health disparities
MeSH terms
Awareness, Mental Disorders, Humans, Health Knowledge, Attitudes, Practice, Mental Health, School Health Services, United States, Health Literacy, Social Stigma

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