Successful application of a Canadian mental health curriculum resource by usual classroom teachers in significantly and sustainably improving student mental health literacy
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Objective: To investigate whether the significant and substantive findings from a previous study of youth mental health literacy (MHL) could be replicated using the same methods in another population. Method: We examined the impact of a curriculum resource, the Mental Health and High School Curriculum Guide (The Guide), taught by usual classroom teachers on students' knowledge and attitudes related to mental health and mental illness in Canadian secondary schools. Survey data were collected before, immediately after, and 2 months after implementation of The Guide by teachers in usual classroom teaching. We conducted paired-sample t tests and calculated the Cohen d value to determine outcomes and impact of the curriculum resource application. Results: One hundred fourteen students were matched for analysis of knowledge data and 112 students were matched for analysis of attitude data at pre-intervention, post-intervention, and 2-month follow-up time periods. Following classroom exposure to the curriculum resource, students' knowledge scores increased significantly and substantively, compared with baseline ( P < 0.001, d = 1.11), and this was maintained at 2-month follow-up ( P < 0.001, d = 0.91). Similar findings for attitude improvement were found ( P < 0.001, d = 0.66), and this improvement was maintained at 2-month follow-up ( P < 0.001, d = 0.52). Conclusions: These findings corroborate those from a previous study conducted in a different location. Taken together these results suggest a simple but effective approach to improving MHL in young people by embedding a classroom resource, delivered by usual classroom teachers in usual school settings.
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Both perceived stigma and personal or self-stigma may be more marked among certain groups including people with less education and those who are more psychologically distressed.
“Both may be more marked among certain groups including people with less education and those who are more psychologically distressed. 344”
From Time for united action on depression: a Lancet–World Psychiatric Association Commission (2022) · cites this paper as [344]
Cites
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.593 · Cited by 20,391 · see citing works
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011) · Child Development · doi:10.1111/j.1467-8624.2010.01564.x · Cited by 8,746 · see citing works
No health without mental health
Prince, M. J., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61238-0 · Cited by 3,835 · see citing works
Mental health of young people: A global public-health challenge
Patel, V., Flisher, A. J., Hetrick, S., & McGorry, P. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60368-7 · Cited by 3,126 · see citing works
Jorm, A. F., Korten, A. E., Jacomb, P. A., Christensen, H., Rodgers, B., & Pollitt, P. (1997) · Medical Journal of Australia · doi:10.5694/j.1326-5377.1997.tb140071.x · Cited by 2,585 · see citing works
Child and adolescent mental health worldwide: evidence for action
Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., Rohde, L. A., Srinath, S., Ulkuer, N., & Rahman, A. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60827-1 · Cited by 2,449 · see citing works
O'Connell, M., Boat, T., & Warner, K. (2009) · National Academies Press eBooks · doi:10.17226/12480 · Cited by 2,035 · see citing works
Mental health literacy: empowering the community to take action for better mental health
Jorm, A. F. (2012) · American Psychologist · doi:10.1037/a0025957 · Cited by 1,783 · see citing works
Social consequences of psychiatric disorders, I: Educational attainment
(1995) · American Journal of Psychiatry · doi:10.1176/ajp.152.7.1026 · Cited by 1,370 · see citing works
Children's Mental Health Service Use Across Service Sectors
Burns, B. J., Costello, E. J., Angold, A. C., Tweed, D. L., Stangl, D. K., Farmer, E. M. Z., & Erkanli, A. (1995) · Health Affairs · doi:10.1377/hlthaff.14.3.147 · Cited by 1,145 · see citing works
Mental health promotion and problem prevention in schools: what does the evidence say?
Weare, K., & Nind, M. (2011) · Health Promotion International · doi:10.1093/heapro/dar075 · Cited by 1,043 · see citing works
Mental health: A report of the surgeon general
Marrelli, T. M. (2000) · Home Care Provider · doi:10.1067/mhc.2000.108190 · Cited by 1,025 · see citing works
Scale up services for mental disorders: a call for action
(2007) · The Lancet · doi:10.1016/s0140-6736(07)61242-2 · Cited by 835 · see citing works
Health Literacy: A Prescription To End Confusion
(2005) · PsycEXTRA Dataset · doi:10.1037/e515822006-002 · Cited by 807 · see citing works
Thornicroft, G. (2003) · Oxford University Press eBooks · doi:10.1093/med/9780198570981.001.0001 · Cited by 656 · see citing works
Improving mental health literacy as a strategy to facilitate early intervention for mental disorders
Kelly, C. M., Jorm, A. F., & Wright, A. (2007) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2007.tb01332.x · Cited by 598 · see citing works
McGorry, P. D., Purcell, R., Goldstone, S., & Amminger, G. P. (2011) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e3283477a09 · Cited by 490 · see citing works
Mental health first aid training for high school teachers: a cluster randomized trial
Jorm, A. F., Kitchener, B. A., Sawyer, M. G., Scales, H., & Cvetkovski, S. (2010) · BMC Psychiatry · doi:10.1186/1471-244x-10-51 · Cited by 349 · see citing works
How Adolescents Perceive the Stigma of Mental Illness and Alcohol Abuse
Corrigan, P. W., Lurie, B. D., Goldman, H. H., Slopen, N. B., Medasani, K., & Phelan, S. M. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.5.544 · Cited by 309 · see citing works
Wei, Y., Hayden, J. A., Kutcher, S., Zygmunt, A., & McGrath, P. (2013) · Early Intervention in Psychiatry · doi:10.1111/eip.12010 · Cited by 290 · see citing works
Self-citationReavley, N. J., & Jorm, A. F. (2011) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2011.621060 · Cited by 271 · see citing works
Mental Health Literacy in Secondary Schools
Kutcher, S., Bagnell, A. L., & Wei, Y. (2014) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2014.11.007 · Cited by 258 · see citing works
Self-citationShunned: Discrimination Against People Mental Illness
Nelson, S. H. (2007) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.v68n1223b · Cited by 252 · see citing works
McLuckie, A., Kutcher, S., Wei, Y., & Weaver, C. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0379-4 · Cited by 242 · see citing works
Self-citationMental health promotion works: a review
Jané‐Llopis, E., Barry, M. M., Hosman, C. M. H., & Patel, V. (2005) · Promotion & Education · doi:10.1177/10253823050120020103x · Cited by 199 · see citing works
Paradigms Lost: Fighting Stigma and the Lessons Learned
Stuart, H. L. (2012) · Oxford University Press eBooks · doi:10.1093/med/9780199797639.001.0001 · Cited by 195 · see citing works
Waddell, C., Offord, D. R., Shepherd, C. A., Hua, J. M., & McEwan, K. L. (2002) · The Canadian Journal of Psychiatry · doi:10.1177/070674370204700903 · Cited by 191 · see citing works
Youth mental health first aid: a description of the program and an initial evaluation
Kelly, C., Mithen, J., Fischer, J. A., Kitchener, B. A., Jorm, A. F., Lowe, A. J., & Scanlan, C. (2011) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-5-4 · Cited by 177 · see citing works
O'Connor, P. J., Martin, B., Weeks, C. S., & Ong, L. (2014) · Journal of Advanced Nursing · doi:10.1111/jan.12423 · Cited by 172 · see citing works
Perry, Y., Petrie, K., Buckley, H., Cavanagh, L., Clarke, D., Winslade, M., Hadzi‐Pavlovic, D., Manicavasagar, V., & Christensen, H. (2014) · Journal of Adolescence · doi:10.1016/j.adolescence.2014.08.001 · Cited by 167 · see citing works
Kutcher, S., Wei, Y., McLuckie, A., & Bullock, L. (2013) · Advances in School Mental Health Promotion · doi:10.1080/1754730x.2013.784615 · Cited by 165 · see citing works
Self-citationSkre, I., Friborg, O., Breivik, C., Johnsen, L. I., Arnesen, Y., & Wang, C. E. A. (2013) · BMC Public Health · doi:10.1186/1471-2458-13-873 · Cited by 165 · see citing works
Self-labeling and its effects among adolescents diagnosed with mental disorders
Moses, T. (2008) · Social Science & Medicine · doi:10.1016/j.socscimed.2008.11.003 · Cited by 137 · see citing works
Mental Health in Schools and Public Health
Adelman, H. S., & Taylor, L. K. (2006) · Public Health Reports · doi:10.1177/003335490612100312 · Cited by 130 · see citing works
Changing Directions, Changing Lives: The Mental Health Strategy for Canada
Bartram, M. H., Chodos, H., Gosling, S., Hardie, S. L., Knoops, F., Lapierre, L., Lyons, D., Neuwelt, B., & Proulx, M. (2016) · Cited by 123 · see citing works
Prevalence of Psychiatric Disorders in Childhood and Adolescence
Costello, E. J., Mustillo, S., Keeler, G. P., & Angold, A. C. (2004) · doi:10.1093/oso/9780195153958.003.0006 · Cited by 82 · see citing works
Wei, Y., Kutcher, S., & Szumilas, M. (2011) · McGill Journal of Education / Revue des sciences de l'éducation de McGill · doi:10.7202/1006436ar · Cited by 76 · see citing works
Self-citationMinas, H., Colucci, E., & Jorm, A. F. (2009) · International Journal of Mental Health Systems · doi:10.1186/1752-4458-3-19 · Cited by 74 · see citing works
Leavey, J. E. (2005) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2005-0018 · Cited by 67 · see citing works
International School Mental Health: Global Approaches, Global Challenges, and Global Opportunities
Wei, Y., & Kutcher, S. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2011.09.005 · Cited by 50 · see citing works
Self-citationKutcher, S. (2011) · Healthcare Quarterly · doi:10.12927/hcq.2011.22359 · Cited by 40 · see citing works
Self-citationKe, S., Lai, J., Sun, T., Yang, M. M. H., Wang, J. C. C., & Austin, J. (2014) · Community Mental Health Journal · doi:10.1007/s10597-014-9763-2 · Cited by 34 · see citing works
Challenges and Solutions in the Implementation of the School-Based Pathway to Care Model
Kutcher, S., & Wei, Y. (2013) · Canadian Journal of School Psychology · doi:10.1177/0829573512468859 · Cited by 28 · see citing works
Self-citationSantor, D. A., & Bagnell, A. L. (2011) · Child and Adolescent Psychiatric Clinics of North America · doi:10.1016/j.chc.2011.09.004 · Cited by 15 · see citing works
Development of a mental health literacy program for secondary school students in Japan
Ojio, Y., Ohnuma, K., Miki, T., & Sasaki, T. (2015) · Cambridge University Press eBooks · doi:10.1017/cbo9781107284241.013 · Cited by 8 · see citing works
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Time for united action on depression: a Lancet–World Psychiatric Association Commission
Herrman, H., Patel, V., Kieling, C., Berk, M., Buchweitz, C., Cuijpers, P., Furukawa, T. A., Kessler, R. C., Kohrt, B. A., Maj, M., et al. (2022) · The Lancet · doi:10.1016/s0140-6736(21)02141-3 · Cited by 1,104 · see citing works
Amado-Rodríguez, I. D., Casañas, R., Mas-Expósito, L., Castellví, P., Roldan-Merino, J. F., Casas, I., Lalucat-Jo, L., & Fernández-San Martín, M. I. (2022) · Children · doi:10.3390/children9040480 · Cited by 112 · see citing works
Patafio, B., Miller, P., Baldwin, R., Taylor, N., & Hyder, S. (2021) · Early Intervention in Psychiatry · doi:10.1111/eip.13109 · Cited by 84 · see citing works
Mental health literacy in Arab states of the Gulf Cooperation Council: A systematic review
Elyamani, R., Naja, S., Al-Dahshan, A., Hamoud, H., Bougmiza, M. I., & Alkubaisi, N. (2021) · PLOS ONE · doi:10.1371/journal.pone.0245156 · Cited by 60 · see citing works
Klim-Conforti, P., Zaheer, R., Levitt, A. J., Cheung, A. H., Schachar, R., Schaffer, A., Goldstein, B. I., Fefergrad, M., Niederkrotenthaler, T., & Sinyor, M. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.02.028 · Cited by 41 · see citing works
- Authors
- Kutcher, S., Wei, Y., & Morgan, C.
- Affiliations
- Dalhousie University (CA)
- Corresponding author
- Kutcher, Stan
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2015-12
- Volume
- 60
- Issue
- 12
- Pages
- 580-586
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- PMC
- PMC4679167
- OpenAlex
- W2329373558
- Cited by
- 145
- References
- 46
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 19 · 2023: 18 · 2022: 20 · 2021: 18 · 2020: 20 · 2019: 8 · 2018: 7 · 2017: 9 · 2016: 3 · 2015: 2
- FWCI
- 15.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental health literacy, youth mental health, classroom teachers, high school students, mental illness knowledge, attitudes toward mental illness, replication study, school mental health education
- MeSH terms
- Adolescent, Mental Disorders, Canada, Curriculum, Faculty, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Mental Health, Schools, Health Literacy
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