Department of Education
Posted on 5 September 2018
Prevention makes sense financially, given that specialist mental health services for children and adolescents are currently overloaded, with long waiting lists. More importantly, helping young people develop traits, skills and strategies to protect their mental health can have a lifelong positive impact. And if mental health skills are broadly taught in schools and applied by pupils in a supportive learning context (and where possible also involve family, and are put into practice outside school) the health improvements could, in time, benefit the whole population.
In short, mental health prevention in schools makes a lot of sense. But according to a recent report, it is largely insufficient in UK schools. This is despite well-being being high on education policy agendas.
There seems to be an imbalance between learning about physical health and mental well-being. Most children are taught about the importance of things like exercise, a healthy diet and the risks of smoking in school. But they rarely learn about the impact of stress on their body, symptoms of anxiety and depression, or healthy mental habits. They are not taught how to prevent anxiety and excessive negative stress, or how to work with these experiences if they arise.
So how could schools effectively contribute to mental health prevention? To answer this question, we first need to be clear on what mental health prevention should focus on. In recent years, “resilience” has been frequently emphasised as central to mental health. But there are disagreements about what resilience means and how to measure it.
Definitions often place resilience in terms of positive responses to adversity. However, both resilience and well-being are strongly impacted by two core determinants of mental health – determinants of mental health which schools should be focusing on first for problem prevention.
The first determinant, “metacognitive self-regulation”, is linked to reflective self-control – the ability to notice what is happening in our mind and body, and effectively manage our attention and emotions. This means, for example, that a pupil might notice they have repeated anxious thoughts about an upcoming exam. Or that they often get a tummy ache when they have to speak in front of the class. Noticing these initial signs can prompt the pupil to apply some strategies to reduce the anxious thoughts or stress. They may disengage their attention from repetitive thoughts, or apply techniques that help them feel less anxious. In this way, the pupil can prevent the early signs of mental health difficulties that they are experiencing from escalating into overwhelming clinical health problems.
The second determinant of mental health is a sense of meaning and purpose in life. Research shows that adolescents who have a better sense of meaning and purpose are less likely to suffer from depression.
Read the full article by Dr Dusana Dorjee on 'Schools need to teach pupils skills to maintain good mental health – here’s how' on The Conversation website.