Perspectives of education and mental health professionals on adolescent school-based mental health promotion: a qualitative exploration

Abstract

BackgroundInterdisciplinary interventions for school-based mental health promotion (SBMHP) for adolescents (10–19 years old) provide a unique opportunity to address the urgent mental health needs across this population. EspaiJove.net, a SBMHP programme, has delivered mental health workshops to over 24118 adolescents in Barcelona, Spain, since 2012. This study aimed to explore the perspectives from professionals involved in EspaiJove.net regarding the needs, challenges, and opportunities for adolescent SBMHP, to guide future interventions. MethodsFollowing an interpretivist approach rooted in social constructionism, semi-structured online interviews were conducted with six mental health professionals and five education professionals recruited through purposeful sampling from four schools participating in EspaiJove.net in Barcelona, Spain. Data collection was done between November and December, 2021. An interview guide and ongoing researcher reflexivity contributed to attaining data saturation. Bracketing, member checking, and debriefing were used to ensure rigour. Data were analysed through thematic content analysis. The University of Liverpool's Ethics Committee approved this study. FindingsData showed that: (1) there is a shared understanding among education and mental health professionals towards mental health and its promotion; (2) there is an urgent need for adolescent mental health promotion; and (3) participants' perceived roles and responsibilities in SBMHP varied, but favourable views towards the implementation of SBMHP were unanimous. There was perceived urgency towards adolescent mental health promotion, partly attributed to the effects of the COVID-19 pandemic. The link established between schools and mental health centres through EspaiJove.net fostered an interdisciplinary collaboration that spanned well beyond the intervention. The major challenge affecting the feasibility of SBMHP unanimously described was the scarcity of resources and political will to invest in mental health promotion. InterpretationPerspectives arising from EspaiJove.net reveal favourable views towards SBMHP among participants. Although limited by size, the consistency of the findings add strength to the study. Given the similarities between the UK and Spain's Education and Health Systems, these findings could contribute to the advancement of SBMHP in the UK. Despite current challenges, such as the scarcity of resources and political will identified in this study, capitalising on schools as health-promoting assets and fostering interdisciplinary collaboration through SBMHP could be a cost-effective way to address the current global mental health crisis. FundingNone.