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School-Based Mental Health Education: Program Effectiveness and Trends in Help-Seeking.

Jean Kirnan¹, Gianna Fotinos¹, Kelsey Pitt¹

¹Psychology Department, School of Humanities & Social Sciences, The College of New Jersey, Ewing Township, NJ 08618, USA.

International Journal of Environmental Research and Public Health

|April 26, 2025

Summary

School-based mental health education significantly improves youth literacy and help-seeking behaviors. Post-pandemic data show increased self-referrals, particularly among middle schoolers, highlighting the program's impact.

Keywords:

COVID education help-seeking mental health school youth

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Area of Science:

Public Health
Adolescent Psychology
Educational Interventions

Background:

The youth mental health crisis necessitates effective school-based interventions.
School programs can enhance mental health literacy and promote help-seeking behaviors.
The COVID-19 pandemic has impacted adolescent mental health and access to support.

Purpose of the Study:

To evaluate the effectiveness of the 'Coming Up for AIR' school-based mental health education program.
To assess changes in student mental health literacy and actual help-seeking behaviors.
To examine trends in help-seeking behavior before, during, and after the COVID-19 pandemic.

Main Methods:

Program effectiveness measured via pre- and post-program surveys assessing mental health literacy.
Help-seeking behavior analyzed using aggregated declaration card data from 2019-2024.
Data analyzed by grade level (middle/high school) and pandemic period (pre-, intra-, post-COVID-19).

Main Results:

Statistically significant gains in mental health literacy observed across all student demographics.
Self-referrals for mental health support increased significantly post-pandemic (middle schoolers +90%, high schoolers +36%).
Middle school students demonstrated higher referral rates than high school students for both self and friend referrals.

Conclusions:

The 'Coming Up for AIR' program effectively enhances youth mental health literacy and promotes help-seeking.
The alarming rise in self-referrals post-pandemic underscores the escalating mental health crisis in middle schoolers.
School-based educational programs are crucial for addressing youth mental health concerns and facilitating access to support.