Related Experiment Video

Updated: Mar 19, 2026

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Implementation of a Real-Time Psychosis Risk Detection and Alerting System Based on Electronic Health Records using CogStack

Published on: May 15, 2020

Screening adolescents for mental health issues in primary health care settings: a best practice implementation

Silvia López-Sanz¹, Ana I Liébana-Morán¹, Laura Albornos-Muñoz^2,3

¹Centro Salud José Aguado I, León, Spain.

JBI Evidence Implementation

|March 18, 2026

Abstract

Introduction:

According to the 2018 Health Behavior in School-aged Children Study conducted by the World Health Organization (WHO) in Spain, 23.9% of adolescents experience frequent psychological distress. Therefore, early detection of mental health issues in adolescents is essential.

Objectives:

The aim of this project was to improve mental health screening for adolescents aged 14-16 years by promoting evidence-based practices in a primary health center in León, Spain. The project also aimed to increase awareness of health care professionals and include mental health screening as a routine process.

Methods:

This project used the JBI Evidence Implementation Framework, which integrates clinical audit and feedback. Convenience sampling was used to select 50 adolescents and 20 health care staff (nurses and physicians). A baseline audit was used to evaluate existing compliance with best practice recommendations. After the implementation of improvement strategies, a follow-up audit was conducted to measure changes in compliance.

Results:

The baseline audit revealed key barriers such as limited knowledge and confidence among health care staff regarding adolescent mental health screening, lack of a validated tool, and low engagement from adolescents to seek help. Strategies were developed, resulting in improvements across all criteria, including the screening of adolescents for mental health or psychosocial issues (34% to 74%); informing adolescents and family members of goals of screening, potential risks of screening, and use of a validated tool (0% to 50%, respectively); staff access to referral pathways (5% to 80%); and knowledge of follow-up and treatment monitoring (5% to 65%).

Conclusions:

Improvements were achieved after the implementation of improvement strategies. Additional training and follow-up will be needed to further improve results and consolidate practices.

Spanish Abstract:

http://links.lww.com/IJEBH/A535.

Keywords:

adolescent well-being evidence-based practice mental health screening teen health

More Related Videos

Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling

Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling

Published on: January 17, 2025

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment

Published on: January 11, 2020

Related Concept Videos

Preventive Healthcare Services

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

Primary Healthcare Services

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

Community Based Intervention

Community Based Intervention

Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...

Specialized Care Centers and Settings-I

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...

Levels of Health Promotion and Illness Prevention

Levels of Health Promotion and Illness Prevention

Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...

Treatment Strategies for Psychological Disorders

Treatment Strategies for Psychological Disorders

Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...

Articles linked to this work by shared authors, journal, and citation graph.

Improving nutritional screening of patients aged over 75 years admitted to internal medicine wards: a best practice implementation project.

JBI evidence implementation·2026

Assessment, patency, and management of occlusion of central venous catheters in ICU and hemodialysis patients in a hospital in Badajoz, Spain: a best practice implementation project.

JBI evidence implementation·2025

Post-discharge telephone follow-up calls to patients with chronic obstructive pulmonary disease by primary care nurses: a best practice implementation project.

JBI evidence implementation·2024

Post-operative pain management in a surgical unit in a tertiary hospital in Spain: a best practice implementation project.

JBI evidence implementation·2024

[A multifaceted implementation strategy to enhance the uptake of evidence-based nursing recommendations in Spain: implementation project protocol].

Revista espanola de salud publica·2024

Efficacy of the Otago-Exercise-Programme to reduce falls in community-dwelling adults aged 65-80 when delivered as group or individual training: Non-inferiority-clinical-trial.

BMC nursing·2024

See all related articles