辩论:以学校为基础的普遍心理健康干预措施的下一个方向是什么? 预防中的紧张关系 - - 为了建立更好的学校课程,我们必须从我们所知道的开始
Katherine A Cohen1, Eric J Bruns2, Jessica L Schleider1
1Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
基于学校的普遍心理健康计划显示出混合的结果. 在多层系统中对发现进行上下文化,并促进学生自主性,对于有效实施和积极结果至关重要.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 公共卫生干预 公共卫生干预
- 教育心理学教育心理学
背景情况:
- 提出了基于学校的普遍预防计划,以提高全人口的青少年心理健康.
- 最近的试验 (例如,MYRIAD,CSC) 产生了无效或阳效应,挑战了以前的假设.
研究的目的:
- 为了将最近的负面试验结果用于普遍的基于学校的心理健康计划.
- 建议研究和实施这些计划的前进道路.
主要方法:
- 辩论文章综合现有研究和专家知识.
- 分析影响计划采用和坚持的因素,如学生自主权.
- 考虑在多层系统中实施.
主要成果:
- 最近的试验结果必须在更广泛的实施科学背景下进行解释.
- 有效的通用计划通常嵌入多层支持系统中.
- 学生的自主性是计划参与和成功的关键因素.
结论:
- 单个试验的无效或有毒的结果不会使几十年在学校精神健康方面的专业知识无效.
- 未来的研究和实施应优先考虑综合,多层次的方法和以学生为中心的战略.
- 重新思考普遍预防计划的设计和交付对于改善青年心理健康结果至关重要.
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