Understanding and enhancing mental health competence - a promising new approach to improving lives for young people

了解和提高心理健康能力——改善年轻人生活的一种有前途的新方法

基本信息

批准号：
MR/T046260/1
负责人：
Russell Viner
金额：
$ 12.28万
依托单位：
University College London
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2020
资助国家：
英国
起止时间：
2020 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=MR%2FT046260%2F1
关键词：
Understanding enhancing mental health competence

项目摘要

BackgroundThe Chief Medical Officer for England's Annual Reports 2012 and 2013 acknowledged the importance of promotion of mental health in young people, rather than focusing on mental health problems. One conceptualisation of positive mental health is mental health competence (MHC). MHC includes skills for getting along with and caring for others, as well as the capacity to manage emotions and behaviour. Improving MHC through school-based programmes may lead to benefits, ranging from reductions in risky behaviours such as substance use to higher school achievements. As young people move into adulthood, MHC skills are also assets in a rapidly changing labour market and participating as active citizens in society. There is good evidence that key elements of MHC are open to change in childhood and adolescence. We know that social and emotional learning (SEL) programmes in schools can achieve lasting effects on aspects of MHC, including social skills and prosociality. Our long-term aim is to accelerate the development of MHC interventions to improve young people's lives. However, there are a number of knowledge gaps before MHC programmes are ready to implement and evaluate.Our proposal will establish a collaboration to begin to fill these gaps through 3 related workpackages (WP). WP1. Working with young people, practitioners (health and education) and policy stakeholders to further develop MHC concepts We will work with young people and stakeholders from health, school and policy settings to define and develop MHC concepts and plan WP2&3. Over many years, our work has included consultations with Young Research Advisors (YRAs) from the National Children's Bureau. We will engage with YRAs to ground the work within lived experiences, transforming MHC into a concept with meaning for young people and schools and real potential for interventions. Second, we will convene a stakeholder network to further develop MHC concepts and interventions. We will also discuss issues with translating interventions into practice. WP2. Scoping school-based intervention typologies to identify candidate interventions with potential to modify MHC One way to accelerate development of MHC-related interventions is to identify which existing effective school programmes around learning, mental health and wellbeing can or might influence MHC. We will examine recent evidence reviews to identify those interventions which theory or evidence suggests are likely to influence MHC and where changes in MHC may form part of the intervention's effects.In this WP we will re-analyse data from one type of intervention (SEL). The INCLUSIVE trial included SEL elements and significantly reduced bullying and substance use and improved mental health, wellbeing and quality of life in young people. We will examine whether these benefits related to improvements in MHC. WP3. Investigate the potential for MHC to improve outcomes at a population levelWe will scope the potential for interventions around MHC to improve adolescent wellbeing by simulating the likely effect of improvements in MHC on key outcomes in young people. Our method evaluates potential national interventions where randomised trials are unfeasible or have not taken place. We will undertake one pilot simulation using the UK Millennium Cohort Study, assessing the impact of improving MHC at age 11 years (the transition to secondary school) on bullying, mental health, smoking and drinking and academic attainments at age 14-16 years. Findings from the three WPs will be integrated by YRAs and members of the network and used to plan future work, including evaluations of trial data, modelling MHC interventions, development of future intervention pilots, and disseminating insights about implementation of interventions in practice, with the overall aim to improve health and wellbeing in young people.

背景是英格兰2012年和2013年年度报告的首席医疗官，承认促进年轻人心理健康的重要性，而不是专注于心理健康问题。积极心理健康的一个概念是心理健康能力（MHC）。 MHC包括与他人相处和照顾他人的技能，以及管理情绪和行为的能力。通过以学校为基础的计划来改善MHC可能会带来益处，从降低风险行为（例如使用物质使用）到高中成就。随着年轻人进入成年，MHC技能也是迅速变化的劳动力市场的资产，并作为社会积极的公民参与。有充分的证据表明，MHC的关键要素开放，可以改变儿童和青春期。我们知道，学校中的社交和情感学习（SEL）课程可以对MHC的各个方面（包括社交技能和亲社会性）实现持久影响。我们的长期目标是加快MHC干预措施的发展，以改善年轻人的生活。但是，在MHC计划准备实施和评估之前，存在许多知识差距。我们的建议将建立合作，以开始通过3个相关的工作包（WP）来填补这些空白。 WP1。与年轻人，从业人员（健康和教育）以及政策利益相关者合作，以进一步发展MHC概念，我们将与来自健康，学校和政策环境的年轻人和利益相关者合作，以定义和开发MHC概念和计划WP2和3。多年来，我们的工作包括与国家儿童局的年轻研究顾问（YRAS）的磋商。我们将与YRAS互动，以在生活经验中进行工作，将MHC转变为具有对年轻人和学校意义的概念，并进行真正的干预潜力。其次，我们将召集一个利益相关者网络，以进一步发展MHC概念和干预措施。我们还将讨论将干预措施转化为实践的问题。 WP2。范围基于学校的干预类型来确定候选干预措施，并有可能修改MHC的一种方法来加速与MHC相关的干预措施的发展，以确定围绕学习，心理健康和福祉的现有有效的学校计划可能会或可能影响MHC。我们将研究最新的证据审查，以确定理论或证据表明可能影响MHC的干预措施，以及MHC的变化可能构成干预效果的一部分。在此WP中，我们将重新分析来自一种干预措施（SEL）的数据。。包容性的试验包括SEL元素，并大大减少了欺凌和药物使用，并改善了年轻人的心理健康，福祉和生活质量。我们将研究这些好处是否与MHC的改进有关。 WP3。调查MHC在人群级别上改善结果的潜力将通过模拟MHC改善MHC对年轻人的关键结果的可能影响，从而确定MHC周围干预措施改善青少年健康的潜力。我们的方法评估了随机试验不可行或没有进行的潜在国家干预措施。我们将使用英国千年队列研究进行一次试点模拟，评估11岁时改善MHC（向中学的过渡）对欺凌，心理健康，吸烟和饮酒以及14-16岁年龄段的学术成就的影响。三个WP的发现将由YRA和网络成员整合，并用于计划未来的工作，包括评估试验数据，建模MHC干预措施，开发未来的干预飞行员以及传播有关实践中干预措施的见解，以及与实践实施的见解。总体而言，旨在改善年轻人的健康和福祉。