Important Systemic Factors for Improving Adolescent Mental Health Literacy
,
Abstract
Objective: Mental health literacy is especially important during adolescence and youth, because the peak of the onset of mental disorders occurs in this period. The present study aimed to identify the effective systemic factors for improving Iranian adolescent mental health literacy from the Perspective of policymakers and experts.
Method: This qualitative study was performed on 21 policymakers and health literacy/mental health experts since May 2020 to September 2020 in the workplace of the interviewees in Tehran. Purposive sampling (snowball method) was conducted based on experience, expertise, and the willingness to participate in an interview. All interviews were conducted with the presence of the interviewer at the interviewees' workplace in Tehran. The data were collected through semi-structured interviews and analyzed via the conventional content analysis method.
Results: Five themes were extracted as systemic factors for improving adolescent mental health literacy. Themes were “mental health literacy training”, “integration and coordination of stakeholder organizations”, “resources and facilities”, “continuous assessment” and “provision of information.”
Conclusion: Before policy-making and planning to enhance adolescents' knowledge and awareness of mental health issues, it is necessary to attract policymakers’ attention to the macro level and identify direct and indirect strategies for the correct implementation of policies adopted in this field.
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2. Mulye TP, Park MJ, Nelson CD, Adams SH, Irwin CE, Jr., Brindis CD. Trends in adolescent and young adult health in the United States. J Adolesc Health. 2009;45(1):8-24.
3. Chisholm D, Flisher AJ, Lund C, Patel V, Saxena S, Thornicroft G, et al. Scale up services for mental disorders: a call for action. Lancet. 2007;370(9594):1241-52.
4. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593-602.
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6. Rahimi-Movaghar A, Amin-Esmaeili M, Sharifi V, Hajebi A, Radgoodarzi R, Hefazi M, et al. Iranian mental health survey: design and field proced. Iran J Psychiatry. 2014;9(2):96-109.
7. Kutcher S. Facing the challenge of care for child and youth mental health in Canada: a critical commentary, five suggestions for change and a call to action. Healthc Q. 2011;14 Spec No 2:14-21.
8. Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231-43.
9. Wei Y, Hayden JA, Kutcher S, Zygmunt A, McGrath P. The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry. 2013;7(2):109-21.
10. Kutcher S, Bagnell A, Wei Y. Mental health literacy in secondary schools: a Canadian approach. Child Adolesc Psychiatr Clin N Am. 2015;24(2):233-44.
11. Sayarifard A, Ghadirian L. Mental health literacy in iran: an urgent need for a remedy. Int J Prev Med. 2013;4(7):741-3.
12. Yang J, Lopez Cervera R, Tye SJ, Ekker SC, Pierret C. Adolescent mental health education InSciEd Out: a case study of an alternative middle school population. J Transl Med. 2018;16(1):84.
13. Ravindran AV, Herrera A, da Silva TL, Henderson J, Castrillo ME, Kutcher S. Evaluating the benefits of a youth mental health curriculum for students in Nicaragua: a parallel-group, controlled pilot investigation. Glob Ment Health (Camb). 2018;5:e4.
14. Morgado T, Loureiro L, Rebelo Botelho MA, Marques MI, Martínez-Riera JR, Melo P. Adolescents' Empowerment for Mental Health Literacy in School: A Pilot Study on ProLiSMental Psychoeducational Intervention. Int J Environ Res Public Health. 2021;18(15):1522.
15. Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10:113.
16. Helms JL. Barriers to help seeking among 12th graders. J Educ Psychol Consult. 2003;14(1):27-40.
17. Wang C, Do KA, Frese K, Zheng L. Asian immigrant parents’ perception of barriers preventing adolescents from seeking school-based mental health services. School Ment Health. 2019;11(2):364-377.
18. Wilson CJ, Deane FP, Marshall KL, Dalley A. Reducing adolescents’ perceived barriers to treatment and increasing help-seeking intentions: effects of classroom presentations by general practitioners. J Youth Adolesc. 2008;37(10):1257-69.
19. Sayarifard A, Ghadirian L, Mohit A, Eftekhar M, Badpa M, Rajabi F. Assessing mental health literacy: What medical sciences students' know about depression. Med J Islam Repub Iran. 2015;29:161.
20. Ghadirian L, Sayarifard A. Depression Literacy in Urban and Suburban Residents of Tehran, the Capital of Iran; Recognition, Help Seeking and Stigmatizing Attitude and the Predicting Factors. Int J Prev Med. 2019;10:134.
21. Mirsalimi F, Ghofranipour F, Montazeri A, Noroozi A. Postpartum depression literacy among pregnant women. Payesh (Health Monitor). 2019;18(5):525-33.
22. Bahrami MA, Bahrami D, Chaman-Ara K. The correlations of mental health literacy with psychological aspects of general health among Iranian female students. Int J Ment Health Syst. 2019;13:59.
23. Noroozi A, Khademolhosseini F, Lari H, Tahmasebi R. The mediator role of mental health literacy in the relationship between demographic variables and health-promoting behaviours. Iran J Psychiatry Behav Sci. 2018;12(2):e12603.
24. Mohammadi AS, Panahi S, Ashouri A, Sayarifard A. Identifying inhibitor factors affecting mental health literacy in adolescents perspective. Journal of Indian Association for Child and Adolescent Mental Health-ISSN 0973-1342. 2021;17(4):66-84.
25. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57.
26. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12.
27. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass; 1981.
28. Wakefield MA, Loken B, Hornik RC. Use of mass media campaigns to change health behaviour. Lancet. 2010;376(9748):1261-71.
29. Naugle DA, Hornik RC. Systematic review of the effectiveness of mass media interventions for child survival in low- and middle-income countries. J Health Commun. 2014;19 Suppl 1(sup1):190-215.
30. Skopelja EN, Whipple EC, Richwine P. Reaching and teaching teens: Adolescent health literacy and the internet. J Consum Health Internet. 2008;12(2):105-18.
31. Kutcher S, Wei Y, Morgan C. Successful Application of a Canadian Mental Health Curriculum Resource by Usual Classroom Teachers in Significantly and Sustainably Improving Student Mental Health Literacy. Can J Psychiatry. 2015;60(12):580-6.
32. Vella SA, Swann C, Batterham M, Boydell KM, Eckermann S, Ferguson H, et al. An Intervention for Mental Health Literacy and Resilience in Organized Sports. Med Sci Sports Exerc. 2021;53(1):139-49.
33. Clough BA, Nazareth SM, Casey LM. Making the grade: a pilot investigation of an e-intervention to increase mental health literacy and help-seeking intentions among international university students. Br J Guid Counc. 2020;48(3):347-59.
34. Mohammadi AS, Panahi S, Sayarifard A, Ashouri A. Identifying the prerequisites, facilitators, and barriers in improving adolescents' mental health literacy interventions: A systematic review. J Educ Health Promot. 2020;9:322.
35. Kong L, Yan Y, Liu S. Analysis on Problems and Strategies of Interactive Teaching Model in Higher Education. 8th International Conference on Education, Management, Information and Management Society; 2018 Aguest; Atlantis Press.
36. Hui CLM, Leung WWT, Wong AKH, Loong KY, Kok J, Hwang A, et al. Destigmatizing psychosis: Investigating the effectiveness of a school-based programme in Hong Kong secondary school students. Early Interv Psychiatry. 2019;13(4):882-7.
37. Rickwood D, Cavanagh S, Curtis L, Sakrouge R. Educating young people about mental health and mental illness: evaluating a school-based programme. Int J Ment Health Promot. 2004;6(4):23-32.
38. Robinson J, Gook S, Yuen HP, Hughes A, Dodd S, Bapat S, et al. Depression Education and Identification in Schools: An Australian-based Study. School Ment Health. 2010;2(1):13-22.
39. Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Soc Sci Med. 2011;72(12):2011-9.
40. Essler V, Arthur A, Stickley T. Using a school-based intervention to challenge stigmatizing attitudes and promote mental health in teenagers. J Ment Health. 2006;15(2):243-50.
41. Ng P, Chan K-F. Attitudes towards people with mental illness. Effects of a training program for secondary school students. Int J Adolesc Med Health. 2002;14(3):215-24.
42. Vila-Badia R, Martínez-Zambrano F, Arenas O, Casas-Anguera E, García-Morales E, Villellas R, et al. Effectiveness of an intervention for reducing social stigma towards mental illness in adolescents. World J Psychiatry. 2016;6(2):239-47.
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44. Skre I, Friborg O, Breivik C, Johnsen LI, Arnesen Y, Wang CE. A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial. BMC Public Health. 2013;13:873.
45. Kutcher S, Wei Y, Morgan C. Successful Application of a Canadian Mental Health Curriculum Resource by Usual Classroom Teachers in Significantly and Sustainably Improving Student Mental Health Literacy. Can J Psychiatry. 2015;60(12):580-6.
46. Marks R. Health literacy and school-based health education. Columbia: Emerald Group Publishing; 2012.
47. Brunwasser SM, Garber J. Programs for the Prevention of Youth Depression: Evaluation of Efficacy, Effectiveness, and Readiness for Dissemination. J Clin Child Adolesc Psychol. 2016;45(6):763-83.
48. Isaac M, Gureje O, Sumathipala A. Primary Mental Health Care in Low-and Middle-Income Countries. In: Gask L, Kendrick T, Peveler R, Chew-Graham C, editors. Primary Care Mental Health. Cambridge: Cambridge University Press; 2018. p. 20-54.
49. Mkhize N, Kometsi MJ. Community access to mental health services: lessons and recommendations: Primary Health Care: programme areas. S Afr Health Rev. 2008;2008(1):103-13.
50. Keleher H. Community-based shared mental health care: a model of collaboration? Aust J Prim Health. 2006;12(2):90-6.
51. Callaly T, Fletcher A. Providing integrated mental health services: a policy and management perspective. Australas Psychiatry. 2005;13(4):351-6.
52. Darlington Y, Feeney JA, Rixon K. Complexity, conflict and uncertainty: Issues in collaboration between child protection and mental health services. Child Youth Serv Rev. 2004;26(12):1175-92.
53. Darlington Y, Feeney JA. Collaboration between mental health and child protection services: Professionals' perceptions of best practice. Child Youth Serv Rev. 2008;30(2):187-98.
54. Gardner DB. Ten lessons in collaboration. Online J Issues Nurs. 2005;10(1):2.
55. Rosen A, Callaly T. Interdisciplinary teamwork and leadership: issues for psychiatrists. Australas Psychiatry. 2005;13(3):234-40.
56. Ødegård A, Strype J. Perceptions of interprofessional collaboration within child mental health care in Norway. J Interprof Care. 2009;23(3):286-96.
57. Sawyer MG, Harchak TF, Spence SH, Bond L, Graetz B, Kay D, et al. School-based prevention of depression: a 2-year follow-up of a randomized controlled trial of the beyondblue schools research initiative. J Adolesc Health. 2010;47(3):297-304.
58. Swartz K, Musci RJ, Beaudry MB, Heley K, Miller L, Alfes C, et al. School-Based Curriculum to Improve Depression Literacy Among US Secondary School Students: A Randomized Effectiveness Trial. Am J Public Health. 2017;107(12):1970-6.
59. Rahbari S, Tabibi J. Comparison of Mental Health Services in Iran and Selected Countries. JHPM. 2018;7(3):10-9.
60. Knapp M, Funk M, Curran C, Prince M, Grigg M, McDaid D. Economic barriers to better mental health practice and policy. Health Policy Plan. 2006;21(3):157-70.
61. Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet. 2007;370(9593):1164-74.
62. Zhang QE, Ng CH, Ungvari GS, Van IK, Wang G, Xiang YT. Mental Health-Care Delivery for Older People in China: An Update of Challenges and Recent Clinical Research. J Geriatr Psychiatry Neurol. 2019;32(6):287-90.
63. Taghva A, Farsi Z, Javanmard Y, Atashi A, Hajebi A, Khademi M. Stigma Barriers of Mental Health in Iran: A Qualitative Study by Stakeholders of Mental Health. Iran J Psychiatry. 2017;12(3):163-71.
64. Baltussen RM, Yé Y, Haddad S, Sauerborn RS. Perceived quality of care of primary health care services in Burkina Faso. Health Policy Plan. 2002;17(1):42-8.
65. Lim PC, Tang NK. A study of patients' expectations and satisfaction in Singapore hospitals. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2000;13(6-7):290-9.
66. Heath I, Rubinstein A, Stange KC, van Driel ML. Quality in primary health care: a multidimensional approach to complexity. Bmj. 2009;338:b1242.
67. Murray CJ, Evans DB, Evans D. Health systems performance assessment: debates, methods and empiricism: World Health Organization; 2003.
68. Naylor PB, Cowie HA, Walters SJ, Talamelli L, Dawkins J. Impact of a mental health teaching programme on adolescents. Br J Psychiatry. 2009;194(4):365-70.
69. Miller L, Musci R, D'Agati D, Alfes C, Beaudry MB, Swartz K, et al. Teacher Mental Health Literacy is Associated with Student Literacy in the Adolescent Depression Awareness Program. School Ment Health. 2019;11(2):357-63.
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2. Mulye TP, Park MJ, Nelson CD, Adams SH, Irwin CE, Jr., Brindis CD. Trends in adolescent and young adult health in the United States. J Adolesc Health. 2009;45(1):8-24.
3. Chisholm D, Flisher AJ, Lund C, Patel V, Saxena S, Thornicroft G, et al. Scale up services for mental disorders: a call for action. Lancet. 2007;370(9594):1241-52.
4. Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR, Walters EE. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62(6):593-602.
5. Sharifi V, Amin-Esmaeili M, Hajebi A, Motevalian A, Radgoodarzi R, Hefazi M, et al. Twelve-month prevalence and correlates of psychiatric disorders in Iran: the Iranian Mental Health Survey, 2011. Arch Iran Med. 2015;18(2):76-84.
6. Rahimi-Movaghar A, Amin-Esmaeili M, Sharifi V, Hajebi A, Radgoodarzi R, Hefazi M, et al. Iranian mental health survey: design and field proced. Iran J Psychiatry. 2014;9(2):96-109.
7. Kutcher S. Facing the challenge of care for child and youth mental health in Canada: a critical commentary, five suggestions for change and a call to action. Healthc Q. 2011;14 Spec No 2:14-21.
8. Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am Psychol. 2012;67(3):231-43.
9. Wei Y, Hayden JA, Kutcher S, Zygmunt A, McGrath P. The effectiveness of school mental health literacy programs to address knowledge, attitudes and help seeking among youth. Early Interv Psychiatry. 2013;7(2):109-21.
10. Kutcher S, Bagnell A, Wei Y. Mental health literacy in secondary schools: a Canadian approach. Child Adolesc Psychiatr Clin N Am. 2015;24(2):233-44.
11. Sayarifard A, Ghadirian L. Mental health literacy in iran: an urgent need for a remedy. Int J Prev Med. 2013;4(7):741-3.
12. Yang J, Lopez Cervera R, Tye SJ, Ekker SC, Pierret C. Adolescent mental health education InSciEd Out: a case study of an alternative middle school population. J Transl Med. 2018;16(1):84.
13. Ravindran AV, Herrera A, da Silva TL, Henderson J, Castrillo ME, Kutcher S. Evaluating the benefits of a youth mental health curriculum for students in Nicaragua: a parallel-group, controlled pilot investigation. Glob Ment Health (Camb). 2018;5:e4.
14. Morgado T, Loureiro L, Rebelo Botelho MA, Marques MI, Martínez-Riera JR, Melo P. Adolescents' Empowerment for Mental Health Literacy in School: A Pilot Study on ProLiSMental Psychoeducational Intervention. Int J Environ Res Public Health. 2021;18(15):1522.
15. Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. 2010;10:113.
16. Helms JL. Barriers to help seeking among 12th graders. J Educ Psychol Consult. 2003;14(1):27-40.
17. Wang C, Do KA, Frese K, Zheng L. Asian immigrant parents’ perception of barriers preventing adolescents from seeking school-based mental health services. School Ment Health. 2019;11(2):364-377.
18. Wilson CJ, Deane FP, Marshall KL, Dalley A. Reducing adolescents’ perceived barriers to treatment and increasing help-seeking intentions: effects of classroom presentations by general practitioners. J Youth Adolesc. 2008;37(10):1257-69.
19. Sayarifard A, Ghadirian L, Mohit A, Eftekhar M, Badpa M, Rajabi F. Assessing mental health literacy: What medical sciences students' know about depression. Med J Islam Repub Iran. 2015;29:161.
20. Ghadirian L, Sayarifard A. Depression Literacy in Urban and Suburban Residents of Tehran, the Capital of Iran; Recognition, Help Seeking and Stigmatizing Attitude and the Predicting Factors. Int J Prev Med. 2019;10:134.
21. Mirsalimi F, Ghofranipour F, Montazeri A, Noroozi A. Postpartum depression literacy among pregnant women. Payesh (Health Monitor). 2019;18(5):525-33.
22. Bahrami MA, Bahrami D, Chaman-Ara K. The correlations of mental health literacy with psychological aspects of general health among Iranian female students. Int J Ment Health Syst. 2019;13:59.
23. Noroozi A, Khademolhosseini F, Lari H, Tahmasebi R. The mediator role of mental health literacy in the relationship between demographic variables and health-promoting behaviours. Iran J Psychiatry Behav Sci. 2018;12(2):e12603.
24. Mohammadi AS, Panahi S, Ashouri A, Sayarifard A. Identifying inhibitor factors affecting mental health literacy in adolescents perspective. Journal of Indian Association for Child and Adolescent Mental Health-ISSN 0973-1342. 2021;17(4):66-84.
25. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57.
26. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-12.
27. Guba EG, Lincoln YS. Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco: Jossey-Bass; 1981.
28. Wakefield MA, Loken B, Hornik RC. Use of mass media campaigns to change health behaviour. Lancet. 2010;376(9748):1261-71.
29. Naugle DA, Hornik RC. Systematic review of the effectiveness of mass media interventions for child survival in low- and middle-income countries. J Health Commun. 2014;19 Suppl 1(sup1):190-215.
30. Skopelja EN, Whipple EC, Richwine P. Reaching and teaching teens: Adolescent health literacy and the internet. J Consum Health Internet. 2008;12(2):105-18.
31. Kutcher S, Wei Y, Morgan C. Successful Application of a Canadian Mental Health Curriculum Resource by Usual Classroom Teachers in Significantly and Sustainably Improving Student Mental Health Literacy. Can J Psychiatry. 2015;60(12):580-6.
32. Vella SA, Swann C, Batterham M, Boydell KM, Eckermann S, Ferguson H, et al. An Intervention for Mental Health Literacy and Resilience in Organized Sports. Med Sci Sports Exerc. 2021;53(1):139-49.
33. Clough BA, Nazareth SM, Casey LM. Making the grade: a pilot investigation of an e-intervention to increase mental health literacy and help-seeking intentions among international university students. Br J Guid Counc. 2020;48(3):347-59.
34. Mohammadi AS, Panahi S, Sayarifard A, Ashouri A. Identifying the prerequisites, facilitators, and barriers in improving adolescents' mental health literacy interventions: A systematic review. J Educ Health Promot. 2020;9:322.
35. Kong L, Yan Y, Liu S. Analysis on Problems and Strategies of Interactive Teaching Model in Higher Education. 8th International Conference on Education, Management, Information and Management Society; 2018 Aguest; Atlantis Press.
36. Hui CLM, Leung WWT, Wong AKH, Loong KY, Kok J, Hwang A, et al. Destigmatizing psychosis: Investigating the effectiveness of a school-based programme in Hong Kong secondary school students. Early Interv Psychiatry. 2019;13(4):882-7.
37. Rickwood D, Cavanagh S, Curtis L, Sakrouge R. Educating young people about mental health and mental illness: evaluating a school-based programme. Int J Ment Health Promot. 2004;6(4):23-32.
38. Robinson J, Gook S, Yuen HP, Hughes A, Dodd S, Bapat S, et al. Depression Education and Identification in Schools: An Australian-based Study. School Ment Health. 2010;2(1):13-22.
39. Pinto-Foltz MD, Logsdon MC, Myers JA. Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents. Soc Sci Med. 2011;72(12):2011-9.
40. Essler V, Arthur A, Stickley T. Using a school-based intervention to challenge stigmatizing attitudes and promote mental health in teenagers. J Ment Health. 2006;15(2):243-50.
41. Ng P, Chan K-F. Attitudes towards people with mental illness. Effects of a training program for secondary school students. Int J Adolesc Med Health. 2002;14(3):215-24.
42. Vila-Badia R, Martínez-Zambrano F, Arenas O, Casas-Anguera E, García-Morales E, Villellas R, et al. Effectiveness of an intervention for reducing social stigma towards mental illness in adolescents. World J Psychiatry. 2016;6(2):239-47.
43. Bella-Awusah T, Adedokun B, Dogra N, Omigbodun O. The impact of a mental health teaching programme on rural and urban secondary school students' perceptions of mental illness in southwest Nigeria. J Child Adolesc Ment Health. 2014;26(3):207-15.
44. Skre I, Friborg O, Breivik C, Johnsen LI, Arnesen Y, Wang CE. A school intervention for mental health literacy in adolescents: effects of a non-randomized cluster controlled trial. BMC Public Health. 2013;13:873.
45. Kutcher S, Wei Y, Morgan C. Successful Application of a Canadian Mental Health Curriculum Resource by Usual Classroom Teachers in Significantly and Sustainably Improving Student Mental Health Literacy. Can J Psychiatry. 2015;60(12):580-6.
46. Marks R. Health literacy and school-based health education. Columbia: Emerald Group Publishing; 2012.
47. Brunwasser SM, Garber J. Programs for the Prevention of Youth Depression: Evaluation of Efficacy, Effectiveness, and Readiness for Dissemination. J Clin Child Adolesc Psychol. 2016;45(6):763-83.
48. Isaac M, Gureje O, Sumathipala A. Primary Mental Health Care in Low-and Middle-Income Countries. In: Gask L, Kendrick T, Peveler R, Chew-Graham C, editors. Primary Care Mental Health. Cambridge: Cambridge University Press; 2018. p. 20-54.
49. Mkhize N, Kometsi MJ. Community access to mental health services: lessons and recommendations: Primary Health Care: programme areas. S Afr Health Rev. 2008;2008(1):103-13.
50. Keleher H. Community-based shared mental health care: a model of collaboration? Aust J Prim Health. 2006;12(2):90-6.
51. Callaly T, Fletcher A. Providing integrated mental health services: a policy and management perspective. Australas Psychiatry. 2005;13(4):351-6.
52. Darlington Y, Feeney JA, Rixon K. Complexity, conflict and uncertainty: Issues in collaboration between child protection and mental health services. Child Youth Serv Rev. 2004;26(12):1175-92.
53. Darlington Y, Feeney JA. Collaboration between mental health and child protection services: Professionals' perceptions of best practice. Child Youth Serv Rev. 2008;30(2):187-98.
54. Gardner DB. Ten lessons in collaboration. Online J Issues Nurs. 2005;10(1):2.
55. Rosen A, Callaly T. Interdisciplinary teamwork and leadership: issues for psychiatrists. Australas Psychiatry. 2005;13(3):234-40.
56. Ødegård A, Strype J. Perceptions of interprofessional collaboration within child mental health care in Norway. J Interprof Care. 2009;23(3):286-96.
57. Sawyer MG, Harchak TF, Spence SH, Bond L, Graetz B, Kay D, et al. School-based prevention of depression: a 2-year follow-up of a randomized controlled trial of the beyondblue schools research initiative. J Adolesc Health. 2010;47(3):297-304.
58. Swartz K, Musci RJ, Beaudry MB, Heley K, Miller L, Alfes C, et al. School-Based Curriculum to Improve Depression Literacy Among US Secondary School Students: A Randomized Effectiveness Trial. Am J Public Health. 2017;107(12):1970-6.
59. Rahbari S, Tabibi J. Comparison of Mental Health Services in Iran and Selected Countries. JHPM. 2018;7(3):10-9.
60. Knapp M, Funk M, Curran C, Prince M, Grigg M, McDaid D. Economic barriers to better mental health practice and policy. Health Policy Plan. 2006;21(3):157-70.
61. Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, et al. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet. 2007;370(9593):1164-74.
62. Zhang QE, Ng CH, Ungvari GS, Van IK, Wang G, Xiang YT. Mental Health-Care Delivery for Older People in China: An Update of Challenges and Recent Clinical Research. J Geriatr Psychiatry Neurol. 2019;32(6):287-90.
63. Taghva A, Farsi Z, Javanmard Y, Atashi A, Hajebi A, Khademi M. Stigma Barriers of Mental Health in Iran: A Qualitative Study by Stakeholders of Mental Health. Iran J Psychiatry. 2017;12(3):163-71.
64. Baltussen RM, Yé Y, Haddad S, Sauerborn RS. Perceived quality of care of primary health care services in Burkina Faso. Health Policy Plan. 2002;17(1):42-8.
65. Lim PC, Tang NK. A study of patients' expectations and satisfaction in Singapore hospitals. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2000;13(6-7):290-9.
66. Heath I, Rubinstein A, Stange KC, van Driel ML. Quality in primary health care: a multidimensional approach to complexity. Bmj. 2009;338:b1242.
67. Murray CJ, Evans DB, Evans D. Health systems performance assessment: debates, methods and empiricism: World Health Organization; 2003.
68. Naylor PB, Cowie HA, Walters SJ, Talamelli L, Dawkins J. Impact of a mental health teaching programme on adolescents. Br J Psychiatry. 2009;194(4):365-70.
69. Miller L, Musci R, D'Agati D, Alfes C, Beaudry MB, Swartz K, et al. Teacher Mental Health Literacy is Associated with Student Literacy in the Adolescent Depression Awareness Program. School Ment Health. 2019;11(2):357-63.
70. World Health Organization. Mental health policy, plans and programmes. Geneva: World Health Organization; 2005.
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| Files | ||
| Issue | Vol 18 No 1 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijps.v18i1.11412 | |
| Keywords | ||
| Adolescent Health Literacy Health Policy Mental Health | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Shahraki-Mohammadi A, Panahi S, Ashouri A, Sayarifard A. Important Systemic Factors for Improving Adolescent Mental Health Literacy. Iran J Psychiatry. 2022;18(1):45-54.
