Department of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Accare Child Study Center, Groningen, The Netherlands.
Child Adolesc Ment Health. 2024 Feb;29(1):1-3. doi: 10.1111/camh.12688. Epub 2023 Dec 23.
An important setting to detect youth mental health problems and provide interventions is the school context, but effective and affordable school-based interventions are scarce and implementation of the available evidence-based interventions is limited. In this editorial, we highlight three issues and propose a research agenda. First, we emphasize that many of the mental health interventions currently used in school settings lack a solid evidence base. Second, we outline that high-quality studies are needed to determine what works, for whom it works and under which circumstances. This includes insight into the most effective intervention elements, subgroups of students who profit more or less from these interventions, and the most effective modes of delivery. These questions should drive our research agenda on school-based mental health interventions. Finally, while answering these pivotal questions, a collaborative multidisciplinary effort should be made to implement school-based interventions with a solid evidence base, which involves, among others, studying how this can be done most effectively.
检测青少年心理健康问题并提供干预措施的一个重要环境是学校，但有效的、负担得起的基于学校的干预措施却很少，而且现有的基于证据的干预措施的实施也受到限制。在这篇社论中，我们强调了三个问题，并提出了一个研究议程。首先，我们强调目前在学校环境中使用的许多心理健康干预措施缺乏坚实的证据基础。其次，我们概述了需要高质量的研究来确定什么有效，对谁有效，以及在什么情况下有效。这包括深入了解最有效的干预要素、从这些干预措施中获益更多或更少的学生亚组，以及最有效的交付模式。这些问题应该成为我们关于基于学校的心理健康干预措施的研究议程的核心。最后，在回答这些关键问题的同时，应该进行协作性的多学科努力，以实施具有坚实证据基础的基于学校的干预措施，其中包括研究如何最有效地做到这一点。
