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教师作为第一响应者:澳大利亚教师的课堂经验和心理健康培训需求。

Teachers as first responders: classroom experiences and mental health training needs of Australian schoolteachers.

机构信息

University of Sydney, Sydney, Australia.

The University of New South Wales, Kensington, Australia.

出版信息

BMC Public Health. 2024 Jan 23;24(1):268. doi: 10.1186/s12889-023-17599-z.

Abstract

BACKGROUND

Schoolteachers are often the first to respond when a student presents with a mental health issue in the classroom. This places a burden on schools that impacts school staff, healthcare workers and teachers. More broadly, it places a responsibility on the education system to address students' mental health. This study examines Australian teachers' classroom experiences and the training areas identified by teachers as necessary to manage these issues.

METHOD

Interviews were undertaken with 18 in-service teachers between 2020 and 2021 from Catholic, Independent and Public schools. Data were gathered via multiple interviews and analysed using thematic content analysis.

RESULTS

The major mental health issues identified by teachers related to mental disorders, depression, anxiety, and a complex range of negative emotional states. Teachers requested training in child and adolescent mental health, counselling skills, early detection and intervention, and training skills to manage the complex relationship with parents and external health and community personnel. Teachers also reported the need to access mental health resources, support and training, which were differentially accessed along socioeconomic status and postcodes.

CONCLUSION

The data show that teachers are often placed as first responders when a student has a mental health issue but feel inadequately trained to manage these issues in the classroom. We identified mental health issues presenting in Australian classrooms and documented critical features of mental-health training asked for by teachers in order to address those issues. Given the increasing demands on teachers to address the mental health of children and adolescents, we argue that an urgent review of mental health training for teachers is needed.

摘要

背景

当学生在课堂上出现心理健康问题时,教师通常是第一个做出反应的人。这给学校带来了负担,影响了学校工作人员、医护人员和教师。更广泛地说,教育系统有责任解决学生的心理健康问题。本研究考察了澳大利亚教师在课堂上的经验,以及教师认为管理这些问题所需的培训领域。

方法

2020 年至 2021 年,我们对来自天主教、独立和公立学校的 18 名在职教师进行了多次访谈。通过多次访谈收集数据,并使用主题内容分析进行分析。

结果

教师确定的主要心理健康问题与精神障碍、抑郁、焦虑以及一系列复杂的负面情绪状态有关。教师要求接受儿童和青少年心理健康、咨询技巧、早期发现和干预方面的培训,并培养管理与家长和外部健康及社区人员复杂关系的技能。教师还报告说需要获得心理健康资源、支持和培训,但这些资源在社会经济地位和邮政编码上存在差异。

结论

数据表明,当学生出现心理健康问题时,教师通常被视为第一反应者,但他们感到自己在课堂上处理这些问题的培训不足。我们确定了在澳大利亚课堂上出现的心理健康问题,并记录了教师要求的心理健康培训的关键特征,以解决这些问题。鉴于教师越来越需要解决儿童和青少年的心理健康问题,我们认为迫切需要对教师的心理健康培训进行审查。

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