Jaffe Gita, Balasa Jenny, Siegal Rachel, Tan Samantha X L
Global Alliance for Behavioral Health and Social Justice.
Milken Institute School of Public Health, George Washington University.
Am J Orthopsychiatry. 2025;95(5):497-511. doi: 10.1037/ort0000804. Epub 2024 Dec 30.
Globally, 250 million children and adolescents experience mental health conditions. Many more go undiagnosed and untreated, and still others experience psychological distress that, while not rising to the level of a clinical diagnosis, impacts their future outcomes. While schools have been, and continue to be, central for youth well-being, the demand for mental health services and the broader recognition of the importance of youth mental health necessitates an integrated, whole-community approach that supports schools as a central, but not sole, hub. Thus, the Global Alliance for Behavioral Health and Social Justice's Safe and Humane Schools Task Force asserts that, to build a sustainable pathway to promote youth and ultimately community well-being, in addition to preventing future mental health crises, the meaningful involvement of community stakeholders is required. Subsequently, in this article, the Safe and Humane Schools Task Force puts forth a blueprint toward youth mental wellness. The blueprint draws on an interdisciplinary approach, incorporating evidence-based literature, lived experiences, and recommendations from diverse stakeholders, particularly youth. Specifically, the blueprint provides a model for identifying traditional and nontraditional stakeholders across socioecological levels. This blueprint then describes guiding principles for stakeholders to use as part of an interdisciplinary and child rights-based approach. The key themes of the principles are participation, collaboration, belonging and social connection, accountability, and safety and security. Innovative examples of how stakeholders have incorporated these principles to advance youth mental health promotion and crisis prevention are included. Potential barriers to, and facilitators for, the blueprint are addressed. Finally, a recommended series of questions is included to be used by stakeholders to adapt this blueprint according to local context. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
在全球范围内，有2.5亿儿童和青少年患有心理健康问题。还有更多人未被诊断和治疗，另外一些人则经历着心理困扰，虽然这些困扰尚未达到临床诊断的程度，但却影响着他们未来的发展。虽然学校一直并将继续是促进青少年福祉的核心，但对心理健康服务的需求以及对青少年心理健康重要性的更广泛认识，需要一种综合的、全社会参与的方法，这种方法将学校作为核心但并非唯一的枢纽来加以支持。因此，全球行为健康与社会正义联盟的安全与人文学校特别工作组断言，为了建立一条促进青少年乃至社区福祉的可持续途径，除了预防未来的心理健康危机之外，还需要社区利益相关者的切实参与。随后，在本文中，安全与人文学校特别工作组提出了一份促进青少年心理健康的蓝图。该蓝图采用跨学科方法，纳入了基于证据的文献、实际生活经验以及来自不同利益相关者，特别是青少年的建议。具体而言，该蓝图提供了一个模型，用于识别社会生态层面的传统和非传统利益相关者。然后，这份蓝图描述了利益相关者可作为基于跨学科和儿童权利方法一部分来使用的指导原则。这些原则的关键主题包括参与、协作、归属感和社会联系、问责制以及安全保障。其中还包括利益相关者如何运用这些原则来推进青少年心理健康促进和危机预防的创新实例。文中讨论了该蓝图可能面临的障碍和促进因素。最后，列出了一系列建议问题，供利益相关者根据当地情况调整这份蓝图时使用。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
