Exploring Mental Health and Academic Outcomes of Children Receiving Non-manualized, Transdiagnostic, Task-Shifted Mental Health Care From Their Teachers in a Low-and-Middle Income Country.

Autor:	Vanderburg JL; School Psychology Program, School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States., Dukpa C; Darjeeling Ladenla Road Prerna, Darjeeling, India., Rauniyar AK; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, United States., Giri P; Darjeeling Ladenla Road Prerna, Darjeeling, India., Bhattarai S; Darjeeling Ladenla Road Prerna, Darjeeling, India., Thapa A; Darjeeling Ladenla Road Prerna, Darjeeling, India., Gaynes BN; Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.; Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States., Hampanda K; Center for Global Health, Colorado School of Public Health, Aurora, CO, United States.; Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical, Aurora, CO, United States., Lamb MM; Department of Epidemiology, Colorado School of Public Health, Aurora, CO, United States.; Center for Global Health, Colorado School of Public Health, Aurora, CO, United States., Matergia M; Center for Global Health, Colorado School of Public Health, Aurora, CO, United States.; Broadleaf Health and Education Alliance, Stroudsburg, PA, United States., Cruz CM; School Psychology Program, School of Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.; Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.
Jazyk:	angličtina
Zdroj:	Frontiers in pediatrics [Front Pediatr] 2022 Mar 21; Vol. 10, pp. 807178. Date of Electronic Publication: 2022 Mar 21 (Print Publication: 2022).
DOI:	10.3389/fped.2022.807178
Abstrakt:	A majority of children worldwide who face mental health difficulties, especially in low-and-middle income countries, remain undiagnosed and untreated. This deficit roots in part from a lack of trained professionals qualified to provide care. Task-shifting the provision of treatment to teachers, individuals with consistent access to children, can reduce the care gap. The current study investigated whether the implementation of a pilot trial of Tealeaf-Mansik Swastha (Teachers Leading the Frontlines-Mental Health; "Tealeaf") was associated with improvements in child mental health and academic outcomes. Tealeaf is a transdiagnostic, non-manualized, task-shifting intervention in which teachers identify students in need of mental health care and then provide task-shifted care for them using an emerging, novel therapy modality, "education as mental health therapy" (Ed-MH). Pre-post standardized quantitative measures focused on child mental health status and academics. The measures were completed by multiple raters and compared to determine whether changes occurred. Results indicated that primary teacher raters observed significant improvements in child mental health symptoms overall, while secondary teacher raters and caregivers noted improvement for certain diagnostic categories. Caregivers observed on average a decreased impact of their children's mental health symptoms on their children's lives. Academically, math scores significantly improved while reading trended toward significance. Preliminary evidence overall supports the viability of Tealeaf and Ed-MH for positively impacting child mental health and academics. Future directions include the implementation of a formalized, randomized-controlled trial to strengthen preliminary outcomes. Competing Interests: CC, PG, and MM hold the copyright to the training and intervention materials for the teacher-led task-shifted alternative system of children's mental health care that this research studies. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2022 Vanderburg, Dukpa, Rauniyar, Giri, Bhattarai, Thapa, Gaynes, Hampanda, Lamb, Matergia and Cruz.)
Databáze:	MEDLINE
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