Youth Mental Health First Aid (YMHFA) is a training program to inform
adults about frequent emotional and psychological issues among young
people and offer learners the means to help youth with mental distress
before eighteen (Kelly et al., 2011). Young people have a lower probability of
being treated for mental illness than the rest of the population. The positive
findings from the Western countries demonstrate that YMHFA learners are
more knowledgeable about the suicide risk assessment, hearing without a
judgment, promoting qualified professional assistance, and promoting
self-help techniques with young people in mental distress (J. M. Aakre, A.
Lucksted, & L. A. Browning-McNee, 2016). However, a systematic review
advises that further research and treatments be undertaken in non-Western
nations, high-risk individuals, and other professional settings (Ng et al., 2020).
Asian countries should apply the YMHFA from a cultural and professional
viewpoint to support the students and young adults in identifying mental
needs, understanding their mental status, and receiving supports from
professionals or other self-help activities. This review gives solid evidence, an
adapted framework, and recommendation for implementing the YMHFA in
Vietnamese education systems, especially during and after COVID-19.
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duties and require supporting the identification,
standard practice, and referral to these counselors by other school workers
and educators.
The online version of the conventional MHFA training showed similar
results as direct MHFA and other types of learning (online or hybrid
learning) in earlier research. Blended learning may also be linked to higher
pleasure from the individual. Moving the course online can improve the
class’s size and allow more people to enjoy training (Reavley et al., 2018).
This highlight gives us a shred of solid evidence for conducting YMHFA in
Vietnamese schools during the COVID-19 outbreak so that the students
and their families can be beneficial from the online community level.
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4.2. School-Based Public Mental Health Recommendation
In schools, mental health should be regarded as a key to preventing
psychosocial and mental health problems to address barriers to growth
and learning in a particular way. In both cases, a prospect of public mental
health is required (Adelman & Taylor, 2006). The aims are to a) Favor
physical, social, and emotional growth directly; b) Minimize mental and
psychological issues; c) Identify, correct, or minimize issues as early
as possible after starting up; d) Provide coordinated care for severe and
chronic conditions, and e) Implement/Refer psychosocial/mental/physical
severe chronic issues services. Adelman and Taylor also suggest that school
boards must prioritize the well-being of teachers and other school personnel
to promote the well-being of kids. School employees, like children, require
supports that strengthen protective buffers, decreases risks, and promote
well-being. Every school should commit to building staff and student
resilience and establishing an environment that promotes mutual support,
care, and a feeling of community. Staff and students must have a positive
self-image to deal with problems proactively and successfully in the
future. Every day, school-wide approaches for welcoming and supporting
school employees, students, and families create a psychologically sound
school – one in which staff, students, and families connect favorably and
recognize the school and its objectives. The goal is to create a climate that
encourages smooth transitions, positive informal encounters, and social
interactions; facilitated social support; created opportunities to access
information readily and learn how to work effectively in schools’ culture;
and encourage participation in decision-making. The imagination and
enthusiasm of many educational, public health, and mental health experts
will be necessary to make such an ambitious image a reality.
4.3. A Holistic Approach with the Current SEL and YMHFA
640
Figure 2. School Mental Health Theoretical Framework
(Cavioni, Ornaghi & Grazzani, 2020)
In the new approach recommended by Cavioni, Grazzani, and
Ornaghi (2020), the scientists reveal that the three fields of the school’s
mental health, the corresponding developmental settings (family and
community), and the overall political function are graphically illustrated
in Figure 1. The suggested framework is evidence-based and covers
three main categories: current research on school children and teachers’
promotion and mental health prevention. The support of the inner and
outer school settings can be beneficial in this combination.
• Internal systems: The present framework has been designed to
promote the development of comprehensive school programs for
schools of mental health, which simultaneously promote both SEL
and resilience as well as to prevent behavioral problems, both among
students and teachers, within an entire school approach for the
promotion of mental health. Moreover, the school should provide
the YMHFA for school staff and parents (if possible) so that the
consent and sense of support can create a nurturing and supportive
environment.
• External systems: To develop comprehensive support in schools in
which mental health promotion and preventive methods are
641
incorporated and are given as a fundamental component of the school
curriculum, school mental health programs and political leaders
should be involved. Schools have often been requested to participate
in fragmented programs without a reasonable basis for incorporating
these programs into the broader school organization.
This figure is the combination of different theoretical frameworks
such as Bronfenbrenner’s Ecological Systems Framework (Ceci, 2006),
life course theory(Elder Jr, 1998), Family theory (Larsen & Olson, 1990),
and other theories. These foundations provide evidence of strengths and
protective factors related to the family’s supports, associated with the
Vietnamese culture about the sense of community and closeness of school
and family traditions. This observation is confirmed with the results of
culture research that those cultural traits and traditions that include the
most profound feeling of humanity stem from the generosity of every
human being and can set an example in every family and communal
society (Trung & Van, 2020).
Table 2. SEL and YMHFA in internal and external systems
SEL YMHFA
Internal Stakeholders should promote,
instruct, and analyze the
advancement of SEL in their
local schools using the skills
listed below:
1. Self-awareness
2. Self-management
3. Social awareness
4. Relationship skills
5. Responsible decision-
making
(Jagers, Rivas-Drake, &
Williams, 2019)
Train for teachers and other
school staff about:
1. Risk factors and warning
indicators of mental health
problems
2. Information on depression,
anxiety, trauma, psychosis,
and substance use
3. A 5-step plan to help someone
developing a mental health
concern or in crisis
4. Evidence-based professional,
peer, and self-help resources
(J. Aakre, A. Lucksted, & L.
Browning-McNee, 2016)
642
SEL YMHFA
External Engaging families in nurturing
the SEL that their children
acquired in school and then
applying it outside of the
classroom
1. Increase parent and family
awareness;
2. Inform parents about school
efforts;
3. Create chances to emphasize
parent expertise; and
4. Provide tools for at-home
practice.
(Dinallo, 2016)
Enhance parent:
1. awareness of mental health
concerns,
2. intentions and confidence in
assisting a young person,
3. stigmatizing attitudes, and
4. seeking assistance for mental
health problems
(Amy J. Morgan et al., 2019)
Beneficiary Students, parents, teachers
Goals • Emphasis on comprehensive support for early intervention
and prevention
• Empower all participants in the systems (in school and at
home)
• Establish the shared mental support network in the communities
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