As anyone working in education will be aware, there has been an increase in the number of young people struggling with their mental health, however services to support them are often unavailable (Frith 2017; Essau 2005). As a result, schools are increasingly being seen as the ideal place where such support could be provided (Frith 2017; Department of Health 2015) especially as education in social and emotional wellbeing (SEW) is regarded with increasing importance (Hoagwood et al, 2007; Stormont et al, 2009) and will become part of the compulsory curriculum from 2020 (gov.uk, 2019).
Teachers are often the first point of contact for young people and parents who are worried about poor mental health (Ford et al, 2008; Sax et al, 2003). This can feel daunting for staff who probably haven’t had any specific training in mental health, especially when resources are limited and waiting lists long; it also diverts attention away from the academic curriculum which adds to the pressure felt, in a world ruled by attainment targets, league tables and performance management. However, studies have shown that poor mental health impacts negatively on attainment (Rodwellet al, 2018; Sellers et al, 2019), and increased support and psycho-education is associated with reduced behaviour problems and depressive symptoms (Lucier-Greer et al., 2014; Rodwell et al., 2018; Sellers et al., 2019) resulting in higher academic achievement.
In 2017, with the publication of ‘Transforming Children and Young People’s Mental Health Provision: a Green Paper’, the government outlined its intention to focus on social and emotional welfare. Schools are in an ideal position to deliver universal mental health education with a survey of teachers revealing the majority of teachers believe that mental health should be addressed in schools (Reinke et al. 2011). Despite this recognition, there is little focus on mental health training for teachers and it is still not part of initial teacher training (Shepherd et al, 2013). In addition, the current limited amount of collaboration between teachers and mental health professionals (Sharpe et al, 2016) means teachers feel they lack the confidence and support to address what they acknowledge to be an important issue (Moor et al, 2007; Roeser et al, 1997; Cohall et al, 2007).
Previous research has highlighted the call from teachers for specialised mental health training (Graham et al, 2011; Moon et al, 2017; Rothì et al, 2008; Walter et al, 2006) however when looking at the practicalities such as the pressures of timetabling, academic targets and funding, the difficulties of transferring mental health training into the classroom become evident (Rothì et al, 2008).
From a mental health services perspective, there are potential difficulties as programmes used previously have failed due to their inflexibility as teachers adapted them to meet the needs of the class (Taylor et al, 2014). As a teacher, it is second nature to adapt style and content to best fit the class sat in front of you as it’s not only a crucial part of classroom management, but also an Ofsted expectation (Ofsted, 2017; Symons, 2018). Any intervention must therefore be endorsed by the teachers who are going to deliver it (Hans et al, 2005). This demonstrates the need for research to identify ways that mental health training can be utilised effectively in the classroom.
The following study used focus groups of current teachers to allow the authors to better understand teachers’ wants, needs and opinions regarding mental health in schools (Shelemy et al, 2019).
The research aims of the study were to
- better understand what teachers would like from mental health training and resources
- explore their opinions on different ways of delivering interventions
- identify the factors that both help and obstruct teachers in providing good support to students
- Had to be practicing secondary school teachers in the UK
- Nine focus groups were formed with four to eight participants in each
- Forty-nine teachers, with differing amounts of prior mental health training, took part in the study
- Schools selected for the study were located in five different countries, across three regions of the UK
- Pastoral leads helped organise and recruit teachers within their school
- Focus groups were conducted until no new ideas were emerging.
Initial interviews took place where teachers were told the aims of the research were to establish what schools wanted and needed in terms of mental health interventions and that all data would be anonymised.
Within the focus groups a semi-structured guide (based on previous research) was used to direct the discussion (Kidger et al, 2009; Shelemy et al, forthcoming).
Each focus group discussion addressed three aims:
- Teachers’ needs and opinions regarding mental health provision within school
- Teachers’ views on three independent mental health online resources delivered in different formats:
- MindEd (2018), a free text based online resource
- FutureLearn (2018), a mixed media Cognitive-Behavioural Therapy (CBT) online course
- Kognito (2018), an animated interactive program that aims to train teachers on how to support and have a conversation about mental health
- The format (text, video, interactive etc) of mental health training, and a review of the online resources.
The focus groups examined 2 main themes:
- What should be done to improve teacher training?
- External changes that were needed to help teachers cope with student mental health difficulties.
Improving teacher training
1. Content of training: identifying and supporting rather than solving
Focus groups expressed concern that they would be expected to take on the role of therapists, emphasising that their priority must remain educational. However, there was a desire to be able to identify subtle signs that students were struggling with their mental health so that they could respond in a way that would not exacerbate difficulties. Many teachers felt unsure as to what they should or shouldn’t say and wanted guidance on appropriate things to say and do to prevent student mental health from worsening.
2. Style of training: the need for training that has a real-world application
Focus groups felt it important that any training was related to classroom and educational scenarios, with examples and case studies related to their day to day role of teaching. Teachers expressed a need for clear practical classroom strategies that they could employ as needed, rather than a ‘wishy-washy’ overview of mental health.
3. Accessibility of training: the need for training to be engaging and active
It was agreed that any training should employ a mixture of teaching styles, should be interactive, promote discussion, and incorporate feedback and opinions from teachers. There was mixed feedback about online resources but there was an agreement that it needed to be straight forward and to the point due to time constraints, summary questions that assessed understanding were also found to be useful. In addition, the group felt that mental health training should also be more highly valued, with it being evidence-based, delivered by an expert, and that it should form part of continuing professional development.
Focus groups emphasised that any intervention must be wider than simply what they did within the classroom, highlighting the need for procedures and policies within the school. Improved communication with CAMHS was also considered vital, both in terms of offering advice, and in clear referral routes for identified young people. Teachers also emphasised the importance of supporting parents and wanted advice relating to this.
Mental health training for teachers must be practical, simple and interactive.
The focus groups agreed a ‘checklist’ showing that they wanted to provide teachers with the knowledge and understanding of the symptoms of mental health, so that they could respond appropriately. They also identified that any response needed to be wider than simply training teachers to respond in the classroom.
Strengths and limitations
- Only schools rated by Ofsted as ‘Good’ or ‘Outstanding’ took part. The mental health wants and needs of schools with lower Ofsted ratings may differ.
- Participants were selected by the pastoral leads within each school meaning there could be possible bias, potentially influencing the discussions in the focus groups.
- The experiences and views of the authors around the importance of supporting young people in schools will inevitably shape the research study design and data analysis.
- Notes from the study indicate that teachers from schools with funding for a dedicated counselling support service were not as passionate about receiving training, possibly because they already have resources and staff to support young people.
Implications for practice
Future studies should investigate similarities and differences between different school types, areas, academic outcomes and socio-economic status to identify additional needs faced by schools regarding more specific vulnerabilities.
Conflicts of interest
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I have been a teacher for over thirty years. Mental health of my students has been an absolute priority. Students can’t learn if they are finding life uncomfortable in the classroom if a teacher gives up on them, or they are subject to bullying and the list goes on and on. We MUST have more training in the area of mental health. The impact of the teacher in huge. If one is to be responsible for teaching students of any age group, it is vital that they have intense training on help to help raise the moral of people suffering from mental health. Borderline disorder, Bi polar, Tourette, ADHD, Autism to mention a few conditions. We have to find a way to help people to bring out the best in their lives and cope in society. Action needs to be taken immediately before the next generation go out into the world without the understanding and support they need. There are so many people with mental health issues that we can’t just leave it to the phycologists. Number one, there are not enough of them and secondly, not everyone can afford over 100 pound per session over a sustained period of time.