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Barriers and Facilitators to Sustaining School-Based Mental Health and Wellbeing Interventions: A Systematic Review

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  • Anna March

    (Evidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London N1 9JH, UK
    Research Department of Clinical, Educational and Health Psychology, Faculty of Brain Sciences, University College London, London WC1E 6BT, UK)

  • Emily Stapley

    (Evidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London N1 9JH, UK)

  • Daniel Hayes

    (Evidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London N1 9JH, UK)

  • Rosa Town

    (Evidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London N1 9JH, UK
    Research Department of Clinical, Educational and Health Psychology, Faculty of Brain Sciences, University College London, London WC1E 6BT, UK)

  • Jessica Deighton

    (Evidence Based Practice Unit (EBPU), University College London and Anna Freud National Centre for Children and Families (AFNCCF), London N1 9JH, UK)

Abstract

Despite an increasing focus on schools to deliver support and education around mental health and wellbeing, interventions are often not sustained beyond initial funding and research. In this review, the barriers and facilitators to sustaining mental health and wellbeing interventions in schools are explored. A systematic review was conducted using keywords based on the terms: ‘sustainability’, ‘school’, ‘intervention’, ‘mental health’, and ’emotional wellbeing’. Six online databases (PsycINFO, Embase, MEDLINE, British Education Index, ERIC, and Web of Science) and relevant websites were searched resulting in 6160 unique references. After screening, 10 articles were included in the review and extracted data were qualitatively synthesized using thematic analysis. Data synthesis led to the identification of four sustainability factors at the school level (school leadership, staff engagement, intervention characteristics, and resources) and one at the wider system level (external support). These factors were separated into 15 themes and discussed as barriers and facilitators to sustainability (for example, school culture and staff turnover). Most articles included no definition of sustainability, and nearly all barriers and facilitators were discussed at the school level. The findings suggest that more longitudinal and theory-driven research is required to develop a clearer picture of the sustainability process.

Suggested Citation

  • Anna March & Emily Stapley & Daniel Hayes & Rosa Town & Jessica Deighton, 2022. "Barriers and Facilitators to Sustaining School-Based Mental Health and Wellbeing Interventions: A Systematic Review," IJERPH, MDPI, vol. 19(6), pages 1-23, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:6:p:3587-:d:773723
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    Citations

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    Cited by:

    1. Marloes L. Jaspers-van der Maten & Els W. M. Rommes & Ron H. J. Scholte, 2022. "Early Identification of Social, Emotional, and Behavioral Difficulties by School Staff: A Qualitative Examination of Dutch Primary School Practices," IJERPH, MDPI, vol. 20(1), pages 1-17, December.
    2. Harshi Gunawardena & Alexander Voukelatos & Sham Nair & Shane Cross & Ian B. Hickie, 2023. "Efficacy and Effectiveness of Universal School-Based Wellbeing Interventions in Australia: A Systematic Review," IJERPH, MDPI, vol. 20(15), pages 1-22, August.
    3. Cattan, Sarah & Lereya, Suzet Tanya & Yoon, Yeosun & Gilbert, Ruth & Deighton, Jessica, 2023. "The impact of area level mental health interventions on outcomes for secondary school pupils: Evidence from the HeadStart programme in England," Economics of Education Review, Elsevier, vol. 96(C).
    4. Crane, Melanie & Lee, Karen & Bohn-Goldbaum, Erika & Nathan, Nicole & Bauman, Adrian, 2024. "Sustaining health obesity prevention programs: Lessons from real-world population settings," Evaluation and Program Planning, Elsevier, vol. 103(C).

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