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Abstract
Teachers and other school staff play key roles as partners in the prevention, identification,
and intervention of mental health difficulties among children and youth. However, it is
essential that teachers are equipped with sufficient mental health literacy to engender
effective practices in these areas. This article reviews the literature related to mental
health literacy with respect to the perceived preparedness of teachers as well as
approaches that have been taken or are under way to improve literacy.A specific focus
on bullying is also highlighted. Finally, suggestions emerging from current research as
to the elements of effective approaches to teacher preparation are explored as well
as recommendations for future research in the area.
Résumé
Les enseignant(e)s et autres membres du personnel d’établissements scolaires ont
un rôle clé à jouer en tant que partenaires dans la prévention et l’identification de
difficultés concernant la santé mentale des enfants et adolescent(e)s. Il en va de même
en ce qui a trait aux interventions nécessaires pour palier ces difficultés. Cependant,
il est essentiel que les enseignant(e)s soient équipé(e)s de connaissances suffisantes
en santé mentale pour donner lieu à des pratiques efficaces relatives à cette
problématique. Ce document passe en revue la littérature liée aux connaissances
en santé mentale ayant trait à l’état perçu de préparation des enseignant(e)s dans
1
University of Ottawa, Ottawa, Ontario, Canada
Corresponding Author:
Jessica Whitley, University of Ottawa, 145 Jean Jacques Lussier, Lamoureux Hall, Ottawa, Ontario, Canada
K1N 6N5.
Email: jwhitley@uottawa.ca
Whitley et al. 57
ce domaine ainsi que la littérature portant sur les approches qui ont été prises ou
qui sont présentement mises en place pour améliorer ces connaissances auprès
des enseignant(e)s. Une attention particulière sur l’intimidation psychologique est
également mise en évidence. Enfin, des suggestions issues de récentes études sur des
aspects d’approches efficaces pour la préparation des enseignant(e)s sont explorées
ainsi que des recommandations pour de futures recherches sur ce sujet.
Keywords
mental health literacy, teachers, professional development, bullying
location, socioeconomic status, family health, stigma, and the “fit” between youth-
specific needs and available services (Kutcher & McDougall, 2009; Mukolo, Heflinger,
& Wallston, 2010; Reid & Brown, 2008).
Many of these and other barriers, as well as potential solutions, are detailed in a
report that summarizes the findings and recommendations of the Standing Senate
Committee on Social Affairs, Science and Technology, chaired by Kirby and Keon
(2006) from their investigation into the state of mental health in Canada. One strand
of recommendations is focused on the untapped potential of school sites in facilitat-
ing mental health prevention and intervention. Kirby and Keon suggest that teachers
“be trained so that they can be involved in the early identification of mental illness”
(p. 19) and that resources and supports necessary to take on this role be provided.
This recognition of educators and schools as key players in the broader community-
wide effort to respond to the mental health needs of students has been echoed by
researchers and practitioners alike (Power, Cleary, & Fitzpatrick, 2008; Schonert-
Reichl & Hymel, 2007).
experienced by their students as well as strategies to deal with difficulties when they
occurred. Some recent international research indicates that focused and well-resourced
programs that aim to increase teachers’ mental health literacy can produce significant
positive effects. An evaluation of an intensive campaign in Norway in recent years
demonstrated that teachers exposed to such a program are more skilled and confident
in identifying the early signs of psychosis in adolescents (Langeveld et al., 2011).
These efforts are critical in directing youth to appropriate services in the early onset
phase of psychotic illness such as schizophrenia, since, as the authors point out, youth
tend to be underserved in this respect compared with adults who develop psychotic
illness. Another study in Italy illustrates how teachers’ limited knowledge of psychiat-
ric services for youth displaying early signs of psychotic illness in the school context
continues to be a barrier to early intervention and proper care for them (Masillo et al.,
2012). Findings from the recent CTF (2012) survey of teachers suggest that the situa-
tion in Canada may not be much different: 68% of teachers reported that they had
received no training in mental health literacy, a shortfall that was even more evident
among less experienced teachers, 75% of whom reported never having had any train-
ing. However, these numbers are no indication of their desire to develop mental health
literacy, as nearly the entire sample of respondents expressed a desire to increase their
skills and knowledge in the domain.
Another key element within the definition of mental health literacy is a focus on the
“prevention of mental health problem” (CAMIMH, 2007, p. 4). In addition to develop-
ing literacy in terms of recognizing mental health difficulties and identifying appropri-
ate next steps, educators should also have a solid understanding of their role in
prevention. One example of an area on which school personnel can focus their efforts
to reduce mental health difficulties among children and youth is bullying and peer
victimization. Although the contribution of bullying to mental health issues, such as
depression and anxiety, are well documented (see below), the CTF (2012) survey
reveals that the stigma that accompanies mental illness frequently makes affected chil-
dren targets of bullying. Twenty-one percent of teachers indicated that they frequently
or very frequently see students with mental health issues being bullied by classmates,
a situation that surely contributes to these children’s underlying issues and undermines
professional efforts to help them.
Bullying
Bullying extends far beyond an occasional fight or disagreement between peers.
Rather, it entails the repeated and intentional humiliation and oppression of a person
who has less power than his or her aggressor(s) (Olweus, 1999). Bullying occurs at an
alarming rate among Canadian students. In a recent population-based Canadian study
of 16,879 students in Grades 4 to 12, Vaillancourt et al. (2010) reported that 32% of
students admitted to bullying others and 38% of students reported being bullied.
These statistics are unfortunately consistent with other population-based studies such
as UNICEF’s Innocenti Report Card 7 (2007) using data from the World Health
Whitley et al. 61
With respect to pre-service preparation, the curricula of BEd programs vary both
within and across provinces but typically comprise courses focused on teachable sub-
jects, pedagogical approaches, educational issues, curriculum and assessment, and
classroom practice. Whatever the approach taken by the BEd program, it is becoming
increasingly clear that mental health literacy is a topic critical to teacher preparation
and that ways must be found to integrate this into courses to better serve Canadian
children. It is also important that, rather than simply continuing to add courses to
already intensive programs, research and theory in the area of teacher education is
carefully considered in exploring thoughtful ways of training teachers more effec-
tively. For example, infusing content such as that related to mental health literacy into
existing subject courses such as Health and Physical Education is an approach that has
been supported by researchers (Loreman & Earle, 2007; Voltz, 2003; Woloshyn,
Bennett, & Berrill, 2003). A focus on bullying is also being included within some
Health and Physical Education courses.
Bullying
Because bullying is a significant psychosocial problem that is pervasive in Canadian
schools, education authorities have implemented some significant policy solutions to
address bullying over the past decade. For example, the province of Ontario requires all
schools to implement bullying prevention initiatives and more recently amended the
Education Act to require educators to report serious incidents of bullying to parents of
victimized children (Education Amendment Act, 2009). In 2012, the Province of
Quebec initiated a multipronged strategy to address school bullying, and education
authorities in most other Canadian provinces have implemented similar strategies in
recent years. Additionally, there are mounting social pressures on school systems to
address bullying, and these are evident in parental expectations about their children’s
safety at school as well as in recent law suits against school authorities related to bully-
ing (Findlay, 2011; McKiernan, 2010). For many reasons, Canadian schools are being
compelled to take serious steps to address bullying problems.
Teachers’ roles in these initiatives are pivotal given their proximity to children and
to bullying incidents when they occur. Their roles are also critical to curbing bullying,
since bullying involves complex power dynamics that often defy children’s capacities
to solve them. PREVNet (Promoting Relationships and Eliminating Violence Network,
n.d.; see www.prevnet.ca), a Canadian consortium of researchers and non-governmen-
tal organizations devoted to the cause of eliminating bullying, defines bullying as a
“relationship problem that requires relationship solutions”:
Within the relationship context of bullying, those children who bully are learn-
ing how to use power and aggression to control and distress another; those
children who are repeatedly victimized become trapped in abusive relationships
that are increasingly difficult to escape. (p. 1)
64 Canadian Journal of School Psychology 28(1)
Discussion
The need for the development of mental health literacy among educators, including a
focus on bullying, has been highlighted by those within and beyond school walls
(Blain-Arcaro et al., 2012; Hazler et al., 2001). The proportion of children and youth
struggling with mental health issues twinned with the lack of literacy expressed by
teachers in various studies support this need. The notion that mental health issues are
irrelevant in what has traditionally been viewed as a strictly academic environment is,
fortunately, on the wane.
Ongoing professional learning for teachers and all school staff is clearly warranted.
It is important to include within the many initiatives currently being developed and
implemented a focus on research exploring ways to effectively prepare teachers, both
in pre- and in-service settings. It is no longer sufficient to provide “one-off” work-
shops to teachers with facts about mental illnesses and bullying and expect practices
to change substantially in school systems. Although many teachers have received
some kind of training, studies continue to document the lack of efficacy on the part of
teachers with respect to mental health literacy. Recent improvements may not have
been captured by the research that has been conducted; it is also possible that the train-
ing in place is not as effective as imagined.
The material covered within mental health literacy training needs to reflect the
gaps in understanding that is evidenced in the literature. For example, teachers con-
tinue to overlook relational bullying and focus interventions on more physical forms
and are also less likely to act in cases where the victimized child appears to have
aggravated the bullying child; this demonstrates a lack of understanding of the rela-
tional nature of bullying and the effective means of intervention (Blain-Arcaro et al.,
2012; Yoon & Kerber, 2003). In addition, although teachers may gain knowledge and
understanding of mental health issues as a result of their participation in a particular
program, how this affects their future actions within the classroom has yet to be deter-
mined. Findings from previous research indicate that the perceptions that teachers
have regarding the nature of student difficulties have a significant impact on the steps
they take to resolve these (e.g., Blain-Arcaro et al., 2012; Stanovich & Jordan, 1998).
Teacher beliefs and perceptions regarding mental health issues need to be considered
within any training program.
It is also important to consider the preferences of teachers when developing and
implementing mental health literacy programs. Cunningham et al. (2009) describe
the complex preferences of teachers regarding the types of bullying prevention pro-
grams they favoured. One finding that emerged from the study was that, regardless of
their particular views of the types of programs that should be adopted, teachers tended
to opt for programs supported by the anecdotal reports of colleagues rather than those
based on scientific evidence. The notion of professional learning communities and
the strong and persistent benefits of teacher collaboration and sharing emerge
throughout the literature (Dufour, 2004; Joyce, Calhoun, & Hopkins, 1999).
According to Fullan (2002), “information, of which we have a glut, only becomes
knowledge thorough a social process” (p. 18). In order for real changes in practice
66 Canadian Journal of School Psychology 28(1)
and culture to take place, educators need to engage in continuous learning by observ-
ing each others’ practice, discussing and reflecting on various approaches and strate-
gies, and sharing with other schools engaging in similar processes (Dufour, Dufour,
Eaker, & Many, 2006; Fullan, 2002).
We are not suggesting that teachers bear responsibility for providing therapeutic
interventions to their students with mental health problems; this is clearly not their role
in the school system. However, given the significant influence that educators have on
the development of children and the numerous documented links between academic
and psychosocial development, a sustained, research-based focus on effective ways of
promoting mental health literacy among teachers will help Canadian children and
youth to reach their potential.
Funding
The authors received no financial support for the research, authorship, and/or publication of this
article.
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Author Biographies
Jessica Whitley is an Associate Professor of Inclusive Education at the University of Ottawa.
She, along with Drs. Vaillancourt and Smith, is a member of the Comprehensive School Health
Educational Research Unit at the University of Ottawa. Her research interests include exploring
the psychosocial wellbeing of students with exceptionalities including relationships between
classroom- and school-level factors, student self-concept, and internalizing and externalizing
behaviours. She is currently assessing teacher perceptions and beliefs with regards to students’
mental health difficulties with the goals of improving mental health literacy among pre- and
in-service teachers and ultimately improving outcomes for students.
Tracy Vaillancourt is a Canada Research Chair in Children’s Mental Health and Violence
Prevention at the University of Ottawa where she is cross-appointed as a full professor in the Faculty
of Education (counselling program) and in the School of Psychology, Faculty of Social Sciences. Dr.
Vaillancourt is also an adjunct professor in the Department of Psychology, Neuroscience, &
Behaviour at McMaster University and a core member of the Offord Centre for Child Studies. Dr.
Vaillancourt’s research examines the links between aggression and children’s mental health func-
tioning, with a particular focus on social neuroscience. She is currently funded by the Canadian
Institutes for Health Research.