Skip to main content
Top
Published in: BMC Psychiatry 1/2014

Open Access 01-12-2014 | Research article

Sustained improvements in students’ mental health literacy with use of a mental health curriculum in Canadian schools

Authors: Alan Mcluckie, Stan Kutcher, Yifeng Wei, Cynthia Weaver

Published in: BMC Psychiatry | Issue 1/2014

Login to get access

Abstract

Background

Enhancement of mental health literacy for youth is a focus of increasing interest for mental health professionals and educators alike. Schools are an ideal site for addressing mental health literacy in young people. Currently, there is limited evidence regarding the impact of curriculum-based interventions within high school settings. We examined the effect of a high-school mental health curriculum (The Guide) in enhancing mental health literacy in Canadian schools.

Methods

We conducted a secondary analysis on surveys of students who participated in a classroom mental health course taught by their usual teachers. Evaluation of students’ mental health literacy (knowledge/attitudes) was completed before and after classroom implementation and at 2-month follow-up. We used paired-samples t-tests and Cohen’s d value to determine the significance and impact of change.

Results

There were 265 students who completed all surveys. Students’ knowledge significantly improved between pre- and post-tests (p < 0.001; d = 0.90) and was maintained at follow-up (p < 0.001; d = 0.73). Similarly, attitude significantly improved between pre- and post-tests (p < 0.001; d = 0.25) and was significantly higher at follow-up than base-line (p < 0.007; d = 0.18)

Conclusions

The Guide, applied by usual teachers in usual classroom curriculum, may help improve student knowledge and attitudes regarding mental health. This is the first study to demonstrate the positive impact of a curriculum-based mental health literacy program in a Canadian high school population.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR: Lifetime prevalence and age of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005, 62 (6): 593-602. 10.1001/archpsyc.62.6.593.CrossRefPubMed Kessler RC, Berglund P, Demler O, Jin R, Merikangas KR: Lifetime prevalence and age of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Arch Gen Psychiatry. 2005, 62 (6): 593-602. 10.1001/archpsyc.62.6.593.CrossRefPubMed
2.
go back to reference Offord DR, Boyle MH, Szatmari P, Rae-Grant NI, Links PS, Cadman DT, Byles JA, Crawford JW, Munroe Blum H, Byrne C, Thomas H, Woodward CA: Ontario child health study: Six-month prevalence of disorder and rates of service utilization. Arch Gen Psychiatry. 1987, 44: 832-836. 10.1001/archpsyc.1987.01800210084013.CrossRefPubMed Offord DR, Boyle MH, Szatmari P, Rae-Grant NI, Links PS, Cadman DT, Byles JA, Crawford JW, Munroe Blum H, Byrne C, Thomas H, Woodward CA: Ontario child health study: Six-month prevalence of disorder and rates of service utilization. Arch Gen Psychiatry. 1987, 44: 832-836. 10.1001/archpsyc.1987.01800210084013.CrossRefPubMed
3.
go back to reference Offord DR, Boyle MH, Fleming JE, Munroe Blum H, Rae Grant NI: Ontario health study: summary of selected results. Can J Psychiatry. 1989, 34: 483-491.PubMed Offord DR, Boyle MH, Fleming JE, Munroe Blum H, Rae Grant NI: Ontario health study: summary of selected results. Can J Psychiatry. 1989, 34: 483-491.PubMed
4.
go back to reference Kirby MJL, Keon WJ: Mental Health, Mental Illness and Addiction: Overview of Policies and Programs in Canada. 2004, Standing Senate Committee on Social Affairs, Science and Technology (CA), Ottawa (ON) Kirby MJL, Keon WJ: Mental Health, Mental Illness and Addiction: Overview of Policies and Programs in Canada. 2004, Standing Senate Committee on Social Affairs, Science and Technology (CA), Ottawa (ON)
5.
go back to reference Waddell C, Shepherd C: Prevalence of Mental Disorders in Children and Youth: A Research Update Prepared for the British Columbia Ministry of Children and Family Development. 2002, Mental Health Evaluation & Community Consultation Unit (CA), Vancouver (BC) Waddell C, Shepherd C: Prevalence of Mental Disorders in Children and Youth: A Research Update Prepared for the British Columbia Ministry of Children and Family Development. 2002, Mental Health Evaluation & Community Consultation Unit (CA), Vancouver (BC)
6.
go back to reference World Health Organization: The World Health Report. Mental Health: new Understanding, new Hope. 2001, WHO, Geneva World Health Organization: The World Health Report. Mental Health: new Understanding, new Hope. 2001, WHO, Geneva
7.
go back to reference Burns BJ, Costello EJ, Angold A, Tweed DL, Stangl DK, Farmer EM, Erkanli A: Children’s mental health service use across service sectors. Health Aff. 1995, 14: 147-159. 10.1377/hlthaff.14.3.147.CrossRef Burns BJ, Costello EJ, Angold A, Tweed DL, Stangl DK, Farmer EM, Erkanli A: Children’s mental health service use across service sectors. Health Aff. 1995, 14: 147-159. 10.1377/hlthaff.14.3.147.CrossRef
8.
go back to reference Foster S, Rollefson M, Doksum T, Noonan D, Robinson G, Teich J: School mental health services in the United States, 2002–2003. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2005 (DHHS Pub. No. (SMA) 05–4068). Foster S, Rollefson M, Doksum T, Noonan D, Robinson G, Teich J: School mental health services in the United States, 2002–2003. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration; 2005 (DHHS Pub. No. (SMA) 05–4068).
9.
go back to reference Leaf RJ, Alegria M, Cohen R, Goodman SH, Horowtiz SM, Hoven CW, Narrow WE, Vaden-Kiernan M, Regier DA: Mental Health service use in the community and schools: results from the four-community MECA study. J Am Acad Child Adolesc Psychiatry. 1996, 35: 889-897. 10.1097/00004583-199607000-00014.CrossRefPubMed Leaf RJ, Alegria M, Cohen R, Goodman SH, Horowtiz SM, Hoven CW, Narrow WE, Vaden-Kiernan M, Regier DA: Mental Health service use in the community and schools: results from the four-community MECA study. J Am Acad Child Adolesc Psychiatry. 1996, 35: 889-897. 10.1097/00004583-199607000-00014.CrossRefPubMed
10.
go back to reference Waddell C, Offord DR, Shepherd CA, Hua JM, McEwan K: Child psychiatric epidemiology and Canadian public policy-making: the state of the science and the art of the possible. Can J Psychiatry. 2002, 47 (9): 825-832.PubMed Waddell C, Offord DR, Shepherd CA, Hua JM, McEwan K: Child psychiatric epidemiology and Canadian public policy-making: the state of the science and the art of the possible. Can J Psychiatry. 2002, 47 (9): 825-832.PubMed
11.
go back to reference Bhatia S: Childhood and adolescent depression. Am Fam Physician. 2007, 75 (1): 73-PubMed Bhatia S: Childhood and adolescent depression. Am Fam Physician. 2007, 75 (1): 73-PubMed
12.
go back to reference Kessler RC, Foster CL, Saunders WB, Stang PE: Social consequences of psychiatric disorders I: educational attainment. Am J Psychiatry. 1995, 152 (7): 1026-1032. 10.1176/ajp.152.7.1026.CrossRefPubMed Kessler RC, Foster CL, Saunders WB, Stang PE: Social consequences of psychiatric disorders I: educational attainment. Am J Psychiatry. 1995, 152 (7): 1026-1032. 10.1176/ajp.152.7.1026.CrossRefPubMed
13.
go back to reference Kutcher S: Facing the challenge of care for child and youth mental health in Canada: a critical commentary, five suggestions for change and a call to action. Healthc Q. 2011, 14: 15-21. 10.12927/hcq.2011.22359.CrossRef Kutcher S: Facing the challenge of care for child and youth mental health in Canada: a critical commentary, five suggestions for change and a call to action. Healthc Q. 2011, 14: 15-21. 10.12927/hcq.2011.22359.CrossRef
14.
go back to reference Kutcher S, McLuckie A: Evergreen: A Child and Youth Mental Health Framework for Canada. 2010, Mental Health Commission of Canada, Calgary, AB Kutcher S, McLuckie A: Evergreen: A Child and Youth Mental Health Framework for Canada. 2010, Mental Health Commission of Canada, Calgary, AB
15.
go back to reference McLaughlin MJ, Leone PE, Meisel S, Henderson K: Strengthen school and community capacity. J Emot Behav Disord. 1997, 5 (1): 15-23. 10.1177/106342669700500103.CrossRef McLaughlin MJ, Leone PE, Meisel S, Henderson K: Strengthen school and community capacity. J Emot Behav Disord. 1997, 5 (1): 15-23. 10.1177/106342669700500103.CrossRef
16.
go back to reference Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rohde LA, Srinath S, Ulkuer N, Rahman A: Child and adolescent mental health worldwide: evidence for action. Lancet. 2011, 378 (9801): 1515-1525. 10.1016/S0140-6736(11)60827-1.CrossRefPubMed Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rohde LA, Srinath S, Ulkuer N, Rahman A: Child and adolescent mental health worldwide: evidence for action. Lancet. 2011, 378 (9801): 1515-1525. 10.1016/S0140-6736(11)60827-1.CrossRefPubMed
17.
go back to reference McGorry PD, Purcell R, Goldstone S, Amminger GP: Age of onset and timing of treatment for mental and substance use disorders: implications for preventive intervention strategies and models of care. Curr Opin Psychiatry. 2011, 24 (4): 301-306. 10.1097/YCO.0b013e3283477a09.CrossRefPubMed McGorry PD, Purcell R, Goldstone S, Amminger GP: Age of onset and timing of treatment for mental and substance use disorders: implications for preventive intervention strategies and models of care. Curr Opin Psychiatry. 2011, 24 (4): 301-306. 10.1097/YCO.0b013e3283477a09.CrossRefPubMed
19.
go back to reference Atkins M, Hoagwood K, Kutash K, Seidman E: Toward the integration of education and mental health in schools. Adm Policy Ment Health. 2010, 37 (1–2): 40-47. 10.1007/s10488-010-0299-7.CrossRefPubMedPubMedCentral Atkins M, Hoagwood K, Kutash K, Seidman E: Toward the integration of education and mental health in schools. Adm Policy Ment Health. 2010, 37 (1–2): 40-47. 10.1007/s10488-010-0299-7.CrossRefPubMedPubMedCentral
20.
go back to reference Rowling L: Developing and Sustaining Mental Health and Wellbeing in Australian Schools. International School Mental Health for Adolescents: Global Opportunities and Challenges. Edited by: Kutcher S, Wei Y, Weist M. 2015, Cambridge University Press, Cambridge UK, forthcoming Rowling L: Developing and Sustaining Mental Health and Wellbeing in Australian Schools. International School Mental Health for Adolescents: Global Opportunities and Challenges. Edited by: Kutcher S, Wei Y, Weist M. 2015, Cambridge University Press, Cambridge UK, forthcoming
21.
go back to reference U.S. Department of Health and Human Services: Mental Health: A Report of the Surgeon General. 1999, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, Rockville, MD U.S. Department of Health and Human Services: Mental Health: A Report of the Surgeon General. 1999, U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, National Institute of Mental Health, Rockville, MD
22.
go back to reference WHO Regional Office for the Western Pacific: Regional Guidelines Development of Health Promoting Schools: A Framework for Action. 1996, WHO Regional Office for the Western Pacific, Manila, Philippines WHO Regional Office for the Western Pacific: Regional Guidelines Development of Health Promoting Schools: A Framework for Action. 1996, WHO Regional Office for the Western Pacific, Manila, Philippines
23.
go back to reference Ontario Ministry of Children and Youth Services: A Shared Responsibility: Ontario’s Policy Framework for Child and Youth Mental Health. 2006, Ontario Ministry of Child and Youth Services, Toronto, ON Ontario Ministry of Children and Youth Services: A Shared Responsibility: Ontario’s Policy Framework for Child and Youth Mental Health. 2006, Ontario Ministry of Child and Youth Services, Toronto, ON
26.
go back to reference Kickbusch IS: Health literacy: addressing the health and education divide. Health Promot Int. 2001, 16 (3): 289-297. 10.1093/heapro/16.3.289.CrossRefPubMed Kickbusch IS: Health literacy: addressing the health and education divide. Health Promot Int. 2001, 16 (3): 289-297. 10.1093/heapro/16.3.289.CrossRefPubMed
27.
go back to reference Nielsen-Bohlman L, Panzer AM, Kindig DA, Committee on Health Literacy: Health literacy: A prescription to avoid confusion . 2004, The National Academies Press, Washington DC Nielsen-Bohlman L, Panzer AM, Kindig DA, Committee on Health Literacy: Health literacy: A prescription to avoid confusion . 2004, The National Academies Press, Washington DC
28.
go back to reference Kickbusch I, Pelikan JM, Apfel F, Tsouros A: Health Literacy: The Solid Facts. 2013, World Health Organization (WHO), Copenhagen Kickbusch I, Pelikan JM, Apfel F, Tsouros A: Health Literacy: The Solid Facts. 2013, World Health Organization (WHO), Copenhagen
29.
go back to reference Mitic W, Rootman I: Approach for Improving Health Literacy for Canadians. 2012, Public Health Association of British Columbia, Victoria, BC Mitic W, Rootman I: Approach for Improving Health Literacy for Canadians. 2012, Public Health Association of British Columbia, Victoria, BC
30.
go back to reference Public Health Agency of Canada: Canadian perinatal health report, 2008 edition. Health Canada; 2008. Public Health Agency of Canada: Canadian perinatal health report, 2008 edition. Health Canada; 2008.
31.
go back to reference Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P: ‘Mental health literacy’: a survey of the public’s ability to recognize mental disorders and their beliefs about the effectiveness of treatment. Med J of Aust. 1997, 166: 182-186. Jorm AF, Korten AE, Jacomb PA, Christensen H, Rodgers B, Pollitt P: ‘Mental health literacy’: a survey of the public’s ability to recognize mental disorders and their beliefs about the effectiveness of treatment. Med J of Aust. 1997, 166: 182-186.
32.
go back to reference Wei Y, Hayden J, Kutcher S, Zygmut A, McGrath P: The effectiveness of school-based mental health literacy programs to enhance knowledge, change attitudes and improve help-seeking behaviours in youth: a systematic review. Early Interv Psychiatry. 2013, 7 (2): 109-121. 10.1111/eip.12010.CrossRefPubMed Wei Y, Hayden J, Kutcher S, Zygmut A, McGrath P: The effectiveness of school-based mental health literacy programs to enhance knowledge, change attitudes and improve help-seeking behaviours in youth: a systematic review. Early Interv Psychiatry. 2013, 7 (2): 109-121. 10.1111/eip.12010.CrossRefPubMed
33.
go back to reference World Health Organization: Ottawa charter for health promotion: first international conference on health promotion. Can J Public Health. 1986, 77: 425-430. World Health Organization: Ottawa charter for health promotion: first international conference on health promotion. Can J Public Health. 1986, 77: 425-430.
34.
go back to reference World Health Organization: Comprehensive Mental Health Action Plan, 2013–2020. 2012, WHO, Geneva World Health Organization: Comprehensive Mental Health Action Plan, 2013–2020. 2012, WHO, Geneva
35.
go back to reference Wyn J, Cahill H, Holdsworth R, Rowling L, Carson S: MindMatters, a whole-school approach promoting mental health and wellbeing. Aust NZ J of Psychiat. 2000, 34: 594-601. 10.1080/j.1440-1614.2000.00748.x.CrossRef Wyn J, Cahill H, Holdsworth R, Rowling L, Carson S: MindMatters, a whole-school approach promoting mental health and wellbeing. Aust NZ J of Psychiat. 2000, 34: 594-601. 10.1080/j.1440-1614.2000.00748.x.CrossRef
36.
go back to reference Ringeisen H, Henderson K, Hoagwood K: Context matters: Schools and the “research to practice gap” in children’s mental health. School Psychology Rev. 2003, 32: 153-168. Ringeisen H, Henderson K, Hoagwood K: Context matters: Schools and the “research to practice gap” in children’s mental health. School Psychology Rev. 2003, 32: 153-168.
37.
go back to reference Merritt RK, Price JR, Mollison J, Geddes JR: A cluster randomized controlled trial to assess the effectiveness of an intervention to educate students about depression. Psychol Med. 2007, 37 (3): 363-372. 10.1017/S0033291706009056.CrossRefPubMed Merritt RK, Price JR, Mollison J, Geddes JR: A cluster randomized controlled trial to assess the effectiveness of an intervention to educate students about depression. Psychol Med. 2007, 37 (3): 363-372. 10.1017/S0033291706009056.CrossRefPubMed
38.
go back to reference Durham Region Planning Department: Durham Region Profile Demographics and Socio-Economic Data. 2009, Regional Municipality of Durham (CA), Durham (ON) Durham Region Planning Department: Durham Region Profile Demographics and Socio-Economic Data. 2009, Regional Municipality of Durham (CA), Durham (ON)
39.
go back to reference Pinfold V, Stuart H, Thornicroft G, Arboleda-Florez J: Working with young people: the impact of mental health awareness programs in schools in the UK and Canada. World Psychiatry. 2005, 4 (suppl. 1): 48-52. Pinfold V, Stuart H, Thornicroft G, Arboleda-Florez J: Working with young people: the impact of mental health awareness programs in schools in the UK and Canada. World Psychiatry. 2005, 4 (suppl. 1): 48-52.
40.
go back to reference Kutcher S, The Canadian Mental Health Association: The mental health & high school curriculum: Understanding mental health and mental illness. 2009, The Printing House Limited, Halifax Kutcher S, The Canadian Mental Health Association: The mental health & high school curriculum: Understanding mental health and mental illness. 2009, The Printing House Limited, Halifax
41.
go back to reference Kutcher S, Wei Y: Challenges and solutions in the implementation of the school-based pathway to care model: the lessons from Nova Scotia and beyond. Can J Sch Psychology. 2013, 28: 90-102. 10.1177/0829573512468859.CrossRef Kutcher S, Wei Y: Challenges and solutions in the implementation of the school-based pathway to care model: the lessons from Nova Scotia and beyond. Can J Sch Psychology. 2013, 28: 90-102. 10.1177/0829573512468859.CrossRef
42.
go back to reference Kutcher S, Wei Y, McLuckie A, Bullock L: Educator mental health literacy: a programme evaluation of the teacher training education on the mental health & high school curriculum guide. Adv Sch Ment Health Promot. 2013, 6 (2): 83-93. 10.1080/1754730X.2013.784615.CrossRef Kutcher S, Wei Y, McLuckie A, Bullock L: Educator mental health literacy: a programme evaluation of the teacher training education on the mental health & high school curriculum guide. Adv Sch Ment Health Promot. 2013, 6 (2): 83-93. 10.1080/1754730X.2013.784615.CrossRef
43.
go back to reference Ng P, Chan KF: Attitudes towards people with mental illness: Effects of a training program for secondary school students. Int J Adolesc Med Health. 2002, 14 (3): 215-224.CrossRefPubMed Ng P, Chan KF: Attitudes towards people with mental illness: Effects of a training program for secondary school students. Int J Adolesc Med Health. 2002, 14 (3): 215-224.CrossRefPubMed
44.
go back to reference Corrigan PW, Lurie BD, Goldman HH, Slopen N, Medasani K, Phelan S: How adolescents perceive the stigma of mental illness and alcohol abuse. Psychiatr Serv. 2005, 56: 544-550. 10.1176/appi.ps.56.5.544.CrossRefPubMed Corrigan PW, Lurie BD, Goldman HH, Slopen N, Medasani K, Phelan S: How adolescents perceive the stigma of mental illness and alcohol abuse. Psychiatr Serv. 2005, 56: 544-550. 10.1176/appi.ps.56.5.544.CrossRefPubMed
45.
go back to reference Leavey J: Youth experiences of living with mental health problems: emergence, loss, adaption and recovery. Can J Comm Ment Health. 2005, 24: 109-126. 10.7870/cjcmh-2005-0018.CrossRef Leavey J: Youth experiences of living with mental health problems: emergence, loss, adaption and recovery. Can J Comm Ment Health. 2005, 24: 109-126. 10.7870/cjcmh-2005-0018.CrossRef
46.
go back to reference Boldero J, Fallon B: Adolescent help-seeking: what do they get help for and from whom?. J Adolesc. 1995, 18: 193-209. 10.1006/jado.1995.1013.CrossRef Boldero J, Fallon B: Adolescent help-seeking: what do they get help for and from whom?. J Adolesc. 1995, 18: 193-209. 10.1006/jado.1995.1013.CrossRef
47.
go back to reference Moses T: Self-labeling and its effects among adolescents diagnosed with mental disorders. Soc Sci Med. 2009, 68: 570-578. 10.1016/j.socscimed.2008.11.003.CrossRefPubMed Moses T: Self-labeling and its effects among adolescents diagnosed with mental disorders. Soc Sci Med. 2009, 68: 570-578. 10.1016/j.socscimed.2008.11.003.CrossRefPubMed
48.
go back to reference Dalky HF: Mental illness stigma reduction interventions: review of intervention trials. West J Nurs Res. 2012, 34 (4): 520-547. 10.1177/0193945911400638.CrossRefPubMed Dalky HF: Mental illness stigma reduction interventions: review of intervention trials. West J Nurs Res. 2012, 34 (4): 520-547. 10.1177/0193945911400638.CrossRefPubMed
49.
go back to reference Stuart H, Arboleda-Florez J, Sartorius N: Paradigms Lost: Fighting Stigma and the Lessons Learned. New York, Oxford; 2012 Stuart H, Arboleda-Florez J, Sartorius N: Paradigms Lost: Fighting Stigma and the Lessons Learned. New York, Oxford; 2012
50.
go back to reference Wei Y, Kutcher S, Szumilas M: Comprehensive school mental health, an integrated “School-Based Pathway to Care” model for Canadian secondary schools. McGill J Educ. 2011, 46 (2): 213-230. 10.7202/1006436ar.CrossRef Wei Y, Kutcher S, Szumilas M: Comprehensive school mental health, an integrated “School-Based Pathway to Care” model for Canadian secondary schools. McGill J Educ. 2011, 46 (2): 213-230. 10.7202/1006436ar.CrossRef
51.
go back to reference School-Based Mental Health and Substance Abuse Consortium Knowledge Translation and Review Team: Survey on School-Based Mental Health and Addictions Services in Canada. 2012, Mental Health Commission of Canada (CA), Calgary (AB) School-Based Mental Health and Substance Abuse Consortium Knowledge Translation and Review Team: Survey on School-Based Mental Health and Addictions Services in Canada. 2012, Mental Health Commission of Canada (CA), Calgary (AB)
52.
go back to reference Parker RM, Williams MV, Weiss BD, Baker DW, Davis TC, Doak CC, Doak LG, Hein K, Meade CD, Nurss J, Schwartzberg JG, Somer SA, Davis RM, Riggs JA, Field H, Champion HC, Howe JP, Altman RD, Deitchman SD, Genel M, Karlan MS, Khaleem Khan M, Nielsen NH, Williams MA, Young DC, Schwartzberg J, Bresolin LB, Dickinson BD: Health literacy: report of the council on scientific affairs. JAMA. 1999, 281 (6): 552-557. 10.1001/jama.281.6.552.CrossRef Parker RM, Williams MV, Weiss BD, Baker DW, Davis TC, Doak CC, Doak LG, Hein K, Meade CD, Nurss J, Schwartzberg JG, Somer SA, Davis RM, Riggs JA, Field H, Champion HC, Howe JP, Altman RD, Deitchman SD, Genel M, Karlan MS, Khaleem Khan M, Nielsen NH, Williams MA, Young DC, Schwartzberg J, Bresolin LB, Dickinson BD: Health literacy: report of the council on scientific affairs. JAMA. 1999, 281 (6): 552-557. 10.1001/jama.281.6.552.CrossRef
53.
go back to reference Sanders LM, Shaw JS, Guez G, Baur C, Rudd R: Health literacy and child health promotion: implications for research, clinical care, and public policy. Pediatrics. 2009, 14 (suppl 3): S306-S314. 10.1542/peds.2009-1162G.CrossRef Sanders LM, Shaw JS, Guez G, Baur C, Rudd R: Health literacy and child health promotion: implications for research, clinical care, and public policy. Pediatrics. 2009, 14 (suppl 3): S306-S314. 10.1542/peds.2009-1162G.CrossRef
54.
go back to reference Begoray DL, Wharf-Higgins J, MacDonald M: High school health curriculum and health literacy: Canadian student voices. Glob Health Promot. 2009, 16 (4): 35-42. 10.1177/1757975909348101.CrossRefPubMed Begoray DL, Wharf-Higgins J, MacDonald M: High school health curriculum and health literacy: Canadian student voices. Glob Health Promot. 2009, 16 (4): 35-42. 10.1177/1757975909348101.CrossRefPubMed
Metadata
Title
Sustained improvements in students’ mental health literacy with use of a mental health curriculum in Canadian schools
Authors
Alan Mcluckie
Stan Kutcher
Yifeng Wei
Cynthia Weaver
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2014
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-014-0379-4

Other articles of this Issue 1/2014

BMC Psychiatry 1/2014 Go to the issue