Toggle Main Menu Toggle Search

Open Access padlockePrints

Selective and indicated UK school-based mental health interventions: a systematic review and narrative synthesis

Lookup NU author(s): Liam SpencerORCiD, Scarlett Carling, Tomos RobinsonORCiD, Dr Katie ThomsonORCiD, Professor Eileen KanerORCiD

Downloads


Licence

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

BackgroundMental health disorders amongst children and young people pose a significant burden, with a growing emphasis on early intervention. A notable gap exists between the prevalence of these disorders and sufficiently early treatment, emphasising the need for effective preventive measures.AimsThis review aims to comprehensively assess and narratively synthesise both quantitative and qualitative literature on secondary preventative (indicated and selective) school-based mental health interventions in the UK.MethodAll empirical studies published since 2010, which reported on UK secondary preventative school-based interventions were eligible. Eligible studies were identified by searching the following electronic databases: PsycINFO (Ovid), MEDLINE (Ovid), Scopus (Elsevier), EMBASE (Elsevier), ERIC (EBSCO), and Web of Science (Clarivate). Database searches yielded 3269 results, with 26 articles meeting inclusion criteria. These articles covered 22 unique studies encompassing various study designs. The Mixed Method Appraisal Tool (MMAT) was used to assess study quality, and study findings were synthesised using a single narrative synthesis (‘storytelling’) approach.ResultsThree central themes emerged: (1) Outcomes for children and young people; (2) acceptability and preferences; and (3) practical considerations. The majority of included studies demonstrated high quality. Studies revealed diverse perspectives on the strengths, limitations, barriers, and facilitators of school-based interventions.ConclusionsSchool-based interventions hold promise in promoting positive mental health amongst young people, emphasising the pivotal role of educational settings in addressing these challenges. Despite encouraging outcomes, this review highlights the need for further research to better understand intervention effectiveness, implementation barriers, and cost-effectiveness; to facilitate the development of tailored and impactful strategies for supporting young people’s mental health.PRISMA/PROSPERO StatementThis systematic review was conducted following Cochrane methodology PRISMA guidelines. The review was registered with PROSPERO in June 2023 (CRD42023431966).


Publication metadata

Author(s): Spencer L, Carling S, Robinson T, Thomson K, Kaner E

Publication type: Article

Publication status: Published

Journal: Journal of Mental Health

Year: 2025

Pages: epub ahead of print

Print publication date: 04/02/2025

Online publication date: 04/02/2025

Acceptance date: 05/12/2024

Date deposited: 04/02/2025

ISSN (print): 1360-0567

ISSN (electronic): 0963-8237

Publisher: Taylor and Francis

URL: https://doi.org/10.1080/09638237.2025.2460118

DOI: 10.1080/09638237.2025.2460118


Altmetrics

Altmetrics provided by Altmetric


Funding

Funder referenceFunder name
Applied Research Collaboration (ARC)
National Institute for Health and Care Research (NIHR)
NIHR School for Public Health Research (SPHR) Summer Internship award
North East and North Cumbria (NENC) (NIHR200173)

Share