Introduction
The development of a school-based mental health program for adolescents in Nepal and South Africa, as detailed in a recent research article, offers valuable insights for practitioners aiming to enhance their skills in implementing effective mental health interventions. The Health Action in ScHools for a Thriving Adolescent Generation (HASHTAG) program is a multi-component, universal intervention designed to address the significant mental health needs of adolescents in low- and middle-income countries (LMICs). By focusing on evidence-based components, this program aims to improve mental health outcomes and foster a supportive school environment.
Key Components of HASHTAG
The HASHTAG program was developed through a rigorous, data-driven process that included a systematic review and meta-analysis of existing interventions. Seven core components were identified as effective in promoting mental health and reducing risk behaviors among adolescents:
- Emotional regulation
- Stress management
- Mindfulness
- Problem-solving
- Interpersonal skills
- Assertiveness training
- Alcohol and drug education
These components were integrated into a classroom-based intervention, Thrive Together, and a whole-school approach, Thriving Environment in Schools, to create a comprehensive program that addresses both individual and environmental factors influencing adolescent mental health.
Implementation and Adaptation
The development of HASHTAG involved extensive collaboration with local stakeholders, including adolescents, teachers, and community members, to ensure the program was contextually relevant and culturally sensitive. This iterative process allowed for the adaptation of the program to the specific needs and resources of schools in Nepal and South Africa.
In Nepal, school nurses were chosen to deliver the intervention, while in South Africa, external facilitators were preferred. This flexibility in delivery methods highlights the importance of tailoring interventions to the unique circumstances of each setting, a key consideration for practitioners aiming to implement similar programs.
Implications for Practitioners
For practitioners looking to improve their skills in implementing school-based mental health interventions, the HASHTAG program offers several valuable lessons:
- Evidence-Based Approach: Utilize data-driven methods to identify effective components and tailor interventions to the specific needs of the target population.
- Stakeholder Engagement: Involve local stakeholders in the development and adaptation process to ensure cultural relevance and buy-in from the community.
- Flexibility in Delivery: Adapt delivery methods to the available resources and preferences of the local context to enhance feasibility and sustainability.
Encouraging Further Research
While the HASHTAG program provides a robust framework for school-based mental health interventions, further research is needed to evaluate its long-term impact and scalability across different LMIC settings. Practitioners are encouraged to explore additional data and collaborate with researchers to refine and expand upon the program's components and delivery methods.
To read the original research paper, please follow this link: Development of a school-based programme for mental health promotion and prevention among adolescents in Nepal and South Africa.
