Hyeran Jeong, Donguk Park
Characteristics of peak concentrations of black carbon encountered by elementary school children
The Science of the total environment
schools united kingdom elsewhere expected protect promote pupil mental health however many school staff members feel confident identifying responding pupil mental health difficulties report wanting additional training area aimed explore feasibility kognitos atrisk elementary school educators brief interactive webbased training program uses simulationbased approach improve school staffs knowledge skills supporting pupil mental health conducted mixed methods nonrandomized feasibility study atrisk elementary school educators 6 uk primary schools outcomes 1 school staffs selfefficacy preparedness identify respond pupil mental health difficulties 2 school staffs identification mental health difficulties increased risk mental health difficulties 3 mental health support identified pupils including conversations concerns documentation concerns inclass inschool support referral access specialist mental health services 4 acceptability practicality training assessed outcomes using series questionnaires completed baseline t1 1 week training t2 3 months training t3 well semistructured qualitative interviews following guidance feasibility studies assessed quantitative outcomes across time points comparing medians iqrs analyzed qualitative data using reflexive thematic analysis total 108 teachers teaching assistants tas completed t1 questionnaires 89 824 completed t2 questionnaires 70 648 completed t3 questionnaires 54 50 completed 3 eight school staff members including teachers tas mental health leads senior leaders participated interviews school staff reported greater confidence preparedness identifying responding mental health difficulties completing training proportion pupils identified mental health difficulties increased risk declined slightly time mediant110 mediant210 mediant374 findings suggested slight increase accuracy compared validated screening measure strengths difficulties questionnaire inschool mental health support outcomes identified pupils improved training increases formal documentation communication concerns well provision inclass inschool support referrals access external mental health services remained constant qualitative findings indicated school staff perceived training useful practical acceptable findings suggest brief interactive webbased training programs atrisk elementary school educators feasible means improve identification response mental health difficulties uk primary schools training may help address high prevalence mental health difficulties age group helping facilitate access care support