Research priorities for mental health in schools in the wake of COVID-19

Rhiannon Barker, Greg Hartwell, Chris Bonell, Matt Egan, Karen Lock, Russell M Viner, Rhiannon Barker, Greg Hartwell, Chris Bonell, Matt Egan, Karen Lock, Russell M Viner

Abstract

Children and young people (CYP) have suffered challenges to their mental health as a result of the COVID-19 pandemic; effects have been most pronounced on those already disadvantaged. Adopting a whole-school approach embracing changes to school environments, cultures and curricula is key to recovery, combining social and emotional skill building, mental health support and interventions to promote commitment and belonging. An evidence-based response must be put in place to support schools, which acknowledges that the mental health and well-being of CYP should not be forfeited in the drive to address the attainment gap. Schools provide an ideal setting for universal screening of mental well-being to help monitor and respond to the challenges facing CYP in the wake of the pandemic. Research is needed to support identification and implementation of suitable screening methods.

Keywords: child health; education; health policy; mental health; public health.

Conflict of interest statement

Competing interests: None declared.

© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

References

    1. Loades ME, Chatburn E, Higson-Sweeney N, et al. . Rapid systematic review: the impact of social isolation and loneliness on the mental health of children and adolescents in the context of COVID-19. J Am Acad Child Adolesc Psychiatry 2020;59:1218–39. 10.1016/j.jaac.2020.05.009
    1. Lereya ST, Patel M, Dos Santos JPGA, et al. . Mental health difficulties, attainment and attendance: a cross-sectional study. Eur Child Adolesc Psychiatry 2019;28:1147–52. 10.1007/s00787-018-01273-6
    1. Smith NR, Marshall L, Albakri M. 3 The impact of mental health and wellbeing on GCSE performance in England: a longitudinal analysis of the National pupil database linked to understanding Society. BMJ Paediatrics Open;3. 10.1136/bmjpo-2019-RCPCH-SAHM.3
    1. Howard E. A review of the literature concerning anxiety for educational assessments. Research and analysis, Coventry, UK: Ofqual, 2020.
    1. López-López JA, Kwong ASF, Washbrook E, et al. . Trajectories of depressive symptoms and adult educational and employment outcomes. BJPsych Open 2020;6. 10.1192/bjo.2019.90
    1. Kessler RC, Berglund P, Demler O, et al. . Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National comorbidity survey replication. Arch Gen Psychiatry 2005;62:593–602. 10.1001/archpsyc.62.6.593
    1. Collishaw S. Annual research review: secular trends in child and adolescent mental health. J Child Psychol Psychiatry 2015;56:370–93. 10.1111/jcpp.12372
    1. Clayborne ZM, Varin M, Colman I. Systematic review and meta-analysis: adolescent depression and long-term psychosocial outcomes. J Am Acad Child Adolesc Psychiatry 2019;58:72–9. 10.1016/j.jaac.2018.07.896
    1. Morgan C, Webb RT, Carr MJ, et al. . Incidence, clinical management, and mortality risk following self harm among children and adolescents: cohort study in primary care. BMJ 2017;359:j4351. 10.1136/bmj.j4351
    1. Reiss F. Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Soc Sci Med 2013;90:24–31. 10.1016/j.socscimed.2013.04.026
    1. Viner RM, Russell S, Saulle R. Impacts of school closures on physical and mental health of children and young people: a systematic review. MedRxiv 2021.
    1. Ford T, John A, Gunnell D. Mental health of children and young people during pandemic. BMJ 2021;372:n614. 10.1136/bmj.n614
    1. Campbell D. Covid-19 affects BAME youth mental health more than white peers – study, 2021. The Guardian. Available: [Accessed 15 Apr 2021].
    1. Widnall E, Winstone L, Mars B. Young people’s mental health during the COVID-19 pandemic: Initial findings from a secondary school survey study in South West England. National Institute for Health Research School for Public Health Research, 2020.
    1. Octavius GS, Silviani FR, Lesmandjaja A, et al. . Impact of COVID-19 on adolescents’ mental health: a systematic review. Middle East Current Psychiatry 2020;27:72. 10.1186/s43045-020-00075-4
    1. Durlak JA, Weissberg RP, Dymnicki AB, et al. . The impact of enhancing students' social and emotional learning: a meta-analysis of school-based universal interventions. Child Dev 2011;82:405–32. 10.1111/j.1467-8624.2010.01564.x
    1. Barry MM, Clarke AM, Dowling K. Promoting social and emotional well-being in schools. Health Educ 2017;117:434–51. 10.1108/HE-11-2016-0057
    1. Caldwell DM, Davies SR, Hetrick SE, et al. . School-based interventions to prevent anxiety and depression in children and young people: a systematic review and network meta-analysis. Lancet Psychiatry 2019;6:1011–20. 10.1016/S2215-0366(19)30403-1
    1. UCL . Learning together. UCL Great Ormond Street Institute of Child health, 2019. Available: [Accessed 9 Apr 2021].
    1. O'Reilly M, Svirydzenka N, Adams S, et al. . Review of mental health promotion interventions in schools. Soc Psychiatry Psychiatr Epidemiol 2018;53:647–62. 10.1007/s00127-018-1530-1
    1. Bonell C, Allen E, Warren E, et al. . Effects of the learning together intervention on bullying and aggression in English secondary schools (inclusive): a cluster randomised controlled trial. Lancet 2018;392:2452–64. 10.1016/S0140-6736(18)31782-3
    1. Lister-Sharp D, Chapman S, Stewart-Brown S, et al. . Health promoting schools and health promotion in schools: two systematic reviews. Health Technol Assess 1999;3:1–207. 10.3310/hta3220
    1. MacArthur G, Caldwell DM, Redmore J, et al. . Individual-, family-, and school-level interventions targeting multiple risk behaviours in young people. Cochrane Database Syst Rev 2018;10:CD009927. 10.1002/14651858.CD009927.pub2
    1. Langford R, Bonell C, Jones H, et al. . The World Health Organization’s health promoting schools framework: a Cochrane systematic review and meta-analysis. BMC Public Health 2015;15:130. 10.1186/s12889-015-1360-y
    1. Ofsted . Review of sexual abuse in schools and colleges. Research and analysis, , 2021. Available: [Accessed 9 Nov 2021].
    1. Wolpert M, Harris R, Hodges S. THRIVE framework for system change. Anna Freud Centre, 2019. Available: [Accessed 20 Jul 2021].
    1. Bonell C, Allen E, Warren E, et al. . A multi-component school environment intervention reduces bullying and risky behaviour and improves mental health and quality of life: findings from the inclusive cluster randomized controlled trial. J Adolesc Health 2018;62:S9. 10.1016/j.jadohealth.2017.11.020
    1. Fletcher A, Bonell C, Hargreaves J. School effects on young people's drug use: a systematic review of intervention and observational studies. J Adolesc Health 2008;42:209–20. 10.1016/j.jadohealth.2007.09.020
    1. Weare K, Nind M. Mental health promotion and problem prevention in schools: what does the evidence say? Health Promot Int 2011;26(Suppl 1):i29–69. 10.1093/heapro/dar075
    1. Humphrey N, Wigelsworth M. Making the case for universal school-based mental health screening. Emotion Behav Difficulties 2016;21:22–42. 10.1080/13632752.2015.1120051
    1. . Mental health support in schools and colleges and faster access to NHS care, 2021. Available: [Accessed 9 Nov 2021].
    1. Rudasill KM, Snyder KE, Levinson H, et al. . Systems view of school climate: a theoretical framework for research. Educ Psychol Rev 2018;30:35–60. 10.1007/s10648-017-9401-y
    1. Jessiman T, Kidger J, Limmer M. School culture and student mental health: a participatory action research study, 2020. Available: [Accessed 22 Oct 2021].

Source: PubMed

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