The Healthy Relationships Plus Program: National Implementation Summary

There is a clear need for evidence-based approaches to promote mental health and prevent violence among youth. These programs need to be flexible enough to be implemented in diverse settings. Ideally, they would also address multiple outcomes at once. We know that there is a significant overlap among violence, substance misuse, and unhealthy sexual behaviour (i.e., the adolescent risk triad). These problem behaviours are linked in several ways: they co-occur, they share risk factors, and they frequently emerge within the context of dating and peer relationships. More recently, researchers have identified mental health as an issue that overlays all of these other issues

GSA members\u27 experiences with a structured program to promote well-being

LGBT2Q+ youth experience significant oppression in schools and there are few evidence-informed programs to promote well-being. This study describes the experiences of youth who participated in a 17-session structured mental health promotion program through their GSAs. Focus groups were conducted with 15 youth. Results indicated that the program helped youth validate and affirm their identities and expressions. The program also afforded youth structured opportunities to identify and process minority stressors, and develop essential coping strategies to bolster their well-being and manage their toxic relationships

Youth-identified Considerations for Programming to Support Newcomers’ Healthy Development: A Group Concept Mapping Study

Background There is a well-documented need for more responsive promotion and prevention programming for young immigrants and refugees in the context of mental health and healthy development. Incorporating the voice of newcomers in the development of promotion and prevention efforts could assist in producing culturally-relevant materials and improve program outcomes. Objective Our goal was to utilize youth voice to identify considerations for developing programming to support newcomer youths’ healthy development. Methods We employed mixed methods and analyzed data using concept mapping. A total of 37 newcomers between the ages of 14 and 22 participated in focus groups to share their ideas for creating programming that would focus on relationships and well-being. Relevant responses were collated, cleaned, and generated into unique statements, and then sorted individually by 26 youth into thematically similar categories. We used multidimensional scaling and hierarchal cluster analysis to produce a concept map. Results Six concepts, in rank order of importance, emerged as follows: create a space for sharing; discuss relational issues; teach strategies for adjusting to a new country; teach wellness skills; have feel-good activities; and plan for diversity. Conclusions Participants’ lived experience and their own attendance in programming at newcomer organizations assisted them in brainstorming what types of activities, topics, and skills would be helpful for other newcomer youth, as well as considerations for facilitators implementing such programming. Promotion and prevention efforts intended for newcomer youth may benefit by incorporating ideas from the concept map

Healthy Relationships Plus Program Facilitator Training Feedback

The Fourth R Healthy Relationships Plus Program (HRPP) has the capacity to positively impact youth; however, program content alone does not lead to benefits. Delivering effective programs requires facilitators to feel comfortable and prepared to implement the program with their students. Additionally, it is important that facilitators maintain program fidelity and implement the program as it was designed. Facilitators’ confidence, competence, and understanding of fidelity can be developed through well designed trainings. Quality training provides facilitators with the opportunity to understand the program objectives, learn the content, and enhance their knowledge of program fidelity. As part of the evaluation project, the researchers aimed to examine training outcomes and build capacity through trainings. The purpose of this report is to provide a summary of the facilitator training feedback surveys, specifically examining the skills learned and their satisfaction with the training

Changes in depression and positive mental health among youth in a healthy relationships program

Mental health promotion programming in schools and community settings is an important part of a comprehensive mental health strategy. The goal of this study was to identify and explore meaningful classes of youth based on their pre- and post-intervention depression symptoms scores with 722 youth involved in a 15-week healthy relationships and mental health promotion program. We utilized latent class growth analysis to identify depression class trajectories, controlling for group clustering effects. A three-class solution identified high decreasing, moderate stable, and low stable trajectories. Gender, age, and reported experience of bullying victimization predicted trajectory class membership. The low stable class trajectory was associated with the highest positive mental health, followed by the moderate stable and the high decreasing trajectories. These results suggest that youth with the highest depression scores showed significant improvement in symptomatology over the course of the program

Who Are We Missing? The Impact of Requiring Parental or Guardian Consent on Research With Lesbian, Gay, Bisexual, Trans, Two-Spirit, Queer/Questioning Youth.

PURPOSE: The purpose was to examine whether a requirement for parental or guardian consent systematically limits which lesbian, gay, bisexual, trans, two-spirit, queer/questioning (LGBT2Q+) youth participate in research. METHODS: A total of 60 LGBT2Q+ youth (aged 14-18 years) completed measures assessing gender and sexual minority identity, depression and anxiety, help-seeking intentions, and social support. RESULTS: A substantial proportion (37.6%) of youth reported that they would not have participated in the research if parental or guardian consent was required. Those who would not have participated had more negative attitudes about their sexual and gender identity, less family support, lower levels of help-seeking intentions, and higher levels of negative affect. CONCLUSIONS: The results suggest that requiring parental or guardian consent may exclude the most at-risk youth. Policy and practice decisions regarding the health and mental health outcomes of LGBT2Q+ youth might be based on incomplete and unrepresentative data

Promoting First Nations, Metis, and Inuit Youth Wellbeing through Culturally-Relevant Programming: The Role of Cultural Connectedness and Identity

Objectives: Although culturally relevant programming has been identified as a promising practice for promoting resiliency among First Nations, Métis, and Inuit (FNMI) youth, the specific ways in which these programs contribute to wellbeing are unclear. The Fourth R: Uniting Our Nations programs include an array of strengths-based culturally relevant programs for FNMI youth that have been found to increase wellbeing. The purpose of this study was to explore how culturally relevant programming provides a forum for intrapersonal and interpersonal growth. Methods: In-depth interviews were conducted with 12 adult FNMI community and education stakeholders who have had extensive involvement with the programs. Interviews were transcribed and analyzed with an inductive approach through the use of open-coding. Results: Two themes emerged to clarify the relationships between culturally relevant programming and youth wellbeing. The two interconnected themes were the importance of identity and belonging, and the role of cultural connectedness in promoting wellbeing among FNMI youth. Conclusion: Culturally relevant programming provides a powerful opportunity for youth to develop their personal sense of positive cultural identity and feelings of belonging. In addition, the sense of connection to culture was seen to have a direct positive impact on youth, partly through combatting shame

Feasibility Trial of the School-Based STRONG Intervention to Promote Resilience Among Newcomer Youth

There are thousands of refugee students in Canadian schools and many struggle with distress and trauma symptoms. Even those not demonstrating overt distress may face adjustment challenges. This paper describes the pilot of the Supporting Transition Resilience of Newcomer Groups (STRONG) program in ten schools. STRONG is a 10-session, manualized program focused on building skills and helping students process their migration journey. This pilot used a pragmatic mixed-methods approach to evaluate the feasibility of STRONG, with a focus on acceptability, implementation, and perceived utility of the intervention. Clinicians (n = 16) provided data at the training, throughout the intervention and at the end through clinician surveys and focus groups. Clinicians reported high levels of acceptability for the training and program. Implementation challenges included time constraints, external influences, and some challenges with language. Overall STRONG was seen to provide significant positive benefits for students in increasing connectedness, stress management, and coping strategies. Clinicians felt that students developed more positive self-image and had improved optimism. This feasibility trial of the STRONG program indicated the potential utility for promoting resilience and reducing distress among refugee students through a structured, school-based group intervention

Feasibility and Fit of a Mental Health Promotion Program for LGBTQ+ Youth

This study evaluated the feasibility and fit of a mental health promotion and violence prevention program adapted for LGBTQ+ youth (ages 14-18). The pilot program included 16 30-minute sessions and was implemented in 8 gender and sexuality alliances (GSAs) and one community youth group setting. Extensive feedback was collected from 11 facilitators via session tracking sheets, ongoing email communication, an implementation survey, and a focus group; and from 7 youth who participated in a variety of feedback activities during a 2-day post-program workshop. Results indicated a strong interest in formalized programming, challenges related to its delivery in GSAs, and significant issues with its content. Facilitators and youth advocated for the program to be more affirmative, include youth-centered notions of identities and expressions, be trauma-informed, include a wider range of relationships, and adopt a youth-led approach

Impact of Trauma‑Informed Training and Mindfulness‑Based Social–Emotional Learning Program on Teacher Attitudes and Burnout: A Mixed‑Methods Study

A trauma-informed approach can give teachers the strategies they need to help children affected by trauma reach their full potential in the classroom. Mindfulness-based social–emotional learning (SEL) programs equip teachers with essential tools to create a trauma-informed classroom, which in turn helps alleviate stress associated with supporting trauma-impacted children. Because existing research on SEL programs has predominantly focused on student well-being, there is a paucity of research examining teacher outcomes and the integration of a trauma-informed framework. The purpose of the study was to investigate the benefits of trauma-informed training and MindUP delivery on educator attitudes and burnout. Intervention educators received trauma-informed and MindUP training and implemented MindUP in their classrooms. Comparison educators did not participate in training and taught their usual curriculum. We compared trauma-informed attitudes and burnout levels among 112 educators (n = 71 intervention, n = 41 comparison) using the Attitudes Related to Trauma-Informed Care (ARTIC) scale and the Maslach Burnout Inventory. Pre- and post-intervention quantitative data were augmented by qualitative focus group data. Results showed that educators in the intervention group reported significant decreases in emotional exhaustion, and significant improvements in the reactions subscale and overall scores on the ARTIC scale. Greatest improvements in self-efficacy and personal accomplishment were observed among educators who implemented MindUP for two consecutive years. These findings were supported by focus group data. Our results show that infusing trauma-informed training with an existing mindfulness-based SEL intervention may encourage teachers to embrace trauma-sensitive attitudes and reduce burnout