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Mental Health in Kenyan Schools: Teachers’ Perspectives

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Abstract

Introduction

This qualitative study, conducted in public primary and secondary schools, sought teachers’ perceptions of mental health concerns that are relevant in school settings. Based on the phenomenological theory, the study aimed to understand the teachers’ experiences of mental health problems in the schools and how they handled them.

Method

The schools sampled represented rural, suburban, and urban sections of Kiambu County in Kenya. Data were collected through focus group discussions (FGDs). The researcher made summary notes from both audio-taped interviews and notes made by the research assistants and summarized the major themes.

Results

Teachers reported that they were aware that students suffered from mental health problems. They recognized learning difficulties, externalizing problems, internalizing problems, bizarre behavior, and problem substance use among students. Teachers reported that lack of skills and time were challenges in dealing with student mental health problems.

Conclusion

Teachers perceive a presence of mental health problems among the students. There is need for in-service training for the identification and referral and that school psychologists be employed to deal with student mental health problems.

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References

  • Abo El-gamelen Ebrahim Essa, H., & Mohamed Ahmed El-Zeftawy, A. (2015). Teachers’ knowledge, attitudes and reported strategies to assess and support the students with learning difficulties. Journal of Nursing and Health Science, 4(2), 79–92. https://doi.org/10.9790/1959-04227992.

    Article  Google Scholar 

  • Anderson, M., Werner, A., Catherine, S., Aimée, K., Samuel, G., Dea, B. O., & Anderson, M. (2018). Mental health training programs for secondary school teachers: a systematic review. School Mental Health, 0123456789. https://doi.org/10.1007/s12310-018-9291-2.

    Article  Google Scholar 

  • Andrews, A., McCabe, M., & Wideman-Johnston, T. (2014). Mental health issues in the schools: are educators prepared? The Journal of Mental Health Training, Education and Practice, 9(4), 261–272. https://doi.org/10.1108/JMHTEP-11-2013-0034.

    Article  Google Scholar 

  • Ball, A., Iachini, A. L., Bohnenkamp, J. H., Togno, N. M., Brown, E. L., Hoffman, J. A., & George, M. W. (2016). School mental health content in state in-service K-12 teaching standards in the United States. Teaching and Teacher Education, 60(60), 312–320. https://doi.org/10.1016/j.tate.2016.08.020.

    Article  Google Scholar 

  • Belfer, M. L. (2008). Child and adolescent mental disorders: the magnitude of the problem across the globe. Journal of Child Psychology and Psychiatry, 49(3), 226–236. https://doi.org/10.1111/j.1469-7610.2007.01855.x.

    Article  Google Scholar 

  • Cortina, M. A., Sodha, A., Fazel, M., & Ramchandani, P. G. (2012). Prevalence of child mental health problems in sub-Saharan Africa. Archives of Pediatrics & Adolescent Medicine, 166(3), 276. https://doi.org/10.1001/archpediatrics.2011.592.

    Article  Google Scholar 

  • Dwyer, S. B., Nicholson, J. M., Battistutta, D., & Oldenburg, B. (2005). Teachers’ knowledge of children’s exposure to family risk factors: accuracy and usefulness. Journal of School Psychology, 43(1), 23–38. https://doi.org/10.1016/J.JSP.2004.10.003.

    Article  Google Scholar 

  • Eustache, E., Gerbasi, M. E., Fawzi, M. C. S., Fils-Aimé, J. R., Severe, J., Raviola, G. J., … Becker, A. E. (2017). Mental health training for secondary school teachers in Haiti: a mixed method, prospective, formative research study of feasibility, acceptability, and effectiveness in knowledge acquisition, 4, 1–16. https://doi.org/10.1017/gmh.2016.29

  • Giorgi, A. P., & Giorgi, B. (2008). Phinomenological Psychology. In W. S.-R. Carla Willig (Ed.), The SAGE Handbook of Qualitative Research in Psychology (pp. 165–178). London: SAGE. Retrieved from https://books.google.co.ke/books?hl=en&lr=&id=Tu3IqexENBEC&oi=fnd&pg=PA165&dq=Giorgi+A,+Giorgi+B.+‘Phenomenology’+In:+Smith+JA,+editor.+Qualitative+psychology.+London:+Sage%3B+2003.&ots=3koIe2kXwZ&sig=cW5eQrwHE-am7Ecv829oO_8ErTU&redir_esc=

  • Gresham, F. M., & Kern, L. (2004). Internalizing behavior problems in children and adolescents. In Handbook of research in emotional and behavioral disorders (pp. 262-281). New York: Guilford Press. Retrieved from http://psycnet.apa.org/record/2005-02874-014. Accessed 15 Jan 2019.

  • Hadlacky, G., Hokby, S., Anahit, M., Carli, Vladimir., &, & Wasserman, D. (2014). Mental health first aid is an effective public health intervention for improving knowledge, attitudes, and behavior. A meta-analysis. International Review of Psychiatry, 26(4), 467–475. https://doi.org/10.3109/09540261.2014.924910

    Article  Google Scholar 

  • Karsberg, S. H., & Elklit, A. (2012). Victimization and PTSD in a rural Kenyan youth sample. Clinical Practice & Epidemiology in Mental Health, 8(1), 91–101. https://doi.org/10.2174/1745017901208010091.

    Article  Google Scholar 

  • Kerebih, H., Abrha, H., Frank, R., & Abera, M. (2016). Perception of primary school teachers to school children’s mental health problems in Southwest Ethiopia. International Journal of Adolescent Medicine and Health, 0(0). https://doi.org/10.1515/ijamh-2016-0089.

  • Khasakhala, L. I., Ndetei, D. M., Mutiso, V., Mbwayo, A. W., & Mathai, M. (2012). The prevalence of depressive symptoms among adolescents in Nairobi public secondary schools: association with perceived maladaptive parental behavior. African Journal of Psychiatry (South Africa), 15(2), 15. https://doi.org/10.4314/ajpsy.v15i2.14.

    Article  Google Scholar 

  • Kieling, C., Baker-Henningham, H., Belfer, M., Conti, G., Ertem, I., Omigbodun, O., Rohde, L. A., Srinath, S., Ulkuer, N., & Rahman, A. (2011). Child and adolescent mental health worldwide: evidence for action. Lancet (London, England), 378(9801), 1515–1525. https://doi.org/10.1016/S0140-6736(11)60827-1.

    Article  Google Scholar 

  • Koller, J. R., & Bertel, J. M. (2006). Responding to today’s mental health needs of children, families and schools: revisiting the preservice training and preparation of school-based personnel. Education and Treatment of Children,29(2), 197–217. Retrieved from http://library.gcu.edu:2048/login?url=http://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ehh&AN=21817247&site=eds-live&scope=site%5Cnhttp://search.proquest.com/docview/202666280?accountid=7374. Accessed 04 May 2019.

  • Lane, K. L., Wehby, J. H., Robertson, E. J., & Rogers, L. A. (2007). How do different types of high school students respond to schoolwide positive behavior support programs? Journal of Emotional and Behavioral Disorders, 15(1), 3–20. https://doi.org/10.1177/10634266070150010201.

    Article  Google Scholar 

  • Loades, M. E., & Mastroyannopoulou, K. (2010). Teachers’ recognition of children’s mental health problems. Child and Adolescent Mental Health, 15(3), 150–156. https://doi.org/10.1111/j.1475-3588.2009.00551.x.

    Article  Google Scholar 

  • Magai, D. N., Malik, J. A., & Koot, H. M. (2018). Emotional and behavioral problems in children and adolescents in Central Kenya. Child Psychiatry & Human Development, 49(4), 659–671. https://doi.org/10.1007/s10578-018-0783-y.

    Article  Google Scholar 

  • Mbwayo, A. W., & Mathai, M. (2016). Association between hopelessness and conduct problem among school going adolescents in a rural and urban setting in Kenya. Journal of Child and Adolescent Behavior, 4(3), 1–4. https://doi.org/10.4172/2375-4494.1000291.

    Article  Google Scholar 

  • Nadeem, E., Kataoka, S. H., Chang, V. Y., Vona, P., Wong, M., & Stein, B. D. (2011). The role of teachers in school-based suicide prevention: a qualitative study of school staff perspectives. School Mental Health, 3(4), 209–221. https://doi.org/10.1007/s12310-011-9056-7.

    Article  Google Scholar 

  • Ndetei, D. M., Ongecha-Owuor, F. A., Khasakhala, L., Mutiso, V., Odhiambo, G., & Kokonya, D. A. (2007). Traumatic experiences of Kenyan secondary school students. Journal of Child & Adolescent Mental Health, 19(2), 147–155. https://doi.org/10.2989/17280580709486650.

    Article  Google Scholar 

  • Ndetei, D., Khasakhala, L., Nyabola, L., Ongecha-Owuor, F., Seedat, S., Mutiso, V., et al. (2008). The prevalence of anxiety and depression symptoms and syndromes in Kenyan children and adolescents. Journal of Child & Adolescent Mental Health, 20(1), 33–51. https://doi.org/10.2989/JCAMH.2008.20.1.6.491.

    Article  Google Scholar 

  • Ndetei, D. M., Mutiso, V., Musyimi, C., Mokaya, A. G., Anderson, K. K., McKenzie, K., & Musau, A. (2016). The prevalence of mental disorders among upper primary school children in Kenya. Social Psychiatry and Psychiatric Epidemiology, 51(1), 63–71. https://doi.org/10.1007/s00127-015-1132-0.

    Article  Google Scholar 

  • Nyavanga, E. J., & Barasa, M. (2016). Expectations about counseling for a mental illness among primary school teacher trainees in Kenya. Science Journal of Public Health, 4(416), 305–311. https://doi.org/10.11648/j.sjph.20160404.16.

    Article  Google Scholar 

  • Nyutu, P. N., & Bertel, J. M. (2012). Perceptions of teacher preparation and attitudes regarding students’ mental health in Kenya. Advances in School Mental Health Promotion, 5(1), 63–74. https://doi.org/10.1080/1754730X.2012.664863.

    Article  Google Scholar 

  • Osagiede, O., Costa, S., Spaulding, A., Rose, J., Allen, K. E., Rose, M., & Apatu, E. (2018). Teachers’ perceptions of student mental health: the role of school-based mental health services delivery model. Children and Schools, 40(4), 240–248. https://doi.org/10.1093/cs/cdy020.

    Article  Google Scholar 

  • Padhy, S. K., Goel, S., Das, S. S., Sarkar, S., Sharma, V., & Panigrahi, M. (2015). Perceptions of teachers about learning disorder in a northern city of India. Journal of Family Medicine and Primary Care, 4(3), 432–434. https://doi.org/10.4103/2249-4863.161347.

    Article  Google Scholar 

  • Papandrea, K., & Winefield, H. (2011). It’s not just the squeaky wheels that need the oil: examining teachers’ views on the disparity between referral rates for students with internalizing versus externalizing problems. School Mental Health, 3(4), 222–235. https://doi.org/10.1007/s12310-011-9063-8.

    Article  Google Scholar 

  • Pavri, S. (2004). General and special education teachers’ preparation needs in providing social support: a needs assessment. Teacher Education and Special Education, 27(4), 0433 Retrieved from https://files.eric.ed.gov/fulltext/EJ694071.pdf. Accessed 15 Jan 2019.

    Article  Google Scholar 

  • Reinke, W. M., Stormont, M., Herman, K. C., Puri, R., & Goel, N. (2011). Supporting children’s mental health in schools: teacher perceptions of needs, roles, and barriers. School Psychology Quarterly, 26(1), 1–13. https://doi.org/10.1037/a0022714.

    Article  Google Scholar 

  • Repie, M. S. (2005). A school mental health issues survey from the perspective of regular and special education teachers, school counselors, and school psychologists. Education and Treatment of Children. 28(3), 279–298..https://doi.org/10.2307/42899850.

  • Rothi, D. M., & Leavey, G. (2006). Mental health help-seeking and young people: a review. Pastoral Care in Education, 24(3), 4–13. https://doi.org/10.1111/j.1468-0122.2006.00373.x.

    Article  Google Scholar 

  • Rothi, D., Leavey, G., Chamba, R., & Best, R. (2005). Identification and management of pupils with mental health difficulties: a study of UK teachers’ experience and views.

  • Rothì, D. M., Leavey, G., & Best, R. (2008). On the front-line: teachers as active observers of pupils’ mental health. Teaching and Teacher Education, 24(5), 1217–1231. https://doi.org/10.1016/j.tate.2007.09.011.

    Article  Google Scholar 

  • Schulte-Körne, G. (2016). Mental health problems in a school setting in children and adolescents. Deutsches Arzteblatt International, 113(11), 183–190. https://doi.org/10.3238/arztebl.2016.0183.

    Article  Google Scholar 

  • Shukla, P., & Agrawal, G. (2015). Awareness of learning disabilities among teachers of primary schools. Online Journal of Multidisciplinary Research (OJMR), 1(1), 33–38 Retrieved from www.ojmr.in. Accessed 20 Jan 2019.

  • Thorley, C. (2016). Institute for Public Policy Research. Supporting secondary schools to play a central role in early intervention mental health services. Retrieved from www.ippr.org. Accessed 06 June 2019.

  • Walter, H. J., Gouze, K., & Lim, K. G. (2006). Teachers’ beliefs about mental health needs in inner city elementary schools. Journal of the American Academy of Child & Adolescent Psychiatry, 45(1), 61–68. https://doi.org/10.1097/01.chi.0000187243.17824.6c.

    Article  Google Scholar 

  • Whitley, J., Smith, J. D., & Vaillancourt, T. (2013). Promoting mental health literacy among educators. Canadian Journal of School Psychology, 28(1), 56–70. https://doi.org/10.1177/0829573512468852.

    Article  Google Scholar 

  • Williams, J. H., Horvath, V. E., Wei, H., Richard, A., Dorn, V., & Jonson-Reid, M. (2007). Teachers’ perspectives of children’s mental health service needs in urban elementary schools. Children & Schools, 19(2) Retrieved from https://pdfs.semanticscholar.org/a7e7/2d8fdb7433354917a1792df1b683c53fdf9d.pdf. Accessed 15 Jan 2019.

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Funding

This study was funded by the National Institute of Health (grant number DA3TW010141), Partnership for Health Research Training in Kenya.

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Authors

Corresponding author

Correspondence to Anne Wanjiru Mbwayo.

Ethics declarations

Study methods were approved by the Kenyatta National Hospital and University of Nairobi ethics review board (KNH/UON ERC), Protocol Number P8/01/2017.

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was cleared by KNH/UoN ERC.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

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Mbwayo, A.W., Mathai, M., Khasakhala, L.I. et al. Mental Health in Kenyan Schools: Teachers’ Perspectives. Glob Soc Welf 7, 155–163 (2020). https://doi.org/10.1007/s40609-019-00153-4

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