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Subject Category: Intervention Article Type: Original Research Paper Title Improving Malawian teacher’s mental health knowledge and attitudes: an integrated school mental health literacy approach Authors Stan Kutcher 1 , Heather Gilberds 2 , Catherine Morgan 1 , Robin Greene 1 , Kenneth Hamwaka 3 , Kevin Perkins 2 Author Information 1. Dalhousie University and the Izaak Walton Killam (IWK) Health Centre 2. Farm Radio International 3. Guidance, Counselling and Youth Development Centre for Africa Correspondence to Stan Kutcher, MD, FRCPC, FCAHS, Dalhousie University and IWK Health Centre, 5850 University Avenue, PO Box 1

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Subject Category: InterventionArticle Type: Original Research Paper

Title

Improving Malawian teachers mental health knowledge and attitudes: an integrated school mental health literacy approach

Authors

Stan Kutcher1, Heather Gilberds2, Catherine Morgan1, Robin Greene1, Kenneth Hamwaka3, Kevin Perkins2

Author Information

1. Dalhousie University and the Izaak Walton Killam (IWK) Health Centre

2. Farm Radio International

3. Guidance, Counselling and Youth Development Centre for Africa

Correspondence to Stan Kutcher, MD, FRCPC, FCAHS, Dalhousie University and IWK Health Centre, 5850 University Avenue, PO Box 9700, Halifax, Nova Scotia, Canada B3K 6R8. Tel: +1 902 476 6598; email: [email protected]

Word Count: 4388 (text); 264 (abstract)

Acknowledgements

There are no additional individuals or organizations that provided advice or non-financial support.

Financial Support

This work was supported by Grand Challenges Canada (grant number 0090-04).

Conflict of Interest

None.

Ethical Standards

The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration of 1975, as revised in 2008.

Abstract

Background: Mental health literacy is foundational for mental health promotion, prevention, stigma reduction and care. Integrated school mental health literacy interventions may offer an effective and sustainable approach to enhancing mental health literacy for educators and students globally.

Methods: Through a Grand Challenges Canada funded initiative called An Integrated Approach to Addressing the Issue of Youth Depression in Malawi and Tanzania, we culturally adapted a previously demonstrated effective Canadian school mental health curriculum resource (the Guide) for use in Malawi, the African Guide: Malawi version (AGMv), and evaluated its impact on enhancing mental health literacy for educators (teachers and youth club leaders) in 35 schools and 15 out-of-school youth clubs in the central region of Malawi. A pre-test post-test study design was used to assess mental health literacyknowledge and attitudesof 218 educators before and immediately following completion of a three-day training program on the use of the AGMv.

Results: Results demonstrated a highly significant and substantial improvement in knowledge (p