Teachers' perspectives of mental health needs in Nigerian schools

Objective: This study assessed teachers' perspectives on children's mental health needs and the development of school-based mental health programmes in South-West Nigeria. Method: Focus group discussions were held with teachers from randomly selected urban and rural primary schools in Ibadan, Nigeria. Data were analysed using interpretative phenomenological analysis. Results: Teachers identified significant mental health problems in school-age children and described a variety of bio-psychosocial contributing factors. These ranged from problems with primary support systems to poverty, spiritual factors, medical illnesses and genetic vulnerability. The school environment was recognised as an ideal place for dealing with child mental health issues despite deficiencies in teachers' knowledge, skills and resources. A school mental health programme that would provide training for teachers and awareness campaigns as well as human, material and financial resources was proposed. Conclusions: The findings from this study provide a background for understanding the current state of interventions to address child mental health problems in a resource poor country in sub- Saharan Africa and specific areas where future program development is most likely to have an impact.

[1]  V. Patel,et al.  Poverty and mental illness: fact or fiction? A commentary on Das, Do, Friedman, McKenzie & Scott (65:3, 2007, 467-480). , 2008, Social science & medicine.

[2]  W. Lian,et al.  Pre‐school teachers' knowledge, attitudes and practices on childhood developmental and behavioural disorders in Singapore , 2008, Journal of paediatrics and child health.

[3]  Danielle L. Fettes,et al.  Public knowledge and assessment of child mental health problems: findings from the National Stigma Study-Children. , 2008, Journal of the American Academy of Child and Adolescent Psychiatry.

[4]  G. Breakwell Doing Social Psychology Research , 2008 .

[5]  O. Omigbodun,et al.  Assessment of need for a school-based mental health programme in Nigeria: Perspectives of school administrators , 2008, International review of psychiatry.

[6]  Kenneth Wm. Kury,et al.  An exploration into the internal dynamics of a school-based mental health collaboration. , 2006, The Journal of school health.

[7]  C. Paternite,et al.  Building an Interconnected Policy-Training-Practice-Research Agenda to Advance School Mental Health , 2006 .

[8]  Olley Bo Social and health behaviors in youth of the streets of Ibadan, Nigeria. , 2006 .

[9]  Susan S. Han,et al.  Sustainability of Teacher Implementation of School-Based Mental Health Programs , 2005, Journal of abnormal child psychology.

[10]  A. M. Sund,et al.  School factors and the emergence of depressive symptoms among young Norwegian adolescents , 2005, European Child & Adolescent Psychiatry.

[11]  Olga V. Demler,et al.  Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. , 2005, Archives of general psychiatry.

[12]  N. Dogra,et al.  Learning from low income countries: what are the lessons?: Partnerships in mental health are possible without multidisciplinary teams , 2004, British medical journal.

[13]  O. Omigbodun Psychosocial issues in a child and adolescent psychiatric clinic population in Nigeria , 2004, Social psychiatry and psychiatric epidemiology.

[14]  M. Kishore,et al.  A school mental health program in India. , 2003, Journal of the American Academy of Child and Adolescent Psychiatry.

[15]  Joseph E. Zins,et al.  Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. , 2003, The American psychologist.

[16]  J. Ellen,et al.  Work group V: increasing the capacity of schools, neighborhoods, and communities to improve adolescent health outcomes. , 2002, The Journal of adolescent health : official publication of the Society for Adolescent Medicine.

[17]  T. Dewitt,et al.  Urban elementary school personnel's perceptions of student health and student health needs. , 2002, Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association.

[18]  J. Ohaeri,et al.  The opinion of caregivers on aspects of schizophrenia and major affective disorders in a Nigerian setting , 2001, Social Psychiatry and Psychiatric Epidemiology.

[19]  R. Harrington,et al.  Annotation: Developing Child Mental Health Services in Developing Countries , 2000 .

[20]  J. Durlak,et al.  Evaluation of Indicated Preventive Intervention (Secondary Prevention) Mental Health Programs for Children and Adolescents , 1998, American journal of community psychology.

[21]  P. Ebigbo Child abuse and neglect in Nigeria -- a situation analysis. , 1993, Nigeria's population : quarterly journal of population activities in Nigeria.

[22]  H. Walter,et al.  Teachers' beliefs about mental health needs in inner city elementary schools. , 2006, Journal of the American Academy of Child and Adolescent Psychiatry.

[23]  B. Olley,et al.  Social and health behaviors in youth of the streets of Ibadan, Nigeria. , 2006, Child abuse & neglect.

[24]  S. Saxena,et al.  Prevention of mental disorders : effective interventions and policy options : summary report , 2004 .

[25]  N. Dogra,et al.  Partnerships in mental health are possible without multidisciplinary teams [letter] , 2004 .

[26]  C. Mandlhate,et al.  Systems of Care in Africa , 2004 .

[27]  S. Skevington,et al.  Creating an Environment for Emotional and Social Well-Being: An important responsibility of a Health- Promoting and Child Friendly School , 2003 .

[28]  J. Durlak Primary prevention mental health programs for children and adolescents are effective , 1998 .