This study describes the delivery of the Teen Depression: Stories of Health and Healing (TDSHH), a brief school-based depression awareness delivered for middle school students. The main objectives of the proposed evaluation were to examine the effects of TDSHH on middle school health students in the areas of knowledge about depression, willingness to seek help from adults and belief that adults can help. Two Chicago suburban middle schools agreed to be part of the TDSHH intervention study. In both schools, a pre/post-test wait-list control quasi-experimental design was used. Each student in the study (total N=223) completed a questionnaire that incorporated a depression knowledge scale created by the EL team and two additional standardized scales, the Help-Seeking Acceptability at School Scale (Wyman et al., 2008) and the Adult Help for Suicidal Youth Scale (Schmeelk-Cone et al., 2012). Data from the pilot indicates that TDSHH students showed statistically significant gains on understanding depression symptoms; identifying strategies students could use to improve their mental health; and increasing positive attitudes toward help seeking with adults at school.
Major depression is a treatable and common mental health disorder for youth. Untreated depression is a major risk factor for youth who become suicidal and die by suicide. Recent focus in the school-based literature on creating universal mental health promotion programs have recognized the need for effective depression awareness education programs to assist youth in identifying symptoms of depression in themselves and their peers, and to encourage those youth to seek trusted adults for help. A quasi-experimental design (QED) was employed in two suburban Chicago high schools (n=652) to evaluate the intervention, Real Teenagers Talking About Adolescent Depression (RTTAAD), a video-based universal classroom discussion intervention created by clinical social workers, parents, and youth. The analysis showed that RTTAAD led to statistically significant changes in adolescent knowledge about depression and their stated willingness to seek help from trusted adults at 6-week follow-up compared to a control classroom condition. This study supports the notion that school social workers and other school mental health professionals need to allocate more time to primary prevention work to help build mental health awareness in their school communities and to help prevent depression and suicidal behavior.
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