Task-Shifting in School Mental Health for Externalising Behavioural Problems in Children: Effectiveness of a Teacher-Led Intervention

Shruti Sharma
PhD Scholar, School of Behavioural and Social Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana

Dr Taranjeet Duggal
Dean, School of Behavioural and Social Sciences, Manav Rachna International Institute of Research and Studies, Faridabad, Haryana, India

Abstract

This study examined teacher-led task-shifting in school mental health for managing externalising behavioural problems among primary school children. In this research total sample included 59 primary class teachers from two CBSE-affiliated English-medium schools in Delhi NCR, India. For this research experimental design were used. Total 28 teachers included in the experimental group who received the 12-week task-shifting training programme and total 31 teachers included in the control group who continued regular classroom practices without receiving the training. Teacher knowledge and attitudes were measured through a questionnaire prepared by the researcher. Child behavioural outcomes assessed through the teacher-rated and parent-rated Strengths and Difficulties Questionnaires (SDQ). Baseline assess through Child Behaviour Checklist (CBCL). To analysed data Independent and paired samples t-tests used. Teachers who are in experimental group shown significantly more improvement in knowledge and attitudes than control group teachers (t(57) = 2.44, p = .018, Cohen’s d = 0.64). Teacher-rated and parent-rated outcomes also improved significantly. These improvements found in “total difficulties, conduct problems, hyperactivity, and impact scores”. Findings show that a school-based task-shifting approach can be an effective and scalable method to improve school mental health services.

Keywords: Externalising Behavioural Problems ,Primary School Children ,School Mental Health ,Task Shifting ,Teacher Training