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Table 1 Summary of activities included in the intervention

From: A school-based health promotion programme to increase help-seeking for substance use and mental health problems: study protocol for a randomised controlled trial

Activity

Description

Ranking for risk

Know

 mental health can fluctuate from ‘good’ to ‘poor’ in the course of a day or over a lifetime

 the difference between poor mental health and mental illness relates to duration and severity of symptoms

Understand

 people perceive risk differently depending on their experiences, values and beliefs

 a drug experience will differ depending on the drug that is taken, the person who takes it and where they take it

 talk about suicide must be taken seriously and the friend at risk must be referred on to an adult

Do

 a student is able to assess short-term and long-term risk in a hypothetical situation

 identify ‘red flags’ (e.g. risk of harm to self or to others, change in behaviour, etc.)

Myths and facts

Know

 what the research states in relation to the selected ‘myths’ and ‘facts

Understand

 that stigma and misunderstandings relating to mental health issues and substance use do exist and these may act as barriers for young people thinking about seeking help

Do

 correct misperceptions held by peers around mental health and substance use

Under construction

Know

 the brain is still developing until the age of 25 years

Understand

 what happens to the adolescent brain and the body when alcohol is consumed

Do

 a student is able to make informed choices about drinking alcohol as an adolescent

Helpers

Know

 the range of helpers that are available within and outside of school

Understand

 the barriers that may stop a person from seeking help

 the difference between professional confidentiality and duty of care

Do

 a student is able to ask questions to confirm what information will be passed on, and what will be kept confidential when speaking to a helper

Helping Jason

Know

 how to have an effective health-seeking conversation with a friend

Understand

 that encouraging a friend to seek help may take time, and repeated efforts

 that it is more effective to ask questions than to tell someone what to do

Do

 a student is able to plan a help-seeking conversation with a friend

Booster

Know

 key information from the course (see previous activities)

Understand

 key information from the course (see previous activities)

Do

 ‘sell’ a health-promoting message to a friend (in poster form)

 tasks as specified in the above five ‘do’ categories