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Current Status of Mental Health Care for Students 6-15 Years Old in Thai Nguyen City


Table 3.3. Characteristics of psychological trauma in students


Types of stress

Quantity

(n=142)

Proportion

(%)

Parents beat and scold

74

52.1

Teachers punish

52

36.6

Bad score

84

59.2

Being threatened by others

30

21.1

Someone died

23

16.2

Have a relative who is seriously ill

25

17.6

Sick himself

22

15.5

Brothers and sisters are addicted.

10

7.0

Dad, mom are addicted

16

11.3

Parents at odds

24

16.9

Parents divorce

14

9.9

Other stresses

13

9.2

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Current Status of Mental Health Care for Students 6-15 Years Old in Thai Nguyen City

Comments: The psychological traumas related to studying account for the highest percentage: Getting bad grades: 59.2%; being beaten and scolded by parents due to poor academic performance: 52.1%; being punished by teachers: 36.6%. Traumas such as being threatened by others; having a relative die or become seriously ill; being sick yourself; parents being addicted or discordant also account for a relatively high percentage.

3.1.2. Current status of mental health care for students aged 6-15 in Thai Nguyen city

Table 3.4. Current status of communication on student health care for parents


Current situation

Quantity

(n=419)

(%)

Participate in CSSKTTTE communication sessions

36

8.6

Receive documents and leaflets about CSSKTTTE

20

4.8


Parents' sources of information on student health and safety

Through radio, television

352

84.0

Through books and newspapers

272

64.9

Over the internet

105

25.1

Through the knowledge learned

107

25.5

Through friends and relatives

243

58.0

Through experience in raising children

268

64.0

From school health

0

0

From local health officials,

77

18.4


Comments: Only 8.6% of parents attended communication sessions on CSKTTTE; 4.8% of parents received documents and leaflets on CSSKTTTE. The top sources of information parents get from preventing RLTT & HV for students are from the mass media (84%), through experience in raising children (64%), through friends and relatives (58%). Knowledge from health workers accounts for only 18.4%.

Table 3.5. Parents' knowledge of students' mental health



Knowledge

Quantity

(n=419)


Rate (%)

Not knowing children can have mental health disorders

129

30.8

Know the names of mental-behavioral disorders in students

No known disorder name

130

31.0

Only know the name of 1 disorder

58

13.8

Only know the names of 2 disorders

36

8.6

Only know the names of 3 disorders

34

8.1


Causes of mental health disorders in students

Cause unknown

18

4.3

Do not assume that family environment can be the cause

86

20.5

Not assuming that adverse surroundings can be

reason

106

25.3

Do not assume that adverse educational environments can be the cause

196

46.8

Consequence

Unaware of immediate consequences

124

29.6

Unknown long term consequences

126

30.1

Comments: 30.8% of parents do not know that students can also have mental health disorders. Most parents cannot name or can only name 1 to 3 types of disorders (61.5%). 4.3% of parents do not know why their students have the disease. About 21 - 47% of parents do not know that factors in the living environment and education are the cause of mental health disorders in students. Over 29% of parents do not know about the immediate and long-term consequences of these disorders on students.


Table 3.6. KAP survey results of parents of students


Features

Number (n=419)

Rate (%)


Knowledge

Good

22

5.3

Medium

71

16.9

Least

326

77.8


Attitude

Good

178

42.5

Not good

241

57.5


Practice

Good

6

1.4

Not good

413

98.6

Comment:

- Parents' knowledge of child health is mainly at a poor level (77.8%). Very few parents have good understanding of child health (5.3%).

- The attitude towards mental health of students' parents is at a poor level, accounting for a higher proportion (57.5%).

- The practice of child care of parents is mainly at a poor level (98.6%). The good level accounts for only 1.4%.

Table 3.7. Current status of propaganda and education on student health care for teachers


Current situation

Quantity

(n=84)

Proportion

(%)

Participate in communication sessions on HS Social Security

15

17.9

Receive documents and leaflets about CSSKTTHS

12

14.3


Teachers' understanding of student learning outcomes is derived from a variety of sources.

Through radio, television

75

89.3

Through books and newspapers

73

86.9

Over the internet

41

48.8

Through the knowledge learned

16

19.0

Through friends and relatives

52

61.9

Through experience in raising children

60

71.4

From medical staff

18

21.4


Comment: Only 17.9% of teachers attended communication sessions on student health care; 14.3% of teachers received propaganda documents and leaflets.


about CSSKTT. Most of teachers' knowledge about CSSKTT students comes from mass media (> 86%), through experience in raising children (71.4%), and through friends and relatives (61.9%). Knowledge from health workers accounts for only 21.4%.

Table 3.8. KAP survey results on teachers' mental health care for students

Features

Quantity (n=84)

Rate (%)


Knowledge

Good

0

0

Medium

11

13.1

Least

73

86.9

Attitude

Good

37

44.0

Not good

47

56.0

Practice

Good

13

15.5

Not good

71

84.5

Comment:

- Teachers' knowledge of students' mental health is mainly at a poor level (86.9%). There are no teachers with good knowledge of students' mental health.

- Teachers' attitudes towards student health care are good at 44.0% and not good at 56.0%.

- Teachers' practice of student health care is mainly at a poor level (84.5%). The good level accounts for only 15.5%.

3.1.3. Some factors related to mental and behavioral disorders in children

Sick

Factors

sick

No disease

2 , p

SL

%

SL

%

Year old

6-11 years old

98

6.0

1540

94.0

2 = 24

P < 0.01

12-15 years old

135

11.1

1077

88.9

Gender

Male

127

8.9

1306

91.1

2 = 1.8

p > 0.05

Female

106

7.5

1311

92.5

Nation

Minority

35

7.8

416

92.2

2 = 0.1

p > 0.05

Terrible

198

8.3

2201

91.7

Table 3.9. Associations between age, gender, ethnicity and mental and behavioral disorders in students


Comment:

- There is a relationship between age and mental and behavioral disorders in students. With p < 0.01, it shows that the age group of 12 - 15 years old has more mental and behavioral disorders than the age group of 6 - 11 years old.

- There is no correlation between student gender and RLTT & HV (p > 0.05).

- There is no association between ethnicity and the incidence of RLTT & HV in students (p > 0.05).

Table 3.10. Association between psychological trauma and RLTT & HV


Sick

Stress


sick


No disease


Total

Have stress

106

36

142

No stress

127

172

299

Total

233

208

441

2 , p

2 = 39 ; p < 0.001

Comment: There is a clear relationship between psychological stress and behavioral disorders in students. With p < 0.001, it shows that students with psychological stress are more likely to have disorders.

Table 3.11. Correlation between parents' knowledge of CSSKTT and students' RLTT & HV


Sick

Parents' KT


sick


No disease


Total

Poor knowledge

91

306

397

Good knowledge

1

21

22

Total

92

327

419

2 , p

2 = 4.11 ; p < 0.05

Comment: There is a clear correlation between parents' knowledge of mental health and students' behavioral disorders. With p < 0.05, it shows that students' parents with poor knowledge of mental health are more likely to have disorders.


Table 3.12. Correlation between parents' attitudes towards CSSKTT and students' RLTT & HV


Sick

Parents' TD


sick


No disease


Total

bad attitude

79

162

241

Good attitude

13

165

178

Total

92

327

419

2 , p

2 = 38.7 ; p < 0.001


Comment: There is a clear relationship between parents' attitudes towards student mental health and students' behavioral disorders. With p < 0.001, it shows that parents with poor attitudes towards student mental health are more likely to have disorders.

Table 3.13. Correlation between parents' practices on CSSKTT and students' RLTT & HV


Sick

Parents' TH


sick


No disease


Total

Poor practice

92

321

413

Good practice

0

6

6

Total

92

327

419

2 , p

2 = 1.71 ; p > 0.05


Comment: No correlation was found between parents' practice of student health care and students' behavioral and behavioral problems (p > 0.05).

3.1.4. Mental health care needs for students


Surveying 419 parents of students at research schools in TPTN, we obtained the following results:


96.4

89

89

98

96

94

Consulting Documents

Examination and intervention

92

90

88

86

84


Figure 3.3. Parents' mental health care needs for students

Comment: The demand for health care for students is high. Of these, the percentage of parents who support early examination, detection and preventive intervention for their children is the highest (96.4%). The percentage of parents who want to receive guidance documents on health care for students and want to be advised on health care measures for their children is 89%.


98.8

91.7

90.5

100

98

Consulting Documents

Examination and intervention

96

94

92

90

88

86


Figure 3.4. Teachers' needs for children's mental health care

Comments: Over 90% of teachers surveyed wanted to receive materials and advice on student mental health care and support early detection and preventive intervention.


To better understand the needs of students in schools for social care, we also conducted group discussions with staff, teachers of research schools, education managers, and parents. The majority of participants said that this was a necessary issue and wanted support in this work. A summary of opinions on this issue is presented in Table 3.14.

Table 3.14. Student social care needs through group discussion



Content

Result

Donate

No support

SL

%

SL

%

Many students may have trouble during their schooling.

55/60

91.7

5/60

8.3

CSSKTT for students is necessary

52/60

86.7

8/60

13.3

Want more knowledge

60/60

100.0

0

0

Want to know how to detect

60/60

100.0

0

0

Want to know how to support students?

56/60

93.3

4/60

6.7

Want to know how to prevent

60/60

100.0

0

0

Want expert advice when needed

48/60

80.0

12/60

20.0


Comments: The need for student social support through group discussions is high. The majority (91.7%) believe that students may encounter problems during their studies. 100% of members want to have more knowledge, know how to detect and know how to prevent. 86.7% believe that student social support is necessary. 93.3% want to know how to support students. 80.0% want to know the opinion of experts when needed.

In addition to group discussions, we also conducted in-depth interviews with a number of representatives of the city's education sector, school leaders, parents' representatives and local mental health representatives. The interviews focused on the current status of student mental health care in schools, the needs and desires of stakeholders in this work. Here are some representative opinions.

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