{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T14:06:57Z","timestamp":1789740417999,"version":"4.0.1"},"reference-count":52,"publisher":"BMJ","issue":"9","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"unspecified","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2026,8,31]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>School professionals are key to student well-being, yet their role in identifying and supporting young carers (YCs) in Pakistan remains unexplored. Existing literature highlights limited awareness among educators but evidence from low-resource settings is lacking. This study aims to address this gap by exploring educators\u2019 awareness, perceptions and support strategies regarding YCs to inform context-sensitive school mental health interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study employing in-depth, semi-structured interviews was conducted between March and June 2025, following the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Data were analysed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted in public higher secondary schools located in the district of Haripur, Pakistan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Thirty-three teachers, administrators and school staff were recruited through purposive sampling to ensure a diversity of roles, gender and professional experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants (80%) were unfamiliar with the term \u2018young carer\u2019, though many had encountered caregiving students. Five core themes emerged: limited awareness shaped by cultural perceptions, informal identification processes, the academic and emotional burden experienced by YCs, insufficient institutional support and concrete recommendations for policy and practice. Educators expressed a strong willingness to help but cited a pervasive absence of training, policies and dedicated services as primary barriers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Limited awareness and structural barriers hinder schools\u2019 ability to support YCs. Findings reveal an urgent need to equip school professionals with targeted training and pragmatic strategies to identify and support YCs, enabling them to transform their willingness into effective action.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2025-111930","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:30:15Z","timestamp":1789738215000},"page":"e111930","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Unseen or neglected? school educators\u2019 perspectives on identifying and supporting adolescent young carers in Pakistan: a qualitative study"],"prefix":"10.1136","volume":"16","author":[{"given":"Muhammad","family":"Ateeb","sequence":"first","affiliation":[{"name":"Department of Public Health and Nutrition, The University of Haripur, Haripur, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahbaz Ahmad","family":"Zakki","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nutrition, The University of Haripur, Haripur, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4852-2938","authenticated-orcid":false,"given":"Ijaz Ul","family":"Haq","sequence":"additional","affiliation":[{"name":"Department of Clinical Nutrition, College of Applied Medical Sciences, King Faisal University, Al-Ahsa, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najia","family":"Zulfiqar","sequence":"additional","affiliation":[{"name":"Department of Psychology, The University of Haripur, Haripur, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiran","family":"Rizwan","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nutrition, The University of Haripur, Haripur, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabahat","family":"Bibi","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nutrition, The University of Haripur, Haripur, Khyber Pakhtunkhwa, Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"2026091806300716000_16.9.e111930.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s40639-017-0041-3","article-title":"Young carers: growing up with chronic illness in the family - a systematic review 2007-2017","volume":"4","author":"Chikhradze","year":"2017","journal-title":"J of Compassionate Health Care"},{"key":"2026091806300716000_16.9.e111930.2","doi-asserted-by":"crossref","DOI":"10.1111\/cch.13244","article-title":"What characterizes adolescent young carers? 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