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Most MHPIs incorporated multiple competencies and active learning approaches, were institutionalized, and were adapted to local contexts. Few MHPIs involved co-design with teachers, parents, or students, and only half incorporated staff training or formal evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>MHPI availability in Quebec elementary schools was socially patterned. While many existing MHPIs demonstrated substantial alignment with evidence-informed implementation practices, important gaps remained in stakeholder engagement, capacity building, and evaluation. Strengthening funding, staff training, and implementation support may improve the reach, quality, and equitable delivery of school-based mental health promotion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171261473005","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T07:50:33Z","timestamp":1785225033000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental Health-Promoting Interventions in Elementary Schools: Availability and Alignment With Evidence-Informed Implementation Practices"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3854-3425","authenticated-orcid":false,"given":"El Zahraa","family":"Majed","sequence":"first","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7568-7554","authenticated-orcid":false,"given":"Roxy H.","family":"O\u2019Rourke","sequence":"additional","affiliation":[{"name":"University of Toronto"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5787-3238","authenticated-orcid":false,"given":"Erin K.","family":"O\u2019Loughlin","sequence":"additional","affiliation":[{"name":"Centre de recherche du centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CRCHUM)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3653-9545","authenticated-orcid":false,"given":"Robert J.","family":"Wellman","sequence":"additional","affiliation":[{"name":"UMass Chan Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7240-7588","authenticated-orcid":false,"given":"Jennifer L.","family":"O\u2019Loughlin","sequence":"additional","affiliation":[{"name":"Centre de recherche du centre hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al (CRCHUM)"},{"name":"Universit\u00e9 de Montr\u00e9al"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_3_9_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13033-020-00356-9"},{"key":"e_1_3_9_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"e_1_3_9_4_2","unstructured":"Canadian Mental Health Association. 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