{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:25:44Z","timestamp":1787847944955,"version":"build-2784847793"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:00:00Z","timestamp":1787529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100005337","name":"American Academy of Child and Adolescent Psychiatry\u2019s Summer Medical Student Fellowship","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005337","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Mariwala Health Initiative"},{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","award":["2020-0143"],"award-info":[{"award-number":["2020-0143"]}],"id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","award":["2021-0264"],"award-info":[{"award-number":["2021-0264"]}],"id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000862","name":"Doris Duke Charitable Foundation","doi-asserted-by":"publisher","award":["2023-0238"],"award-info":[{"award-number":["2023-0238"]}],"id":[{"id":"10.13039\/100000862","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Australas Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Child mental health needs in low- and middle-income countries (LMICs) often go unmet due to a scarcity of specialists. In Darjeeling, West Bengal, India, Tealeaf (\n                      <jats:bold>Tea<\/jats:bold>\n                      chers\n                      <jats:bold>Lea<\/jats:bold>\n                      ding the\n                      <jats:bold>F<\/jats:bold>\n                      rontlines), a task-shifting model in which teachers serve as lay counselors, has shown early promise. We explored stakeholders\u2019 culturally held beliefs about causes of child mental health concerns to contextualize Tealeaf\u2019s ongoing trial.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted twelve semi-structured interviews (March\u2013April 2022) with purposively selected principals, teachers, and caregivers. Using qualitative description, transcripts underwent deductive content analysis with codes mapped to the Culturally-Infused Engagement (CIE) model; analyses focused on perceived causes of child mental health concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants attributed children\u2019s difficulties to biological factors and the home environment, noting that parenting guidance and peer influences could shape divergent outcomes across children. Younger children were perceived to experience stress and sadness related to academics. Stakeholders described children\u2019s emotional awareness and expressive ability as still developing, influencing expectations for classroom support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Understanding communities\u2019 culturally held beliefs is foundational to interpreting Tealeaf\u2019s effects and adapting school-based supports. Findings clarify contextual mechanisms and leverage points for a task-shifted system of care, informing how Tealeaf can engage sustainably with Darjeeling\u2019s cultural context and similar LMIC settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10398562261479577","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T04:38:38Z","timestamp":1787632718000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding local perspectives on child mental health to strengthen school-based interventions in Darjeeling, India"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7188-4849","authenticated-orcid":false,"given":"Amita","family":"Bollapragada","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana L.","family":"Vanderburg","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA"},{"name":"School Psychology Program, University of North Carolina at Chapel Hill School of Education, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priscilla","family":"Giri","sequence":"additional","affiliation":[{"name":"Darjeeling Ladenla Road Prerna, Darjeeling, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surekha","family":"Bhattarai","sequence":"additional","affiliation":[{"name":"Darjeeling Ladenla Road Prerna, Darjeeling, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arpana","family":"Thapa","sequence":"additional","affiliation":[{"name":"Darjeeling Ladenla Road Prerna, Darjeeling, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anamika","family":"Sharma","sequence":"additional","affiliation":[{"name":"Darjeeling Ladenla Road Prerna, Darjeeling, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swastika","family":"Thapa","sequence":"additional","affiliation":[{"name":"Darjeeling Ladenla Road Prerna, Darjeeling, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aashwin","family":"Pradhan","sequence":"additional","affiliation":[{"name":"Darjeeling Children\u2019s Trust, Darjeeling, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rinzi","family":"Lama","sequence":"additional","affiliation":[{"name":"Department of Anthropology, University of North Bengal, Siliguri, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Matergia","sequence":"additional","affiliation":[{"name":"Broadleaf Health and Education Alliance, Denver, Colorado, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4466-1487","authenticated-orcid":false,"given":"Christina M.","family":"Cruz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and School Psychology Program, University of North Carolina at Chapel Hill School of Medicine and University of North Carolina at Chapel Hill School of Education, Chapel Hill, North Carolina, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,24]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/17571472.2018.1484332"},{"key":"e_1_3_6_3_2","volume-title":"Will increasing access to mental health treatment close India\u2019s mental health gap? 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