{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T07:05:04Z","timestamp":1791961504721,"version":"4.3.4"},"reference-count":90,"publisher":"MDPI AG","issue":"14","license":[{"start":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T00:00:00Z","timestamp":1625702400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Internationally, the mental health of children and adolescents is undoubtedly an important construct of theoretical, clinical, and policy level concern. Worldwide, five mental disorders (depression, alcohol misuse, bipolar affective disorder, schizophrenia, and obsessive-compulsive disorder) represent half of the 10 leading causes of disability and premature death; with mental disorders accounting for 15\u201330% of disability adjusted life years in the first three decades of life. This provides a solid rational founded in implications for population health as to why reducing and preventing mental health problems in children and adolescents deserves attention. Past research has indicated interventions focussed on building resilience through strengthening protective factors may offer the potential to address mental health problems in children and adolescents, and in particular aid in reducing such problems during times of increased risk or adversity. With childhood and adolescence being critical periods of development, there is a need to reflect on the strengths and limitations of resilience-focussed interventions and anticipated future needs of the world\u2019s youth. This conceptual analysis identifies a number of future research directions that may meaningfully add to the evidence base and improve implementation, evaluation, and impact of resilience-focussed interventions. These largely relate to refining the understanding of how resilience protective factors relate to mental health problems in children and adolescents. Important issues and potential opportunities to improve the related research field include improved reporting of intervention content; improved measurement of resilience protective factors in intervention trials; continued reporting and review of evidence of association between protective factors and mental health outcomes; and incorporation of mediation analysis within intervention trials. There is a need for further intervention studies in this space to be conducted as rigorous trials of resilience-focussed approaches based on such evidence of association, with clearly posited mechanisms of change, and inclusive of analysis of differential intervention effects. The suggested implications for research made in this conceptual analysis will aid in improving the quality of the evidence base relevant to the fostering of resilience and prevention of mental health problems in children and adolescents.<\/jats:p>","DOI":"10.3390\/ijerph18147315","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T10:42:17Z","timestamp":1625740937000},"page":"7315","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Child and Adolescent Mental Health and Resilience-Focussed Interventions: A Conceptual Analysis to Inform Future Research"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4613-2634","authenticated-orcid":false,"given":"Julia","family":"Dray","sequence":"first","affiliation":[{"name":"School of Psychological Sciences, College of Engineering, Science and Environment, The University of Newcastle, Callaghan, NSW 2308, Australia"},{"name":"Priority Research Centre for Health Behaviour, The University of Newcastle, Callaghan, NSW 2308, Australia"},{"name":"Hunter New England Population Health, Hunter New England Local Health District, Wallsend, NSW 2287, Australia"},{"name":"Hunter Medical Research Institute, New Lambton Heights, NSW 2305, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,7,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1111\/eip.12048","article-title":"Towards a new paradigm of care: The International Declaration on Youth Mental Health","volume":"7","author":"Coughlan","year":"2013","journal-title":"Early Interv. Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Lopez, A.D., Mathers, C.D., Ezzati, M., Jamison, D.T., and Murray, C.J.L. (2006). Global Burden of Disease and Risk Factors. Disease Control Priorities Project, The World Bank and and Oxford University Press.","DOI":"10.1596\/978-0-8213-6262-4"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1016\/S0140-6736(07)60368-7","article-title":"Mental health of young people: A global public-health challenge","volume":"369","author":"Patel","year":"2015","journal-title":"Lancet"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1001\/archpsyc.59.3.225","article-title":"Mental Health, Educational, and Social Role Outcomes of Adolescents with Depression","volume":"59","author":"Fergusson","year":"2002","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref_5","unstructured":"Access Economics Pty Limited (2009). The Economic Impact of Youth Mental Illness and the Cost Effectiveness of Early Intervention, Headspace Centre of Excellence, Orygen Youth Health Research Centre."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Escobar, D.F.S.S., Noll, P.R.E.S., De Jesus, T.F., and Noll, M. (2020). Assessing the Mental Health of Brazilian Students Involved in Risky Behaviors. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17103647"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Escobar, D.F.S.S., De Jesus, T.F., Noll, P.R.E.S., and Noll, M. (2020). Family and School Context: Effects on the Mental Health of Brazilian Students. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17176042"},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Seven, \u00dc.S., Stoll, M., Dubbert, D., Kohls, C., Werner, P., and Kalbe, E. (2020). Perception, Attitudes, and Experiences Regarding Mental Health Problems and Web Based Mental Health Information Amongst Young People with and without Migration Background in Germany. A Qualitative Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18010081"},{"key":"ref_9","unstructured":"Centers for Disease Control and Prevention (2019). Preventing Adverse Childhood Experiences: Leveraging the Best Available Evidence."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"E672","DOI":"10.1503\/cmaj.140064","article-title":"Time trends in symptoms of mental illness in children and adolescents in Canada","volume":"186","author":"McMartin","year":"2014","journal-title":"Can. Med Assoc. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1111\/j.1469-7610.2004.00335.x","article-title":"Time trends in adolescent mental health","volume":"45","author":"Collishaw","year":"2004","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1177\/0004867414533834","article-title":"Are child and adolescent mental health problems increasing in the 21st century? A systematic review","volume":"48","author":"Bor","year":"2014","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1016\/j.jaac.2020.05.009","article-title":"Rapid Systematic Review: The Impact of Social Isolation and Loneliness on the Mental Health of Children and Adolescents in the Context of COVID-19","volume":"59","author":"Loades","year":"2020","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/S2215-0366(20)30168-1","article-title":"Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science","volume":"7","author":"Holmes","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.cpr.2010.03.003","article-title":"Resilience and mental health","volume":"30","author":"Davydov","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/S2215-0366(19)30434-1","article-title":"Resilience and mental health: How multisystemic processes contribute to positive outcomes","volume":"7","author":"Ungar","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Lovat, T., Toomey, R., and Clement, N. (2010). Promoting student resilience and wellbeing: Asia-Pacific Resilient Children and Communities Project. International Research Handbook on Values Education and Student Wellbeing, Springer Science & Business Media.","DOI":"10.1007\/978-90-481-8675-4"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1111\/josh.12096","article-title":"Does a Socio-Ecological School Model Promote Resilience in Primary Schools?","volume":"83","author":"Lee","year":"2013","journal-title":"J. Sch. Health"},{"key":"ref_19","unstructured":"Cowen, E.L., Hightower, A.D., Pedro-Carroll, J.L., Work, W.C., Wyman, P.A., and Haffey, W.G. (2004). The Rochester Child Resilience Project. School-Based Prevention for Children at Risk: The Primary Mental Health Project, American Psychological Association (APA)."},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Ungar, M. (2008). Putting Resilience Theory into Action: Five Principles for Intervention. Resil. Action, 17\u201336.","DOI":"10.3138\/9781442688995-003"},{"key":"ref_21","unstructured":"Friedli, L. (2009). Mental Health, Resilience and Inequalities, World Health Organisation."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1146\/annurev.publhealth.26.021304.144357","article-title":"Adolescent resilience: A Framework for Understanding Healthy Development in the Face of Risk","volume":"26","author":"Fergus","year":"2005","journal-title":"Annu. Rev. Public Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1146\/annurev-clinpsy-081219-120307","article-title":"Resilience in Development and Psychopathology: Multisystem Perspectives","volume":"17","author":"Masten","year":"2021","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_24","first-page":"1","article-title":"The complex neurobiology of resilient functioning after childhood maltreatment","volume":"18","author":"Ioannidis","year":"2020","journal-title":"BMC Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s42844-020-00010-w","article-title":"Multisystem Resilience for Children and Youth in Disaster: Reflections in the Context of COVID-19","volume":"1","author":"Masten","year":"2020","journal-title":"Advers. Resil. Sci."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1177\/1745691619855637","article-title":"Deconstructing and Reconstructing Resilience: A Dynamic Network Approach","volume":"14","author":"Kalisch","year":"2019","journal-title":"Perspect. Psychol. Sci."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/j.jaac.2017.07.780","article-title":"Systematic Review of Universal Resilience-Focused Interventions Targeting Child and Adolescent Mental Health in the School Setting","volume":"56","author":"Dray","year":"2017","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"230","DOI":"10.3389\/fpsyt.2018.00230","article-title":"A Systematic Review of Amenable Resilience Factors That Moderate and\/or Mediate the Relationship Between Childhood Adversity and Mental Health in Young People","volume":"9","author":"Fritz","year":"2018","journal-title":"Front. Psychiatry"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1016\/j.biopsych.2019.07.012","article-title":"The Biology of Human Resilience: Opportunities for Enhancing Resilience across the Life Span","volume":"86","author":"Feder","year":"2019","journal-title":"Biol. Psychiatry"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1016\/S2215-0366(18)30057-9","article-title":"Preventive strategies for mental health","volume":"5","author":"Arango","year":"2018","journal-title":"Lancet Psychiatry"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1111\/1467-8624.00164","article-title":"The Construct of Resilience: A Critical Evaluation and Guidelines for Future Work","volume":"71","author":"Luthar","year":"2000","journal-title":"Child Dev."},{"key":"ref_32","first-page":"11","article-title":"Resilience and recovery: Findings from the Kauai Longitudinal Study","volume":"19","author":"Werner","year":"2005","journal-title":"Res. Policy Pract. Child. Ment. Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"15774","DOI":"10.1038\/s41598-018-34130-2","article-title":"A Network Model of Resilience Factors for Adolescents with and without Exposure to Childhood Adversity","volume":"8","author":"Fritz","year":"2018","journal-title":"Sci. Rep."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e024870","DOI":"10.1136\/bmjopen-2018-024870","article-title":"What factors are associated with resilient outcomes in children exposed to social adversity? A systematic review","volume":"9","author":"Gartland","year":"2019","journal-title":"BMJ Open"},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Hays-Grudo, J., and Morris, A.S. (2020). Adverse and Protective Childhood Experiences: A Developmental Perspective, American Psychological Association (APA).","DOI":"10.1037\/0000177-000"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/s41398-020-01150-4","article-title":"Psycho-social factors associated with mental resilience in the Corona lockdown","volume":"11","author":"Veer","year":"2021","journal-title":"Transl. Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"e004718","DOI":"10.1136\/bmjopen-2013-004718","article-title":"Systematic review of universal school-based resilience interventions targeting adolescent tobacco, alcohol or illicit drug use: Review protocol","volume":"4","author":"Hodder","year":"2014","journal-title":"BMJ Open"},{"key":"ref_38","unstructured":"National Scientific Council on the Developing Child (2015). Supportive Relationships and Active Skill-Building Strengthen the Foundations of Resilience: Working Paper 13, National Scientific Council on the Developing Child, Center on the Developing Child at Harvard University. Available online: http:\/\/www.developingchild.harvard.edu."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1017\/S0959259810000420","article-title":"What is resilience? A review and concept analysis","volume":"21","author":"Windle","year":"2011","journal-title":"Rev. Clin. Gerontol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1207\/S15374424JCCP3003_3","article-title":"The Efficacy of a Universal School-Based Program to Prevent Adolescent Depression","volume":"30","author":"Shochet","year":"2001","journal-title":"J. Clin. Child Adolesc. Psychol."},{"key":"ref_41","unstructured":"Abela, J.R.Z., and Hankin, B.L. (2008). Preventing depression in early adolescence: The Penn Resiliency Program. Handbook of Depression in Children and Adolescents, The Guilford Press."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1177\/0143034312472758","article-title":"Adversity and resilience: A synthesis of international research","volume":"34","author":"Noltemeyer","year":"2013","journal-title":"Sch. Psychol. Int."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1177\/109019810102800310","article-title":"Building Capacity for System-Level Change in Schools: Lessons from the Gatehouse Project","volume":"28","author":"Bond","year":"2001","journal-title":"Health Educ. Behav."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"Hanson, T.L., and Kim, J.O. (2007). Measuring Resilience and Youth Development: The Psychometric Properties of the Healthy Kids Survey, Issues & Answers Report, REL 2007\u2013No. 034.","DOI":"10.1037\/e607962011-001"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"76","DOI":"10.5330\/PSC.n.2010-12.76","article-title":"Promoting Competence and Resilience in the School Context","volume":"12","author":"Masten","year":"2008","journal-title":"Prof. Sch. Couns."},{"key":"ref_46","first-page":"1","article-title":"Resilience as a Positive Youth Development Construct: A Conceptual Review","volume":"2012","author":"Lee","year":"2012","journal-title":"Sci. World J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1177\/0143034302023002744","article-title":"The Effect of Risk and Resilience Factors on the Prediction of Delinquency in Adolescent Girls","volume":"23","author":"McKnight","year":"2002","journal-title":"Sch. Psychol. Int."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1037\/0022-006X.75.1.9","article-title":"School-based prevention of depressive symptoms: A randomized controlled study of the effectiveness and specificity of the penn resiliency program","volume":"75","author":"Gillham","year":"2007","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1080\/00050060410001660281","article-title":"Psychological resilience in disadvantaged youth: A critical overview","volume":"39","author":"Harvey","year":"2004","journal-title":"Aust. Psychol."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1017\/S0954579407000442","article-title":"Resilience in developing systems: Progress and promise as the fourth wave rises","volume":"19","author":"Masten","year":"2007","journal-title":"Dev. Psychopathol."},{"key":"ref_51","first-page":"5","article-title":"Prevention of mental and behavioural disorders: Implications for policy and practice","volume":"5","author":"Saxena","year":"2006","journal-title":"World Psychiatry"},{"key":"ref_52","unstructured":"World Health Organisation (2004). Prevention of Mental Disorders: Effective Interventions and Policy Options: Summary Report, In Collaboration with the Prevention Re-search Centre of the Universities of Nijmegen and Maastricht. A report of the World Health Organization Department of Mental Health and Substance Abuse."},{"key":"ref_53","unstructured":"Beyond Blue Ltd (2017). Building Resilience in Children Aged 0\u201312: A Practice Guide, Beyondblue."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1111\/j.1469-7610.2009.02136.x","article-title":"School-based prevention of depression: A randomised controlled study of thebeyondblueschools research initiative","volume":"51","author":"Sawyer","year":"2010","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1080\/14623730.2004.9721935","article-title":"Universal School-based Approaches to Preventing Adolescent Depression: Past Findings and Future Directions of the Resourceful Adolescent Program","volume":"6","author":"Shochet","year":"2004","journal-title":"Int. J. Ment. Health Promot."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/ijop.12737","article-title":"Resilience of children in disasters: A multisystem perspective","volume":"56","author":"Masten","year":"2021","journal-title":"Int. J. Psychol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1016\/j.cpr.2017.11.002","article-title":"Intervention studies to foster resilience\u2014A systematic review and proposal for a resilience framework in future intervention studies","volume":"59","author":"Chmitorz","year":"2018","journal-title":"Clin. Psychol. Rev."},{"key":"ref_58","first-page":"e412","article-title":"Do universal school-based mental health promotion programmes improve the mental health and emotional wellbeing of young people? A literature review","volume":"27","author":"Dyson","year":"2017","journal-title":"J. Clin. Nurs."},{"key":"ref_59","doi-asserted-by":"crossref","unstructured":"Fenwick-Smith, A., Dahlberg, E.E., and Thompson, S.C. (2018). Systematic review of resilience-enhancing, universal, primary school-based mental health promotion programs. BMC Psychol., 6.","DOI":"10.1186\/s40359-018-0242-3"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jad.2014.08.006","article-title":"Risk and protective factors for depression that adolescents can modify: A systematic review and meta-analysis of longitudinal studies","volume":"169","author":"Cairns","year":"2014","journal-title":"J. Affect. Disord."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1177\/0004867415603129","article-title":"Community factors influencing child and adolescent depression: A systematic review and meta-analysis","volume":"49","author":"Stirling","year":"2015","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1192\/bjp.bp.115.169094","article-title":"Social support and protection from depression: Systematic review of current findings in Western countries","volume":"209","author":"Honkaniemi","year":"2016","journal-title":"Br. J. Psychiatry"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1007\/s00127-016-1228-1","article-title":"Defining and distinguishing promotive and protective effects for childhood externalizing psychopathology: A systematic review","volume":"51","author":"Brumley","year":"2016","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.beth.2011.08.003","article-title":"Prevention of Anxiety Symptoms in Children: Results From a Universal School-Based Trial","volume":"43","author":"Essau","year":"2012","journal-title":"Behav. Ther."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1037\/0022-006X.75.5.693","article-title":"Prevention of depressive symptoms in adolescents: A randomized trial of cognitive-behavioral and interpersonal prevention programs","volume":"75","author":"Horowitz","year":"2007","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1146\/annurev.psych.58.110405.085542","article-title":"Mediation Analysis","volume":"58","author":"MacKinnon","year":"2007","journal-title":"Annu. Rev. Psychol."},{"key":"ref_67","unstructured":"National Mental Health Commission (2014). Contributing Lives, Thriving Communities: Report of the National Review of Mental Health Programmes and Services."},{"key":"ref_68","unstructured":"NSW Department of Education and Communities (2015). The Wellbeing Framework for Schools."},{"key":"ref_69","unstructured":"World Health Organisation (2013). Comprehensive mental health action plan 2013\u20132020. Sixty-Sixth World Health Assembly, Geneva, Switzerland 2013: WHA66.8, World Health Organization."},{"key":"ref_70","unstructured":"Allen, M. (2014). Local Action on Health Inequalities: Building Children and Young People Resilience in Schools, University College London Institute of Health Equity and Public Health England."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"488","DOI":"10.1111\/jcpp.12030","article-title":"Annual Research Review: Resilience and Child Well-Being-Public Policy Implications","volume":"54","author":"Ager","year":"2012","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1097\/HRP.0000000000000149","article-title":"Scope, Scale, and Dose of the World\u2019s Largest School-Based Mental Health Programs","volume":"25","author":"Murphy","year":"2017","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref_73","unstructured":"Department of Health and Ageing (2013). National Mental Health Report 2013: Tracking Progress of Mental Health Reform in Australia 1993\u20132011."},{"key":"ref_74","unstructured":"MindMatters (2018, February 12). Available online: https:\/\/www.mindmatters.edu.au\/about-mindmatters\/live-stats."},{"key":"ref_75","unstructured":"(2018, February 12). Our Work in Childhood and Educational Settings. Available online: https:\/\/www.beyondblue.org.au\/about-us\/about-our-work\/childhood-and-education-program\/the-beyondblue-national-education-initiative."},{"key":"ref_76","unstructured":"Cahill, H., Beadle, S., Farrelly, A., Forster, R., and Smith, K. (2014). Building Resilience in Children and Young People: A Literature Review for the Department of Education and Early Childhood Development (DEECD), Youth Research Centre, Melbourne Graduate School of Education, University of Melbourne."},{"key":"ref_77","unstructured":"Urbis (2011). Literature Review on Meeting the Psychological and Emotional Wellbeing Needs of Children and Young People: Models of Effective Practice in Educational Settings, Urbis."},{"key":"ref_78","unstructured":"Victoria State Government (2018, February 12). Building Resilience, Available online: http:\/\/www.education.vic.gov.au\/school\/parents\/health\/Pages\/resilience.aspx."},{"key":"ref_79","unstructured":"Centre for Education Statistics and Evaluation (2015). Literature Review: Student Wellbeing."},{"key":"ref_80","unstructured":"Sharples, J., and Albers, B. (2018). Putting Evidence to Work: A schools\u2019 Guide to Implementation. Guidance Report, Education Endowment Foundation."},{"key":"ref_81","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1186\/1745-6215-10-37","article-title":"Making trials matter: Pragmatic and explanatory trials and the problem of applicability","volume":"10","author":"Treweek","year":"2009","journal-title":"Trials"},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1016\/j.jclinepi.2008.12.011","article-title":"A pragmatic\u2013explanatory continuum indicator summary (PRECIS): A tool to help trial designers","volume":"62","author":"Thorpe","year":"2009","journal-title":"J. Clin. Epidemiol."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1503\/cmaj.082007","article-title":"What kind of randomized trials do we need?","volume":"180","author":"Zwarenstein","year":"2009","journal-title":"Can. Med Assoc. J."},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1186\/1477-7525-9-8","article-title":"A methodological review of resilience measurement scales","volume":"9","author":"Windle","year":"2011","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1080\/21683603.2020.1734126","article-title":"Parents, caregivers and educators: The forgotten stakeholders in the discussion of resilience\u2014An international perspective","volume":"8","author":"Matsopoulos","year":"2020","journal-title":"Int. J. Sch. Educ. Psychol."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1186\/s13034-016-0120-9","article-title":"Mental health problems in a regional population of Australian adolescents: Association with socio-demographic characteristics","volume":"10","author":"Dray","year":"2016","journal-title":"Child Adolesc. Psychiatry Ment. Health"},{"key":"ref_87","first-page":"1","article-title":"Needed for prevention research: Long-term follow up and the evaluation of mediators, moderators, and lay providers","volume":"4","author":"Gillham","year":"2001","journal-title":"Prev. Treat."},{"key":"ref_88","doi-asserted-by":"crossref","unstructured":"Tak, Y.R., Kleinjan, M., Lichtwarck-Aschoff, A., and Engels, R.C. (2014). Secondary outcomes of a school-based universal resiliency training for adolescents: A cluster randomized controlled trial. BMC Public Health, 14.","DOI":"10.1186\/1471-2458-14-1171"},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"504","DOI":"10.3389\/fpsyg.2015.00504","article-title":"The enhanced Aussie Optimism Positive Thinking Skills Program: The relationship between internalizing symptoms and family functioning in children aged 9\u201311 years old","volume":"6","author":"Kennedy","year":"2015","journal-title":"Front. Psychol."},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1111\/j.1469-7610.2004.00395.x","article-title":"Influence of general self-efficacy on the effects of a school-based universal primary prevention program of depressive symptoms in adolescents: A randomized and controlled follow-up study","volume":"46","author":"Possel","year":"2005","journal-title":"J. Child Psychol. Psychiatry"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7315\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T06:27:44Z","timestamp":1760164064000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/14\/7315"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,8]]},"references-count":90,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2021,7]]}},"alternative-id":["ijerph18147315"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18147315","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,8]]}}}