There are a number of challenges and debates surrounding the implementation of mental health interventions in schools. These include recognising the complexity of influencing factors and the interdependency of key components; the critical importance of monitoring school-based implementation in particular contexts; employing multimethod evaluation designs that can capture the complexity; and judging success using mental health and educational outcomes. These factors are shaped by both mental health and educational research. The prevention paradox focusing on the whole population ‘prevents’ more illness than targeting programs to specific individuals, and is exemplified in school mental health promotion that utilises an ecological or whole school approach. MindMatters, an innovative Australian mental health promotion and pr evention program, illustrates the challenges in this new field of endeavour. Its design and implementation are consistent with recommended effective practice, a comprehensive program that targets multiple health outcomes in the context of a coordinated whole school approach (Jané-Lopis, Barry, Hosman, & Patel, 2005). MindMatters moves beyond the sole focus on the curriculum to acknowledge the key roles of teacher professional development and whole school change within a strengths-based approach. As recommended by Jané-Lopis et al. (2005) measures of key school mental health outcomes are being used, ranging from absenteeism and drop-out rates to the development of social skills and academic achievement. The MindMatters evaluation suite of five separate yet interrelated evaluation studies illustrates some of the complexity involved.

For young people still at school, the school setting is vital to their mental health and wellbeing. Not only does the school environment have a direct and indirect impact on mental health, it provides an opportunistic setting in which to identify and respond to emerging mental health problems. To do this effectively, schools and school staff must work in collaboration with the young people themselves, their families, and other support services within the community, particularly primary health care services, including general practice. The importance of developing effective partnerships and care pathways between schools and the primary health care sector is being increasingly acknowledged, and initiatives such as MindMatters Plus GP have advanced our understanding in this area.

MindMatters Plus (MM+) is a program that focuses on building the capacity of secondary schools to meet the needs of students who have high support needs in the area of mental health. A necessity to supplement this work with specific strategies and processes allied to the delivery of mental health programs in secondary schools was identified. Effective school case management was one key strategy of MM+ that subsequently was targeted for further identification and development. To this end, the Australian Guidance and Counselling Association was commissioned to produce a resource on effective school case management for staff who work with secondary school students who have high support needs in the area of mental health. This article briefly describes the School Case Management Project that was established to achieve this aim, and presents a work-in-progress framework of the principles, definition, aims and strategies of effective school case management. This framework is the basis upon which the resource, a tool kit designed to appraise and improve the quality of a school's case management practices, is currently being developed. The project is due for completion by the end of October 2005.

Different disciplinary groups are increasingly questioning current conceptualisations of young adults' educational, social and personal lives after compulsory schooling. New perspectives are being advanced on the life trajectories of choice and complexity now experienced by school leavers. A consistent theme is the changed nature of young adults' lives, reflecting social and economic pressures on educational, work and personal life goals. This age group has the highest incidence of mental disorders of any age cohort (Andrews, Hall, Teesson, & Henderson, 1999). The changed learning environment in the move to university entails life and environmental events that create risk conditions for young adults. In these circumstances varying degrees of loss, challenge and personal growth exist. Concurrent personal losses, such as death of a peer or family member, broken love relationships, and failure to achieve the dream of a future career, can create particular vulnerabilities. Loss may interfere with the natural progression of intellectual–emotional–psychological growing up (Kastenbaum, 2001). In this article the mental health of young adults is viewed through the lens of loss experiences within a context of change in their life trajectory. Data is drawn from a mixed method study involving questionnaire completion and in-depth interviews of students in four university campuses in New South Wales.

The need to provide support for the mental health needs of children and young people is not in dispute. However, there does exist confusion as to the most appropriate means and methods of providing such support. This confusion is particularly evident among those who work closely in providing daily for the mental health needs of children and young people, yet who lack specific mental health training. The confusion is heightened by the fact that those who have developed expertise in mental health cannot offer a consensual approach. This article discusses this confusion and its implications for other sectors by considering some of the theoretical and practical debates in the psychological literature concerning the most effective approaches to mental health interventions. Some commonsense recommendations from this literature for those working with children are offered.

There has been a remarkable growth of interest throughout the world in the phenomena of bullying or peer victimisation in schools (Smith, Morita, Junger-Tas, Olweus, Catalano, & Slee, 1999; Smith, Pepler, & Rigby, 2004). It has been repeatedly claimed that involvement in bully/victim problems at school, either as a bully or as a victim or as both, constitutes a significant mental health risk for children. This article examines the research evidence for this contention, drawing largely upon relevant cross-sectional survey results and retrospective and longitudinal studies, and discusses factors that may impinge on the suggested relationships.

This article examines the literature and the experience of the MindMatters Plus demonstration schools in regard to improving student and staff mental health literacy. The aim of the MindMatters Plus initiative is to build the capacity of secondary schools to increase their support of students with high mental health needs. This is achieved in various ways including the embedding of strategies that support students into the curriculum and ethos of the school, creating processes that effectively identify students at risk, and building community partnerships. A foundation for these strategies is to strengthen staff and student awareness of mental health issues and to create an environment in which students are more willing to seek assistance. This article explores how schools can increase student and staff mental health literacy, and includes examples gained from the experience of the MindMatters Plus demonstration schools.

This article describes some key lessons from the MindMatters Plus (MM+) initiative, as a best practice approach to improving the mental health outcomes of secondary school students with high support mental health needs. The MindMatters Plus initiative focuses on early identification of students with mental health needs, implementation of preventative and other interventions, refining processes, policies and strategies to support students at risk, and encouraging the development of community partnerships to enhance the support of student wellbeing. Specifically, this article will examine the key factors that enabled the MindMatters Plus demonstration schools to achieve these outcomes. As part of the initiative, an interview was conducted with staff from each of the 17 MindMatters Plus demonstration schools. Staff members were asked to describe what they had learned as a result of their participation in the initiative and to identify factors that they believed were significant in their ability to improve the support they provided for students at risk. The responses to these interviews, as outlined in the present article, will serve as invaluable guidelines for other schools that want to improve the support they provide for students with high mental health needs.

This article examines the literature regarding prevention and intervention programs that are aimed at supporting student mental health. It will also examine the practical use of these types of programs in schools, as reflected by the experiences of the MindMatters Plus demonstration schools. The aim of the MindMatters Plus initiative is to build the capacity of secondary schools to increase their support of students with high mental health needs. The implementation of programs that support student mental health is one component of this whole school aim that includes the embedding of a range of strategies to support students with high mental health needs, creating processes that effectively identify students at risk, and the building of community partnerships. As will be demonstrated, the use of intervention and prevention programs in schools can be an effective way of positively supporting student mental health that can be successfully integrated into the school curriculum.

The aim of the MM+ initiative is to build the capacity of secondary schools to ensure optimal mental health outcomes for all students at risk. This is achieved in a number of ways, including early identification, implementation of preventative and early interventions, refining processes, policies and strategies, and encouraging the development of community partnerships. This article will focus on the latter of these strategies: how schools can further develop partnerships with their local community in order to build their capacity to support student mental health. Research indicates that it is beneficial for schools to work with individuals and agencies in the community, as it can result in more resources and services for students than are possible when schools work alone. This article will outline research in the area of building community partnerships including an examination of the types of partnerships, that can be formed and the issues to be considered. In addition, the article will provide a practical discussion of what the MindMatters Plus demonstration schools have learned as a result of their experience in building community relationships.

The aim of the MM+ initiative is to build the capacity of secondary schools to ensure optimal outcomes of students with high needs in the area of mental health. This is important for many reasons including the fact that poor psychological wellbeing in students has been found to lead to behavioural difficulties at school that can then serve as obstacles to learning and further development. Therefore, it is important for schools to focus on supporting students with high mental health needs in order to improve student wellbeing, behaviour and academic potential. The following article discusses the research findings in regard to these relationships. These findings are also examined within a discussion of how schools can help to improve emotional and behavioural problems from within the classroom, including tips about how this was achieved by the MindMatters Plus demonstration schools.