Youth Mental Health First Aid (YMHFA) is a training program to inform
adults about frequent emotional and psychological issues among young
people and offer learners the means to help youth with mental distress
before eighteen (Kelly et al., 2011). Young people have a lower probability of
being treated for mental illness than the rest of the population. The positive
findings from the Western countries demonstrate that YMHFA learners are
more knowledgeable about the suicide risk assessment, hearing without a
judgment, promoting qualified professional assistance, and promoting
self-help techniques with young people in mental distress (J. M. Aakre, A.
Lucksted, & L. A. Browning-McNee, 2016). However, a systematic review
advises that further research and treatments be undertaken in non-Western
nations, high-risk individuals, and other professional settings (Ng et al., 2020).
Asian countries should apply the YMHFA from a cultural and professional
viewpoint to support the students and young adults in identifying mental
needs, understanding their mental status, and receiving supports from
professionals or other self-help activities. This review gives solid evidence, an
adapted framework, and recommendation for implementing the YMHFA in
Vietnamese education systems, especially during and after COVID-19.
              
                                            
                                
            
 
            
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duties and require supporting the identification, 
standard practice, and referral to these counselors by other school workers 
and educators. 
The online version of the conventional MHFA training showed similar 
results as direct MHFA and other types of learning (online or hybrid 
learning) in earlier research. Blended learning may also be linked to higher 
pleasure from the individual. Moving the course online can improve the 
class’s size and allow more people to enjoy training (Reavley et al., 2018). 
This highlight gives us a shred of solid evidence for conducting YMHFA in 
Vietnamese schools during the COVID-19 outbreak so that the students 
and their families can be beneficial from the online community level.
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4.2. School-Based Public Mental Health Recommendation
In schools, mental health should be regarded as a key to preventing 
psychosocial and mental health problems to address barriers to growth 
and learning in a particular way. In both cases, a prospect of public mental 
health is required (Adelman & Taylor, 2006). The aims are to a) Favor 
physical, social, and emotional growth directly; b) Minimize mental and 
psychological issues; c) Identify, correct, or minimize issues as early 
as possible after starting up; d) Provide coordinated care for severe and 
chronic conditions, and e) Implement/Refer psychosocial/mental/physical 
severe chronic issues services. Adelman and Taylor also suggest that school 
boards must prioritize the well-being of teachers and other school personnel 
to promote the well-being of kids. School employees, like children, require 
supports that strengthen protective buffers, decreases risks, and promote 
well-being. Every school should commit to building staff and student 
resilience and establishing an environment that promotes mutual support, 
care, and a feeling of community. Staff and students must have a positive 
self-image to deal with problems proactively and successfully in the 
future. Every day, school-wide approaches for welcoming and supporting 
school employees, students, and families create a psychologically sound 
school – one in which staff, students, and families connect favorably and 
recognize the school and its objectives. The goal is to create a climate that 
encourages smooth transitions, positive informal encounters, and social 
interactions; facilitated social support; created opportunities to access 
information readily and learn how to work effectively in schools’ culture; 
and encourage participation in decision-making. The imagination and 
enthusiasm of many educational, public health, and mental health experts 
will be necessary to make such an ambitious image a reality.
4.3. A Holistic Approach with the Current SEL and YMHFA
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Figure 2. School Mental Health Theoretical Framework 
(Cavioni, Ornaghi & Grazzani, 2020)
In the new approach recommended by Cavioni, Grazzani, and 
Ornaghi (2020), the scientists reveal that the three fields of the school’s 
mental health, the corresponding developmental settings (family and 
community), and the overall political function are graphically illustrated 
in Figure 1. The suggested framework is evidence-based and covers 
three main categories: current research on school children and teachers’ 
promotion and mental health prevention. The support of the inner and 
outer school settings can be beneficial in this combination.
• Internal systems: The present framework has been designed to 
promote the development of comprehensive school programs for 
schools of mental health, which simultaneously promote both SEL 
and resilience as well as to prevent behavioral problems, both among 
students and teachers, within an entire school approach for the 
promotion of mental health. Moreover, the school should provide 
the YMHFA for school staff and parents (if possible) so that the 
consent and sense of support can create a nurturing and supportive 
environment.
• External systems: To develop comprehensive support in schools  in 
which mental health promotion and preventive methods are 
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incorporated and are given as a fundamental component of the school 
curriculum, school mental health programs and political leaders 
should be involved. Schools have often been requested to participate 
in fragmented programs without a reasonable basis for incorporating 
these programs into the broader school organization.
This figure is the combination of different theoretical frameworks 
such as Bronfenbrenner’s Ecological Systems Framework (Ceci, 2006), 
life course theory(Elder Jr, 1998), Family theory (Larsen & Olson, 1990), 
and other theories. These foundations provide evidence of strengths and 
protective factors related to the family’s supports, associated with the 
Vietnamese culture about the sense of community and closeness of school 
and family traditions. This observation is confirmed with the results of 
culture research that those cultural traits and traditions that include the 
most profound feeling of humanity stem from the generosity of every 
human being and can set an example in every family and communal 
society (Trung & Van, 2020).
Table 2. SEL and YMHFA in internal and external systems
SEL YMHFA
Internal Stakeholders should promote, 
instruct, and analyze the 
advancement of SEL in their 
local schools using the skills 
listed below:
1. Self-awareness
2. Self-management
3. Social awareness
4. Relationship skills
5. Responsible decision-
making
 (Jagers, Rivas-Drake, & 
Williams, 2019)
Train for teachers and other 
school staff about:
1. Risk factors and warning 
indicators of mental health 
problems
2. Information on depression, 
anxiety, trauma, psychosis, 
and substance use
3. A 5-step plan to help someone 
developing a mental health 
concern or in crisis
4. Evidence-based professional, 
peer, and self-help resources
 (J. Aakre, A. Lucksted, & L. 
Browning-McNee, 2016)
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SEL YMHFA
External Engaging families in nurturing 
the SEL that their children 
acquired in school and then 
applying it outside of the 
classroom
1. Increase parent and family 
awareness; 
2. Inform parents about school 
efforts; 
3. Create chances to emphasize 
parent expertise; and 
4. Provide tools for at-home 
practice.
 (Dinallo, 2016)
Enhance parent:
1. awareness of mental health 
concerns, 
2. intentions and confidence in 
assisting a young person, 
3. stigmatizing attitudes, and 
4. seeking assistance for mental 
health problems
 (Amy J. Morgan et al., 2019)
Beneficiary Students, parents, teachers
Goals • Emphasis on comprehensive support for early intervention 
and prevention
• Empower all participants in the systems (in school and at 
home)
• Establish the shared mental support network in the communities
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