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Promoting Mental Health Literacy Through Multi‐Tiered Systems of Support

Bibliographic Data

ID21354075
AuthorsMaiko Xiong (0009-0003-7234-2712, California State University Sacramento California USA, corresponding author), Hogun Lee (California State University Sacramento California USA)
Year2026
Volume96
Issue2
Pagese70104-e70104
Publication date2026-02-01
Open AccessYes
TypeARTICLE
VenueJournal of School Health (JOURNAL)
Journal identifiersISSN: 0022-4391 • E-ISSN: 1746-1561
PublisherWiley (PUBLISHER • GB)
DOI10.1111/josh.70104
PMID41419243
OpenAlexW4417534939
LanguageEN
References cited76

BACKGROUND: Schools are increasingly recognized as critical settings for promoting student mental health and well-being, yet many lack the systemic structures to build comprehensive and sustainable support. CONTRIBUTIONS TO THEORY: This manuscript contributes to the field of school mental health by proposing the integration of mental health literacy (MHL) within a multi-tiered systems of support (MTSS) as a framework for promoting student well-being. While MHL is often delivered as a stand-alone lesson or supplemental program, such approaches limit scalability and sustainability. Embedding MHL into MTSS positions it as both a preventative and instructional priority, ensuring that mental health promotion becomes part of the everyday fabric of schooling. IMPLICATIONS FOR SCHOOL HEALTH POLICY, PRACTICE, AND EQUITY: Future research should examine how integrating MHL into MTSS can be operationalized across diverse school contexts and evaluated for long-term impact. Linking this work to practice is essential to ensure equitable opportunities for all students to build the knowledge, skills, and attitudes necessary for mental well-being. CONCLUSIONS: Embedding MHL across all tiers of MTSS enables schools to move beyond fragmented interventions toward a cohesive approach that advances both educational and public health goals. This integration supports the creation of school environments that consistently foster mental health knowledge, reduce stigma, and promote well-being for all students.

Health literacy · Literacy · Mental health · Mental health literacy · Psychological intervention · Public health · Health Literacy and Information Accessibility · Mental Health Treatment and Access · School Health and Nursing Education

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