1. Introduction
First-Episode Psychosis, AQ-27, insidious, psychosis, mental disorders
SECONDARY
Background: Mental-health-related stigma prevents active help seeking and therefore early therapeutic approaches and the recovery of functionality. National and international agencies recommend the implementation of prevention and mental health promotion programs that support the elimination of stigma in the classroom, since most mental health problems usually start in the adolescent stage. In view of the evidence that teachers present stigmatizing attitudes towards mental health, it has been considered as convenient to carry out an anti-stigma program with the main objective of evaluating the impact of an intervention based on the education and promotion of mental health, aimed at teachers and counsellors of a secondary school. The specific objectives were to get to know which were the most stigmatising attitudes that prevailed in the sample before and after the intervention; to evaluate the knowledge of the teaching staff and counsellors on psychosis before the intervention; to analyse correlations between clinically relevant variables; and assess whether this programme was beneficial and feasible for alphabetising counsellors/teachers of educational centres on stigma and FEP. Methods: This was a non-randomised clinical trial in which a nursing intervention was performed. Tools: a psychosis test (pre), Stigma Attribution Questionnaire (AQ-27) (pre-post), and satisfaction survey (post) were used. The inferential analysis included the Wilcoxon and the Pearson Correlation Test. Results: In the sample (Adolescence is a concept that is difficult to categorise and comprises a transition period from infancy to adulthood, in which there are important changes at a physical, cognitive, and emotional level, making it a phase filled with energy and opportunities, but also with risks and vulnerabilities [For that, and following the latest international recommendations of the World Health Organisation (WHO) published in its Comprehensive Mental Health Action Plan 2013–2020 [Stigma is an extremely devaluing concept that, from the socio-cognitive perspective, is composed of stereotypes, prejudices, and discrimination that are transmitted intergenerationally and are perpetuated through the media [In fact, there is evidence that states that adolescents with mental disorders have experienced stigmatisation from their peers, families, and teachers, allowing negative emotional reactions, self-discriminatory attitudes, and isolation [At the same time, and despite the multiple instructions for carrying out specific programmes to increase knowledge on mental health and reduce stigma associated with the health, social, and educational systems, there is scarce scientific evidence on the latter, since the majority of studies made have focused on students of different categories or on healthcare professionals [Given that psychosis, or First-Episode Psychosis (FEP) if it occurs for the first time, usually debuts from age 15 and its onset is progressive and insidious, where there is an alteration of reality [For this reason, our intervention study has the general objective to evaluate the impact of an intervention based on the education and promotion of mental health and anti-stigma, aimed at teachers and counsellors of a secondary school located in Spain. The specific objectives were to get to know which were the most stigmatising attitudes that prevailed in the sample before and after the intervention; to evaluate the knowledge of the teaching staff and counsellors on psychosis before the intervention; to analyse correlations between clinically relevant variables; and assess whether this programme was beneficial and feasible for alphabetising counsellors/teachers of educational centres on stigma and FEP.