4. Discussion
substance-induced psychosis, illness, Anger
SECONDARY, SAID, DISORDERS
From what is known, this is the first study that has explored the effect of a psychoeducational programme on mental health and FEP aimed at teachers and counsellors in a secondary school in Spain. The outcomes showed that the intervention was useful for increasing knowledge on mental health and reducing the stigma associated with this type of population, given the statistically significant differences found in the average scores of the AQ-27 variables pre- and post-intervention.This result could be explained by the approach of the programme in the promotion and prevention of mental disorders, the implementation of group dynamics, and the audiovisual sources used, since these are tools that have been scientifically endorsed by other stigma reduction programmes [It should be highlighted that, in the present study, the sample started from low levels of stigma, as opposed [However, the scores obtained in the “Pity”, “Help”, and “Coercion” subscales were in accordance with other studies [As for “Coercion”, it should be noted that there were no high scores in other related subscales like “Danger”, “Anger”, “Fear”, “Avoidance”, or “Segregation”, in contrast to what has been obtained in other studies [Although it is true that “Coercion” continued to be the most stigmatising attitude after completing the programme, its statistically significant differences, along with the other items, stated that the contents of the programme were useful for working on this stigmatising attitude in this type of population, then answering our research hypothesis.That said, the only item against which the programme was not effective was “Responsibility”; that is to say, participants continued to believe that the person was responsible for the onset and maintenance of their illness. The study of Hunter [That is why we believe that an opportunity to improve the scores obtained in this subscale would be adding specific material or performing a complementary programme that treated the prevention and consequences of the consumption of toxic substances, since we consider that this also presents stigma and disinformation because it can cause substance-induced psychosis, but other factors like addiction and the severity of consumption should be taken into account, as Fiorentini [Regarding the correlations performed, we find interesting to mention the statistically significant relation between age and work experience compared with “Fear”, since it was the only statistically significant negative variable, in contrast with that obtained in the study by Tooby and Cosmides [Even so, ahead of the severe consequences of stigma and the promising result of the programme (considering that counsellors have confirmed the practical application of this program by making an appropriate derivation), its performance is suggested as a mandatory and educational part of the curricular schedule of the centre. It would get both teachers and counsellors to increase their theoretical–practical knowledge on mental health, to acquire skills on handling possible difficult situations, and even to develop the necessary skills to apply actions against stigma and early detection from the classroom.