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Session Overview
Session
08 SES 05.5 A: General Poster Session
Time:
Wednesday, 23/Aug/2023:
12:15pm - 1:15pm

Session Chair: Teresa Vilaça
Location: Gilbert Scott, Hunter Halls [Floor 2]


General Poster Session

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Presentations
08. Health and Wellbeing Education
Poster

Health and Wellbeing Education Through Social and Emotional Learning of Future Early Childhood and Primary Education Teachers

Laura García-Docampo, Anaïs Quiroga-Carrillo, Patricia Alonso Ruido

Universidade de Santiago de Compostela, Spain

Presenting Author: Quiroga-Carrillo, Anaïs

Over the last few years, many schools have begun to place value on emotional well-being. This has involved the implementation of Social and Emotional Learning (SEL) actions. This has impacted positively on the health and well-being of individuals and the educational community.

The main objective of emotional education, as Bisquerra (2003) indicates, focuses on the development of emotional competences and the search for personal and social well-being. In relation to this, Brackett et al. (2015) highlight that "not having the skills to understand and manage emotions can be disruptive to optimal social and cognitive development" (p. 21). Beside this, SEL may contribute to the prevention of diseases that have a negative impact on our health and thus promote an emotional balance that helps to generate a state of well-being (Ortega, 2010; Piqueras et al., 2009).

In this regard, if social-emotional learning is developed in schools (Salzburg Global Seminar, 2018), these will be friendlier and safer, facilitating the creation of balanced learning environments, support community cohesion and increasing the capacity of citizens to adapt to a changing society. Furthermore, Viitaniemi (2020) and Reicher & Matischek-Jauk (2017) indicate that the development of emotional skills at school provides tools to prevent bullying and enables the improvement of the overall climate of the whole educational community.

Beside this, Social-Emotional Learning offers the possibility of providing adequate support to implement specific programmes such as conflict resolution, sexual education, health education or substance use prevention in an interrelated way (Elias et al., 2015; Greenberg et al., 2003).

The development of SEL reduces violence and aggressive behaviour, promotes resilience and serves as a basis for reducing health risk behaviours related to substance use such as tobacco or alcohol (Cohen, 2001; Fopiano & Haynes, 2001).

Moreover, as Aldrup et al. (2020) point out, teachers who are trained in emotional education have more suitable relationships with their students, a better understanding of their students' problems and fewer disruptive problems in class. According to Extremera & Fernández-Berrocal (2004), the development of these emotional competences will enable teachers to cope with work-related stress and burnout.

Concretely, the main objective of this study is to analyse the type of training in emotional education received by future Early Childhood and Primary Education teachers at a Spanish university. This will allow us to know how their academic development is going and to find out which competences (intrapersonal, interpersonal and complementary) are worked the most in their initial training. With this, the aim is to try to implement training proposals that will contribute to health and well-being.This work is part of a doctoral thesis wich is being supported by the Goverment of Spain through a pre-doctoral contract for “University Professor Training (FPU18/01858)”.


Methodology, Methods, Research Instruments or Sources Used
The methodological approach is quantitative and it is based on the application of the scale “Escala de Importancia y Necesidades Formativas en Educación Emocional” (EINFEM) This scale, that measures the type of training in emotional education received by students of Bachelor's Degrees in Education, has been previously validated with similar groups (Cejudo et al., 2015).  
This instrument consists of three categories that examine the importance that the sample attributes to a series of items on emotional competencies in relation to their professional development, the training needs that they perceive, and whether or not this training has been present in their academic development. Responses to the first two categories are Likert-type (1 = very low,  5 = very high) and the complementary scale on presence or absence is dichotomic.
The data obtained are grouped into three dimensions: intrapersonal, interpersonal and complementary emotional competences. The results show the degree of concern of the participants in terms of training in empathic skills, assertiveness, stress management, identification of their own or other people’s emotions, conflict resolution, self-esteem, among others.
The data-producing sample is composed of 205 students between 20 and 38 years old. Concretely, 81 are students from the Bachelor’s Degree in Early Childhood Education (6 males, 73 females and 2 identified as non-binary gender), and 124 are studying the Bachelor’s Degree in Primary Education (28 males and 96 females). The data collection process was carried out in March-April 2022 by attending classes of students in the last year and requesting the passing of questionnaires in the first 10 minutes of class. The whole process was accompanied by the corresponding ethical considerations and has a favourable report from the Bioethics Committee. The IBM SPSS Statistics version 25 software was used for the data analysis.

Conclusions, Expected Outcomes or Findings
The data revealed that, in general, students of the Bachelor’s Degree in Early Childhood Education and the Bachelor’s Degree in Primary Education consider very important for their professional profile to work on emotional competences, especially on complementary competences (M=4.67) followed by interpersonal competences (M=4.65) and intrapersonal competences (M=4.60). Slightly lower averages are obtained when students are asked about the necessity of having training in intrapersonal (M=4.55), interpersonal (M=4.58) and complementary competences (M=4.70).
With regard to the presence or absence of such training, in the Bachelor’s Degree in Early Childhood Education, more than 50% of the students consider that have had training in this respect (especially in intrapersonal and interpersonal competences), and to a lesser extent in complementary competences (38%). In relation to the Bachelor’s Degree in Primary Education, between 35-45% consider that they have been trained in intrapersonal and interpersonal competences and less than 25% in complementary competences.
In light of this, it can be assumed that there are several emotional competences that are not covered in initial teacher training, but which are crucial in health and wellbeing education. Moreover, there is a greater concern in the Early Childhood Education degree than in the Primary Education degree.
On the other hand, complementary competences are those which students consider most necessary, but in which they consider that have had the least training, with almost no training in some skills as stress management or control of impulsivity.
On balance, future teachers seem to be aware of the importance and need for emotional education, but there is still little training in this area. For this reason, it will be significant to take these competences into account for future Early Childhood and Primary School Teachers, especially if our concern is to promote education for health and well-being.

References
Aldrup, K., Carstensen, B., Köller, M. M., & Klusmann, U. (2020). Measuring Teachers’ Social-Emotional Competence: Development and Validation of a Situational Judgment Test. Frontiers in Psychology, 11(892), 892. https://doi.org/10.3389/fpsyg.2020.00892
Bisquerra, R. (2003). Educación emocional y competencias básicas para la vida. Revista de Investigación Educativa, 21(1), 7-43. https://revistas.um.es/rie/article/view/99071/94661
Brackett, M. A., Elbertson, N. A., & Rivers, S. E. (2015). Applying Theory to the Development of Approaches to SEL. In J. A. Durlak, C. E. Domitrovich, R. P. Weissberg & T. P. Gullotta (Eds.), Handbook of social and emotional learning: Research and practice (pp. 20-31). ProQuest Ebook Central.
Cejudo, J., López-Delgado, M., Rubio, M., & Latorre, J. (2015). La formación en educación emocional de los docentes: una visión de los futuros maestros. Revista Española de Orientación y Psicopedagogía, 26(3), 45-62. https://doi.org/10.5944/reop.vol.26.num.3.2015.16400
Cohen, J. (2001). Social an Emotional Education: Core Concepts and Practices. In J. Cohen (Ed.), Caring Classrooms/Intelligent Schools. The Socio Emotional Education of Young Children (pp. 3-29). Teachers College Press.
Elias, M. J., Leverett, L., Duffell, J. C., Humphrey, N., Stepney, C., & Ferrito, J. (2015). Integrating SEL with Related Prevention and Youth Development Approaches. In J. A. Durlak, C. E. Domitrovich, R. P. Weissberg, & T. P. Gullotta (Eds.). Handbook of social and emotional learning: Research and practice (pp. 33-49). ProQuest Ebook Central.
Extremera, N., & Fernández-Berrocal, P. (2004). La importancia de desarrollar la inteligencia emocional en el profesorado. Revista Iberoamericana de Educación, 34(3), 1-9. https://doi.org/10.35362/rie3334005
Fopiano, J. E., & Haynes, B. M. (2001). School Climate and Social and Emotional Development in the Youth Child. In J. Cohen (Ed.), Caring Classrooms/Intelligent Schools. The Socio Emotional Education of Young Children (pp. 47-58). Teachers College Press.
Greenberg, M. T., Weissberg, R. P., O’Brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., & Elias, M. J. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58(6-7), 466–474. https://doi.org/10.1037/0003-066X.58.6-7.466
Ortega, M. C. (2010). La educación emocional y sus implicaciones en la salud. Revista Española de Orientación y Psicopedagogía, 21(2), 462-470. https://doi.org/10.5944/reop.vol.21.num.2.2010.11559
Piqueras, J. A., Ramos, V., Martínez, A. E., & Oblitas, L. A. (2009). Emociones negativas y su impacto en la salud mental y física. Suma Psicológica, 16(2), 85-112. https://dialnet.unirioja.es/servlet/articulo?codigo=3113076
Reicher, H., & Matischek-Jauk, M. (2017). Preventing Depression in Adolescence through Social and Emotional Learning. International Journal of Emotional Education, 9(2), 110-115. https://files.eric.ed.gov/fulltext/EJ1162082.pdf
Salzburg Global Seminar. (2018). The Salzburg Statement for social and emotional learning.https://www.salzburgglobal.org/multi-year-series/education/pageId/9063


08. Health and Wellbeing Education
Poster

The Interplay Between Mindfulness, Bullying, and Victimization in a Sample of Adolescents

Tina Pivec, Ana Kozina

Educational Research Institute, Slovenia

Presenting Author: Pivec, Tina

Bullying and victimization persist as severe problems with various short- and long-term consequences (e.g., Moore et al., 2017), especially during adolescence. Therefore, research on possible protective factors for bullying and victimization is still needed. One of them can be mindfulness as adolescents who are more mindful may be involved in bullying and/or victimization to a lesser extent (Liu et al., 2022; Riggs & Brown, 2017; Yuan & Liu, 2021), however, the relationship between mindfulness, bullying, and victimization was mostly mediated by other factors, such as impulsivity, moral disengagement, internalizing and externalizing problems (e.g., Georgiou et al., 2019, 2021).

Bullying can be identified throughout several existing definitions of bullying behaviour which share the following common features: the purpose of bullying is to harm, it lasts for longer periods, and there is a difference in power between the bully and the victim. In this direction, current definitions describe bullying as a goal-directed behaviour that harms another individual in the context of power imbalance (Volk et al., 2017). There are several types of bullying, such as physical bullying, verbal bullying, social bullying (Marsh et al., 2011) and cyberbullying (Slonje & Smith, 2008).

Mindfulness is a non-judgmental and accepting awareness of present events and experiences (Brown & Ryan, 2003). Contemporary theories broaden mindfulness conceptualization into perceiving mindfulness as an ability rather than a trait as it can be enhanced by practice (i.e., yoga, mindfulness training). Adolescents that are more mindful are better at decision-making, have higher self-control and self-regulation, are better at decision-making, have a more positive and less negative affect, and their anger feelings are reduced in comparison with their peers who have lower levels of mindfulness (Black et al., 2012; Franco et al., 2016; Riggs et al., 2015).

There is a growing body of evidence regarding the relationship between bullying, victimization, and mindfulness, however, the research is still scarce as the connection between them is not as clear as expected, especially concerning bullying. Mindfulness and bullying are mostly negatively connected (Georgiou et al., 2019). As for the association between mindfulness and victimization, more mindful children had a lower risk of being victims of bullying behaviour (Murray-Close et al., 2014). Regarding the relationship between mindfulness and cyberbullying, studies showed that lower levels of mindfulness are related to cyberbullying over time (Yuan & Liu, 2021).

Furthermore, several researchers (e.g., Liu et al., 2022) aimed to study mindfulness-based interventions as anti-bullying programs. Programs included several mindfulness activities, such as quieting the mind, moving mindfully, mindful attention, managing negative emotions and negative thinking, and acknowledgement of self and others (Liu et al., 2022; Schonert-Reichl & Lawlor, 2010). Results suggested that youth that was included in the training had lower bullying behaviour scores (Liu et al., 2022).

Truth be told, more research is needed in this area to more thoroughly understand the role of mindfulness when examining bullying behaviour, especially its subdomains as it is crucial to understand the protective factors in order to offer approppriate support for adolescents in need. Therefore, the aim of the present paper is to examine the relationship between mindfulness, different types of bullying and victimization (physical, verbal, social, cyber) by using structural equation modelling.


Methodology, Methods, Research Instruments or Sources Used
Our sample included 1979 participants from Slovenia (57.4 % females, 42.5 % males, 0.1 % nonbinary), aged from 13 to 19 (M = 15.34; SD = 1.19). The majority of participants attended 20 different upper-secondary schools (1404 students; 70.8%); most of them were females (57.8%). The age of these students varied from 14 to 19 (M = 15.91; SD = 0.91). The other third of the participants attended 21 different lower-secondary schools (577 students; 29.7%) and were between 13 and 16 years old (M = 13.96; SD = 0.38). Most of them were females (56.3%).
Regarding measurements, three questionnaires were used. We applied Adolescent Peer Report Instrument - Bully/Target (APRI-BT, Marsh et al., 2011) to measure three subdomains (physical, verbal, and social) of traditional bullying and victimization. For assessing cyberbullying and cybervictimization, we used the Revised Adolescent Peer Report Instrument (Griezel et al., 2012) and for measuring mindfulness, we employed Mindful Attention Awareness Scale – Adolescents (Brown et al., 2011).
After examining descriptive statistics, correlations and reliabilities using IBM SPSS Statistics 29, we examined CFA (Confirmatory Factor Analysis) and SEM (Structural Equation Modeling) models using Mplus (Version 8.4; Muthén & Muthén, 1998–2022). The full information maximum likelihood (FIML) algorithm was used to handle missing data and assess parameters in the model. Separate CFAs were conducted for each construct. If indicated so by modification indices and justified with the content of the items, correlated errors were allowed between some items. ESEM models were brought into the path model with prediction paths from mindfulness to several domains of bullying and victimization.

Conclusions, Expected Outcomes or Findings
CFA results showed an adequate fit for all included variables. For mindfulness, all loadings were higher than 0.52 (all ps < .001) and the model fit the data adequately: χ2(77) = 1120.54, p <. 001, CFI = .912, RMSEA = .083, 90% CI [.079, .088], SRMR = .042. As for traditional bullying and victimization, all loadings were higher than 0.58 (all ps < .001), and the model fit the data adequately as well, χ2(577) = 5850.623, p <. 001, CFI = .901, RMSEA = .068, 90% CI [.066, .070], SRMR = .045. Furthermore, there was an adequate model fit for cyberbullying and cybervictimization, χ2(50) = 845.296, p <. 001, CFI = .958, RMSEA = .090, 90% CI [.085, .095], SRMR = .040, all loadings were higher than .53 (all ps < .001).
The final model had an adequate fit, χ2(1785) = 10698.222, p <. 001, CFI = .900, RMSEA = .050, 90% CI [.049, .051], SRMR = .043. All traditional bullying and victimization subdomains (physical, verbal, social) and cyberbullying were positively correlated (rs > .52, all ps < .001). Mindfulness negatively predicted physical, verbal, social and cyberbullying and victimization (all ps < .01), however, the relationship was stronger among mindfulness and verbal and social victimization with regard to other subdomains of bullying or victimization.
The results show that mindfulness is significantly negatively related to all bullying and victimization subdomains. It seems that adolescents who are calmer, non-reactive to impulses and experiences in their lives, non-judging and accepting do not indulge in bullying behaviour, not as bullies and not as victims. Moreover, these results imply that mindfulness-based practice should be included in antibullying interventions or, even better, it should be promoted for all students who can benefit from being more mindful. Practical implications for education will be more thoroughly discussed.

References
Brown, K. W., & Ryan, R. M. (2003). The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being. Journal of Personality and Social Psychology, 84(4), 822–848.
Franco, C., Amutio, A., López-González, L., Oriol, X., & Martínez-Taboada, C. (2016). Effect of a mindfulness training program on the impulsivity and aggression levels of adolescents with behavioral problems in the classroom. Frontiers in Psychology, 7(SEP), 1385.
Georgiou, S. N., Charalambous, K., & Stavrinides, P. (2019). Mindfulness, impulsivity, and moral disengagement as parameters of bullying and victimization at school.
Georgiou, S. N., Charalambous, K., & Stavrinides, P. (2021). The mediating effects of adolescents’ internalizing and externalizing problems on the relationship between emotion regulation, mindfulness and bullying/ victimization at school. School Psychology International, 42(6), 657–676.
Liu, X., Xiao, R., & Tang, W. (2022). The Impact of School-Based Mindfulness Intervention on Bullying Behaviors Among Teenagers: Mediating Effect of Self-Control. Journal of Interpersonal Violence, 37, 21–22.
Marsh, H. W., Nagengast, B., Morin, A. J. S., Parada, R. H., Craven, R. G., & Hamilton, L. R. (2011). Construct validity of the multidimensional structure of bullying and victimization: An application of exploratory structural equation modeling. Journal of Educational Psychology, 103(3), 701–732.
Murray-Close, D., Crick, N. R., Tseng, W. L., Lafko, N., Burrows, C., Pitula, C., & Ralston, P. (2014). Physiological stress reactivity and physical and relational aggression: The moderating roles of victimization, type of stressor, and child gender. Development and Psychopathology, 26(3), 589–603.
Riggs, N. R., Black, D. S., & Ritt-Olson, A. (2015). Associations between dispositional mindfulness and executive function in early adolescence. Springer, 24(9), 2745–2751.
Riggs, N. R., & Brown, S. M. (2017). Prospective Associations Between Peer Victimization and Dispositional Mindfulness in Early Adolescence. Prevention Science, 18, 481–489.
Schonert-Reichl, K. A., & Lawlor, M. S. (2010). The Effects of a Mindfulness-Based Education Program on Pre- and Early Adolescents’ Well-Being and Social and Emotional Competence. Mindfulness, 1(3), 137–151.
Slonje, R., & Smith, P. K. (2008). Cyberbullying: Another main type of bullying?: Personality and Social Sciences. Scandinavian Journal of Psychology, 49(2), 147–154.
Yuan, G., & Liu, Z. (2021). Longitudinal cross-lagged analyses between cyberbullying perpetration, mindfulness and depression among Chinese high school students. Journal of Health Psychology, 26(11), 1872–1881.


08. Health and Wellbeing Education
Poster

Bhutanese School Counselors' views of Challenges to Mental Health and Well-Being of Students in Bhutan.

Julie Larran

Free University of Berlin, Germany

Presenting Author: Larran, Julie

This presentation will address the mental health needs of children and youth in Bhutan as perceived by Bhutanese school counselors. School counseling is a profession slowly gaining momentum as it combines the important topic of children and youth mental health on the one hand and the school setting, a structure playing a central role in children’s development, on the other (Harris, 2013). Consequently, the field of global school counseling research is also becoming increasingly recognised as findings from individual countries can inform school counseling services in other countries (Salmon, 2016). Often referred to as the happiest country in the world, the Kingdom of Bhutan implemented its first 12, full-time school counselors in 2011. Today there are over 179 school counselors active across the kingdom’s nearly 600 schools (Ministry of Education, 2021) but very little is known about them. The growing mental health needs of Bhutanese children and youth exposed to evermore challenges such as substance abuse and rising unemployment (Chaudhuri, Dema, Wangmo, & Gautam, 2021; Dema et al., 2019; Ministry of Health, 2019; Pelden, 2016; Lorelle & Guth, 2013) together with a lack of psychiatric resources throughout the country (Sacra, 2017) and new challenges bought about by the COVID-19 pandemic (Namgyel & Milbert, 2021) underscore the importance of school counseling services in Bhutan. Bhutanese school counselors are at the forefront of the battle to protect Bhutanese students’ mental-health and well-being. That is why this study sought to understand the work of Bhutanese school counselors and the challenges they perceive to students’ mental health and well-being such as cultural factors that may be influencing help-seeking behavior. Specifically, this poster presentation will investigate the question: what are challenges to Bhutanese students’ mental health and well-being as perceived by Bhutanese school counselors? To this end, a mixed methods approach employing an on-line survey followed by on-line as well as in-person interviews of school counselors in Bhutan was carried out between November 2021 and September 2022. All 179 school counselors registered in Bhutan in 2021 were invited to participate in an online survey aimed at investigating their perceived roles, resources, and challenges. Responses were obtained from a representative sample of 162 school counselors of which 28 then participated in semi-structured interviews to obtain more in-depth and nuanced information. Because of the complexity of contemporary school counseling in Bhutan and the inherent interdependence of multi-level factors affecting school counseling (as evident from Bhutan’s published school counseling framework), this investigation was guided by Bronfenbrenner’s Ecological Systems Theory (EST) (Bronfenbrenner, 1979). This model is ideal for investigating school counseling services in Bhutan as it considers Bhutanese school counselors not as isolated persons but as entities existing within and affected by the school environment they work in and the different factors that constitute it such as the physical school environment, school colleagues, the school counseling policy enacted by the government and how all of the above change over time. In addition, to situate the study in Bhutan’s cultural context, this investigation was further guided by Bhutan’s unique economic and political philosophy of Gross National Happiness (GNH) (Dakpa, Rabten, Rai, & Gurung, 2011). As such, Bronfenbrenner’s EST (1979) and the Kingdom of Bhutan’s famous GNH model were both used to guide data-analysis in order to understand the challenges to student’s mental-health including dynamic relations between the student, school system and wider community within Bhutan’s unique cultural context.


Methodology, Methods, Research Instruments or Sources Used
This study used a sequential mixed methods analysis: first, quantitative data (using an on-line survey) was collected and analyzed, followed by the collection of qualitative data (using in-depth interviews) to contextualize the findings of the survey in more detail. For the on-line survey, all 179 school counselors registered in Bhutan in 2021 were invited by e-mail to take part in the survey between December 2021 and March 2022. The survey was administered in English and consisted of four parts: (I) demographics and activities, (II) the International Survey of School-Based Counselling Activities (ISSCA) (Carey, Fan, He, & Jin, 2020), (III) school counselor work conditions and (IV) impact of the COVID-19 pandemic on school counseling. The questionnaire was designed based on past research on school counseling and student-mental health in Bhutan and neighboring countries and piloted with the help of 6 Bhutanese school counselors and school staff. Data were collected from 162 school counselors. Next, in-depth interviews were carried out with 28 Bhutanese school counselors between August and September 2022 (19 on-line and 9 in-person) in order to further understand the factors that affect their work. The interviews lasted between 45 and 120 minutes and included questions about the perceived resources and challenges to their work, whether the training they received was sufficient, how school counseling is perceived by the school but also by students and their parents, and the impact of the COVID-19 pandemic. After transcription of the interviews, thematic analysis was conducted on the interview data using Braun and Clark’s (2006) six phases of thematic analysis of qualitative data. Next, triangulation was employed to draw specific conclusions from the quantitative and qualitative data in order to answer the research question by identifying specific mental-health and well-being challenges faced by Bhutanese students.
Conclusions, Expected Outcomes or Findings
The results of the survey and interview revealed first of all that the school counseling profession is still very new in Bhutan and needs to find its place in the Bhutanese context. They also provide information on the specific issues Bhutanese students approach school counselors about including academic and family-related issues but also substance abuse, physical abuse and clinical disorders such as depression and suicidal thoughts. School counselors are also involved in crisis situations such as court cases and students going missing. In relation to the research question, school counselors reported that the mental health and well-being of children and youth in Bhutan is negatively impacted by (1) cultural barriers such as stigma around mental health and the role of corporal punishment in schools, (2) the growing complexity of mental health issues for which more resources (such as additional mental health staff) and training (such as on media literacy) are needed, (3) insufficient collaboration between the family, the school and the school counselor, (4) academic pressure in Bhutanese schools which overshadows mental-health and well-being needs of students, especially students in Bhutan’s many boarding schools who are far away from their families, and (5) lock-downs, isolation and lack of privacy due to the COVID-19 pandemic. The latter was in-part reported to be due to lack of communication infrastructure in Bhutan during lock-downs which made it difficult for students to reach counselors. More concise and accurate results are further expected once the interviews are coded by a second, independent coder in order to ascertain inter-rater reliability. Results will be discussed in relation to how they can inform the relation between mental-health and well-being in education settings, including in European countries, as well as suggestions for policy.
References
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative research in psychology, 3(2), 77-101.

Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design: Harvard university press.

Carey, J. C., Fan, K. Y., He, L., & Jin, Y. Y. (2020). Five Dimensions of School-Based Counseling Practice: Factor Analysis Identification Using the International Survey of School Counselors' Activities. Journal of School-based Counseling Policy and Evaluation, 2(1), 4-21.

Chaudhuri, K., Dema, S., Wangmo, S., & Gautam, K. P. (2022). Self-Compassion and Positive Mental Health of Undergraduate Students of Royal University of Bhutan. Current Research in Language, Literature and Education Vol. 6, 100-116.

Dakpa, K., Rabten, W., Rai, A., & Gurung, N. (2011). Educating for GNH: A guide to advancing gross national happiness. Paro, Bhutan: Department of Curriculum, Research, and Development.

Dema, T., Tripathy, J. P., Thinley, S., Rani, M., Dhendup, T., Laxmeshwar, C., . . . Subba, D. K. (2019). Suicidal ideation and attempt among school going adolescents in Bhutan–a secondary analysis of a global school-based student health survey in Bhutan 2016. BMC Public Health, 19(1), 1-12.

Harris, B. (2013). Scoping report: International school- based counseling. Retrieved from https://www.researchgate.net/publication/259077683_Schoolbased_counselling_internationally_a_scoping_review  

Lorelle, S., & Guth, L. J. (2013). Establishing the school counseling profession in Bhutan: Reflections from the field. Journal for International Counselor Education, 5(1), 1-13.

Ministry of Education, M. (2021). Annual Education Statistics. Thimphu, Bhutan: Ministry of Education.

Ministry of Education, M. (2010). Guidance and counselling framework for schools in Bhutan. Thimphu, Bhutan: Ministry of Education.

Ministry of Health, M. (2019). MoH. National Health Accounts: Bhutan. Ministry of Health.

Namgyel, S., & Milbert, M. (2021). The Bhutanese Context on Mental Health. The Druk Journal, 7(2), 46-56.

Pelden, S. (2016). Making sense of suicides by school students in Bhutan: documenting a societal dialogue. (Doctoral dissertation). Curtin University.

Sacra, M. M. (2017). Understanding the Client's Experience of Counseling in Bhutan. (Doctoral dissertation). University of Montana.

Salmon, A. (2016). Happy Schools! A Framework for Learner Well-Being in the Asia Pacific. UNESCO Bangkok.


 
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