Trauma-Informed, School-Anchored Mental-Health Pathway After Disasters in the Philippines: A Mixed-Methods Quasi-Experimental Evaluation Linking Clinical Outcomes to Referral-Chain KPIs

Yue Hu

doi:10.6918/IJOSSER.202510_8(10).0045

Trauma-Informed, School-Anchored Mental-Health Pathway After Disasters in the Philippines: A Mixed-Methods Quasi-Experimental Evaluation Linking Clinical Outcomes to Referral-Chain KPIs

Yue Hu

International Journal of Social Science and Education Research, (2025), Vol.8, No.10, pp.330-339

Published: October 31, 2025

DOI: 10.6918/IJOSSER.202510_8(10).0045

PDF: Download Full Text PDF

Abstract

In a high-disaster-risk Philippine setting, we evaluated a school-anchored, trauma-informed mental-health pathway linked to community care using a convergent mixed-methods, matched-school design. The pathway (screening → brief skills groups → warm/hot referral → structured follow-up) was analyzed by intention-to-treat linear mixed models for PCL-5, PHQ-9, GAD-7 (primary) and WHO-5, WHODAS (secondary), with prespecified moderation/mediation by referral timeliness/closure and classroom fidelity. Reach was high and balanced (~92% vs 91%). At T1, symptoms declined modestly (PCL-5 Δ −3 to −5; g ≈ 0.30–0.35), with favorable T2 maintenance; WHO-5 rose and WHODAS showed small functional gains. MCID/responder rates favored intervention. Service performance improved (≤7-day closure +17 pp; any-time closure +13 pp; median wait −8 days). Delivery met targets (fidelity ≈1.7/2; IRR ≈0.75–0.80), and larger gains aligned with higher fidelity and shorter waits/closure. Conclusion: When fidelity ≥1.6/2, first contact ≤7 days, and follow-up ≳80%, the pathway is feasible and clinically meaningful. Ethics: parental consent, student assent, Data Privacy Act compliance; no external commercial funding.

Keywords: Post-disaster, Adolescents, School mental health, RE-AIM, CFIR, Warm handoff, Philippines, Referral Chain Index

APA Citation: Yue Hu (2025). Trauma-Informed, School-Anchored Mental-Health Pathway After Disasters in the Philippines: A Mixed-Methods Quasi-Experimental Evaluation Linking Clinical Outcomes to Referral-Chain KPIs. International Journal of Social Science and Education Research, 8(10), 330-339. https://doi.org/10.6918/IJOSSER.202510_8(10).0045

References

Aarons, G. A., Hurlburt, M., & Horwitz, S. M. (2011). Advancing a conceptual model of evidence-based practice implementation in public service sectors. Administration and Policy in Mental Health and Mental Health Services Research, 38, 4–23.
Bernal, G., & Sáez-Santiago, E. (2006). Culturally centered psychosocial interventions. Clinical Psychology: Science and Practice, 13(4), 356–371.
Carroll, C., Patterson, M., Wood, S., et al. (2007). A conceptual framework for implementation fidelity. Implementation Science, 2, 40.
Creswell, J. W., & Plano Clark, V. L. (2018). Designing and conducting mixed methods research (3rd ed.). SAGE.
Damschroder, L. J., Aron, D. C., Keith, R. E., et al. (2009). A consolidated framework for advancing implementation science. Implementation Science, 4, 50.
Damschroder, L. J., Reardon, C. M., Widerquist, M. A., & Lowery, J. (2022). The updated CFIR. Implementation Science, 17, 75.
Fixsen, D. L., Naoom, S. F., Blase, K. A., et al. (2005). Implementation research: A synthesis of the literature. University of South Florida.
Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: The RE-AIM framework. AJPH, 89(9), 1322–1327. Click on the link below to view the full texthttps://drive.google.com/file/d/1A6Kt_gV1pEe43j4iEUr6joyWXiRnObpI/view?usp=drivesdk