AUTHOR=Granada-López José Manuel , Ramón-Arbués Enrique , Echániz-Serrano Emmanuel , Juárez-Vela Raúl , Cobos-Rincón Ana , Satústegui-Dordá Pedro José , Navas-Echazarreta Noelia , Santolalla-Arnedo Iván , Nash Michael TITLE=Mental health knowledge and classroom experiences of school teachers in Aragon, Spain JOURNAL=Frontiers in Public Health VOLUME=Volume 11 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1171994 DOI=10.3389/fpubh.2023.1171994 ISSN=2296-2565 ABSTRACT=Background Research shows that many mental health problems begin in childhood but are sometimes not diagnosed until later years. School-age children spend much of their time in schools and have daily interactions with school teachers. Aim Examine school teachers’ experiences of mental health problems in school going children and adolescents and their associated mental health training needs. Method and sample A descriptive cross-sectional study was carried out with teachers in Infant-Primary and Compulsory Secondary Education-Bachelorette schools. Results A convenience sample of 685 teachers responded to the online survey. Participants worked in both urban and rural areas and in early childhood, primary, secondary and high school education. Over half of participants reported classroom experiences of learner mental health problems such as ADHD, anxiety, conduct disorders or autism. Most participants acknowledged a training need, both in recognition of symptoms of mental health problems and in care resources and processes. However, 80% of respondents reported having not received any training in this regard. Participant preferences for training included face-to-face or hybrid - combined online learning. Participants also considered the management of their own mental health to be deficient, therefore any training should incorporate personal mental health awareness and self-help strategies. Conclusions In Aragón (Spain), teachers of children and adolescents with mental health problems, recognize a need for training in the identification of symptoms and other aspects of mental healthcare, such as availability and access to services. Protocols for early identification and referral would promote mentally healthy school environments and reduce stigma which could be a barrier to timely intervention. In addition, any training should include mental health self-care for teachers.