Kvalitativna studija o postupanju škola u Srbiji u slučajevima teškoća mentalnog zdravlja učenika: let bez navigacije, ali srećom sa često bezbednim sletanjem

English

  • Ana Radanović Institut za pedagoška istraživanja, Beograd
  • Marina Kovačević Lepojević Institut za pedagoška istraživanja, Beograd
  • Isidora Micić Institut za pedagoška istraživanja, Beograd
  • Marija Trajković Institut za pedagoška istraživanja, Beograd
Ključne reči: mentalno zdravlje, škola, nastavnici, protokoli, Srbija

Sažetak


U poređenju sa razvijenim zemljama, obrazovni sistem u Srbiji pokazuje manju responzivnost na potrebe učenika u domenu mentalnog zdravlja, uz nedostatak formalnih protokola za postupanje u vezi sa problemima mentalnog zdravlja. Cilj istraživanja bio je da ispita na koji način zaposleni u školama na različitim profesionalnim pozicijama reaguju na probleme mentalnog zdravlja učenika. Primenom kvalitativne analize sadržaja analizirani su odgovori 830 zaposlenih u osnovnim i srednjim školama na otvoreno pitanje u kojem je od njih traženo da opišu kako su reagovali u najskorijoj situaciji u kojoj su primetili ili bili obavešteni da učenik ima teškoće u oblasti mentalnog zdravlja. Rezultati su ukazali na interno razvijene prakse koje se razlikuju u zavisnosti od pozicije na kojoj su ispitanici zaposleni, iako se mogu uočiti određeni obrasci koji se dosledno ponavljaju. Identifikovane su dve osnovne strategije: razgovori i upućivanje. Zaposleni najčešće prikupljaju informacije putem kratkih, često protokolarnih razgovora, koji kod učenika mogu ostaviti utisak ispunjenja obaveze pre nego brige. Upućivanje na spoljne stručnjake ili institucije prisutno je u okviru svih grupa zaposlenih bez obrzira na poziciju, što odražava potrebu za intenzivnijom podrškom van škole usled nedovoljnog broja stručnih saradnika unutar same škole. Nastavnici su dodatno izveštavali o intenzivnoj saradnji sa spoljnim stručnjacima, ukazujući na primere dobre prakse, ali i na ograničenja uslovljena nejednakom dostupnošću usluga u različitim regijama. Rezultati studije doprinose širem razumevanju praksi u oblasti mentalnog zdravlja u školskom kontekstu, naročito u obrazovnim sistemima koji su, u društvima suočenim sa višestrukim krizama, manje responzivni na potrebe učenika u domenu mentalnog zdravlja.

Biografije autora

Ana Radanović, Institut za pedagoška istraživanja, Beograd

istraživač saradnik

Marina Kovačević Lepojević, Institut za pedagoška istraživanja, Beograd

viši naučni saradnik

Isidora Micić, Institut za pedagoška istraživanja, Beograd

istraživač pripravnik

Marija Trajković, Institut za pedagoška istraživanja, Beograd

istraživač saradnik

Reference

Beara, M., & Jerković, I. (2015). Društvene okolnosti i nastavnička profesija. Socioloski Pregled, 49(2), 229-253. https://doi.org/10.5937/socpreg1502229B

Beta. (2025, October 7). Novosti: U školama angažovano 2.800 psihologa i pedagoga, ni to nije dovoljno. Novi magazin. https://novimagazin.rs/vesti/360511-novostiu-skolama-angazovano-2800-psihologa-i-pedagoga-ni-to-nije-dovoljno

Bogdanović, R., Lozanović, D., Milovančević, M. P., & Jovanović, L. S. (2016). The child health care system of Serbia. The Journal of Pediatrics, 177, S156-S172. https://doi.org/10.1016/j.jpeds.2016.04.053

Braun, V., & Clarke, V. (2021). Can I use TA? Should I use TA? Should I not use TA? Comparing reflexive thematic analysis and other pattern-based qualitative analytic approaches. Counselling and Psychotherapy Research, 21(1), 37-47. https://doi.org/10.1002/capr.12360

Brigman, G., Villares, E., Mullis, F., Webb, L. D., & White, J. F. (2021). School counselor consultation: Skills for working effectively with parents, teachers, and other school personnel. John Wiley & Sons.

Cooper, P., & Jacobs, B. (2011). Evidence of best practice models and outcomes in the education of children with emotional disturbance/behavioural difficulties. An International Review. http://aboutones.com/wordpress/wp-ontent/uploads/2014/10/7_NCSE_EBD.pdf

Ćurčić, V. (2005). Mental health of adolescents: risk and chance. Psihijatrija danas, 37(1), 87-107.

Dabrowski, A., Hsien, M., Van Der Zant, T., & Ahmed, S.K. (2025) “We are left to fend for ourselves”: understanding why teachers struggle to support students’ mental health. Frontiers in Education, 9:1505077. https://doi.org/10.3389/feduc.2024.1505077

Dey, M., Marti, L., Helbling, L. A., & Jorm, A. F. (2022). Non-participation in epidemiological school-based surveys: using mixed methods to study predictors and modes of justification for (non-) participation at the school level. International Journal of Social Research Methodology, 25(2), 171-182. https://doi.org/10.1080/13645579.2020.1864088

Dimitropoulos, G., Cullen, E., Cullen, O., Pawluk, C., McLuckie, A., Patten, S., ... & Arnold, P. D. (2021). “Teachers often see the red flags first”: perceptions of school staff regarding their roles in supporting students with mental health concerns. School Mental Health, 1-14. https://doi.org/10.1007/s12310-021-09475-1

Drum, D. J., Brownson, C., Burton Denmark, A., & Smith, S. E. (2009). New data on the nature of suicidal crises in college students: Shifting the paradigm. Professional Psychology: Research and Practice, 40(3), 213. https://doi.org/10.1037/a0014465

Đurišić, M. (2020). The relationships between school climate and behavioral problems in students in lower grades of primary school [Doctoral dissertation, University of Belgrade, Faculty of Special Education and Rehabilitation]

Gisev, N., Bell, J. S., & Chen, T. F. (2013). Interrater agreement and interrater reliability: key concepts, approaches, and applications. Research in Social and Administrative Pharmacy, 9(3), 330-338. https://doi.org/10.1016/j.sapharm.2012.04.004

Gunawardena, H., Leontini, R., Nair, S., Cross, S., & Hickie, I. (2024). Teachers as first Responders: classroom experiences and mental health training needs of Australian schoolteachers. BMC Public Health, 24, 268. https://doi.org/10.1186/s12889-023-17599-z

Graham, A., Phelps, R., Maddison, C., & Fitzgerald, R. (2011). Supporting children’s mental health in schools: Teacher views. Teachers and Teaching, 17(4), 479-496. https://doi.org/10.1080/13540602.2011.580525

Green, J. G., Guzmán, J., Didaskalou, E., Harbaugh, A. G., Segal, N., & LaBillois, J. (2018). Teacher identification of student emotional and behavioral problems and provision of early supports: A vignette-based study. Journal of Emotional and Behavioral Disorders, 26(4), 225-242. https://doi.org/10.1177/1063426617740879

Gregoric Kumperscak, H., Clausen, C., Anagnostopoulos, D., Barac Otasevic, Z., Boricevic Marsanic, V., Burgic, M., ... & Skokauskas, N. (2020). Child and adolescent psychiatry training and mental health care in Southeast Europe. European Child & Adolescent Psychiatry, 29, 29-39. https://doi.org/10.1007/s00787-019-01362-0

Gregory, J., & Maričić, S. (2023, May 4). Belgrade shooting: Teen made ‘kill list’ for Serbia school attack. https://www.bbc.com/news/world-europe-65468404

Griffiths, A. J., Alsip, J., Hart, S. R., Round, R. L., & Brady, J. (2021). Together we can do so much: A systematic review and conceptual framework of collaboration in schools. Canadian Journal of School Psychology, 36(1), 59-85. https://doi.org/10.1177/0829573520915368

Hamre, B., Hedegaard-Sørensen, L., & Langager, S. (2018). Between psychopathology and inclusion: the challenging collaboration between educational psychologists and child psychiatrists. International Journal of Inclusive Education, 22(6), 655-670. https://doi.org/10.1080/13603116.2017.1395088

Harder, V. S., Mutiso, V. N., Khasakhala, L. I., Burke, H. M., Rettew, D. C., Ivanova, M. Y., & Ndetei, D. M. (2014). Emotional and behavioral problems among impoverished Kenyan youth: Factor structure and sex-differences. Journal of Psychopathology and Behavioral Assessment, 36, 580-590. https://doi.org/10.1007/s10862-014-9419-0

Hasking, P. A., Heath, N. L., Kaess, M., Lewis, S. P., Plener, P. L., Walsh, B. W., ... & Wilson, M. S. (2016). Position paper for guiding response to non-suicidal selfinjury in schools. School Psychology International, 37(6), 644-663. https://doi.org/10.1177/0143034316678656

IBM Corp. (2023). IBM SPSS Statistics for Windows (Version 29.0) [Computer software]. IBM Corp.

International Republican Institute. (2025). Western Balkans poll: Serbia (May–July 2025). https://www.iri.org/wp-content/uploads/2025/09/BALKANS-25-RS-01-PT-All-Countries-FOR-PUBLICATION-.pdf.

Jovanovic, N. (2004). Uloga visokog obrazovanja u formiranju multikulturalnih odnosa. U Lj. Mitrović, D.B. Đorđević i D. Todorović (Ur.). Civilno društvo i multikulturalizam na Balkanu, 67-71. Niš: Filozofski fakultet, Univerzitet u Nišu, Institut za sociologiju.

Jones, P. B. (2013). Adult mental health disorders and their age at onset. British Journal of Psychiatry, 202(s54), s5–s10. https://doi.org/10.1192/bjp.bp.112.119164

Karnovsky, S., & Gobby, B. (2024). How teacher wellbeing can be cruel: refusing discourses of wellbeing in an online Reddit forum. British Journal of Sociology of Education, 45(2), 248-266 https://doi.org/01425692.2024.2312805

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62(6), 593. https://doi.org/10.1001/archpsyc.62.6.593

Kano, M., Franke, T., Afifi, A. A., & Bourque, L. B. (2008). Adequacy of reporting results of school surveys and nonresponse effects: A review of the literature and a case study. Educational Researcher, 37(8), 480-490. https://doi.org/10.3102/0013189X08326859

Kearney, C., Akos, P., Domina, T., & Young, Z. (2021). Student-to-school counselor ratios: A meta-analytic review of the evidence. Journal of Counseling & Development, 99(4), 418-428. https://doi.org/10.1002/jcad.12394

Kim, H. K., Capaldi, D. M., Pears, K. C., Kerr, D. C., & Owen, L. D. (2009). Intergenerational transmission of internalising and externalising behaviours across three generations: Gender-specific pathways. Criminal Behaviour and Mental Health, 19(2), 125-141. https://doi.org/10.1002/cbm.708

Krane, V., Ness, O., Holter-Sorensen, N., Karlsson, B., & Binder, P. E. (2017). ‘You notice that there is something positive about going to school’: how teachers’ kindness can promote positive teacher–student relationships in upper secondary school. International Journal of Adolescence and Youth, 22(4), 377-389. https://doi.org/10.1080/02673843.2016.1202843

Kutcher, S., Wei, Y., & Weist, M. D. (2015). Global school mental health. In S. Kutcher, Y. Wei a’ M.D. Weist (Eds.), School mental health: Global challenges and opportunities (pp. 299 – 301). Cambridge University Press.

Leiner, D. J. (2020). SoSci Survey (Program Version 3.2. 06)[Computer software].

Lecic Tosevski, D., Gajic, S. D., & Milovancevic, M. P. (2012). State of psychiatry in Serbia–problems, advances and perspectives. International Review of Psychiatry, 24(4), 341-346. https://doi.org/10.3109/09540261.2012.699450

Liang, M., Ho, G. W., & Christensen, M. (2024). Living in fear at the unpredictability of mental health issues in the classroom: a phenomenological study of secondary school teachers in encountering students with mental health issues. Frontiers in Psychiatry, 15, 1367660. https://doi.org/10.3389/fpsyt.2024.1367660

Mælan, E. N., Tjomsland, H. E., Baklien, B., Samdal, O., & Thurston, M. (2018). Supporting pupils’ mental health through everyday practices: A qualitative study of teachers and head teachers. Pastoral Care in Education, 36(1), 16-28. https://doi.org/10.1080/02643944.2017.1422005

Maclean, L., & Law, J. M. (2022). Supporting primary school students’ mental health needs: Teachers’ perceptions of roles, barriers, and abilities. Psychology in the Schools, 59(11), 2359-2377.https://doi.org/10.1002/pits.22648

Malmberg-Heimonen, I., Tøge, A. G., & Akhtar, S. (2022). Improving interprofessional collaboration in schools: A cluster-randomized study evaluating the effectiveness of the LOG model on collaboration practices. Journal of Interprofessional Care, 1-8. https://doi.org/10.1080/13561820.2022.2149717

Marraccini ME, Griffard MKR, Whitcomb CE, Wood C, Griffin DC, Pittleman C, Sartain L. School-based Mental Health Supports During COVID-19: School Professional Perspectives. Psychol Sch, 60(7), 2460-2482. https://doi.org.10.1002/pits.22869

Marinucci, A., Grové, C., & Allen, K. A. (2023). Australian school staff and allied health professional perspectives of mental health literacy in schools: A mixed methods study. Educational Psychology Review, 35(1), 3. https://doi.org/10.1007/s10648-023-09725-5

Ministry of Tourism and Youth (2022). Study on the Status and Needs of Young People in the Republic of Serbia. https://mto.gov.rs/extfile/sr/1660/Isptazivanje.pdf

Mitković Vončina, M. & Pejović Milovančević, M. (Ur.) (2025). Budi tu za mlade: Kako podržati prevenciju i zaštitu mentalnog zdravlja adolescenata i mladih u javnim sistemima u Srbiji kroz Minimalni paket usluga za mlade (MPUM). Beograd: Institut za mentalno zdravlje.https://www.unicef.org/serbia/media/29536/file/Budi%20tu%20za%20mlade_web%20final.pdf.pdf

Moon, J., Williford, A., & Mendenhall, A. (2017). Educators’ perceptions of youth mental health: Implications for training and the promotion of mental health services in schools. Children and Youth Services Review, 73, 384-391. https://doi.org/10.1016/j.childyouth.2017.01.006

Nygaard, M. A., Ormiston, H. E., Renshaw, T. L., Carlock, K., & Komer, J. (2024). School mental health care coordination practices: A mixed methods study. Children and Youth Services Review, 157, 107426. https://doi.org/10.1016/j.childyouth.2023.107426

Ohrt, J. H., Deaton, J. D., Linich, K., Guest, J. D., Wymer, B., & Sandonato, B. (2020). Teacher training in K–12 student mental health: A systematic review. Psychology in the Schools, 57(5), 833-846. https://doi.org/10.1002/pits.22356

Oh, Y., Greenberg, M. T., Willoughby, M. T. (2020). Examining longitudinal associations between externalizing and internalizing behavior problems at within-and between-child levels. Journal of Abnormal Child Psychology, 48, 467-480. https://doi.org/10.1007/s10802-019-00614-6

Pavlović Babić, D., Simić, N., & Friedman, E. (2018). School-level facilitators of inclusive education: the case of Serbia. European Journal of Special Needs Education, 33(4), 449-465. https://doi.org/10.1080/08856257.2017.1342419

Pejovic Milovancevic, M., Lero, M., Mitkovic Voncina, M. & Tosković, O. (2025). Stanje mentalnog zdravlja mladih u Srbiji: na šta nas upozoravaju najaktuelniji podaci? 53. Simpozijum Stremljenja i novine u medicini Podrška mentalnom zdravlju mladih u Srbiji – Hitno i bitno, str. 23-23. https://doi.org/10.5937/53_SNM25023P

Pejovic Milovancevic, M., Aleksic Hil., O., & Mitkovic Voncina, M. (2024). Mentalno zdravlje u školama: zašto je važno, kako prepoznati probleme i kako reagovati (School Mental Health: Why is it Important, How to Recognize and React to the Problems). Institut za mentalno zdravlje, Beograd, Srbija. https://prosveta.gov.rs/wp-content/uploads/2024/04/Mentalno-zdravlje-u-skolama.pdf

Pejovic Milovancevic, M., Deusic, S. P., Tosevski, D. L., & Gajic, S. D. (2009). Mental health care of children and adolescents in Serbia: past steps and future directions. Epidemiology and Psychiatric Sciences, 18(3), 262-265. https://doi.org/10.1017/S1121189X00000555

Radanovic, A., Kovacevic-Lepojevic, M., Micic, I., Trajkovic, M., Grujicic, R., & Pejovic-Milovancevic, M. (2025). Addressing non-suicidal self-injury (NSSI) in Serbian schools: School staff reactions, needs, and protocol development. Zbornik Instituta Za Pedagoska Istrazivanja, 57(2), 293–322. https://doi.org/10.2298/ZIPI2502293R

Popadić, D., Pavlović, Z., & Mihailović, S. (2019). Mladi u Srbiji 2018/2019 (Youth in Serbia 2018/2019). The Friedrich-Ebert-Stiftung: Beograd. SSRN: https://ssrn.com/abstract=3514176

Richter, A., Sjunnestrand, M., Romare Strandh, M., & Hasson, H. (2022). Implementing School-Based Mental Health Services: A Scoping Review of the Literature Summarizing the Factors That Affect Implementation. International

Journal of Environmental Research and Public Health, 19(6), 3489. https://doi.org/10.3390/ijerph19063489

Roach, A. (2018). Supportive peer relationships and mental health in adolescence: An integrative review. Issues in Mental Health Nursing, 39(9), 723-737. https://doi.org/10.1080/01612840.2018.1496498

Roberts-Dobie, S., & Donatelle, R. J. (2007). School counselors and student selfinjury. Journal of School Health, 77(5), 257-264. https://doi.org/10.1111/j.1746-1561.2007.00201.x

Rulebook on Criteria and Standards for Financing Institutions Providing Primary Education, Official Gazette RS No. 72/2023.

Rulebook on Criteria and Standards for Financing Secondary Education Institutions, Official Gazette RS No 72/2015, 84/2015, 73/2016, 45/2018, 106/2020, 115/2020, 93/2022 i 71/2023.

Rulebook on the Program of All Forms of Work of Professional Associates, Official Gazette RS – Educational Gazette, No. 5/2012 and 6/2021

Shahini, M., Rescorla, L., Wancata, J., & Ahmeti, A. (2015). Mental health problems in Kosovar adolescents: results from a national mental health survey. Neuropsychiatr, 29(3), 125-32. https://doi.org/10.1007/s40211-015-0155-9

Standards of Competencies for the Teaching Profession and Teachers’ Professional Development, Official Gazette RS – Educational Gazette, No. 51/2011

Statistical Office of the Republic of Serbia. (2025a). Bulletin 719: Secondary education– Beginning of the 2024/2025 school year. https://publikacije.stat.gov.rs/G2025/Pdf/G20255719.pdf

Statistical Office of the Republic of Serbia. (2025b). Statistical release: Key indicators of Serbia, 2024 (G2025/1017). https://publikacije.stat.gov.rs/G2025/HtmlL/G20251017.html

Takala, M., Silfver, E., Karlsson, Y., & Saarinen, M. (2020). Supporting pupils in Finnish and Swedish schools-teachers’ views. Scandinavian Journal of Educational Research, 64(3), 313-332. https://doi.org/10.1080/00313831.2018.1541820

United Nations Children’s Fund (UNICEF) Serbia. (2021). Mental health and wellbeing. https://www.unicef.org/serbia/mentalno-zdravlje-i-blagostanje

VERBI Software. (2023). MAXQDA 2024 [Computer software]. VERBI Software. https://www.maxqda.com

Wei, Y., & Kutcher, S. (2012). International school mental health: global approaches, global challenges, and global opportunities. Child and Adolescent Psychiatric Clinics, 21(1), 11-27. https://doi.org/10.1016/j.chc.2011.09.005

Zotović-Kostić, M., & Beara, M. (2016). Mentalno zdravlje mladih u AP Vojvodini –stanje i perspektiva. Novi Sad: Centar za proizvodnju znanja i veština.

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