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== Summary: ==
A key result from meta analysis is that although many factors are believed to increase the risk of developing a mental health condition, but focusing on treatment those factors is not the most efficient way to reduce the prevalence of mental health conditions. [citation required]


Instead, building protective factors across a community, resulting in a widespread sense of belonging seems to be extremely effective in reducing the risk of mental health conditions.
== Key Findings in Social Network Health ==
These 14 findings are critical to developing a mature approach to strengthening social networks in a community.  Among the key findings, we currently identify ten that require implementation action and four findings are direct community health measurements. The number of key findings we describe may change as further research and implementation reveal new insights over time.  


Individuals who feel a sense of belonging in their community have the sklls and environment they need to become more involved and to actively seek the help they need.


To make that happen in a community (a school environment, for example), the school community must develop group cohesion.  Group cohesion is created from strong, healthy connections between student peers and between students and trusted adult guides throughout the community.


To engage with one another optimally, a community must discover the strengths of individuals and groups.  Discovery must be practiced and developed as a skill.  Active learning and heavily peer-influenced activities and initiatives have been show to be effective as part of a methodology to kick-start discovery and ultimately lead to deep conversations, which are the most powerful method of learning and bonding in social networks.
{{Colored box
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| title = Key Action Findings
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| content = === Key Action Findings: ===


When a whole school community is cohesive, and has strong, healthy connections throughout, it’s members become more activated, more engaged, and more energized.  The time spent building healthy connections is repaid manyfold by a reduction in suicide, pruning and disciplinary incidents, by an increase in attendance and performance, and by an emotionally recharged community that spends the bulk of their time working preventatively, instead of performing interventions after disruptive and damaging incidents.
==== '''Prevention: ''' ====
A Network Health Case for Upstream Intervention in Social Systems: Effective prevention builds protective factors and healthy social norms for individuals and the community around them. Network health approaches do this by working through the group: strengthening youth-adult connections school-wide, giving more influence on young people who cope well, and building schools that are protective by design.


The makeup of a healthy school environment is unique to every school.  A healthy school environment cannot be duplicated by simply following a written manual or video series and/or taking a one-time training - rather, such an environment is built by developing ecologically valid skills and practices that are unique to each community.  These skills and practices become cultural norms that are developed across years of consistency of practice.
Dive in: [[Prioritizing Prevention]]


== Context of this project: ==
==== '''Ecological Validity:''' ====
Defining the Social Network Health Approach within an integrated system of care:
Designing Prevention Through the Group's Own Structure, Not Around It: A programme has to work the way the group it's for actually works, not the way an imported curriculum assumes it should. Wingman-Connect shows what this looks like in practice: adapting an existing model meant redesigning its delivery mechanism to fit military culture, not simply translating its content, because a programme transplanted unchanged rarely survives contact with a different social structure.


This toolkit describes the Social Network Health Approach to preventative mental health care, drawing on published research from the University of Rochester Center for the Study and Prevention of Suicide and from the implementations by preventative mental health care professionals in close cooperation with them.
Dive in: [[Ecological Validity]]


Preventative care is only one category of care within a holistic integrated system of mental health care.  Simplistically and fundamentally, it is critically important to address both Preventative and Emergency care within an integrated system.  Preventative care is clearly preferable, when effective, to emergency care when the risk of suicide is in play.
==== Evidence-Based Methodology: ====
Testing the Theory of Change, Not Just Its Outcome: Social Network Health approaches require an ongoing commitment to test not just whether a programme works, but why. The Wingman-Connect trial modelled this directly, tracing its effect back to class cohesion itself rather than assuming the theory behind it was correct, and the same standard should apply to every claim this project makes, including its own.


=== Active Research ===
Dive in: [[Evidence-Based Methodology]]
The Network Health Approach describes tools and methods that are under active study, development, and use.


This means that this toolkit will be updated as new research dictates, and, most importantly the version history will reflect changes accurately. 
==== '''Consistency: ''' ====
Sustained Contact as the Mechanism That Prevents Effects from Fading: Social Network Approaches require long-term commitment to sustained contact, not a single well-run delivery. Wingman-Connect built this in directly, pairing its training with months of reinforcing contact, and the outcome that had this reinforcement held at six months, while the one without it faded within weeks. Consistent, ongoing engagement is what keeps a programme's effects from wearing off.


To ensure that you have the latest information, you can check the most recent update date on any page in this wiki, view and read the full version history, see when it was last peer-reviewed, sign up for updates to this toolkit, join our discussion group, and apply to become an editor.
Dive in: [[Consistency]]


We will update this with new research as it develops.  We have a research page where new contexts in which these tools can be used will be described as the tools are applied, researched, and tested within them.
==== Discovery: ====
Recognising Distributed Strengths as a Protective Mechanism: Discovery is the mechanism by which a group makes strengths visible to each other, not just to the individual who has them, a strength becomes real to a community when it's seen in action, not only when it's known privately. When everyone's competencies are recognised this way, the group becomes aware of its own collective capability, and that shared awareness itself functions as a protective factor.


=== Schools First ===
Dive in: [[Discovery]]
Throughout this toolkit, we will assume the context of a school.  We are focused on helping there because the need for preventative solutions and research is strong.  However, this approach has been proven effective in other contexts such as in the United States Air Force, Police departments, and other contexts you can learn more about on the research page.


=== Universality of the Approach ===
==== '''Whole Community''':  ====
Programs are developed from approaches. Ecological validity is one part of the Network Health Approach that demands that a program is developed specifically and uniquely for a community - that’s what makes this approach so broadly applicable. This contention is supported by researched implementation across a breadth of communities.
Population-Level Reach as the Mechanism of Population-Level Effect: A Whole Community approach means inviting everyone to participate, not only those identified as at risk, because population-level outcomes require population-level reach. Wyman et al. (2023) tested this directly across 78 high schools, delivering a universal programme to entire student populations rather than selected individuals, and found a promising reduction in suicide deaths. The same logic held in Wingman-Connect, which trained whole units together rather than screening individuals for risk.


Difference from previous approaches
Dive in: [[Whole Community]]


A network health approach to preventative care builds individual and community protective factors and social norms.  Network health approaches that address these processes, such as maximizing youth-adult connections schoolwide and heightening influence of youth with coping, create more protective schools.  
==== Peer Influence: ==== 
A Channel That Spreads Whatever Travels Through It: Peer-influenced activities work through relationships and communities people already have, rather than introducing an outside channel of influence. This channel is not inherently protective, it spreads whatever travels through it, whether that's risk from struggling peers or protective norms from trained peer leaders. Peer influence, done well, means directing the influence people already have on each other, not creating something new.


=== Historical Context ===
Dive in: [[Peer-influenced|Peer Influence]]
The history of preventative mental health care is beyond the scope of this wiki, but it is worth arguing that the characteristics of this approach are different than what has been created in the societies of most of the world over the last 100 years, but they are not that different from what existed and still does exist in most cultures in the more distant past. Not an immediate focus, but the fact that research has taken humanity full circle to rediscovered excellence is notable and in some cases relevant.


=== Medical Model v. Strengths model ===
==== '''Mentoring: ''' ====
The medical model of care requires identification of a weakness to begin recommending treatment. In mental health care, some issues have no strong correlates that can be identified as weaknesses early on. Interestingly, there are correlates that can be identified as risk factors in communities that are much stronger indicators of future risk, and more readily identifiable, than individual risk factors. In some cases, strengths-based models that seek to identify strengths of individuals and communities have been shown to be more effective in reducing risk factors than a weakness-based medical model. Treating a community preventatively withy a strengths based-model can also be done without isolating individuals as weak links, separating them from connections. Instead, a strengths based preventative care program identifies strengths and integrates individuals into broader communities.
The Deliberate Transfer Relationship Inside Network Health: Mentoring is the deliberate transfer relationship inside network health: an experienced person guiding a less experienced one, through listening, sharing, and connecting. It appears both as a safeguard around peer-led programmes and as a trained protective factor in its own right, something a community can build and measure deliberately, not simply hope happens on its own.


In the parlance of Social Emotional Learning in US schools there Tiers - Tier 1 (prevention-based) comes before Tier 3 (isolation-based) because it is, colloquially, terrible to have to isolate people - generally, Tier 1 is the success case and Tier 3 is the last line of defense for individuals who need it. This is appropriate prioritization from the perspective of a social network health approach. In practical implementation, however, far fewer communities put as many resources into effective Tier 1 programming as Tier 3.
Dive in: [[Mentoring]]


TBD - We could make a matrix of all the characteristics of programs out there and see where this approach fits - that might be overkill to start with, but it would be useful to those who are trying to find the right approach in a sea of approaches.
==== Active/Experiential Learning: ====
A Documented Design Choice, Not Yet a Tested Mechanism: High-energy, hands-on activities are the delivery method both Wingman-Connect and a separate evidence-based practice course chose, and both reported good outcomes using it. But neither study isolated active learning as its own variable, comparing the same content delivered passively against delivering it actively. Active learning is a documented design pattern behind good outcomes here, not yet a proven cause of them.
 
Dive in: [[Active Learning]]
 
Notes: We are preferring Active Learning to experiential learning because it's a more modern and recognizable term and it is more common to find the term in supporting evidence.
 
==== Personally Meaningful Sharing: ====
Self-Disclosure as a Mechanism for Closeness: Personally meaningful sharing works through a specific structure: closeness builds when disclosure escalates gradually and is reciprocated, not from open-ended sharing alone. The act of sharing something real appears to help produce closeness, not just signal it already exists, but only when it's met with attentive, validating response rather than indifference.
 
Dive in: [[Deep conversations|Deep Conversations]]
}}
 
 
 
{{Colored box
| icon = Tiny_logo_x1.png
| background-title-color = #36c
| title = Key Outcome Findings
| title-color = #fff
| background-content-color = #eaf3ff
| content = === Key Outcome Findings: ===
 
==== '''Group Cohesion:''' ====
The Mechanism, Not the Byproduct: Group cohesion isn't a pleasant side effect of a good programme, it's the tested mechanism behind the effect itself. A measured increase in how connected a group felt statistically accounted for the programme's impact on wellbeing, and the same pattern held independently in naturally occurring peer networks with no programme at all. Cohesion protects by exerting a real pull toward a group's healthy norms, not just by feeling supportive.
 
Dive in: [[Group cohesion|Group Cohesion]]
 
==== '''Connection to Guidance:''' ====
Isolation from Trusted Adults as an Active Risk Factor: Isolation from a trusted adult isn't a neutral gap, it's a measured risk factor in its own right, and attempt rates rise where more students lack this connection. The protective effect is strongest when it's shared across a friendship group, not held by one person alone, and it isn't fixed by circumstance: deliberate training measurably increases how many trusted adults students identify.
 
Dive in: [[Connection to Guidance]]
==== '''Belonging:''' ====
A Need Defined by Frequency, Stability, and Quality Together: Belonging isn't simply a feeling of acceptance; it requires both frequent contact and a stable, ongoing relationship together, and neither alone is enough. What protects people is the quality of connection, not just its frequency, and when the need goes unmet, the consequences are measurable harm to health, not mild discomfort.
 
Dive in: [[Belonging]]
 
==== '''Help Seeking:''' ====
A Norm That Diffuses Through a Network, Not an Individual Trait: Help-seeking isn't simply a personal decision; it's a norm that spreads through a network. Shifting attitudes in a small, trained group measurably shifted the whole population's norms, with the largest gains landing on students already showing signs of distress. The mechanism is structural, not just attitudinal: people seek help when a trusted adult is genuinely reachable, not simply when told it's acceptable.
 
Dive in: [[Help-Seeking Behaviors|Help Seeking]]
}}
 
== Commentary on Key Findings: ==
To summarize the key findings in brief:
 
Preventative care is one category within a holistic integrated system of care.  Simplistically and fundamentally, it is critically important to address both Preventative and Emergency care within an integrated system.  Many social factors increase the risk of developing a mental health condition. However, focusing on reactive treatment of those factors is not the most efficient way to reduce the onset of mental health conditions. Instead, building protective factors across a community, which results in a widespread sense of belonging, appears to be extremely effective in reducing risk factors.
 
The makeup of a healthy school environment is unique to every school.  A healthy school environment cannot be duplicated by simply following a written manual or video series and/or taking a one-time training. Building a healthy culture needs to be intentionally approached by developing ecologically valid skills and practices that are unique to each community. Research has shown that the time spent building healthy connections and protective factors tends to provide a reduction in suicide ideation, social pruning, documented disciplinary incidents, and health and wellbeing of the entire community.

Latest revision as of 13:46, 22 July 2026

Key Findings in Social Network Health

These 14 findings are critical to developing a mature approach to strengthening social networks in a community. Among the key findings, we currently identify ten that require implementation action and four findings are direct community health measurements. The number of key findings we describe may change as further research and implementation reveal new insights over time.


Key Action Findings

Key Action Findings:

Prevention: 

A Network Health Case for Upstream Intervention in Social Systems: Effective prevention builds protective factors and healthy social norms for individuals and the community around them. Network health approaches do this by working through the group: strengthening youth-adult connections school-wide, giving more influence on young people who cope well, and building schools that are protective by design.

Dive in: Prioritizing Prevention

Ecological Validity:

Designing Prevention Through the Group's Own Structure, Not Around It: A programme has to work the way the group it's for actually works, not the way an imported curriculum assumes it should. Wingman-Connect shows what this looks like in practice: adapting an existing model meant redesigning its delivery mechanism to fit military culture, not simply translating its content, because a programme transplanted unchanged rarely survives contact with a different social structure.

Dive in: Ecological Validity

Evidence-Based Methodology:

Testing the Theory of Change, Not Just Its Outcome: Social Network Health approaches require an ongoing commitment to test not just whether a programme works, but why. The Wingman-Connect trial modelled this directly, tracing its effect back to class cohesion itself rather than assuming the theory behind it was correct, and the same standard should apply to every claim this project makes, including its own.

Dive in: Evidence-Based Methodology

Consistency: 

Sustained Contact as the Mechanism That Prevents Effects from Fading: Social Network Approaches require long-term commitment to sustained contact, not a single well-run delivery. Wingman-Connect built this in directly, pairing its training with months of reinforcing contact, and the outcome that had this reinforcement held at six months, while the one without it faded within weeks. Consistent, ongoing engagement is what keeps a programme's effects from wearing off.

Dive in: Consistency

Discovery:

Recognising Distributed Strengths as a Protective Mechanism: Discovery is the mechanism by which a group makes strengths visible to each other, not just to the individual who has them, a strength becomes real to a community when it's seen in action, not only when it's known privately. When everyone's competencies are recognised this way, the group becomes aware of its own collective capability, and that shared awareness itself functions as a protective factor.

Dive in: Discovery

Whole Community

Population-Level Reach as the Mechanism of Population-Level Effect: A Whole Community approach means inviting everyone to participate, not only those identified as at risk, because population-level outcomes require population-level reach. Wyman et al. (2023) tested this directly across 78 high schools, delivering a universal programme to entire student populations rather than selected individuals, and found a promising reduction in suicide deaths. The same logic held in Wingman-Connect, which trained whole units together rather than screening individuals for risk.

Dive in: Whole Community

Peer Influence:

A Channel That Spreads Whatever Travels Through It: Peer-influenced activities work through relationships and communities people already have, rather than introducing an outside channel of influence. This channel is not inherently protective, it spreads whatever travels through it, whether that's risk from struggling peers or protective norms from trained peer leaders. Peer influence, done well, means directing the influence people already have on each other, not creating something new.

Dive in: Peer Influence

Mentoring: 

The Deliberate Transfer Relationship Inside Network Health: Mentoring is the deliberate transfer relationship inside network health: an experienced person guiding a less experienced one, through listening, sharing, and connecting. It appears both as a safeguard around peer-led programmes and as a trained protective factor in its own right, something a community can build and measure deliberately, not simply hope happens on its own.

Dive in: Mentoring

Active/Experiential Learning:

A Documented Design Choice, Not Yet a Tested Mechanism: High-energy, hands-on activities are the delivery method both Wingman-Connect and a separate evidence-based practice course chose, and both reported good outcomes using it. But neither study isolated active learning as its own variable, comparing the same content delivered passively against delivering it actively. Active learning is a documented design pattern behind good outcomes here, not yet a proven cause of them.

Dive in: Active Learning

Notes: We are preferring Active Learning to experiential learning because it's a more modern and recognizable term and it is more common to find the term in supporting evidence.

Personally Meaningful Sharing:

Self-Disclosure as a Mechanism for Closeness: Personally meaningful sharing works through a specific structure: closeness builds when disclosure escalates gradually and is reciprocated, not from open-ended sharing alone. The act of sharing something real appears to help produce closeness, not just signal it already exists, but only when it's met with attentive, validating response rather than indifference.

Dive in: Deep Conversations


Key Outcome Findings

Key Outcome Findings:

Group Cohesion:

The Mechanism, Not the Byproduct: Group cohesion isn't a pleasant side effect of a good programme, it's the tested mechanism behind the effect itself. A measured increase in how connected a group felt statistically accounted for the programme's impact on wellbeing, and the same pattern held independently in naturally occurring peer networks with no programme at all. Cohesion protects by exerting a real pull toward a group's healthy norms, not just by feeling supportive.

Dive in: Group Cohesion

Connection to Guidance:

Isolation from Trusted Adults as an Active Risk Factor: Isolation from a trusted adult isn't a neutral gap, it's a measured risk factor in its own right, and attempt rates rise where more students lack this connection. The protective effect is strongest when it's shared across a friendship group, not held by one person alone, and it isn't fixed by circumstance: deliberate training measurably increases how many trusted adults students identify.

Dive in: Connection to Guidance

Belonging:

A Need Defined by Frequency, Stability, and Quality Together: Belonging isn't simply a feeling of acceptance; it requires both frequent contact and a stable, ongoing relationship together, and neither alone is enough. What protects people is the quality of connection, not just its frequency, and when the need goes unmet, the consequences are measurable harm to health, not mild discomfort.

Dive in: Belonging

Help Seeking:

A Norm That Diffuses Through a Network, Not an Individual Trait: Help-seeking isn't simply a personal decision; it's a norm that spreads through a network. Shifting attitudes in a small, trained group measurably shifted the whole population's norms, with the largest gains landing on students already showing signs of distress. The mechanism is structural, not just attitudinal: people seek help when a trusted adult is genuinely reachable, not simply when told it's acceptable.

Dive in: Help Seeking

Commentary on Key Findings:

To summarize the key findings in brief:

Preventative care is one category within a holistic integrated system of care.  Simplistically and fundamentally, it is critically important to address both Preventative and Emergency care within an integrated system.  Many social factors increase the risk of developing a mental health condition. However, focusing on reactive treatment of those factors is not the most efficient way to reduce the onset of mental health conditions. Instead, building protective factors across a community, which results in a widespread sense of belonging, appears to be extremely effective in reducing risk factors.

The makeup of a healthy school environment is unique to every school.  A healthy school environment cannot be duplicated by simply following a written manual or video series and/or taking a one-time training. Building a healthy culture needs to be intentionally approached by developing ecologically valid skills and practices that are unique to each community. Research has shown that the time spent building healthy connections and protective factors tends to provide a reduction in suicide ideation, social pruning, documented disciplinary incidents, and health and wellbeing of the entire community.