A MENTAL HEALTH SERVICE MODEL OF CHINESE HIGHER VOCATIONAL COLLEGE STUDENTS IN HENAN PROVINCE
Main Article Content
Abstract
This study has three objectives: 1) To study the level of mental health services provided in higher vocational colleges in Henan Province; 2) To study confirmatory factor analysis of mental health services in higher vocational colleges in Henan Province; 3) To propose the mental health service model of Chinese higher vocational colleges students in Henan Province. This study employs a mixed-methods research approach, comprising both quantitative and qualitative methods. Stratified random sampling was used to collect 755 valid responses from 92 higher vocational colleges in Henan Province. A self-designed measurement instrument containing eight latent variables and 100 items was developed, and its content validity was evaluated using an Index of Item-Objective Congruence (IOC) assessed by five experts. Quantitative data were analyzed using confirmatory factor analysis (CFA). The qualitative component involved semi-structured interviews with nine mental health service experts from the six participating colleges.
The results showed that the quantitative analysis demonstrated a good fit of the proposed model, while the qualitative findings further validated the empirical support for the model. The findings confirm a mental health service model comprising eight factors: service accessibility (SA), counselor competence (CC), service use intention (SUI), online mental health services (OMHS), crisis preparedness (CRP), perceived social support (PSS), teacher support (TS), and trust in confidentiality (TC). Furthermore, this study proposes recommendations for improving the provision of student mental health services, ranging from policy development to service delivery.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Seligman, M. E. P., & Csikszentmihalyi, M. (2000). Positive psychology: an introduction. American Psychologist, 55(1), 5-14.
Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Cambridge, MA: Harvard University Press.213-215.
Liu, J., Ma, H., He, Y. L., Xie, B., Xu, Y. F., Tang, H. Y., Li, M., Hao, W., Wang, X., Zhang, M., Ng, C. H., Goding, M., Fraser, J., Herrman, H. E., Chiu, H. F. K., Chan, S. M. S., Chiu, E. Y. K., & Yu, X. (2011). Mental health system in China: History, recent service reform and future
challenges. World Psychiatry, 10(3), 210–216.
Ning, X., Wong, J. P.-H., Huang, S., Fu, Y., Gong, X., Zhang, L., Hilario, C., Fung, K. P.-L., Yu, M., & Poon, M. K.-L. (2022). Chinese university students’ perspectives on help-seeking and mental health counseling. International Journal of Environmental Research and Public Health, 19(14), 8259.
Ma, X., Chen, M., & Diao, J. (2025). Pathways and outcomes of digital transformation in Chinese vocational colleges. Vocation, Technology & Education, 2(1).
Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1988). SERVQUAL: A multiple-item scale for measuring consumer perceptions of service quality. Journal of Retailing, 64(1), 12-40.
Wong, N. E., Hagan, M. J., Holley, S. R., Paik, J. H., & Duh, S. (2022). Traumatic stress, mental health stigma, and treatment-seeking attitudes among Chinese college students. Journal of College Student Psychotherapy, 38(1), 170–184.
Liu, C., Chen, H., Xu, W., Dai, S., & Lin, S. (2024). The mediating role of cognitive flexibility in home–school co-education and psychological well-being among Chinese vocational college students. Frontiers in Psychology, 15, Article 1422845.
Gao, R., Wang, H., Liu, S., Wang, X., Song, S., & Yi, W. (2024). Study on anxiety, depression, and sleep conditions and their interrelations among vocational college students during the COVID-19 pandemic management normalization. Frontiers in Public Health, 12, Article 1385639.
Wang, T. (2023). Teachers as the agent of change for student mental health: The role of teacher care and teacher support in Chinese students’ well-being. Frontiers in Psychology, 14, Article 1283515.
Li, J., Wang, Z., & Zhou, N. (2021). Peer support and psychological wellbeing among college students: The mediating role of self-esteem and social connectedness. Frontiers in Psychology, 12, Article 796728.
Busiol, D. (2016). Help-seeking behaviour and attitudes towards counseling: A qualitative study among Hong Kong Chinese university students. British Journal of Guidance & Counselling, 44(4), 382–401.
Jiang, G., Li, D., Ren, Z., Yan, Y., Wu, X., Zhu, X., Yu, L., Xia, M., Li, F., Wei, H., & others. (2021). The status quo and characteristics of Chinese mental health literacy. Acta Psychologica Sinica, 53, 182.
Alenezi, M. (2023). Digital learning and digital institution in higher education. Education Sciences, 13(1), 88.