Chronic Childhood Trauma, Mental Health, Academic Achievement, and School‐Based Health Center Mental Health Services

Larson, Satu; Chapman, Susan; Spetz, Joanne; Brindis, Claire D.

doi:10.1111/josh.12541

Cited by 85 publications

(89 citation statements)

References 69 publications

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“…In our study, we did not find differences in African American or Hispanic students relative to white youth in the MH provider group versus PC providers group or differences in SBHC visit rates in general. We did see that Asian students were less likely to be in the MH group compared to white students, which is seen in other studies . In our study, 71% of students seeing mental health providers were Latino, which is similar to the known racial/ethnic representation of students using DH's SBHCs .…”

Section: Discussionsupporting

confidence: 83%

“…Prior research demonstrates that Latino and African American youth are less likely to access and utilize community mental health services compared to white youth . While SBHCs have been shown to increase access to mental health care for all students, racial and ethnic disparities in health care utilization persist in some SBHC settings . In a study of SBHC utilization in Connecticut, Hispanic, and African American students had fewer mental health visits compared to white students for most age groups .…”

Section: Discussionmentioning

confidence: 99%

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Students Seeking Mental Health Services at School‐Based Health Centers: Characteristics and Utilization Patterns

Stempel

Cox-Martin

O’Leary

et al. 2019

Journal of School Health

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BACKGROUND: School-based health centers (SBHC) can address unmet mental health needs. Little is known about how students seek care from different providers at SBHCs. We describe and compare how students' SBHC visits differ for students seen by mental health providers (MH group) relative to students seen only by primary care providers (PC group). METHODS:Using administrative data with ICD-9 codes from 9 SBHCs in Denver, Colorado serving youth 10-19 years old during the 2014-2015 school year, we analyzed predictors of SBHC clinic visits via negative binomial regression and ICD-9 codes for first visit to MH providers. RESULTS:Mental health users (N = 516) had an average of 14.2 ± 12.9 SBHC visits and PC users (N = 4026) had an average of 2.6 ± 2.4 SBHC visits annually. Students in the MH group, those with public insurance, and females had a higher incidence rate ratio for SBHC clinic visits than PC group students, those with private insurance, and males respectively. Depression was the most common primary diagnosis for the first MH visit. CONCLUSIONS:Students accessing MH services at SBHC return for follow up visits at higher rates than students only seeing PC providers. SBHCs represent a valuable opportunity to enhance integrated mental health services. Citation: Stempel H, Cox-Martin MG, O'Leary S, Stein R, Allison MA. Students seeking mental health services at school-based health centers: characteristics and utilization patterns.A dolescents experience a large burden of unmet mental health needs. 1-3 Roughly 1 in 5 youth have a diagnosable mental health condition that can cause lifetime impairment, yet 50-80% of youth with mental health conditions do not receive treatment for these diangoses. 2,4-7 Untreated mental health conditions can result in serious consequences, including troubled peer and family relationships, risky health behaviors, poor school performance, school dropout, and suicide.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Students Seeking Mental Health Services at School‐Based Health Centers: Characteristics and Utilization Patterns

Stempel

Cox-Martin

O’Leary

et al. 2019

Journal of School Health

View full text Add to dashboard Cite

show abstract

“…SBHCs were first introduced in late 1960s (Cambridge, MA) and early 1970s (Dallas, TX and St. Paul, MN) to provide affordable and accessible health care for poor children and adolescents . There is significant evidence in the literature to support the continued role of SBHCs in increasing access to health care, improving health outcomes and reducing health disparities (ie, mental health, asthma) and reducing medical costs for the most needy children and adolescents in our nation …”

Section: Planningmentioning

confidence: 99%

Evaluating a Strategy for Implementation and Sustainability of School‐Based Health Centers in 3 Disparate Communities

Johnson

Ellis

Hutcherson³

2020

Journal of School Health

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BACKGROUND School‐based health centers (SBHCs) increase access to health care and improve academic achievement for underserved students. We report on the test of a strategy to take SBHCs to scale by addressing the issues of community need and support and financial sustainability. METHODS Using mixed methods, we collected data on student enrollment, utilization, health outcomes, seat time, patient revenues, surveys and key informant interviews from SBHCs located in 3 geographically and demographically different communities over a 2‐year period. RESULTS The 3 health centers were comparable in their capacity to implement their operations and achieve quality outcomes but varied considerably in their abilities to achieve sustainability after 2 years of operation. All participated in a planning phase and were able to achieve community buy in and support which impacted their implementation. Only one of the SBHCs which had the highest patient utilization was able to generate enough revenue from patient billings to become sustainable after the second year. CONCLUSION Expanding SBHCs requires a period of planning to generate community buy in and support which is required for successful implementation. Sustainability requires sustained high clinic utilization and is enhanced by health centers that are able to receive high Medicaid reimbursements.

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“…; Larson et al . ). Traumatized young people are more likely to come to the attention of police and juvenile justice systems than their non‐traumatized peers (Altintas & Bilici ; Fox et al .…”

Section: Introductionmentioning

confidence: 97%

“…Adverse childhood experiences, such as sexual abuse, disengagement from school, neglect, family breakdown, and psychosocial failings, are a known risk factor for the development of mental health issues and have been linked to the occurrence of mood disorders, substance misuse, posttraumatic stress disorder, and personality disorders (Cutuli et al 2013;Dackis et al 2012;Larson et al 2017). Traumatized young people are more likely to come to the attention of police and juvenile justice systems than their non-traumatized peers (Altintas & Bilici 2018;Fox et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Rewriting stories of trauma through peer‐to‐peer mentoring for and by at‐risk young people

Douglas

Jackson

Woods

et al. 2019

Int J Mental Health Nurs

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Adverse childhood experiences are strongly associated with the development of mental health disorders during the life span. When mental health issues are not effectively dealt with during the adolescent period, young people can become long‐term consumers in the mental health system. A widely accepted method of intervention is the provision of mentoring. More recently, young people have been fulfilling the role of mentor to their peers and mentoring has played a large role in supporting young people who are considered at‐risk of not achieving the expected psychosocial, educational, and/or developmental goals. What is not known is why young people, previously identified as being at‐risk, are motivated to mentor their at‐risk peers. The study aim was to examine what motivates previously recognized at‐risk young people to provide mentoring to their at‐risk peers. Participants were twelve previously recognized at‐risk young people recruited through a formal peer‐to‐peer mentoring programme. Semi‐structured interviews were conducted, and the data analysed through narrative inquiry and reported in accordance with the consolidated criteria for reporting qualitative research guidelines (COREQ). Results indicate that young people are motivated by their own lived experiences of trauma(s) to provide at‐risk peer mentoring. The experience of mentoring afforded opportunities to rewrite individual personal journeys of trauma through mentoring their at‐risk peers, thus constructing a more positive self‐identity. Outcomes of developing positive peer relationships and prosocial behaviours could significantly assist mental health clinicians in providing more acceptable care to clients in an age group known to be reluctant to accept traditional mental health intervention.

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Chronic Childhood Trauma, Mental Health, Academic Achievement, and School‐Based Health Center Mental Health Services

Abstract: BACKGROUND: Children and adolescents exposed to chronic trauma have a greater risk for mental health disorders and

Cited by 85 publications

References 69 publications

Students Seeking Mental Health Services at School‐Based Health Centers: Characteristics and Utilization Patterns

Students Seeking Mental Health Services at School‐Based Health Centers: Characteristics and Utilization Patterns

Evaluating a Strategy for Implementation and Sustainability of School‐Based Health Centers in 3 Disparate Communities

Rewriting stories of trauma through peer‐to‐peer mentoring for and by at‐risk young people

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