Mental Health Services in North Carolina's Public Schools

Schultz, Brandon K.; Al-Hammori, Deanna; Mirabelli, Karlie; Gaither, Lauren

doi:10.18043/ncm.81.2.111

North Carolina Medical Journal

2020

DOI: 10.18043/ncm.81.2.111

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Mental Health Services in North Carolina's Public Schools

Brandon K. Schultz

Deanna Al-Hammori

Karlie Mirabelli

et al.

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“…The next invited commentary, "Mental Health Services in North Carolina's Public Schools," by Brandon Schultz, associate professor of psychology at East Carolina University, and colleagues, offers readers a glimpse of some of the most concerning problems facing today's youth, including increased suicide rates and the limited availability of effective treatment services [15]. Schultz and colleagues then provide an excellent summary of how existing infrastructures in North Carolina schools provide the necessary framework to help sustain and grow efforts to improve youth mental health.…”

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“…Schultz and colleagues then provide an excellent summary of how existing infrastructures in North Carolina schools provide the necessary framework to help sustain and grow efforts to improve youth mental health. Ultimately, Schultz and colleagues conclude that the most sensible path forward when scaling up youth mental programming in K-12 schools is to braid innovative approaches with existing systems to secure ongoing funding and to maximize the sustainability of vital SMH services for North Carolina youth [15].…”

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Youth Mental Health in North Carolina

Michael

2020

North Carolina Medical Journal

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In this issue of the North Carolina Medical Journal, youth mental health is the focus. The second half of the title of this issue brief, "creative innovations in challenging times," was designed to convey a sense of optimism and urgency for the readers. The optimism centers on the joys of birth, the wonderments of childhood and adolescence, and the discoveries and connections between families and cultures among and within North Carolina communities. The sense of urgency pertains to the current epidemiologic realities for youth between the ages of 10 and 21 and the growing economic and health care disparities impacting the vast majority of North Carolinians. The author lineup for the issue is nothing short of exceptional and includes contributions from experts in epidemiology, suicide prevention, policy and law, school mental health, telemedicine, the impact of technology and social media on youth, innovations in the dissemination of psychological science to the public, attention-deficit hyperactivity disorders, diagnostic disparities, substance misuse and abuse, K-12 education, and systems of care for families. Serving as guest editor of this issue on youth mental health for the North Carolina Medical Journal has greatly expanded the breadth and depth of my understanding of the aforementioned issues relevant for today's youth. I hope that this issue is as informative to your work, regardless of your role in serving and advocating for young people in the great state of North Carolina.

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confidence: 99%

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confidence: 99%

Youth Mental Health in North Carolina

Michael

2020

North Carolina Medical Journal

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Core Components and Implementation Determinants of Multilevel Service Delivery Frameworks Across Child Mental Health Service Settings

Moore,

Cooper,

Malloy

et al. 2023

Adm Policy Ment Health

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Multilevel service delivery frameworks are approaches to structuring and organizing a spectrum of evidence-based services and supports, focused on assessment, prevention, and intervention designed for the local context. Exemplar frameworks in child mental health include positive behavioral interventions and supports in education, collaborative care in primary care, and systems of care in community mental health settings. Yet, their high-quality implementation has lagged. This work proposes a conceptual foundation for multilevel service delivery frameworks spanning diverse mental health service settings that can inform development of strategic implementation supports. We draw upon the existing literature for three exemplar multilevel service delivery frameworks in different child mental health service settings to (1) identify core components common to each framework, and (2) to highlight prominent implementation determinants that interface with each core component. Six interrelated components of multilevel service delivery frameworks were identified, including, (1) a systems-level approach, (2) data-driven problem solving and decision-making, (3) multiple levels of service intensity using evidence-based practices, (4) cross-linking service sectors, (5) multiple providers working together, including in teams, and (6) built-in implementation strategies that facilitate delivery of the overall model. Implementation determinants that interface with core components were identified at each contextual level. The conceptual foundation provided in this paper has the potential to facilitate cross-sector knowledge sharing, promote generalization across service settings, and provide direction for researchers, system leaders, and implementation intermediaries/practitioners working to strategically support the high-quality implementation of these frameworks.

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Mental Health Services in North Carolina's Public Schools

Cited by 2 publications

References 6 publications

Youth Mental Health in North Carolina

Youth Mental Health in North Carolina

Core Components and Implementation Determinants of Multilevel Service Delivery Frameworks Across Child Mental Health Service Settings

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