School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

Tegethoff, Marion; Stalujanis, Esther; Belardi, Angelo; Meinlschmidt, Gunther

doi:10.1201/b18222-9

Cited by 7 publications

(12 citation statements)

References 59 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Youth are 21 times more likely to visit a school‐based health clinic for their mental health care than they are a community‐based clinic, and students are more likely to seek out help if such supports are available at school (Juszczak, Melinkovich, & Kaplan, ). Additionally, mental and behavioral health services provided at school are significantly related to utilization of services within the community, suggesting that schools offer an important point of access for facilitating a connection with critical services (Tegethoff, Stalujanis, Belardi, & Meinlschmidt, ).…”

Section: Providing Mental Health Services At Schoolmentioning

confidence: 99%

School Psychologists as Mental Health Providers: The Impact of Staffing Ratios and Medicaid on Service Provisions

Eklund

Meyer

Way

et al. 2017

Psychology in the Schools

View full text Add to dashboard Cite

As one out of five children in the United States demonstrate some type of mental or behavioral health concern warranting additional intervention, federal policies have emphasized the need for school‐based mental health (SBMH) services and an expansion of Medicaid reimbursement for eligible children and families. Most youth access mental health services at school; therefore, it is important to evaluate how staffing ratios, credentialing, and state Medicaid policies may influence school psychologists’ involvement in the delivery of SBMH services. A survey of 192 school psychologists found that as practitioner to student ratios increased, the availability and provision of SBMH services decreased. As state Medicaid policies have been found to influence the provision of mental health services at school, current study results demonstrate an association between state level Medicaid policies and the number of school psychologists qualified to bill for Medicaid‐reimbursable services. Implications for service delivery and policy development are discussed.

show abstract

Section: Providing Mental Health Services At Schoolmentioning

confidence: 99%

School Psychologists as Mental Health Providers: The Impact of Staffing Ratios and Medicaid on Service Provisions

Eklund

Meyer

Way

et al. 2017

Psychology in the Schools

View full text Add to dashboard Cite

show abstract

“…Universal screening in general medical and pediatric settings and in schools may help to detect unmet mental health service needs in children and adolescents who are not primarily considered at high‐risk for the development of mental disorders due to a history free of parental psychopathology . Schools ought to take advantage of their crucial importance as entrance gate and point of referral to subsequent mental health service sectors, and should, for instance, educate adolescents about positive aspects of help‐seeking for mental health problems, especially because school service use seems to have the advantage of being unbiased by parental psychopathology.…”

Section: Discussionmentioning

confidence: 99%

“…Participants were asked whether the adolescents had ever made use of any services from professionals or institutions for problems with emotions, behavior, or substance use. Service use was classified into the following sectors according to previous studies: (a) mental health specialty sector, including community mental health centers, mental health professionals, partial hospitalization or day treatment programs, drug or alcohol clinics, hospitals, and residential treatment centers, (b) medical specialty sector, including emergency rooms, pediatricians, and family doctors, (c) school service sector, including special classrooms or schools for children with emotional or behavioral problems, individual or group psychological counseling or therapy, and (d) other service sectors, including telephone hotlines, self‐help groups, counselors or family preservation workers, probation or juvenile corrections officers or court counselors, respite care providers, spiritual advisors, group homes, foster homes, detention centers/prisons, and emergency shelters. We considered service use within a specific sector as present if either mother or adolescent reported service use within this sector.…”

Section: Methodsmentioning

confidence: 99%

Maternal psychopathology and mental health treatment delay in adolescents from a national cohort

Stalujanis

Meinlschmidt

Belardi

et al. 2018

Health Services Research

Self Cite

View full text Add to dashboard Cite

Objective To investigate whether maternal psychopathology predicts mental health service use and treatment delay in offspring with mental disorders. Data Sources Weighted data collected between 2001 and 2004 from NCS‐A participants (age: 13‐18 years; N = 2939) meeting DSM‐IV criteria for any lifetime mental disorder, assessed with WHO CIDI, and from their biological mothers. Study Design National representative cohort. Data Collection Maternal psychopathology was assessed with self‐report, adolescent mental health service use with the Service Assessment for Children and Adolescents. Principal Findings Maternal psychopathology predicted offspring mental health service use across various service sectors, except for school services. In the mental health specialty sector, estimates were highest for maternal affective (hazard ratio (HR) = 2.17, 95 percent confidence interval (CI) = 1.66‐2.82) and any mental disorder (HR = 2.13, 95 percent CI = 1.53‐2.97). For offspring use of any mental health services, estimates were highest for maternal behavior (HR = 1.60, 95 percent CI = 1.15‐2.21) and substance use disorders (HR = 1.57, 95 percent CI = 1.09‐2.24). Treatment delay of offspring mental health service use was predicted by maternal behavior disorders. Conclusions Maternal psychopathology fostered mental health service use in offspring with mental disorders, while maternal behavior disorders might also retard treatment. Considering parental psychopathology may help improving the prevention of unmet offspring service needs.

show abstract

“…The provision of child and adolescent mental health (CAMH) interventions in schools has gradually taken centre stage in the global discourse [1][2][3][4]. Available literature highlights that schools play a major role in the provision of, and improving, access to mental health interventions to children and adolescents [2,[5][6][7][8][9][10][11][12][13]. Evidence from high-income countries (HICs) indicates that several programs have been developed and implemented to meet the mental health needs of children and adolescents [14][15][16][17][18][19][20].…”

Section: Introductionmentioning

confidence: 99%

The modules of mental health programs implemented in schools in low- and middle-income countries: findings from a systematic literature review

et al. 2020

View full text Add to dashboard Cite

Background Secondary schools in low- and middle-income countries (LMICs) provide health promotion, preventive, and early intervention services. Nevertheless, literature indicates that the modules of these services are either adapted or modified from existing mental health programs in developed countries. The literature also highlights the provision of non-comprehensive services (mental health promotion, prevention, and early intervention), in LMICs. These findings inform the need for undertaking this systematic literature review. The aim of this review was thus to identify the modules of school-based mental health programs (SBMHP) that have been implemented in LMICs to guide the development of a culturally sensitive comprehensive mental health program for adolescents in a LMIC country. Methods The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was used to guide this review. The following databases were searched in September 2018, to identify the relevant literature: PubMed, CINAHL, Scopus, Web of Science, PsycINFO, and ERIC. The search was conducted by the first author and reviewed by the authors. Results Following the screening process, a total of 11 papers were identified and reviewed for quality. The systematic review highlighted that the mental health programs provided in schools included: an introduction module, a communication and relationship module, a psychoeducation module, a cognitive skills module, a behavioral skills module, establishing social networks for recovery and help seeking behavioral activities and a summary/conclusion module. Conclusion This review sheds light on the characteristics of the programs in LMICs. Two programs were found to be universal in nature. Five programs were directed at key risk factors or at-risk groups, and four were early intervention programs. The review also revealed that only one program out of the 11 programs included modules for parents. The synthesis indicated that all the identified programs were adapted or modified from existing programs. The dearth of comprehensive programs in LMICs was also revealed. Lastly, the review revealed seven modules that can be useful for developing a SBMHP.

show abstract

School Mental Health Services: Signpost for Out-of-School Service Utilization in Adolescents with Mental Disorders? A Nationally Representative United States Cohort

Cited by 7 publications

References 59 publications

School Psychologists as Mental Health Providers: The Impact of Staffing Ratios and Medicaid on Service Provisions

School Psychologists as Mental Health Providers: The Impact of Staffing Ratios and Medicaid on Service Provisions

Maternal psychopathology and mental health treatment delay in adolescents from a national cohort

The modules of mental health programs implemented in schools in low- and middle-income countries: findings from a systematic literature review

Contact Info

Product

Resources

About