Schools' mental health services and young children's emotions, behavior, and learning

Reback, Randall

doi:10.1002/pam.20528

Cited by 56 publications

(51 citation statements)

References 42 publications

(26 reference statements)

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“…Reback (2010a) examines the impact of student-to-staff ratios by cleverly exploiting discontinuities in Alabama's financing system and finds that counselors reduce disciplinary incidents. Reback (2010b) shows descriptive evidence that states with more aggressive elementary counseling policies make greater test score gains and have fewer student behavioral problems than otherwise-comparable states. Finally, in a study perhaps most similar to this one, Carrell and Carrell (2006) use within-school variation in counselors and find that lower studentto-counselor ratios reduce disciplinary recidivism.…”

Section: Introductionmentioning

confidence: 99%

Are school counselors an effective education input?

Carrell

Hoekstra

2014

Economics Letters

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h i g h l i g h t s• This paper examines the impact of school counselors on academic achievement.• Results suggest that counselors significantly improve boys' academic achievement.• The increases are equivalent to increasing teacher quality by 0.3 sd.• The effects are large compared relative to hiring teachers to reduce class size. a r t i c l e i n f o b s t r a c tWe exploit within-school variation in counselors and find that one additional counselor reduces student misbehavior and increases boys' academic achievement by over one percentile point. These effects compare favorably with those of increased teacher quality and smaller class sizes.

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Section: Introductionmentioning

confidence: 99%

Are school counselors an effective education input?

Carrell

Hoekstra

2014

Economics Letters

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“…Behavioral and mental health problems frequently occur after TBI in children and lead to significant morbidity across multiple settings, including the home, school, and community [2]. Management of non-cognitive problems, including behavioral and emotional problems, is critical to the success of children in school and the community [3]. Mental health problems after TBI in children span a large spectrum of psychiatric diagnoses and pre-injury psychological problems place children at elevated risk for developing post-injury disorders [4-6].…”

Section: Introductionmentioning

confidence: 99%

Behavioral Predictors of Outpatient Mental Health Service Utilization Within 6 Months After Traumatic Brain Injury in Adolescents

Kurowski

Wade

Kirkwood

et al. 2013

PM&R

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Objective To characterize utilization of mental health services and determine the ability of a behavior problem and clinical functioning assessment to predict utilization of such services within the first 6 months after moderate and severe traumatic brain injury (TBI) in a large cohort of adolescents. Design Multicenter cross-sectional study. Setting Outpatient setting of four tertiary pediatric hospitals, two tertiary general medical centers, and one specialized children's hospital. Participants Adolescents age 12-17 years (N=132), 1 to 6 months after moderate to severe TBI. Methods Logistic regression was used to determine the association of mental health service utilization with clinical functioning as assessed by the Child and Adolescent Functional Assessment Scale (CAFAS) and behavior problems assessed by the Child Behavioral Checklist (CBCL). Main Outcome Measure Mental health service utilization measured by the Service Assessment for Children and Adolescents (SACA). Results Behavioral or functional impairment occurred in 37 to 56%. Of the total study population, 24.2% reported receiving outpatient mental health services, 8.3% reported receiving school services, and 28.8% reported receiving any type of mental health service. Use of any (school or outpatient) mental health service was associated with borderline to impaired total CAFAS (OR [CI] = 3.50 [1.46, 8.40], p < 0.01) and CBCL total competence (OR [CI] = 5.08 (2.02, 12.76), p < 0.01). Conclusions A large proportion of participants had unmet mental health needs. Both the CAFAS and CBCL identified individuals who would likely benefit from mental health services in outpatient or school settings. Future research should focus on methods to ensure early identification by health care providers of adolescents with TBI in need of mental health services.

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“…59 The research design took advantage of the fact that different states adopted minimum student-counselor ratios and/or subsidies for schools to hire more counselors at different times. The study consistently found that additional counselors were associated with decreases in the likelihood that teachers would report that a series of seven out of eight behavioral issues presented at least a minor problem.…”

Section: Supply-side Policiesmentioning

confidence: 99%

Child Health and Access to Medical Care

Leininger¹,

Levy²

2015

The Future of Children

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It might seem strange to ask whether increasing access to medical care can improve children’s health. Yet Lindsey Leininger and Helen Levy begin by pointing out that access to care plays a smaller role than we might think, and that many other factors, such as those discussed elsewhere in this issue, strongly influence children’s health. Nonetheless, they find that, on the whole, policies to improve access indeed improve children’s health, with the caveat that context plays a big role—medical care “matters more at some times, or for some children, than others.” Focusing on studies that can plausibly show a causal effect between policies to increase access and better health for children, and starting from an economic framework, they consider both the demand for and the supply of health care. On the demand side, they examine what happens when the government expands public insurance programs (such as Medicaid), or when parents are offered financial incentives to take their children to preventive appointments. On the supply side, they look at what happens when public insurance programs increase the payments that they offer to health-care providers, or when health-care providers are placed directly in schools where children spend their days. They also examine how the Affordable Care Act is likely to affect children’s access to medical care. Leininger and Levy reach three main conclusions. First, despite tremendous progress in recent decades, not all children have insurance coverage, and immigrant children are especially vulnerable. Second, insurance coverage alone doesn’t guarantee access to care, and insured children may still face barriers to getting the care they need. Finally, as this issue of Future of Children demonstrates, access to care is only one of the factors that policy makers should consider as they seek to make the nation’s children healthier.

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Schools' mental health services and young children's emotions, behavior, and learning

Cited by 56 publications

References 42 publications

Are school counselors an effective education input?

Are school counselors an effective education input?

Behavioral Predictors of Outpatient Mental Health Service Utilization Within 6 Months After Traumatic Brain Injury in Adolescents

Child Health and Access to Medical Care

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