The State School Mental Health Profile: Findings from 25 States

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Journal of School Health Pub Date : 2024-02-06 DOI:10.1111/josh.13442

Shawn Orenstein MPH, Jordy Yarnell PhD, Elizabeth Connors PhD, Jill Bohnenkamp PhD, Sharon Hoover PhD, Nancy Lever PhD

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Abstract

BACKGROUND

State-level leadership and conditions are instrumental to local and regional comprehensive school mental health system (CSMHS) quality, sustainability, and growth. However, systematic documentation of state-level school mental health (SMH) policy, infrastructure, funding, and practice is limited.

METHODS

Using a multi-phase, multi-method process, we developed the State School Mental Health Profile (State Profile) to offer a comprehensive landscape of state SMH efforts. State leaders in 25 states completed the State Profile once over a 3-year data collection period. Mixed methods results are reported in 8 domains.

RESULTS

State education agencies were reportedly most involved in SMH technical assistance, advocacy, leadership, funding, and service provision, with mental health agencies reported as second most involved. Nearly half of state respondents reported having a state-level SMH director or coordinator. Policies with the greatest perceived impact require implementation of and funding for SMH services and supports. Despite leveraging multiple sources of funding, most states emphasized lack of funding as a primary barrier to establishing CSMHSs. All states reported staffing shortages.

CONCLUSION

The State Profile can assist multi-agency state leadership teams to self-assess policy, infrastructure, and resources to support CSMHSs statewide. Findings point to areas of opportunity to advance equity across resource allocation, service provision, and policy development.

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州立学校心理健康概况：来自 25 个州的研究结果。

背景：州一级的领导力和条件对于地方和区域性的学校心理健康综合系统（CSMHS）的质量、可持续性和发展至关重要。然而，对州级学校心理健康（SMH）政策、基础设施、资金和实践的系统性记录却很有限：方法：我们采用多阶段、多方法的程序，编制了州学校心理健康概况（州概况），以提供各州学校心理健康工作的全面情况。25 个州的州领导在 3 年的数据收集期内完成了一次州概况调查。报告了 8 个领域的混合方法结果：据报告，州教育机构在 SMH 技术援助、宣传、领导、资金和服务提供方面的参与度最高，精神卫生机构的参与度次之。近一半的州受访者报告说，他们有州一级的心理健康中心主任或协调员。认为影响最大的政策要求实施 SMH 服务和支持并为其提供资金。尽管利用了多种资金来源，但大多数州强调缺乏资金是建立 CSMHS 的主要障碍。所有州都报告了人员短缺的情况：州概况可以帮助多机构州领导团队自我评估政策、基础设施和资源，以支持全州的 CSMHS。调查结果指出了在资源分配、服务提供和政策制定方面促进公平的机会领域。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.