Project Cal-Well is a cross-agency mental health initiative led by the California Department of Education focused on building capacity for sustainable school-based mental health systems in local educational agencies (LEAs) throughout California. As part of a series highlighting the work of Project Cal-Well partners in Cohort 2 (2019-2024), this…

Background: Adolescents' school engagement, mental health, and substance use have been major concerns during the COVID-19 pandemic, particularly given disruptions to school instruction. We examined how the instructional setting was associated with academic and health-related outcomes within an adolescent cohort followed during the pandemic.…

In 2014, The Atlantic Philanthropies awarded two grants totaling $21 million to agencies charged with working together to support and expand health career pathways for high school students in Oakland. Oakland Unified School District (OUSD) and the Alameda County Health Care Services Agency (ACHCSA) received a grant of $11 million, and the Alameda…

Background: Improvements in health behaviors and academic outcomes have been associated with school-based health centers (SBHCs). However, underlying mechanisms for these associations have been largely unexamined, particularly among lower-income youth. The current study examines the relationship between SBHCs and school connectedness and whether…

The social emotional and mental health of students play a vital role in the academic, behavioral, and social emotional learning of students in school. The Multi-Tiered Systems of Support (MTSS) framework is recognized to be an effective mental health framework. The current study provided a summative evaluation of the status of mental health…

Approximately one out of every three or four youths worldwide will meet the criteria for a formal mental health disorder in their lifetime (Costello, Mustillo, Keller, & Angold, 2004). Considering that approximately half of all mental disorders have onset by 14 years of age (World Health Organization, 2014), it is important to be mindful of…

This study examines the association between school-based health center (SBHC) presence and school-wide measures of academic achievement and college preparation efforts. Publicly available educational and demographic data from 810 California public high schools were linked to a list of schools with an SBHC. Propensity score matching, a method to…

Nearly half of 5- to 17-year-olds have experienced trauma in the form of at-school victimization. Exposure to trauma increases students' risk for mental health disorders and school failure. This study reviews at-school victimization in middle and high school students and associated health outcomes that may negatively impact academic outcomes.…

According to national indicators of adolescent health and well-being, the most significant health issues young people face are related to mental health. In San Mateo County, a recent report on adolescent health frames the prevalence of mental health needs among public school students as "staggering." Both locally and nationally, schools…

Schools function as the major provider of mental health services (MHS) for youth, but can struggle with engaging them in services. School nurses are well-positioned to facilitate referrals for MHS. This pilot study examined the feasibility, acceptability, and preliminary efficacy of an engagement protocol (EP) designed to enhance school nurses'…

According to national indicators of adolescent health and well-being, mental health is one of the most significant health issues young people face. Since mental health is linked to other aspects of health and well-being, undiagnosed and untreated mental health conditions can negatively impact a young person's social-emotional health, academic…

Numerous classroom-based interventions have aimed to improve sexual health outcomes for young people, yet few have shown strong, lasting effects. Ecological approaches that address multiple levels of a young person's environment offer largely untapped potential to positively change sexual behaviour. This paper presents results of a…

Background: Bullying and victimization are ongoing concerns in schools. School health centers (SHCs) are well situated to support affected students because they provide crisis intervention, mental health care, and broader interventions to improve school climate. This study examined the association between urban adolescents' experiences of…

Despite innovations in the screening and early identification of students who may benefit from school mental health services, many schools struggle to link screening to intervention decisions, particularly at the Tier 2 level. Universal complete mental health screening, which measures strengths along with risk factors, is a strength-based approach…

This study advances an experiential learning framework for educators to: (1) identify workforce-building strategies from key healthcare industry informants, (2) strengthen school-industry partnerships, and (3) shape urban high school students' career readiness experiences through curriculum and real life on-the-job training opportunities. Data was…