Ms. Braun, a new Special Education Director in the Baso Unified School District, is under pressure to curtail district expenditures on special education services. In her quest to understand why special education enrollment has increased, Ms. Braun learns about the challenges students face when accessing physical and mental health services at…

Lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth of color experience high rates of mental health disorders, yet they experience challenges to accessing mental health services. Community health worker (CHW) models of care have potential to promote equitable mental health services among LGBTQ youth. Our aim was to understand how CHW…

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…

Youth with mental illness struggle to receive essential behavioral health care. One obstacle is denial of coverage by insurance. In California, managed care consumers may apply for independent medical review (IMR) which potentially overturns an insurance denial through the California Department of Managed Healthcare (CDMHC). The authors aim to…

Community engagement concepts incorporated into service-learning experiences help students in the health professions to connect classroom work with clinical practice and learn strategies and skills to improve community health. Service learning improves team skills, allows students to gain knowledge about communities where they train, and connects…

Mental health is on the decline. At a community college in Southern California, 55% of students admit to suffering from anxiety, 42% have depression, and 16% have seriously considered or attempted suicide. However, less than a quarter have sought treatment due to the barriers of stigma, mental health literacy, and limited access to resources.…

Objective: Community college students engage in more risky sexual behavior compared to their four-year counterparts, yet have access to fewer reproductive health services. The study's purpose was to examine whether California Community College student health centers' participation in Family PACT, a state publicly-funded family planning program,…

The California Department of Education's Project Cal-Well aims to promote awareness of student mental health and improve access to mental health services for youth, families, and school communities. This brief introduces a series of Project Cal-Well Legacy Briefs that highlight successes achieved by Project Cal-Well partners. WestEd developed the…

Background: Adolescents often lack access to accurate and appropriate sexual health information and services. Providing information about local clinical services during sexual health education classes is one strategy to increase awareness, yet many programs miss this opportunity. This study aims to learn about adolescents' experiences with sexual…

This brief details the significant strides made by the Paradise Unified School District (PUSD) in establishing robust school mental health systems to facilitate healing and recovery. PUSD, which serves the rural communities of Paradise, Magalia, and Stirling City--areas deeply affected by the 2018 Camp Fire--has launched several key initiatives…

Much attention has been focused on the importance of providing physical and mental health services to students in educational environments in recent years. Millions of students receive school-based health services, and for many students, schools are their first and only option to receive health care. State policymakers have a lot to consider in…

This report presents results of a 50-state policy survey conducted by the National Center for Children in Poverty, Georgetown University McCourt School of Public Policy Center for Children and Families, and Johnson Policy Consulting. The survey asked state Medicaid agency leaders about Medicaid policies related to screenings and services designed…

The demand for schools to provide complex health-care services for students with chronic conditions has induced districts to hire licensed vocational nurses (LVNs). Questions remain about how overlapping responsibilities and skills of nursing staff works to facilitate care. The purpose of this mixed-methods descriptive study was to examine the use…

Too few children in California have access to mental health care services. For school-aged children, locating services at school is effective and efficient: school-based health systems meet students where they are, eliminate transportation barriers, and improve both health and education outcomes. Yet few schools in the state are fully equipped to…

In 2017, the National Association of School Psychologists described tele-assessment as the least researched area of telehealth. This became problematic in 2020 when COVID-19 curtailed the administration of face-to-face assessments. Publishers began to offer computer-adapted tele-assessment methods for tests that had only previously been…