The Massachusetts Multi-City Young Children's System of Care Project was a federally funded program to provide integrated early childhood mental health (ECMH) services in primary care for families of very young children (birth-six years old) with Serious Emotional Disturbances across three cities in Massachusetts, U.S.A. This study describes…

Adverse childhood experiences (ACEs) are potentially traumatic events occurring in the household or community that hold painful or distressing outcomes for children immediately and in their future (Centers for Disease Control and Prevention, 2019). School counselors work with children and young adolescents suffering from negative mental health…

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…

We describe challenges to measuring the type and quantity of mental health programs, practices, and resources that schools provide to students, as well as variation in these resources. We conducted interviews and surveys with school and district staff representing 55 middle and high schools in MetroWest Massachusetts with the goal of collecting…

Almost two-thirds (64%) of students who are considering dropping out of college cited emotional stress or personal mental health challenges as the reason--more than twice the percentage of those who cite the cost of attendance. The mental health crisis disproportionately impacts students of color, and there is also a critical lack of diversity in…

The number of students experiencing homelessness in Massachusetts has grown substantially over the last few years. More than 31,000 Massachusetts students experienced homelessness during the 2023-2024 school year, a 20 percent increase from the previous year. We know homelessness puts an immense strain on child development and that experiencing…

Newly arrived immigrant and refugee children are faced with significant physical and mental health issues and often rely on school nurses for care and connection to healthcare. The purpose of this qualitative phenomenological study was to explore urban public school nurses' experiences caring for newly arrived children. Data were collected through…

In this study, the Rennie Center for Education Research & Policy sought to uncover the ways in which Massachusetts schools and districts support students' behavioral health needs. This study was guided by the following research questions: (1) What are districts doing to integrate social, emotional and behavioral health supports? (2) What are…

In the United States, health insurance coverage for autism spectrum disorder treatments has been historically limited. In response, as of 2015, 40 states and Washington, DC, have passed state autism insurance mandates requiring many health plans in the private insurance market to cover autism diagnostic and treatment services. This study examined…