Multilevel service delivery frameworks are approaches to structuring and organizing a spectrum of evidence-based services and supports, focused on assessment, prevention, and intervention designed for the local context. Exemplar frameworks in child mental health include positive behavioral interventions and supports in education, collaborative…

At present, treatment fidelity measures are reported mostly in research. Little is known about the measurement of fidelity in practical application. This project surveyed those providing behavioral services to determine familiarity and attitudes toward using treatment fidelity measures in clinical application. Respondents were familiar with and…

Background: Pediatric mental health issues are increasing while access to care is decreasing. This is reflected in a growing number of patients seeking emergency psychiatric evaluations (EPEs) in the emergency department (ED). Methods: This was a retrospective review of patients seeking EPE in the ED of a children's hospital between September and…

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…

Children in the United States are facing unprecedented mental health challenges. In October 2021, First Focus on Children joined other leading children's health organizations to declare a national state of emergency regarding child mental health in the Sound the Alarm campaign, and in December 2021, the U.S. Surgeon General issued an advisory…

In May 2023, the Centers for Medicare and Medicaid Services (CMS) released new guidance on school Medicaid that is a clear victory for school health and student health. It affirms that states have flexibility in their school-based Medicaid program to allow school districts to bill Medicaid for health services delivered to all Medicaid-enrolled…

The debate about mental illness and the importance of good mental health especially in the classroom has surged. Promoting child mental health is a global priority, and educators have an important role to play in mitigating this public health crisis. Early identification, accurate diagnosis, and effective treatment of mental health disorders can…

Background: Medicaid is a key policy lever for expanding access to mental health services and supports for children in schools, especially low-income and minority children. This study examines how Medicaid finances mental health promotion and prevention (tier 1), screening and selected interventions (tier 2), and treatment (tier 3) in schools,…

The demand for mental health treatment on university campuses continues to increase. This report will outline sources of increased demand and how traditional campus-based models have managed it. It will then describe the University of Southern California's work mobilizing resources to develop a unique model for insurance based long-term care…

Implementation science has grown considerably in school mental health over the past decade, driven by the persistent gaps between knowledge about "what works" to promote student well-being and what is typically delivered in schools. In 2014, Owens and colleagues outlined an implementation research agenda for the field of school mental…

Background: Adolescents often experience discomfort due to individual experiences and the influence of their environment. This discomfort sometimes leads to mental health problems. Education is pivotal in promoting adolescents' mental health through dedicated prevention interventions and through everyday educational practice, both at school and in…

School-based mental health programs (SBMHP) are vital to providing youth access to mental health services. This study aims to characterize changes in therapy encounters and psychotropic medication prescriptions in an urban SBMHP during the COVID-19 pandemic. We used electronic medical records to extract demographic, clinical, and utilization data…

Objective: To describe the use of psychiatric medication and related health service utilization among college students receiving care on- and off-campus. Participants and methods: 3959 students from a large southern university participated in the Healthy Minds Study in May 2018. Results: Of students surveyed, 17.6% took psychiatric medication in…

Eating disorders have substantially risen in school-aged youth, especially in a post-pandemic world. Impacting children and adolescents across races, ethnicities, genders, and sexual orientations, prevalence rates suggest that eating disorders do not discriminate. Interestingly, despite the rising prevalence rates and increase of eating disorders,…

Schools are important arenas for mental health promotion initiatives. School nurses have the opportunity and ability to support and promote students' mental health, but their role and practices have been perceived as somewhat unclear. Therefore, the aim of this study was to explore school nurses' mental health promotion practices. A total of 12…