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…

This overview highlights Del Norte Unified School District's (DNUSD) approach to enhancing student mental health services via Project Cal-Well. DNUSD is committed to fostering positive school environments and has expanded its Social and Emotional Learning (SEL) Committee to further this goal. The district has launched various mental health…

The negative impact of mental health concerns experienced by college students has prompted faculty teaching in-person to become gatekeepers, assisting students in accessing mental health services. COVID-19 has changed the learning environment and presented a need to explore the role online faculty play as gatekeepers. The purpose of this study was…

Purpose: Undiagnosed mental health disorders such as depression are increasing in prevalence. School staff serve as important gateway providers for students requiring mental health support, and understanding how teachers make decisions about referring students for mental health services in schools is critically important. Additionally, identifying…

Schools are the most common entry point for accessing mental health services for school-age children. Children may access school-based services as part of a multitiered system of supports or other service models, such as school-based health centers. However, limitations associated with school-based services (e.g., lack of time, inability to…

In Wisconsin, schools strive to create learning environments where all students and staff feel healthy, safe, supported, engaged, and challenged. To realize this vision, districts and schools partner with students, families, and the community to build a comprehensive school mental health system (CSMHS). A CSMHS increases health equity by ensuring…

Despite the high prevalence of and documented impairment associated with pediatric anxiety disorders, less than half of youth access mental health services. This study examined (a) the utilization of eight school services and supports (e.g., seen a school counselor for a mental health reason, placement in a special class for a behavior or…

Although the education sector has been referred to as the "de facto" mental health system for children and adolescents, such statements obscure the tremendous heterogeneity of school-based mental health (SMH) initiatives. This study asked how different school contexts and SMH provider types may influence different aspects of SMH service…

Introduction: People with intellectual disability (ID) experience barriers in accessing mental health care. Recommendations have been made to implement specialist intellectual disability mental health (IDMH) services in Australia. However, there is limited evidence to inform service development. Method: Family members and support persons of people…

Despite the high prevalence of and documented impairment associated with pediatric anxiety disorders, less than half of youth access mental health services. This study examined: (1) the utilization of eight school services and supports (e.g., seen a school counselor for a mental health reason, placement in a special class for a behavior or…

Although it is known some youth access mental health services more readily than others, most service use studies used variable-centric approaches that produced heterogeneous groups and results that require parents and educators to understand diagnostic categories. Person-centered approaches group youth with similar patterns of behavioral and…

Baltimore City Public Schools' school-based mental health program sought to reduce barriers to treatment for students by providing on-site mental health care. This study examines differences in treatment attendance, dropout, and pharmacologic referral among students enrolled in the Johns Hopkins affiliated program. Enrolled student records for…

This paper describes a school-based mental health model for identifying, intervening, and referring students who are at risk for, or are exhibiting, mental health problems. This paper describes the County Schools Mental Health Coalition as a model for improving mental health outcomes for youth. The County Schools Mental Health Coalition, referred…

This study compares referrals for mental health services among high school students randomized to two means of referral to mental health services: referral via systematic identification through a brief mental health screening procedure (n = 365) or referral via the usual process of identification by school personnel, parents, or students…

It has been estimated that people with ID experience the same and possibly higher levels of depression than the general population. Referral to a General Medical Practitioner (GP) for primary care is recommended practice for people with depression and cognitive behavioural (CB) therapy is now an accepted evidence based intervention. A growing body…