The paradigm shift in healthcare from "sick care" to a disease prevention model is driven by the need to address health inequities. The new paradigm requires a change from the current "distant yet concerned" attitude to patient-relationship-centered approaches. Two questions drive this study: (a) How we can prepare physicians…

It has been estimated that 9 to 13% of children and adolescents have a mental disorder that causes significant functioning impairment and that only one fifth of those who need mental health services actually receive them. The majority of children and adolescents are enrolled in schools, where they spend a considerable amount of time, and this is…

Objective: The author identifies and seeks to remove barriers contributing to physician/medical students' decisions NOT to seek mental health care. Methods: Following a cluster of medical student and physician suicides in one medical community, medical trainees anonymously shared their views regarding seeking mental health treatment in light of…

This authoritative volume provides state-of-the-art practices for supporting the approximately 20% of today's K-12 students who have emotional and behavioral disorders (EBD) that hinder school success. Leading experts present evidence-based approaches to screening, progress monitoring, intervention, and instruction within a multi-tiered framework.…

Following the mass shootings at Virginia Tech and Northern Illinois University, the author has repeatedly been asked, as a former director of the Student Counseling and Resource Service at the University of Chicago and clinical associate professor of psychiatry, two questions: "Could this have been prevented?" and "How can we ensure that it…

This practice parameter reviews the topic of psychiatric consultation to schools. The review covers the history of school consultation and current consultative models; the process of developing a consultative relationship; school administrative procedures, personnel, and milieu; legal protections for students with mental disabilities; and issues…

Women have a higher prevalence of depressive disorders compared to men. The current system of care for women with depressive disorders provides significant financial barriers for patients with lower incomes to access mental health services. Primary care systems are used extensively by women and have the potential to diagnose patients at early…