School mental health (SMH) services are widespread but are often not well integrated into school settings, based on evidence for effectiveness, or efficiently delivered. This paper presents results of a pilot study of a brief (4 session) assessment, engagement, triage, and initial intervention strategy for SMH clinicians working in high schools.…

Background: Integrated healthcare delivered by work groups in nontraditional service settings is increasingly common, yet contemporary implementation frameworks typically assume a single organization--or organizational unit--within which system-level processes influence service quality and implementation success. Recent implementation frameworks…

Despite promising evidence that school-based health centers (SBHCs) and school mental health (SMH) services can reduce disparities in access to mental health care for underserved populations, little is known about what predicts retention of youth in SMH services. This study aimed to identify individual- and school-level factors associated with…

To maximize impact across the broad spectrum of mental health needs exhibited by youth in school settings, interventions must be designed to be effective and efficient and demonstrate good fit with the educational context. The current paper reports on the second phase of an iterative development process for a short-term ''Tier 2'' intervention for…

This article describes the training and consultation procedures implemented to adapt and pilot modular psychotherapy for use by therapists treating youth with depression and anxiety in school-based health centers (SBHCs). Module selection and adaptation decisions were data driven and intended to increase compatibility with the school context.…