Background: Access to university mental health services is poorly characterized. Our objectives were to (1) assess patterns of access and (2) explore predictability of contact with student mental health services. Participants: Data derived from the U-Flourish study, which includes a survey of successive cohorts of incoming undergraduate students…

Background: Primary care providers are qualified to treat, diagnose, and manage common mental health issues like anxiety and depression. Anxiety and depression are common among college age students, with the average age of onset occurring in one's late teens to early 20s. Screening tools are commonly used to recognize patients who may be at risk…

School nurses have reported stress and worry caring for young people experiencing mental health problems, but why this occurs and how they respond has not been well-explored. In this study researchers generated a substantive theory of the experiences of secondary school nurses who encountered young people with mental health problems using the…

Implementing targeted (Tier 2) interventions for youth at risk of developing behavioral health concerns is critical for a comprehensive approach to school mental health. Given challenges in school-based implementation of targeted interventions, identifying factors associated with their implementation may contribute to a better understanding of…

A gap analysis was used to examine the scope of school nursing practice in the United States. An investigator-developed 39-item self-assessment survey of scope of school nursing practice was modified from an existing validated tool, organized around the five principles of the National Association of School Nurses' Framework: Standards of Practice,…

Discrete Event Simulation (DES) is a novel system modeling technique that allows for the evaluation of the potential costs and personnel needed for mental health services in school. A case study is presented to illustrate how DES could be used by a school's decision makers to help plan for implementation of an integrated mental health service…

Access to emergency medications is a growing concern, particularly regarding the availability, safety, and use of these medications in schools. The purpose of this article is to report results not previously published from a national survey, specifically regarding the emergency use of epinephrine, albuterol inhalers, and glucagon. A…

Despite high incidence rates of adolescent mental health difficulties, only a small minority of young people access support. To explore this gap, this systematic literature review (SLR) synthesises existing research exploring barriers and facilitators to help-seeking. The authors identified 12 eligible studies that were critically appraised: seven…

School-based mental health programs are a powerful mechanism for increasing access to mental health care for the estimated 50% of children who do not receive needed interventions. However, services provided in schools rarely follow evidence-based practice (EBP). Identifying determinants of provider attitudes would illuminate strategies for…

Objective: Collegiate-athletes are vulnerable to mental health disorders, such as anxiety and depression, yet very little is known about what variables might predict the use of on-campus mental health services among them. The purpose of this study was to investigate the utility of Andersen's Behavioral Model (ABM) in predicting the use of…

It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) initiates and develops an Individualized Healthcare Plan (IHP) for students whose healthcare needs require more complex school nursing services. An IHP is a plan of care written by the…

Schools have become increasingly interested in social-emotional learning (SEL) over the past decade, and that interest has grown due to concern about student well-being resulting from the COVID-19 pandemic. However, there is confusion around SEL. Christi Bergin, Christina Cipriano, Tia Barnes, Shannon B. Wanless, researchers who have studied and…

Mental health concerns are on the rise among youth, contributing to a growing need for school-based mental health services. However, challenges to service provision arise due, in part, to workforce shortages, service fragmentation, and inefficient allocation of staff time. The current study describes the professional competencies and time…

What role should telemedicine services play in a higher education landscape that increasingly embraces online education? How prominently should telemedicine feature in the suite of wraparound services that schools prioritize for vulnerable students? While many studies interrogate single-factor health issues and college success, this essay argues…

This study examined principal perspectives on barriers and strengths or assets associated with the delivery of school mental health services in their school and considered whether the common determinants that principals identify vary by geographic locales (i.e., city, suburban, town, and rural). Participants were 638 principals from across the…