ArticlePsychiatric services (Washington, D.C.)2024
Disparities in the Implementation of School-Based Mental Health Supports Among K-12 Public Schools.
Article in Psychiatric services (Washington, D.C.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Body Shaming and Women's Mental Health: Public Health Challenge for Gender Equity-A Perspective Article.Health science reports · 2026Article
- School-level data on COVID-19 cases, quarantines, and student absenteeism during the COVID-19 pandemic: understanding missingness.American journal of epidemiology · 2025Article
- The Perniciousness and Promise of School-Based Mental Health Service Delivery for Youth.Research on child and adolescent psychopathology · 2025Review
- Family-centered mental health care for left-behind children in Chinese ethnic minority concentrated areas: a psychiatric nursing framework for rural education settings.Frontiers in public health · 2025Article
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Authors and funding
13 authors.
Funding
Abstract
objectiveThe authors sought to explore the availability of mental health supports within public schools during the COVID-19 pandemic by using survey data from a nationally representative sample of U.S. K-12 public schools collected in October-November 2021.
methodsThe prevalence of 11 school-based mental health supports was examined within the sample (N=437 schools). Chi-square tests and adjusted logistic regression models were used to identify associations between school-level characteristics and mental health supports. School characteristics included level (elementary, middle, or high school), locale (city, town, suburb, or rural area), poverty level, having a full-time school nurse, and having a school-based health center.
resultsUniversal mental health programs were more prevalent than more individualized and group-based supports (e.g., therapy groups); however, prevalence of certain mental health supports was low among schools (e.g., only 53% implemented schoolwide trauma-informed practices). Schools having middle to high levels of poverty or located in rural areas or towns and elementary schools and schools without a health infrastructure were less likely to implement mental health supports, even after analyses were adjusted for school-level characteristics. For example, compared with low-poverty schools, mid-poverty schools had lower odds of implementing prosocial skills training for students (adjusted OR [AOR]=0.49, 95% CI=0.27-0.88) and providing confidential mental health screening (AOR=0.42, 95% CI=0.22-0.79).
conclusionsImplementation levels of school-based mental health supports leave substantial room for improvement, and numerous disparities existed by school characteristics. Higher-poverty areas, schools in rural areas or towns, and elementary schools and schools without a health infrastructure may require assistance in ensuring equitable access to mental health supports.
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