Skip to main content

Mental Health in Schools

Programs of the Federal Government

  • Chapter
  • 502 Accesses

Part of the book series: Issues in Clinical Child Psychology ((ICCP))

The United States federal government has a vested interest in the mental health of children and adolescents. It considers the current state of mental health care for children a public crisis (U.S. Public Health Service, 2000). Approximately 21% of children and adolescents between the ages of 9 and 17 have a diagnosable mental or addictive disorder that causes at least minimal functional impairment; almost half of these youth, or 11% of all youth, have significantly impaired functioning, and about one-quarter of youth with mental disorders, or 5% of all youth, experience extreme functional impairment (Shaffer et aL, 1996; U.S. DePartment of Health and Human Services, 1999a). Although only limited population and community-based data are currently available, decade-old findings indicate that only one of five school-aged children and adolescents with a mental disorder actually receives specialty mental health services, and only two of five receive mental health services from any source, including the mental health, general health, education, human services, and juvenile justice sectors (Burns et aL, 1995). It has been concluded that the unmet need for mental health services for young people did not change in the 10 years between 1980 and 1990 (Burns et aL, 1995). Because education is an entitlement for all children, schools represent the single location through which virtually every child and the large majority of adolescents can be reached. Schools have the potential to contribute to the solution of this problem

The federal government supports an array of programs that promote the mental health of children and adolescents in school settings. This chapter describes consensus report recommendations issued by the U.S. DePartment of Health and Human Services. This chapter focuses on school-based programs for school-aged children and adolescents that have a comprehensive purview of mental health issues and also describes surveillance efforts that monitor school-based mental health educational and service programs

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  • Adelman, H. S., Taylor, L., Weist, M. D., Adelsheim, S., Freeman, B., Kapp, L., Lahti, M., & Mawn, D.(1999). Mental health in schools: A federal initiative. Children's Services: Social Policy, Research,and Practice, 2, 95–115.

    Google Scholar 

  • Brener, N. D., Martindale, J., & Weist, M. D. (2001). Mental health and social services: Results from the School Health Policies and Programs Study 2000. Journal of School Health, 71, 305–312.

    PubMed  Google Scholar 

  • Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M. Z., & Erklani, A. (1995). Children's mental health service use across service sectors. Health Affairs, 14, 147–159.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention (2002a). About CDC. http://www.cdc.gov/aboutcdc.htm.

  • Centers for Disease Control and Prevention (2002b). About the adolescent and school health program. http://www.cdc.gov/nccdphp/dash/what.htm.

  • Flaherty, L. T., Weist, M. D., & Warner, B. S. (1996). School-based mental health services in the United States: History, current models and needs. Community Mental Health Journal, 32, 341–352.

    Article  PubMed  Google Scholar 

  • Grunbaum, J. A., Kann, L., Williams, B. I., Kinchen, S. A., Collins, J. L., Baumler, E. R., & Kolbe, L. J. (2000). Surveillance for characteristics of health education among secondary schools—School health education profiles, 1998. In CDC surveillance summaries. Morbidity and Mortality Weekly Report, 49, (SS-8), 1–41.

    Google Scholar 

  • Health Resources and Services Administration (2002). About HRSA. http://www.hrsa.gov/about.htm.

  • Hoagwood, K., & Erwin, H. D. (1997). Effectiveness of school-based mental health services for children: A 10-year research review. Journal of Child and Family Studies, 6, 435—451.

    Article  Google Scholar 

  • Kessler, R. C, McGonagle, K. A., Zhao, S., Nelson, C. B., Hughes, M., Eshleman, S., Wittchen, H. U., & Kindler, K. S. (1994). Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey. Archives of General Psychiatry, 51, 8–19.

    PubMed  Google Scholar 

  • Kessler, R. C, Nelson, C. B., McKonagle, K. A., Edlund, M. J., Frank, R. G., & Leaf, P. J. (1996). The epidemiology of co-occurring addictive and mental disorders: Implications for prevention and service utilization. American Journal of Orthopsychiatry, 66, 17–31.

    Article  PubMed  Google Scholar 

  • Knitzer, J. (1996). The role of education in systems of care. In B. A. Stroul & R. M. Friedman (Eds.), Children's mental health: Creating systems of care in a changing society(pp. 197–213). Baltimore: Paul H. Brookes.

    Google Scholar 

  • Lear, J. G., Gleicher, H, B., St. Germaine, A., & Porter, P. J. (1991). Reorganizing health care for adolescents: The experience of the school-based adolescent health care program. Journal of Adolescent Health, 12, 450–458.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M.f Hops, H., Roberts, R. E., Seeley, J. R., & Andrews, J. A. (1993). Adolescent psychopathology: 1. Prevalence and incidence of depression and other DSM-III-R disorders in high school students. Journal of Abnormal Psychology, 102, 133–144.

    Article  PubMed  Google Scholar 

  • Marx, E., Wooley, S. F., & Northrop, D. (Eds.). (1998). Health is academic: A guide to coordinated school health programs. New York: Teachers College Press.

    Google Scholar 

  • Maternal and Child Health Bureau (2002). About MCHB. http://www.mchb.hrsa.gov.

  • Merikangas, K. R., Mehta, R. L., Molnar, B. E., Walters, E. E., Swendsen, J. D., Aguilar-Gaziola, S., Bigl, R., Borges, G., Caraveo-Anduaga, J. J., Dawit, D. J., Kolody, B., Voga, W. A., Wittchen, H. U., & Kessler, R. C. (1998). Comorbidity of substance use disorders with mood and anxiety disorders: Results of the International Consortium on Psychiatric Epidemiology. Addictive Behaviors, 23, 893–907.

    Article  PubMed  Google Scholar 

  • National Criminal Justice Reference Service (2001). OJJDP Annual Report 2000, Chapter 2, Preventing and intervening in delinquency, http://www.ncjrs.org/html/ojjdp/annualreport2000/chap2.html.

  • National Rehabilitation Information Center for Independence (NARIC) (2001). Rehabilitation research and training centers program descriptions, http://www.naric.com/search/pd.

  • No Child Left Behind Act of 2001. http://thomas.loc.gov/cgi-bin/query or http://www/ed/gov/legislation/ESEA02.

  • Regier, D. A., Narrow, W. E., Rae, D. S., Manderscheid, R. W., Locke, B. Z., & Goodwin, F. K. (1993). The de facto U.S. mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry, 50, 85–94.

    PubMed  Google Scholar 

  • Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child and Family Psychology Review, 3, 223–240.

    Article  PubMed  Google Scholar 

  • Schlitt, J., Santelli, J., Juszczak, L., Brindis, C, Nystrom, R., Klein, J., Kaplan, D., & Seiboum, D. (2000). Creating access to care: School-based health center census 1998-99. Washington, DC: National Assembly on School-Based Health Care.

    Google Scholar 

  • Sedlak, M. W. (1997). The uneasy alliance of mental health services and the schools: An historical perspective. American Journal of Orthopsychiatry, 67, 349–362.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Fisher, P., Dulcan, M. K., Davies, M, Piacentini, J., Schwab-Stone, M. E., Lahey, B. B., Bourdon, K., Jensen, P. S., Bird, H. R., Canino, G. B., & Regier, D. A. (1996). The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): Description. Acceptability, prevalence rates, and performance in the MECA study. Methods for the epidemiology of child and adolescent mental disorders study. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 865–877.

    Article  PubMed  Google Scholar 

  • Small, M. L., Majer, L. S., Allensworth, D. D., Farquhar, B. K., Kann, L., & Pateman, B. C. (1995). School health services. Journal of School Health, 65, 319–326.

    Article  PubMed  Google Scholar 

  • Stroul, B. A. (1996). The system of care concept and philosophy. In B. A. Stroul & R. M. Friedman (Eds.), Children's mental health; Creating systems of care in a changing society(pp. 3–21). Baltimore: Paul H. Brookes.

    Google Scholar 

  • Substance Abuse and Mental Health Services Administration (1999). CMHS programs, comprehensive community mental health services for children and their families, http://mentalhealth.samhsa.gov/cmhs/childrenscampaign/ccmhs.asp.

  • Substance Abuse and Mental Health Services Administration (2001). SAMHSA programs in brief: Safe schools and healthy communities, http://www.samhsa.gov/programs/content/brief2001/kda/Olkda.cmhs-18.htm.

  • Substance Abuse and Mental Health Services Administration (2002). SAMHSA—Who we are. http://www.samhsa.gov/about/content.

  • U.S. Department of Education (2001a). IDEA. Lesson 1: History and impact. http://www.ed.gov/offices/OSERS/Policy/IDEA25th/Lessonl.History.html.

  • U.S. Department of Education (2001b). OSERS (Office of Special Education and Rehabilitative Services) mission statement. http://www.ed.gov/offices/OSERS/About/mission.html.

  • U.S. Department of Education (2001c). NIDRR (National Institute on Disability and Rehabilitation Research). About NIDRR. http://www.ed.gov/offices/OSERS/NIDRR/About/.

  • U.S. Department of Education (2001d). About safe & drug-free schools program, http://www.ed.gov/offices/OESE/SDFS/aboutsdf.html

  • U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Public Health Service (1993). Healthy schools. A directory of federal programs and activities related to health promotion through the schools, Washington, DC: Author.

    Google Scholar 

  • U.S. Department of Health and Human Services (1999a). Mental health: A report of the Surgeon GeneralRockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institutes of Health, & National Institute of Mental Health.

    Google Scholar 

  • U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (1999b). The relationship between mental health and substance abuse among adolescents. Rockville, MD: SAMHSA, DHHS Publication No. (SMA) 99–3286.

    Google Scholar 

  • U.S. Department of Justice (2002a). OJJDP home page, http://ojjdp.ncjrs.org/.

  • U.S. Department of Justice (2002b). COPS grants, programs and activities, http://www.usdoj.gov/cops

  • U.S. Public Health Service (2000). Report of the Surgeon General's conference on children's mental health: A national action agenda. Washington, DC: U.S. Department of Health and Human Services.

    Google Scholar 

  • U.S. Public Health Service (2001). National strategy for suicide prevention: Goals and objectives for action. Rockville, MD: U.S. Department of Health and Human Services.

    Google Scholar 

  • Weinberg, N. Z., Rahdert, E., Colliver, J. D., & Glantz, M. D. (1998). Adolescent substance abuse: A review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 252–261.

    Article  PubMed  Google Scholar 

  • Woodruff, D. W., Osher, D., Hoffman C. C, Gruner, A., King, M. A., Snow, S. T., & Mclntire, J. C. (1999). The role of education in a system of care: Effectively serving children with emotional or behavioral disorders. Systems of care: Promising practices in children's mental health, 1998 Series, Vol. III. Washington, DC: Center for Effective Collaboration and Practice, American Institutes for Research.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Anglin, T.M. (2003). Mental Health in Schools. In: Weist, M.D., Evans, S.W., Lever, N.A. (eds) Handbook of School Mental Health Advancing Practice and Research. Issues in Clinical Child Psychology. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-73313-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-0-387-73313-5_7

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-73310-4

  • Online ISBN: 978-0-387-73313-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics