Differences in Factors that Limit School Efforts to Provide Mental Health Services by School Level: A National Analysis
DOI:
https://doi.org/10.70232/jrep.v2i4.115Keywords:
Elementary School, Mental Health Professionals, Mental Health Disorders, Middle School, School-Based Health Centers, School Survey on Crimes and SafetyAbstract
The degree to which factors limited the efforts of school leaders to provide mental health services to their students was addressed in this multiyear investigation. We analyzed national data from the National School Survey on Crime and Safety for the 2015-2016 and 2017-2018 school years. A causal-comparative research design was used because of the use of pre-existing data. In this survey, school principals and/or designees were asked about numerous school programs, student achievement, and student demographic characteristics. We analyzed only those survey questions directly related to providing mental health services. Inferential statistical procedures revealed the presence of statistically significant differences in a lack of access to mental health professionals and a lack of community support for both school years. Elementary schools had a higher percentage of effort limited in a major way by a lack of access to mental health professionals and community support than did middle or high schools. Additionally, elementary schools had the highest percentage limited in a major way for: lack of parental support, concerns about reactions from parents, reluctance to label students, and payment policies. Implications for policy and practice were discussed, as well as recommendations for further study.
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References
America’s Health Ranking. (2020). Public Health Impact Suicide: 2020 Annual Report. https://www.americashealthrankings.org/explore/annual/measure/Suicide/state/ALL
Bersamin, M. M., Fisher, D. A., Gaidus, A. J., & Gruenewald, P. J. (2016). School-based health centers’ presence: The role of school and community factors. American Journal of Preventive Medicine, 51(6), 926-932. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5592162/
Bowers, H., Manion, I., Papadopoulos, D., & Gauvreau, E. (2013). Stigma in school-based mental health: Perceptions of young people and service providers. Child & Adolescent Mental Health, 18(3), 165-170. https://acamh.onlinelibrary.wiley.com/doi/epdf/10.1111/j.1475-3588.2012.00673.x
Chaney, B.W. (2015). 2009-10 School Survey on Crime and Safety: Public-Use Data File Codebook (NCES 2015-060). U.S. Department of Education. National Center for Education Statistics. https://nces.ed.gov/pubs2015/2015060.pdf
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum.
Dunfee, M. N. (2020). School-based health centers in the United States: Roots, reality, and potential. Journal of School Health, 90(8), 665-670. https://onlinelibrary.wiley.com/doi/abs/10.1111/josh.12914
Field, A. (2018). Discovering statistics using SPSS (5th ed.). Sage.
Gronholm, P., Nye, E., & Michelson, D. (2018). Stigma related to targeted school-based mental health interventions: A systematic review of qualitative evidence. Journal of Affective Disorders, 240, 17-26. https://doi.org/10.1016/j.jad.2018.07.023
Harper-Simon, C., & Slate, J. R. (2023). Differences in School Efforts to Provide Assessments for Mental Health Disorders by School Level: A National Analysis. IUSJP-Journal of Applied Sciences and Research Review Archives, 1(01), 64-75. https://jasrra.iusjp.com/index.php/jasrra/article/view/14
Ijadi-Maghsoodi, R., Bonnet, K., Feller, S., Nagaran, K., Puffer, M., & Kataoka, S. (2018). Voices from minority youth on help-seeking and barriers to mental health services: Partnering with school-based health centers. Ethnicity & Disease, 28, 437-444. https://doi.org/10.18865/ed.28.S2.437
Izrael, D., & DeFriesse, F.A. (2006). School Survey on Crime and Safety: 2003-04. Public-Use Data File Codebook (2007-333). U.S. Department of Education. National Center for Education Statistics. https://nces.ed.gov/pubs2007/2007333.pdf
Jackson, M., Diliberti, M., Kemp, J., Hummel, S., Cox, C., Gbondo-Tugbawa, K., Simon, D., & Hansen, R. (2018). 2015–16 School Survey on Crime and Safety (SSOCS): Public-Use Data File User’s Manual (NCES 2018-107). U.S. Department of Education, National Center for Education Statistics. http://nces.ed.gov/pubsearch
Johnson, B., & Christensen, L. B. (2017). Educational research: Quantitative, qualitative, and mixed methods (6th ed.). Sage.
Lai, K., Guo, S., Ijadi-Maghsoodi, R., Puffer, M., & Kataoka, S. H. (2016). Bringing wellness to schools: Opportunities for and challenges to mental health integration in school-based health centers. Psychiatric Services, 67(12), 1328-1333. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831516/
Larson, S., Chapman, S., Spetz, J., & Brindis, C. D. (2017). Chronic childhood trauma, mental health, academic achievement, and school-based health center mental health services. Journal of School Health, 87(9), 675-686. https://escholarship.org/content/qt6th2r852/qt6th2r852.pdf?t=oupznn
LeCloux, M., Maramaldi, P., Thomas, K., & Wharff, E. (2017). Health care resources and mental health service use among suicidal adolescents. Journal of Behavioral Health Services & Research, 44(2), 195-212. https://pubmed.ncbi.nlm.nih.gov/27146895/
Miller, D. N. (2019). Suicidal behavior in children: Issues and implications for elementary schools. Contemporary School Psychology, 23(4), 357-366. https://doi.org/10.1007/s40688-018-0203-0
National Center for Education Statistics. (2018, March). 2015-16 School Survey on Crime and Safety (SSOCS) public-use data file user’s manual. https://nces.ed.gov/pubs2018/2018107.pdf
Padgett, Z., Jackson, M., Correa, S., Kemp, J., Gilary, A., Meier, A., Gbondo-Tugbawa, K., & McClure, T. (2020). School Survey on Crime and Safety: 2017–18 Public-Use Data File User’s Manual (NCES 2020-054). National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education. http://nces.ed.gov/pubsearch
Peters-Corbett, A., Parke, S., Bear, H., & Clarke, T. (2924). Barriers and facilitators of implementation of evidence-based interventions in children and young people’s mental health care – a systematic review. Child and Adolescent Mental Health, 29(3), 242-265. https://doi.org/10.1111/camh.12672
Reinke, W., Stormont, M., Herman, K., Puri, R., & Goel, N. (2011). Supporting children’s mental health in schools: Teacher perceptions of needs, roles, and barriers. School Psychology Quarterly, 26, 1-13. http://dx.doi.org/10.1037/a0022714
Ruddy, S. A., Neiman, S., Bauer, L., Swaim, N. L., Thomas, T. L., & Parmer, R. J. (2009). 2005-06 School Survey on Crime and Safety (SSOCS) Survey Documentation for Data Users (NCES 2010-320). National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education. https://nces.ed.gov/pubs2010/2010320.pdf
Ruddy, S. A., Neiman, S., Hryczaniuk, C. A., Thomas, T. L., & Parmer, R. J. (2010). 2007-08 School Survey on Crime and Safety (SSOCS) Survey Documentation for Public-Use Data File Users (NCES 2010-307). National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education. https://nces.ed.gov/pubs2010/2010307.pdf
Salerno, J. P. (2016). Effectiveness of universal school-based mental health awareness programs among youth in the United States: A systematic review. Journal of School Health, 86(12), 922-931. https://doi.org/10.1111/josh.12461
Searcey van Vulpen, K., Habegar, A., & Simmons, T. (2018). Rural school-based mental health services: Parent perceptions of needs and barriers. Children & Schools, 40(2), 104-111. https://doi.org/10.1093/cs/cdy002
Slate, J. R., & Rojas-LeBouef, A. (2011). Calculating basic statistical procedures in SPSS: A self-help and practical guide to preparing theses, dissertations, and manuscripts. NCPEA Press.
U.S. Department of Education, National Center for Education Statistics. (2003). 2000 School Survey on Crime and Safety: Public-Use Data File User’s Manual, NCES 2004–308, Washington, DC: 2003. https://nces.ed.gov/surveys/ssocs/pdf/1999_00_ssocsgde.pdf
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Copyright (c) 2025 Chastity Harper Simon, John R. Slate, Cynthia Martinez-Garcia
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