Testing a Package of Evidence-Based Practices in School Mental Health

  • Mark D. WeistEmail author
  • Sharon Hoover
  • Nancy Lever
  • Eric A. Youngstrom
  • Melissa George
  • Heather L. McDaniel
  • Johnathan Fowler
  • Abby Bode
  • W. Joshua Bradley
  • Leslie K. Taylor
  • Lori Chappelle
  • Kimberly Hoagwood
Original Paper


This study tested an integrated package for high-quality school mental health (SMH) services involving quality assessment and improvement, family engagement and empowerment, modular evidence-based practice, and implementation support. Within a two-year randomized controlled trial, 35 clinicians, who provided services to 529 students and their families, were randomly assigned to the enhanced quality assessment and improvement intervention condition and a comparison condition focused on promoting personal and staff wellness. Significant clinician-level findings were found for increased use and fidelity of evidence-based practices and greater use of structured assessments and sessions involving family members. Results are discussed in relation to needed methodological improvements in SMH treatment outcome research and increasing use of evidence-based practices by clinicians by adding accountability and incentives to training, coaching, and implementation support.


School mental health Evidence-based practice Family engagement and empowerment Quality assessment and improvement 



We express our deep appreciation to the National Institute of Mental Health (NIMH) for the research grant supporting this study—Strengthening the Quality of School Mental Health Services (#R01MH0819141; 2010–2015, M. Weist, PI)—and NIMH project officers Beverly Pringle, and Denise Pintello for their guidance on this study. This publication also was made possible in part by Grant Number T32-GM081740 from NIH-NIGMS. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIGMS or NIH. Thanks are extended to Samantha Paggeot and Eryn Bergeron for their significant work as senior clinicians on the study, to the Waccamaw Center for Mental Health of the South Carolina Department of Mental Health, to the Horry County School District, and to Elaine Miller.


This study was funded by the National Institute of Mental Health (#R01MH0819141).

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Mark D. Weist
    • 1
    Email author
  • Sharon Hoover
    • 2
  • Nancy Lever
    • 2
  • Eric A. Youngstrom
    • 3
  • Melissa George
    • 4
  • Heather L. McDaniel
    • 5
  • Johnathan Fowler
    • 6
  • Abby Bode
    • 1
  • W. Joshua Bradley
    • 1
  • Leslie K. Taylor
    • 7
  • Lori Chappelle
    • 8
  • Kimberly Hoagwood
    • 9
  1. 1.University of South CarolinaColumbiaUSA
  2. 2.University of Maryland BaltimoreBaltimoreUSA
  3. 3.University of North Carolina at Chapel HillChapel HillUSA
  4. 4.Colorado State UniversityFort CollinsUSA
  5. 5.University of VirginiaCharlottesvilleUSA
  6. 6.Lakewood GroupRockwallUSA
  7. 7.University of Texas Health Science Center at HoustonHoustonUSA
  8. 8.South Carolina Department of Mental HealthColumbiaUSA
  9. 9.New York University School of MedicineNew YorkUSA

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