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What Is the Role of Schools in the Treatment of Children’s Mental Illness?

  • Sharon A. Hoover
  • Jeff Q. Bostic
  • Libby K. Nealis
Chapter

Abstract

Impacts from mental illness are debilitating for children, their families, and their communities. Comprehensive school mental health can provide services for all children, while supporting the school’s broader mission of improving academic outcomes and reducing disruptive behavior and suspensions. Universal mental health screening in schools can be enhanced by allying families in this process and configuring viable mechanisms for evaluation and treatment. Schools can effectively provide comprehensive mental health care with multitiered supports adjusted to fit the frequently changing needs of students and their families. Evaluation of school mental health interventions can illuminate impacts on academic and peer functioning, impairing symptoms, and well-being. Thoughtful evaluation helps refine programming and clarify cost-effectiveness. School mental health sustainability necessitates coordinated funding across multiple systems and payers, including health, mental health, education, special education, and public (Medicaid) and private insurance.

References

  1. 1.
    Merikangas, K. R., He, J., Burstein, M., Swanson, S. A., Avenevoli, S., Cui, L., … Swendsen, J. (2010). Lifetime prevalence of mental disorders in US adolescents: Results from the national comorbidity study-adolescent supplement (NCS-A). Journal of the American Academy of Child and Adolescent Psychiatry, 49(10), 980–989.  https://doi.org/10.1016/j.jaac.2010.05.017.
  2. 2.
    Kataoka, S. H., Zhang, L., Wells, K. B. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. The American Journal of Psychiatry, 159(9), 1548–1555.  https://doi.org/10.1176/appi.ajp.159.9.1548.
  3. 3.
    Saloner, B. (2017). An update on insurance coverage and treatment use under the Affordable Care Act among adults with mental and substance use disorders. Psychiatric Services, 68(3), 310–311.  https://doi.org/10.1176/appi.ps.201600566.CrossRefGoogle Scholar
  4. 4.
    Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., & Erkanli, A. (1995). Children’s mental health service use across service sectors. Health Affairs, 14(3), 147–159.  https://doi.org/10.1377/hlthaff.14.3.147.
  5. 5.
    McKay, M. M., & Bannon, W. M. J. (2004). Engaging families in child mental health services. Child and Adolescent Psychiatric Clinics of North America, 13(4), 905–921.  https://doi.org/10.1016/j.chc.2004.04.001.CrossRefGoogle Scholar
  6. 6.
    Harpaz-Rotem, I., Leslie, D., & Rosenheck, R. A. (2004). Treatment retention among children entering a new episode of mental health care. Psychiatric Services, 55(9), 1022–1028.  https://doi.org/10.1176/appi.ps.55.9.1022.CrossRefGoogle Scholar
  7. 7.
    Masten, A. S., & Curtis, W. J. (2000). Integrating competence and psychopathology: Pathways toward a comprehensive science of adaptation in development. Developmental Psychopathology, 12(3), 529–550.  https://doi.org/10.1017/S095457940000314X.CrossRefGoogle Scholar
  8. 8.
    AHRQ. (2009). National Healthcare Quality Report, 2009. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. Retrieved from http://archive.ahrq.gov/research/findings/nhqrdr/nhqr09/Key.html.
  9. 9.
    Fazel, M., Hoagwood, K., Stephan, S., & Ford, T. (2014). Mental health interventions in schools in high-income countries. The Lancet Psychiatry, 1(5), 377–387.  https://doi.org/10.1016/S2215-0366(14)70312-8.CrossRefGoogle Scholar
  10. 10.
    Hogan, M. F. (2003). New freedom commission report: The president’s new freedom commission: Recommendations to transform mental health care in America. Psychiatric Services, 54(11), 1467–1474.  https://doi.org/10.1176/appi.ps.54.11.1467.CrossRefGoogle Scholar
  11. 11.
    Stephan, S. H., Sugai, G., Lever, N., & Connors, E. (2015). Strategies for integrating mental health into schools via a multitiered system of support. Child and Adolescent Psychiatric Clinics of North America, 24(2), 211–231.  https://doi.org/10.1016/j.chc.2014.12.002.CrossRefGoogle Scholar
  12. 12.
    Dix, K. L., Slee, P. T., Lawson, M. J., & Keeves, J. P. (2011). Implementation quality of whole-school mental health promotion and students’ academic performance. Child and Adolescent Mental Health, 17(1), 45–51.  https://doi.org/10.1111/j/1475-3588.2011.00608.x.CrossRefGoogle Scholar
  13. 13.
    Hoagwood, K. E., Olin, S., Kerker, B. D., Kratochwill, T. R., Crowe, M., & Saka, N. (2007). Empirically based school interventions targeted at academic and mental health functioning. Journal of Emotional and Behavioral Disorders, 15(2), 66–92.  https://doi.org/10.1177/10634266070150020301.CrossRefGoogle Scholar
  14. 14.
    Kase, C., Hoover, S., Boyd, G., West, K. D., Dubenitz, J., Trivedi, P. A., … Stein, B. D. (2017). Educational outcomes associated with school behavioral health interventions: A review of the literature. Journal of School Health, 87(7), 554–562.  https://doi.org/10.1111/josh.12524.
  15. 15.
    National Research Council and Institute of Medicine. (2009). Preventing Mental, Emotional, and Behavioral Disorders Among Young People: Progress and Possibilities. Committee on the Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions. In M. E. O’Connell, T. Boat, & K. E. Warner (Eds.), Board on children, youth, and families, division of behavioral and social sciences and education. Washington, DC: The National Academies Press.Google Scholar
  16. 16.
    Weist, M. D., Rubin, M., Moore, E., Adelsheim, S., & Wrobel, G. (2007). Mental health screening in schools. Journal of School Health, 77(2), 53–58.  https://doi.org/10.1111/j.1746-1561.2007.00167.x.CrossRefGoogle Scholar
  17. 17.
    Adelman, H. S. & Taylor, L. (2002). Toward a comprehensive policy vision for mental health in schools. In M. Weist, S. W. Evans, & N. A. Lever (Eds.), Handbook of school mental health: Advancing practice and research. Norwell, MA: Kluwer Academic Publishers.Google Scholar
  18. 18.
    Becker, K. D., Brandt, N. E., Stephan, S. H., & Chorpita, B. F. (2014). A review of educational outcomes in the children’s mental health treatment literature. Advances in School Mental Health Promotion, 7(1), 5–23.  https://doi.org/10.1080/1754730X.2013.851980.CrossRefGoogle Scholar
  19. 19.
    U.S. Department of Education. (2009). Students Protected Under Section 504, Para. 1.Google Scholar
  20. 20.
    Flaherty, L. T., & Osher, D. (2003). History of school-based mental health services in the United States. In M. D. Weist, S. W. Evans, & N. A. Lever (Eds.), Handbook of school mental health advancing practice and research. Boston, MA: Springer.Google Scholar
  21. 21.
    Cammack, N., Brandt, N., Slade, E., Lever, N., & Stephan, S. (2013). Funding expanded school mental health programs. In M. D. Weist, N. Lever, C. Bradshaw, & J. Owens (Eds.), Handbook of school mental health (2nd ed.). New York: Springer.Google Scholar
  22. 22.
    National Education Association. (2015, February 2). IDEA funding gap. https://www.nea.org/assets/docs/IDEA-Funding-Gap-FY_2015-with-State-Table.pdf.
  23. 23.
    Pires, S. A. (2002). Building systems of care: A primer. Washington, DC: National Technical Assistance Center for Children’s Mental Health, Georgetown University Child Development Center. Retrieved from https://gucchd.georgetown.edu/products/PRIMER_CompleteBook.pdf.
  24. 24.
    Stroul, B. A., & Friedman, R. M. (1986). A system of care for seriously emotionally disturbed children and youth (Rev. ed.). Washington, DC: CASSP Technical Assistance Center, Georgetown University Child Development Center.Google Scholar
  25. 25.
    Dowdy, E., Furlong, M., Raines, T., Bovery, B., Kauffman, B., Kamphaus, … Murdock, J. (2015). Enhancing school-based mental health services with a preventive and promotive approach to universal screening for complete mental health. Journal of Educational and Psychological Consultation, 25, 1–20.  https://doi.org/10.1080/10474412.2014.929951.
  26. 26.
    Dowdy, E., Ritchey, K., & Kamphaus, R. W. (2010). School-based screening: A population-based approach to inform and monitor children’s mental health needs. School Mental Health, 2(4), 166–176.  https://doi.org/10.1007/s12310-010-9036-3.CrossRefGoogle Scholar
  27. 27.
    Moore, S. A., Widales-Benitez, O., Carnazzo, K., Kyung Kim, E., Moffa, K., & Dowdy, E. (2015). Conducting universal complete mental health screening via student self-report. Contemporary School Psychology, 19(4), 253–267.  https://doi.org/10.1007/s40688-015-0062-x.CrossRefGoogle Scholar
  28. 28.
    Kutash, K., Duchnowski, A. J. & Lynn, N. (2006). School-based mental health: An empirical guide for decision-makers. Tampa, FL: University of South Florida, The Louis de la Parte Florida Mental Health Institute, Department of Child & Family Studies, Research and Training Center for Children’s Mental Health.Google Scholar
  29. 29.
    Radcliff, K. M., & Cooper, J. M. (2013). Mental health issues: Nonacademic barriers to success in school. In D. Shriberg, S. Y. Song, A. H. Miranda, & K. Radliff (Eds.), School psychology and social justice: Conceptual foundations and tools for practice (pp. 244–289). New York, NY: Routledge.Google Scholar
  30. 30.
    Essex, M. J., Kraemer, H. C., Slattery, M. J., Burk, L. R., Thomas Boyce, W., Woodward, H. R., & Kupfer, D. J. (2009). Screening for childhood mental health problems: Outcomes and early identification. Journal of Child Psychology and Psychiatry, 50, 562–570.  https://doi.org/10.1111/j.1469-7610.2008.02015.x.
  31. 31.
    Godin, C., Mostrom, K., & Aby, M. (2009). Screening for the possibility of co-occurring mental illness and substance use disorder in the behavioral health setting. Washington, DC: Department of Human Services Chemical and Mental Health Services Administration.Google Scholar
  32. 32.
    Center for School Mental Health. (2018). School mental health screening playbook: Best practices and tips from the field. Retrieved from http://csmh.umaryland.edu/media/SOM/Microsites/CSMH/docs/Reports/School-Mental-Health-Screening-Playbook.pdf.
  33. 33.
    Connors, E. H., Stephan, S. H., Lever, N., Ereshefsky, S., Mosby, A., & Bohnenkamp, J. (2016). A national initiative to advance school mental health performance measurement in the US. Advances in School Mental Health Promotion, 9(1), 50–69.  https://doi.org/10.1080/1754730X.2015.1123639.CrossRefGoogle Scholar
  34. 34.
    Weist, M. D., Goldstein, J., Evans, S. W., Lever, N. A., Axelrod, J., Schreters, R., & Pruitt, D. (2003). Funding a full continuum of mental health promotion and intervention programs in the schools. Journal of Adolescent Health, 32(6), 70–78.  https://doi.org/10.1016/s1054-139x(03)00067-3.
  35. 35.
    Tingstrom, D. H., Sterling-Turner, H. E., & Wilczynski, S. M. (2006). The good behavior game: 1969–2002. Sage Journals, 30(2), 225–253.  https://doi.org/10.1177/0145445503261165.CrossRefGoogle Scholar
  36. 36.
    Kellam, S. G., Mackenzie, A. C. L., Brown, C. H., Poduska, J. M., Wang, W., Petras, H., & Wilcox, H. C. (2011). The good behavior game and the future of prevention and treatment. Addiction Science & Clinical Practice, 6(1), 73–84.Google Scholar
  37. 37.
    Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child and Family Psychology Review, 3(4), 223–241.  https://doi.org/10.1023/A:1026425104386.CrossRefGoogle Scholar
  38. 38.
    Lever, N., Castle, M., Cammack, N., Bohnenkamp, J., Stephan, S., Bernstein, L., … Sharma, R. (2014). Resource mapping in schools and school districts: A resource guide. Baltimore, MD: Center for School Mental Health.Google Scholar
  39. 39.
    Weissman, M. M., Verdeli, H., Gameroff, M. J., Bledsoe, S. E., Betts, K., Mufson, L. … Wickramaratne, P. (2006). National survey of psychotherapy training in psychiatry, psychology, and social work. Archives of General Psychiatry, 63(8), 925–934.  https://doi.org/10.1001/archpsyc.63.8.925.
  40. 40.
    Hoagwood, K., Burns, B. J., Kiser, L., Ringeisen, H., & Schoenwald, S. K. (2001). Evidence-based practice in child and adolescent mental health services. Psychiatric Services, 52(9), 1179–1189.  https://doi.org/10.1176/appi.ps.52.9.1179.CrossRefGoogle Scholar
  41. 41.
    Kopperud, D. (2015). Student Mental Health Policy Workgroup (SMHPW) first set of recommendations to the State Superintendent of Public Instruction.Google Scholar
  42. 42.
    Reinke, W. M., Stormont, M., Herman, K. C., Puri, R., & Goel, N. (2011). Supporting children’s mental health in schools: Teacher perceptions of needs, roles, and barriers. School Psychology Quarterly, 26(1), 1–13.  https://doi.org/10.1037/a0022714.CrossRefGoogle Scholar
  43. 43.
    SAMHSA Co-occurring Center for Excellence. (2006). Screening, assessment, and treatment planning for persons with co-occurring disorders (Overview Paper 2). Washington, DC: Department of Health and Human Resources.Google Scholar
  44. 44.
    Albright G., Goldman R., Shockley K., & Spiegler J. (2013). Using virtual role-plays with avatars to build gatekeeper skills among educators, staff, student leaders and students. Kognito’s At-Risk Training Suite; http://www.kognito.com/, 2015.
  45. 45.
    Albright G, Davidson J, Shockley K, Eastgard S, & Himmel J. (2014). Applying meta-analytic data analysis to examine the impact of simulations with virtual humans to train users to identify, approach and refer students in psychological distress including those at risk for suicide.Google Scholar
  46. 46.
    Bohnenkamp, J. H., Stephan, S. H., & Bobo, N. (2015). Supporting student mental health: The role of the school nurse in coordinated school mental health care. Psychology in the Schools, 52(7), 714–727.  https://doi.org/10.1002/pits.21851.CrossRefGoogle Scholar
  47. 47.
    Stein, B. D., Celedonia, K. L., Swartz, H. A., DeRosier, M. E., Sorbero, M. J., Brindley, R. A. … Frank, E. (2015). Implementing a web-based intervention to train community clinicians in an evidence-based psychotherapy: A pilot study. Psychiatric Services, 66(9), 988–991.  https://doi.org/10.1176/appi.ps.201400318.
  48. 48.
    Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangl, D., Farmer, E. M., & Erkanli, A. (1995). Children’s mental health service use across service sectors. Health Affairs, 14(3), 147–159.Google Scholar
  49. 49.
    Catron, T., Harris, V., & Weiss, B. (1998). Outcomes for children and youth with emotional and behavioral disorders and their families: Programs and evaluation best practices. In M. Epstein, K. Kutash, & A. J. Duchnowski (Eds.), Community based programming for children with serious emotional disturbance and their families: Research and evaluation (pp. 69–81). Austin, TX: Pro-Ed.Google Scholar
  50. 50.
    Weist, M. D., Myers, C. P., Hastings, E., Ghuman, H., & Han, Y. L. (1999). Psychosocial functioning of youth receiving mental health services in the schools versus community mental health centers. Community Mental Health Journal, 35(1), 69–81.  https://doi.org/10.1023/A:1018700126364.CrossRefGoogle Scholar
  51. 51.
    Nabors, L. A., & Reynolds, M. W. (2000). Program evaluation activities: Outcomes related to treatment for adolescents receiving school based mental health services. Children’s Services: Social Policy, Research, & Practice, 3(3), 175–189.  https://doi.org/10.1207/S15326918CS0303_4.CrossRefGoogle Scholar
  52. 52.
    Stephan, S. H., Weist, M., Kataoka, S., Adelsheim, S., & Mills, C. (2007). Transformation of children’s mental health services: The role of school mental health. Psychiatric Services, 58(10), 1330–1338.  https://doi.org/10.1176/ps.2007.58.10.1330.CrossRefGoogle Scholar
  53. 53.
    Atkins, M. S., Hoagwood, K. E., Kutash, K., & Seidman, E. (2010). Toward the integration of education and mental health in schools. Administration and Policy in Mental Health, 37(1–2), 40–47.CrossRefGoogle Scholar
  54. 54.
    Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432.  https://doi.org/10.1111/j.1467-8624.2010.01564.x.CrossRefGoogle Scholar
  55. 55.
    Sklad, M., Diekstra, R., Ritter, M. D., Ben, J., & Gravesteijn, C. (2012). Effectiveness of school-based universal social, emotional, and behavioral programs: Do they enhance students’ development in the area of skill, behavior, and adjustment? Psychology in the Schools, 49(9), 892–909.CrossRefGoogle Scholar
  56. 56.
    Greenberg, M. T., Weissberg, R. P., O’brien, M. U., Zins, J. E., Fredericks, L., Resnik, H., & Elias, M. J. (2003). Enhancing school-based prevention and youth development through coordinated social, emotional, and academic learning. American Psychologist, 58(6–7), 466–474.  https://doi.org/10.1037/0003-066x.58.6-7.466.
  57. 57.
    Greenberg, M. T., Domitrovich, C. E., Weissberg, R. P., & Durlak, J. A. (2017). Social and emotional learning as a public health approach to education. The Future of Children, 27(1), 13–32.CrossRefGoogle Scholar
  58. 58.
    Bradshaw, C. P., Mitchell, M. M., & Leaf, P. J. (2010). Examining the effects of school wide positive behavioral interventions and supports on student outcomes: Results from a randomized controlled effectiveness trial in elementary schools. Journal of Positive Behavior Interventions, 12(3), 133–148.  https://doi.org/10.1177/1098300709334798.CrossRefGoogle Scholar
  59. 59.
    Bradshaw, C. (2018). Impacts of school-wide positive behavioral interventions and supports on student academics, behavior and mental health. World Academy of Science, Engineering and Technology. International Journal of Psychological and Behavioral Sciences, 5(6), 629–643.Google Scholar
  60. 60.
    Neil, A. L., & Christensen, H. (2009). Efficacy and effectiveness of school-based prevention and early intervention programs for anxiety. Clinical Psychology Review, 29(3), 208–215.  https://doi.org/10.1016/j.cpr.2009.01.002.CrossRefGoogle Scholar
  61. 61.
    Calear, A. L., & Christensen, H. (2010). Systematic review of school-based prevention and early intervention programs for depression. Journal of Adolescence, 33(3), 429–438.CrossRefGoogle Scholar
  62. 62.
    Corrieri, S., Heider, D., Conrad, I., Blume, A., Konig, H. H., & Riedel-Heller, S. G. (2014). School-based prevention programs for depression and anxiety in adolescence: A systematic review. Health Promotion International, 29(3), 427–441.  https://doi.org/10.1093/heapro/dat001.CrossRefGoogle Scholar
  63. 63.
    Spence, S. H., & Shortt, A. L. (2007). Research review: Can we justify the widespread dissemination of universal, school-based interventions for the prevention of depression among children and adolescents? Journal of Child Psychology and Psychiatry, 48(6), 526–542.CrossRefGoogle Scholar
  64. 64.
    Lochman, J. E., & Wells, K. C. (2002). The Coping Power program at the middle-school transition: Universal and indicated prevention effects. Psychology of Addictive Behaviors, 16(4S), S40.CrossRefGoogle Scholar
  65. 65.
    Tyrer, R. A., & Fazel, M. (2014). School and community-based interventions for refugee and asylum seeking children: A systematic review. PLoS One, 9(2), e89359.CrossRefGoogle Scholar
  66. 66.
    Farahmand, F. K., Grant, K. E., Polo, A. J., & Duffy, S. N. (2011). School-based mental health and behavioral programs for low-income, urban youth: A systematic and meta-analytic review. Clinical Psychology: Science and Practice, 18(4), 372–390.Google Scholar
  67. 67.
    Kataoka, S., Jaycox, L. H., Wong, M., Nadeem, E., Langley, A., Tang, L., & Stein, B. D. (2011). Effects on school outcomes in low-income minority youth: Preliminary findings from a community-partnered study of a school-based trauma intervention. Ethnicity & Disease, 21(3 Suppl. 1), S1-71–77.Google Scholar
  68. 68.
    Langley, A. K., Gonzalez, A., Sugar, C. A., Solis, D., & Jaycox, L. (2015). Bounce back: Effectiveness of an elementary school-based intervention for multicultural children exposed to traumatic events. Journal of Consulting and Clinical Psychology, 83(5), 853.CrossRefGoogle Scholar
  69. 69.
    Hoover, S., Sapere, H., Lang, J. M., Nadeem, E., Dean, K., & Vona, P. (2018). Statewide implementation of an evidence-based trauma intervention in schools. School Psychology Quarterly, 33(1), 44–53.Google Scholar
  70. 70.
    Antshel, K. M. (2015). Psychosocial interventions in attention deficit/hyperactivity disorder: Update. Child and Adolescent Psychiatric Clinics of North America, 24(1), 79–97.  https://doi.org/10.1016/j.chc.2014.08.002.CrossRefGoogle Scholar
  71. 71.
    Hahn, R., Fuqua-Whitley, D., Wethington, H., Lowy, J., Crosby, A., Fullilove, M., … Snyder, S. (2007). Effectiveness of universal school-based programs to prevent violent and aggressive behavior: A systematic review. American Journal of Preventive Medicine, 33(2), S114–S129.  https://doi.org/10.1016/j.amepre.2007.04.012.
  72. 72.
    Benningfield, M. M., Riggs, P., & Stephan, S. H. (2015). The role of schools in substance use prevention and intervention. Child and Adolescent Psychiatric Clinics of North America, 24(2), 291–303.  https://doi.org/10.1016/j.chc.2014.12.004.CrossRefGoogle Scholar
  73. 73.
    Carney, T., Myers, B. J., Louw, J., Okwundu, C. I. (2016). Brief school-based interventions and behavioural outcomes for substance-using adolescents. The Cochrane Database of Systematic Reviews, 1.  https://doi.org/10.1002/14651858.cd008969.pub3.
  74. 74.
    Jaycox, L. H., Cohen, J. A., Mannarino, A. P., Walker, D. W., Langley, A. K., Gegenheimer, K. L., … Schonlau, M. (2010). Children’s mental health care following Hurricane Katrina: A field trial of trauma focused psychotherapies. Journal of Traumatic Stress, 23(2), 223–231.  https://doi.org/10.1002/jts.20518.
  75. 75.
    Tyson, O., Roberts, C. M., & Kane, R. (2009). Can implementation of a resilience program for primary school children enhance the mental health of teachers? Australian Journal of Guidance & Counselling, 19(2), 116–130.  https://doi.org/10.1375/ajgc.19.2.116.CrossRefGoogle Scholar
  76. 76.
    Abry, T., Rimm-Kaufman, S. E., Larsen, R. A., & Brewer, A. J. (2013). The influence of fidelity of implementation on teacher–student interaction quality in the context of a randomized controlled trial of the Responsive Classroom approach. Journal of School Psychology, 51(4), 437–453.  https://doi.org/10.1016/j.jsp.2013.03.001.CrossRefGoogle Scholar
  77. 77.
    Castillo, R., Fernández-Berrocal, P., & Brackett, M. A. (2013). Enhancing teacher effectiveness in Spain: A pilot study of The RULER approach to social and emotional learning. Journal of Education and Training Studies, 1(2), 263–272.  https://doi.org/10.11114/jets.vli2.203.CrossRefGoogle Scholar
  78. 78.
    Zhai, F., Raver, C. C., & Li-Grining, C. (2011). Classroom-based interventions and teachers’ perceived job stressors and confidence: Evidence from a randomized trial in head start settings. Early Childhood Research Quarterly, 26(4), 442–452.  https://doi.org/10.1016/j.ecresq.2011.03.003.CrossRefGoogle Scholar
  79. 79.
    Lever, N., Stephan, S., Axelrod, J., & Weist, M. (2004). Accessing fee-for-service revenue in school mental health: A partnership with an outpatient MH center. Journal of School Health, 74(3), 91–94.  https://doi.org/10.1111/j.1746-1561.2004.tb04210.x.CrossRefGoogle Scholar
  80. 80.
    Centers for Medicare and Medicaid Services. (2014). Memo re: Medicaid payment for services provided without charge (Free Care). Retrieved from https://www.medicaid.gov/federal-policy-guidance/downloads/smd-medicaid-payment-for-services-provided-without-charge-free-care.pdf.
  81. 81.
    Lever, N., Stephan, S., Castle, M., Bernstein, L., Connors, E, Sharma, R., & Blizzard, A. (2015). Community-partnered school behavioral health: State of the field in Maryland. Baltimore, MD: Center for School Mental Health.Google Scholar
  82. 82.
    Slade, E. (2006). Measurement of economic costs in school programs for children and youth. Baltimore, MD: Center for School Mental Health. Retrieved from http://csmh.umaryland.edu/media/SOM/Microsites/CSMH/docs/Resources/Briefs/MeasurementofEconomicCostsES.pdf.
  83. 83.
    Belfield, C., Bowden, B., Klapp, A., Levin, H., Shand, R., & Zander, S. (2015). The economic value of social and emotional learning. New York: Center for Benefit–Cost Studies in Education.CrossRefGoogle Scholar
  84. 84.
    Slade, E., Mills, C., Cunningham, D., Hobbs, N., Andrews, C., & Weist, M. (2009). Non-public special education programs: Evaluating the costs of within school alternatives for students with emotional disturbance. Advances in School Mental Health Promotion, 2(3), 30–37.Google Scholar

Copyright information

© The Author(s) 2020

Authors and Affiliations

  • Sharon A. Hoover
    • 1
  • Jeff Q. Bostic
    • 2
  • Libby K. Nealis
    • 3
  1. 1.Department of PsychiatryUniversity of Maryland School of MedicineBaltimoreUSA
  2. 2.Department of PsychiatryMedStar Georgetown University HospitalWashingtonUSA
  3. 3.School Social Work Association of AmericaLondonUSA

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