The report from President George W. Bush’s New Freedom Commission on Mental Health (NFC), Achieving the Promise: Transforming Mental Health Care in America(2003), proposes goals and recommendations for improving mental health services. This report has significant implications for the delivery of mental health services through the schools. A focused discussion of the potential opportunities and challenges of implementing NFC recommendations related to school-based mental health is presented. Strategies for addressing five key areas at the intersection of school mental health and the Commission’s recommendations include: stigma reduction, suicide prevention, expansion and improvement of school mental health, and screening and treatment of co-occurring mental health and substance abuse disorders.
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REFERENCES
Adelman, H. S., & Taylor, L. (2002). About mental health in schools.Los Angeles, CA: Center for Mental Health in Schools. Retrieved June 5, 2005 from http://smhp.psych.ucla.edu/aboutmhinschools.htm.
Adelman, H. S., & Taylor, L. (1998). Mental health in schools: Moving forward. School Psychology Review, 27,175–190.
Andis, P., Cashman, J., Praschil, R., Oglesby, D., Adelman, H., Taylor, L., et al. (2002). A strategic and shared agenda to advance mental health in schools through family and system partnerships. International Journal of Mental Health Promotion, 4,28–35.
Armbruster, P., & Lichtman, J. (1999). Are school-based mental health services effective? Evidence from 36 inner city schools. Community Mental Health Journal, 35,493–504.
Asletine, R. H. (2003). An evaluation of a school based suicide prevention program. Adolescent and Family Health, 3,81–88.
Aseltine, R. H., Jr., & DeMartino, R. (2004). An Outcome Evaluation of the SOS Suicide Prevention Program. American Journal of Public Health, 94,446–451.
Atkins, M. S., Graczyk, P. A., Frazier, S. L., & Abdul-Adil, J. (2003). Toward a new model for promoting urban children’s mental health: Accessible, effective, and sustainable school-based mental health services. School Psychology Review, 32,503–514.
Barnard, W. M. (2004). Parent involvement in elementary school and educational attainment. Child and Youth Services Review, 26,39–62.
Becker, B. E., & Luthar, S. S. (2002). Social-emotional factors affecting achievement outcomes among disadvantaged students: Closing the achievement gap. Educational Psychologist, 37,197–214.
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.
Burke, R. W. (2002). Social and emotional education in the classroom. Kappa Delta Pi Record, 38,108–111.
Burns, B. J., Costello, E. J., Angold, A., Tweed, D., Stangle, D., Farmer, E. N., et al. (1995). Data watch: Children’s mental health service use across service sectors. Health Affairs, 13,147–159.
Calhoun, K. S., Moran, K., Pilkonis, P. A., & Rehm, L. P. (1998). Empirically supported treatments: Implications for training. Journal of Consulting and Clinical Psychology, 66,151–162.
Center for Mental Health in Schools. (2003, December). Youngsters’ Mental Health and Psychosocial Problems: What are the Data?Retrieved May 15, 2005 from http://smhp.psych.ucla.edu/pdfdocs/prevalence/youthMH.pdf.
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59,614–625.
Corrigan, P. W., & Penn, D. L. (1999). Lessons from social psychology on discrediting psychiatric stigma. American Psychologist, 54,765–776.
Crits-Christoph, P., Frank, E., Chambless, D. L., Brody, C., & Karp, J. F. (1995). Training in empirically validated treatments: What are clinical psychology students learning? Professional Psychology: Research and Practice, 26,514–522.
Crowell, R. (2005, October). Comments in plenary presentation. Promoting and preserving early intervention services for children. National Mental Health Association Fall Policy Conference, Washington, DC.
Diamond, G., & Josephson, A. (2005). Family-based treatment research: A 10-year updated. Journal of the American Academy of Child and Adolescent Psychiatry, 44,872–887.
Dwyer, K., & Osher, D. (2000). Safeguarding our children: An action guide. Washington, DC: U. S. Departments of Education and Justice, American Institutes for Research.
Evans, S. W., Glass-Siegel, M., Frank, A., Van Treuren, R., Lever, N. A., & Weist, M. D. (2003). Overcoming the challenges of funding school mental health programs. In M. D. Weist, S. W. Evans, & N. A. Lever (Eds.), Handbook of school mental health: Advancing practice and research(pp. 73–86). New York, NY: Kluwer Academic/Plenum Publishers.
Forness, S. R. (2003). Barriers to evidence-based treatment: Developmental psychopathology and the interdisciplinary disconnect in school mental health practice. Journal of School Psychology, 41,61–67.
Friedman, R. M. (2003). A conceptual framework for developing and implementing effective policy in children’s mental health. Journal of Emotional and Behavioral Disorders, 11,11–18.
Glisson, C. (2002). The organizational context of children’s mental health services. Clinical Child and Family Psychology Review, 5,233–253.
Glisson, C., & Hemmelgarn, A. (1998). The effects of organizational climate and interorganizational coordination on the quality and outcomes of children’s service systems. Child Abuse and Neglect, 22,401–421.
Goldman, H. H., & Azrin, S. T. (2003). Public policy and evidence-based practice. Psychiatric Clinics of North America, 26,899–917.
Gowers, S., Thomas, S., & Deeley, S. (2004). Can primary schools contribute effectively to Tier 1 Child Mental Health Services? Clinical Child Psychology and Psychiatry, 9,419–425.
Hallfors, D., & Van Dorn, R. A. (2002). Strengthening the role of two key institutions in the prevention of adolescent substance abuse. Journal of Adolescent Health, 30,17–28.
Hill, N. E., Castellino, D. R., Lansford, J. E., Nowlin, P., Dodge, K. A., Bates, J. E., et al. (2004). Parent academic involvement as related to school behavior, achievement, and aspirations: Demographic variations across adolescence. Child Development, 75,1491–1509.
Hoagwood, K. E. (2005). Family-based services in children’s mental health: A research review and synthesis. Journal of Child Psychology and Psychiatry, 67,690–713.
Hoge, M. A., & Howenstine, R. A. (1997). Organizational development strategies for integrating mental health services. Community Mental Health Journal, 33,175–187.
Howell, E. (2004, August). Access to Children’s Mental Health Services under Medicaid and SCHIP. Washington, DC: The Urban Institute. New Federalism National Survey of America’s Families Series B, No. B-60. Retrieved June, 1, 2005 from http://www.urban.org/url.cfm?ID=311053.
Huang, L., Macbeth, G., Dodge, J., & Jacobstein, D. (2004). Transforming the workforce in children’s mental health. Administration and Policy in Mental Health, 32,167–187.
Iglehart, J. K. (2004). The mental health maze and the call for transformation. New England Journal of Medicine, 350,507–514.
Jennings, J., Pearson, G., & Harris, M. (2000). Implementing and maintaining school-based mental health services in a large, urban school district. Journal of School Health, 70,201–205.
Jeynes, W. H. (2005). A meta-analysis of the relation of parental involvement to urban elementary school student academic achievement. Urban Education, 40,237–269.
Kalafat, J. (2003). School approaches to youth suicide prevention. American Behavioral Scientist, 46,1211–1223.
Kataoka, S., Zhang, L., & Wells, K. (2002). Unmet need for mental health care among U.S. children: Variation by ethnicity and insurance status. American Journal of Psychiatry, 159,1548–1555.
Kessler, R. C., Berglund, P. A., Bruce, M. L., Koch, J. R., Laska, E. M., Leaf, P. J., et al. (2001). The prevalence and correlates of untreated serious mental illness. Health Services Research, 36,987–1007.
Kolbe, L. J., Collins, J., & Cortese, P. (1997). Building the capacity of schools to improve the health of the nation: A call for assistance from psychologists. American Psychologist, 52,256–265.
Koller, J. R., & Svoboda, S. K. (2002). The application of a strengths-based mental health approach in schools. Childhood Education: Infancy Through Early Adolescence, 78,291–294.
Koppleman, J. (2004). The provider system for children’s mental health: Workforce capacity and effective treatment. Retrieved June 5, 2005, from The George Washington University, National Health Policy Forum Issue Brief Web site: http://www.nhpf.org/pdfs_ib/IB801_ChildMHProvider_10-26-04.pdf.
Kratochwill, T. & Shernoff, E. S. (2003). Evidence-based practice: Promoting evidence-based interventions in school psychology. School Psychology Quarterly, 18,389–408.
Kratochwill, T. R., & Stoiber, K. C. (2002). Evidence-based interventions in school psychology: Conceptual foundations of the Procedural and Coding Manualof Division 16 and the Society for the Study of School Psychology Task Force. School Psychology Quarterly, 17,341–389.
Leaf, P. J., Alegria, M., Cohen, P., Goodman, S. H., Horowitz, S. M., Houen, C. W., et al. (1996). Mental health service use in the community and schools: Results from the 4 community MECA study. Journal of American Academy of Child and Adolescent Psychiatry, 35,889–897.
Learning First Alliance. (2001). Every Child Learning: Safe & Supportive Schools. Washington, DC: Association for Supervision and Curriculum Development. Retrieved May, 10, 2005 from http://www.learningfirst.org/pdfs/safe-schools-report.pdf.
Lever, N. A., Adelsheim, S., Prodente, C., Christodulu, K. V., Ambrose, M. G., Schlitt, J., et al. (2003). System, agency and stakeholder collaboration to advance mental health programs in schools. In M. D. Weist, S. W. Evans, & N. A. Lever (Eds.), Handbook of school mental health: Advancing practice and research(pp. 149–162). New York, NY: Kluwer Academic/Plenum Publishers.
Lourie, I. S., & Hernandez, M. (2003). A historical perspective on national child mental health policy. Journal of Emotional and Behavioral Disorders, 11,5–9.
Lowie, J. A., Lever, N. A., Ambrose, M. G., Tager, S. B., & Hill, S. (2003). Partnering with families in expanded school mental health programs. In M. D. Weist, S. W. Evans, & N. A. Lever (Eds.), Handbook of school mental health: Advancing practice and research(pp. 135–148). New York, NY: Kluwer Academic/Plenum Publishers.
Marcon, R. A. (1999). Positive relationships between parent school involvement and public school intercity preschoolers’ development and academic performance. School Psychology Review, 28,395–412.
McDougal, J. L., Clonan, S. M., & Martens, B. K. (2000). Using organizational change procedures to promote the acceptability of prereferral intervention services: The school-based intervention team project. School Psychology Quarterly, 15,149–171.
Moskos, M. A., Achilles, J., & Gray, D. (2004). Adolescent suicide myths in the United States. Crisis, 25,176–182.
Nabors, L. A., Leff, S. S., & Power, T. J. (2004). Quality improvement activities and expanded school mental health services. Behavior Modification, 28,596–616.
New Freedom Commission on Mental Health. (2003). Achieving the Promise: Transforming Mental Health Care in America. Final Report(DHHS Pub. No. SMA-03-3832). Rockville, MD: Author.
No Child Left Behind Act, U.S.C. 107-110, 115 Stat. 1425. (2002).
Osher, D., Dwyer, K., & Jackson, S. (2003). Safe, Supportive, and Successful Schools Step By Step. Longwood, CO: Sopris West.
Owens, P. L., Hoagwood, K., Horowitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., et al. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41,731–738.
Owens, J. S., & Murphy, C. E. (2004). Effectiveness research in the context of school-based mental health. Clinical Child and Family Psychology Review, 7,195–209.
Power, K., & DeMartino, R. (2004). Co-occurring disorders and achieving recovery: The Substance Abuse and Mental Health Services Administration perspective. Biological Psychiatry, 56,721–722.
Power, T. J., Eiraldi, R. B., Clarke, A. T., & Mazzuca, L. B. (2005). Improving mental health service utilization for children and adolescents. School Psychology Quarterly, 20,187–205.
Prodente, C. A., Sander, M. A., & Weist, M. D. (2002). Furthering support for expanded school mental health programs. Children’s Services: Social Policy, Research and Practice, 5,173–188.
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.
Rones, M., & Hoagwood, K. (2000). School-based mental health services: A research review. Clinical Child and Family Psychology Review, 3,223–241.
Rowling, L., & Weist, M. D. (2004). Promoting the growth, improvement and sustainability of school mental health programs worldwide. International Journal of Mental Health Promotion, 6,3–11.
Schaeffer, C. M., Bruns, E., Weist, M., Stephan, S. H., Goldstein, S., & Simpson, Y. (2005). Overcoming challenges to using evidence-based interventions in schools. Journal of Youth and Adolescence, 34,15–22.
Sedlak, M. W. (1997). The uneasy alliance of mental health services and the schools: A historical perspective. American Journal of Orthopsychiatry, 67,349–362.
Shelton, D. (2003). The President’s New Freedom Commission on Mental Health: Significance for children. Journal of Pediatric Nursing, 18,203–205.
Shernoff, E. S., Kratochwill, T. R., & Stoiber, K. C. (2003). Training in evidence-based interventions (EBI’s): What are school psychology programs teaching? Journal of School Psychology, 41,467–483.
Short, R. J., & Talley, R. C. (1997). Rethinking psychology and the schools: Implications of recent national policy. American Psychologist, 52,234–240.
Strein, W., Hoagwood, K., & Cohn, A. (2003). School psychology: A public health perspective I. Prevention, populations, and systems change. Journal of School Psychology, 41,23–38.
Stoep, A. V., Weiss, N. S., Kuo, E. S., Cheney, D., & Cohen, P. (2003). What proportion of failure to complete secondary school in the US population is attributable to adolescent psychiatric disorder? Journal of Behavioral Health Services and Research, 30,119–124.
Storch, E. A., & Crisp, H. L. (2004). Taking it to the schools- Transporting empirically supported treatments for childhood psychopathology to the school setting. Clinical Child and Family Psychology Review, 7,191–193.
Thomson, E. A., Eggert, L. L., Randell, B. P., & Pike, K. C. (2001). Evaluation of indicated suicide risk prevention approaches for potential high school dropouts. American Journal of Public Health, 91,742–752.
U.S. Department of Health and Human Services. (1999). Mental health: A report of the Surgeon General- Executive Summary. Rockville, MD: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institute of Health, National Institute of Mental Health.
Vanderbleek, L. M. (2004). Engaging families in School-Based Mental Health Treatment. Journal of Mental Health Counseling, 26,211–224.
Waxman, R. P., Weist, M. D., & Benson, D. M. (1999). Toward collaboration in the growing education-mental health interface. Clinical Psychology Review, 19,239–253.
Weare, K. (2000). Promoting mental, emotional and social health: A whole school approach. London: Routledge.
Weist, M. D., Evans, S. W., & Lever, N. A. (2003). Handbook of school mental health: Advancing practice and research. New York: Kluwer Academic/Plenum Publishers.
Weist, M. D., Myers, P. C., Danforth, J., McNeil, D. W., Ollendick, T. H., & Hawkins, R. (2000). Expanded school mental health services: Assessing needs related to school level and geography. Community Mental Health Journal, 36,259–273.
Weist, M. D., & Paternite, C. E. (2006). Building an interconnected policy-training-practice-research agenda to advance school mental health. Education and Treatment of Children, 29(2), 173–196.
Weist, M. D., Paternite, C. E., & Adelsheim, S. (2005). School-based mental health services.Report to the Institute of Medicine, Board on Health Care Services, Crossing the Quality Chasm: Adaptation to Mental Health and Addictive Disorders Committee. Washington, DC: Institute of Medicine.
Weist, M. D., Sander, M. A., Lever, N. A., Link, B., Christodulu, K. V., Rosner, L. E., et al. (2002). Advancing the quality agenda in expanded school mental health. Emotional and Behavioral Disorders in Youth, 2,59–70.
Weist, M. D., Sander, M. A., Walrath, C., Link, B., Nabors, L., Adelsheim, S., et al. (2005). Developing principles for best practice in expanded school mental health. Journal of Youth and Adolescence, 34,7–13.
Weisz, J., & Jensen, P. (1999). Efficacy and effectiveness of child and adolescent psychotherapy and pharmacotherapy. Mental Health Services Research, 1,125–157.
World Health Organization (2003). Creating an environment for emotional and social well-being: An important responsibility of a health-promoting and child friendly school.Retrieved July 26, 2005 from http://www.who.int/school_youth_health/media/en/sch_childfriendly_03_v2.pdf.
Yoo, J. (2002). The relationship between organizational variables and client outcomes: A case study in child welfare. Administration in Social Work, 26,39–61.
ACKNOWLEDGMENTS
Supported in full by Project U93 MC 00174 from the Office of Adolescent Health, Maternal and Child Health Bureau (Title V, Social Security Act), Health Resources and Service Administration, Department of Health and Human Services. This project is co-funded by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Department of Health and Human Services. The views, policies, and opinions expressed are those of the authors and do not necessarily reflect those of Substance Abuse and Mental Health Services Administration (SAMHSA) or Department of Health and Human Services (DHHS).
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Mills, C., Stephan, S.H., Moore, E. et al. The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services. Clin Child Fam Psychol Rev 9, 149–161 (2006). https://doi.org/10.1007/s10567-006-0003-3
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DOI: https://doi.org/10.1007/s10567-006-0003-3