Subject: NCSMH Newsletter - June & July 2023

NCSMH Newsletter

June & July 2023

The June & July 2023 Newsletter includes...

  • 2023 Annual Conference on Advancing School Mental Health

  • School Mental Health Spotlight: Mental Health Month Twitter Conversation

  • Youth Engagement Spotlight: Identifying Evidence-Based Mental Health Promotion in High-Achieving Schools

  • Thank you to the NCSMH interns!

  • The 2023 School Mental Health Virtual Learning Series

  • The SHAPE System: Organizational Well-Being Assessment

  • Job Openings

  • Study Recruitment

  • Connected Wellbeing Initiative Launch

  • June: LGBTQ+ Pride, PTSD Awareness, Juneteenth

  • July: Minority & BIPOC Mental Health Awareness, Disability Pride, Nonbinary Awareness

  • Resources, Journal Articles, Policy Announcements

The 2023 Annual Conference on

Advancing School Mental Health

Building Hopeful Futures for All Youth

Each year, the Annual Conference on Advancing School Mental Health brings together leaders, practitioners, researchers, and other stakeholders in the school mental health field to share the latest research, best practice, and innovation. The conference emphasizes a shared family-school-community agenda to bring high-quality, evidence-based mental health promotion, prevention, and intervention to students and families as part of a multi-tiered system of supports. This year’s conference theme is Building Hopeful Futures for All Youth. The conference will be held in New Orleans, LA, from December 5-7, 2023.

  • Early bird registration rates available through Sept 8 (discounts available for accepted presenters and students).

  • Nominate a person or organization who is making a positive difference in school mental health! Awardees will be honored during the conference.


Use the links below to find more information and register.

School Mental Health Spotlight

#ElevateTheConvo Children's Mental Health Twitter chat

On May 11th, the NCSMH participate in the 3rd Annual Shine a Light on Youth-Wellbeing Twitter chat, led by Dr. Sally Spencer-Thomas. Participants discussed increasing mental health concerns for girls and LGBTQ+ youth, family engagement in mental health services, promoting healthy sleep in youth, and dismantling barriers to care for families that do not speak English. Throughout the evening many helpful perspectives, resources, and events were shared. You can find the tweets from this event on Twitter by searching #ElevateTheConvo.

Youth Engagement Spotlight

Identifying Evidence-Based Practices for

Mental Health Promotion in High-Achieving Schools

A conversation with Rick B. Yang, High School Student in New York


Why you decide to dive deeper into this topic?

I come from a relatively well-off background as a Chinese American high school student and attended a relatively high-achieving school where mental health is heavily stigmatized. Unfortunately, the current cultural beliefs and attitudes in Chinese American communities may prioritize the importance of maintaining “face”, emphasizing the value of hard work and perseverance, and minimizing the discussion of emotional and mental struggles, resulting in a reluctance to seek help. During the COVID pandemic, I really struggled with my mental health and after coming back to school in person, I realized that a lot of my friends had experienced similar issues. In a relatively affluent community of supposedly “high-achieving” students where mental health is practically an afterthought, we all succumbed to the institutionalized stigma in our community, unable to reach out to virtually anyone. That’s precisely why I believe mental health is the greatest thief of human potential. However, by harnessing the power of research, policy, advocacy, and education, I hope to return that potential to the 2 billion people suffering around the world to combat this invisible violence that has plagued not only me and my closest friends, but communities anywhere and everywhere else. And that’s why I pursue mental health with my utmost passion and devotion. 


Can you describe high achieving students (HAS) and the competitive nature of your school?

A few years ago, the National Academies of Sciences, Engineering, and Medicine added youths in “high achieving schools” to their list of “at-risk” groups, along with kids living in poverty, recent immigrants, and those with incarcerated parents (Wallace, 2019). Multiple studies of high-achieving school (HAS) cohorts have shown elevated rates of severe mental illness, including higher rates of anxiety and depression (Luthar et al., 2020). In HAS like mine, many students experience intense pressure to perform at high levels in every area of their early lives as a result of the historically low acceptance rates at selective universities. Driven students must out-compete one another for a select number of highly sought-after positions in the competitive environment of high-achieving schools, whether it’s a seat in AP calculus or a position on the debate team. Even once-stress-relieving pastimes, like playing a musical instrument or participating in sports, have evolved into a means to an end: admission to one of the nation's most competitive institutions, followed by a prestigious, well-paying job. 


How have HAS been overlooked when it comes to mental health supports/common mental health concerns?

A major problem in my community and in many high-achieving schools nationwide is the unwavering focus on tier 2 and 3 services and funding going towards increased psychologists in school. While this is necessary, it would overlook higher-performing students who are still doing well in school despite their private mental health struggles. Since high-achieving students are less likely to to seek help, research has found that youth who engage in self-harm behaviors may in fact be high-achieving students with perfectionistic tendencies who are engaged in school, but are struggling with mental health functioning outside of the classroom setting (Klassen et al., 2021). 


What mental health supports have you noticed were missing in your school related to HAS?

Tier 1 services are missing in HAS. With current services emphasizing tier 2 and 3 supports, high-achieving students lack the greatest ability to access MH resources because they are often overlooked when compared to students who are visibly struggling enough to be targeted for support. This is not to say that focusing efforts on tier 2 or 3 services is not a suitable approach, but rather that those tier 2 and 3 supports should be coupled with expanding more foundational tier 1 services and reducing stressors where possible to prevent students from falling into the vulnerable category of adolescents that require individual attention in the first place. 


What supports do you recommend your district/school implement to support student wellbeing and why?

I recommend five specific supports for my school to implement to support student wellbeing. First, environmental prevention measures which focus on reducing academic stressors like heavy workloads and de-emphasizing achievement. Second, social-emotional learning, or SEL, which helps to foster social and emotional skills within school curricula. Specific SEL programming can be chosen for middle and high schools that focus more on stress-management techniques, mental health literacy, decreasing stigma, self-care, and suicide prevention. Third, community psychoeducation that teaches those who work with or around students about mental health awareness to help them detect mental health struggles and guide those struggling. Fourth, universal mental health screening which detects students struggling with MH in HAS more reliably than staff referrals, which are more likely to only identify students who are visibly struggling. Fifth, wellness centers that act as in-school refuges for relaxation, de-stress, confidential counseling, and emotional bonding but also provide tiers 2 and 3 support in the form of direct therapy and out-of-school referrals for MH consultation.


What would be the next steps to fund these initiatives and why it is important to sustain them in school mental health programming?

In order to fund these initiatives, the first steps to take would involve reaching out to education administrators and local policymakers to introduce the idea for a potential mental health service rollout. This, of course, relies on the prerequisite that funding is sufficient to implement such services. Then, once the idea is approved, proper stakeholders would convene to discuss ways to properly implement these supports using evidence-based techniques based upon implementation science literature. The reasons why it is important to sustain the aforementioned supports in school mental health programming for HAS include the chance for the betterment of communities’ and students’ overall future, including better grades, happier families, and healthier communities. Why? Because current services do not include enough tier 1 programming, missing a large portion of the student body that struggle in private.

Thank You to the 2022-2023 NCSMH Pre-Doctoral Interns!

Congratulations on completing your internship with the NCSMH, and best of luck as you continue as leaders in school and youth mental health!

Assess and Improve School Organizational Well-Being!

We are pleased to announce the release of the Organizational Well-Being Inventory (OWBI) on SHAPE! The Organizational Well-Being Inventory for Schools (OWBI-S) assess the quality of school organizational well-being across 8 domains:

  • Work Climate and Environment

  • Input, Flexibility, and Autonomy

  • Professional Development and Recognition

  • Organizational and Supervisory Support

  • Self-Care and Self-Compassion

  • Diversity, Equity, Inclusion, and Access

  • Purpose and Meaningfulness

  • Professional Quality of Life

Free reports offer schools an analysis of their strengths and areas for improvement. Check it out on www.TheSHAPESystem.com!

NCSMH Job Openings

Postdoctoral Fellow Baltimore, MD.

This is a 1-2 year full-time position for individuals who have completed all requirements for the PhD/PsyD from an APA-accredited clinical, school, or counseling psychology program or provide documentation that they are on track to complete all doctoral requirements for the Ph.D./Psy.D. prior to the fellowship start date. The fellow will be working with faculty and a multidisciplinary team to advance skills in research, training, policy, and practice related to child and adolescent mental health services, with an emphasis on school-based services.

Lead Clinical Research Specialist Baltimore, MD. 

This position will support the evaluation of several children’s mental health initiatives with a focus on advancing comprehensive school mental health systems, or focus on supporting comprehensive school mental health training and technical assistance to school districts and states. This position is responsible for overseeing the management of day-to-day clinical research operations; leading study initiation, execution, and completion; developing research protocols; and conducting advanced data analyses and project reporting.

School Mental Health Counselor Prince George's County, MD. 

This position provides a full continuum of mental health services and consultation to youth with severe behavioral and emotional challenges who are enrolled in Prince George’s County Public Schools. The individual would provide a broad range of clinical services including: 1) assessments and evaluation, 2) individual, group, and family therapy, 3) crisis intervention, 4) teacher consultations, and 5) school-wide education and training regarding mental health issues. Requires licensure and includes a sign-on bonus.

UW Smart Center Job Opening

The School Mental Health Assessment Research and Training (SMART) Center at the University of Washington is excited to have a new postdoc position! This position works on federally-funded implementation research projects designed to improve the availability of high-quality social, emotional, and behavioral/mental health programming in schools. Applications are reviewed on a rolling basis but should be received by June 30th for full consideration. More information and application instructions can be found below.

RAND Survey Interview Opportunity

RAND (a nonprofit research organization) is conducting a study on how technology is being used to detect student suicide risk in schools. RAND researchers would like to interview school social workers, psychologists, and other mental health staff to understand their views about how technology is being used to identify and intervene with students who may be at risk for suicide. If you are interested in learning more or signing up for a confidential interview, please contact Dr. Lynsay Ayer at lynsay_ayer@rand.org. You will receive a $25 Amazon gift card for participating in the interview.


Study Recruitment for Clinicians

Trauma-Informed Investigation of Transgender and Non-binary individuals Experiences in HIV Stigma Research is a project to develop empirically-grounded, practical recommendations for conducting stigma-related research with Transgender and Non-binary individuals. Researchers are seeking to interview therapists or mental health clinicians who:

  • Have a master's or doctorate degree (e.g., LMFT, LPC, LCSW/LMSW, PhD, PsyD)

  • Specialize in LGBTQ+ populations

  • Are licensed and practice in the US

  • Have received specialized training and/or engage in specialized practice in trauma recovery

  • Have been practicing for at least 5 years

  • Have treated at least 5 trans or nonbinary clients

One-hour participant interviews occur via Zoom and participants receive a $50 online gift card. For any questions or participate, please contact Elijah Castle at elijah.castle@hunter.cuny.edu.

The National Institutes of Mental Health (NIMH) is looking to expand the pool of peer reviewers with mental health researchers who can bring diverse perspectives to the peer review process. Successful applicants should:

  • Have an academic and/or professional doctorate degree.

  • Have at least 1 year of experience at the instructor level or higher. Post-doctoral fellows might be considered if they have at least 5 years of experience.

  • Demonstrate evidence of an active research program through things like publications and funded research studies.

Connected Wellbeing Initiative Launch

The positive benefits of youth interacting with technology are often ignored while the negatives are emphasized, and it’s time for that to change. The NCSMH is proud to support the new Connected Wellbeing Initiative, a coalition of renowned experts who agree that it is time to respond and relate to these technologies in healthy, empowered, and equitable ways. This collaborative effort focuses on amplifying the benefits of social media for vulnerable youth. Learn more about this initiative in the press release.

JUNE

LGBTQ+ Pride

June is LGBTQ+ Pride month, a time to support and celebrate LBGTQ+ individuals. While Pride is a time for joy, it feels heavy this year under the weight of mounting attacks on the rights of LGBTQ+ youth. Transgender youth in particular are navigating increasingly hostile laws and policies that restrict or remove gender-affirming care.


What is gender-affirming care?

Gender-affirming care is an umbrella term for evidence-based, age-appropriate treatments and supports. While often used in the context of transgender and non-binary individuals, any individual can receive gender-affirming care, regardless of their gender identity. For transgender and nonbinary people, this care is safe and effective in reducing suicidality, anxiety, and depression. Gender-affirming surgery regret rates are far below regret rates for other medical procedures. No specific treatment or procedure is required, so transgender people can decide with their healthcare provider(s) what is best for them. The World Professional Association for Transgender Health recently released Standards of Care for the Health of Transgender and Gender Diverse People, Version 8.


How can I support and celebrate LGBTQ+ students, families, and school staff?

Below are links to these organizations and individuals who are supporting the health and wellness of LGBTQ+ students, families, and school staff, as well as some resources to support your work.

PTSD Awareness

Posttraumatic Stress Disorder (PTSD) is marked by distressing experiences following exposure to one or more chronic or acute traumatic events, such as abuse or violence, natural disasters, COVID-19, racism and other systems of oppression, and more. Up to 1 in 5 adolescents may be experiencing PTSD. Learn more and raise awareness:

Juneteenth

Juneteenth takes place annually on June 19. It is a celebration and reflection of the liberation of enslaved Black people in the US. June 19, 1865, was the day Black Texans learned they were free, over two years after the signing of the Emancipation Proclamation. Juneteenth should be a day for reflection on the continued impacts of slavery, systemic racism, and racial trauma. However, Juneteenth is also a day for celebration and an observance of freedom.

JULY

Minority / BIPOC Mental Health Awareness

Observed each July and originally designated as National Minority Mental Health Awareness Month, BIPOC Mental Health Month highlights the unique mental health challenges and needs of historically disenfranchised or oppressed racial and ethnic groups in the United States. Black and Indigenous people and other people of color (BIPOC) experience a broad spectrum of ongoing discrimination, oppression, and inequity rooted in America’s colonialist history, all of which foster both collective and individual trauma in those communities (ACA). Learn more and access resources:

Disability Pride

As of 2020, around 14% of students in US schools received special education services. Some people with disabilities have been hit hard by the COVID-19 pandemic, and many are experiencing new disabilities related to long COVID. Inclusion and accessibility are key components to reducing ableism (the prejudice and discrimination related to disability status) and improving equitable outcomes for people with disabilities. Learn more and get involved!

Non-binary Awareness

July 14 is Non-binary Awareness Day. Nonbinary people are individuals who are not exclusively a man or a woman. This is an umbrella term that covers a wide variety of gender identities, experiences, and expressions. On this day, we celebrate and acknowledge non-binary people's identities and success! Learn more about nonbinary people:

Resources

A Toolkit for Supporting the Implementation of School Employee Wellness in Districts / Schools

This quick-start toolkit from SOPHE School Employee Wellness is a supplement to Healthy School, Healthy Staff, Healthy Students: A Guide to Improving School Employee Wellness, designed to increase the capacity of district and school staff in addressing school employee wellness, to improve the health of all school employees, and to improve student health and academic outcomes.


National Guidelines for Child and Youth Behavioral Health Crisis Care

These guidelines, developed by the Substance Abuse and Mental Health Services Administration (SAMHSA), offer best practices, implementation strategies, and practical guidance for the design and development of services that meet the needs of children, youth, and their families experiencing a behavioral health crisis. It is intended to help mental health authorities, agency administrators, service providers, state and local leaders think through and develop the structure of crisis systems for children, youth, and their families that meet community needs.

 

COMPASS for Courage

COMPASS for Courage uses game-based activities to teach kids practical skills at home or school to manage worries, solve problems, and face stressful situations with confidence. COMPASS materials can be accessed by community providers, parents, and educators at no cost via PBS LearningMedia. COMPASS uses collaborative game-based learning to teach youth research-supported strategies to manage worries, solve problems, build relationships, and face stressful situations with confidence. The six-lesson plan also has shown to improve emotion dysregulation, grades and test scores, social skills, confidence, and reduce out-of-classroom time (e.g., absences, nurse visits), instructional remediation, and in-class meltdowns.


Complete Guide to PANS and PANDAS from the Child Mind Institute

PANS and PANDAS are severe forms of obsessive-compulsive disorder (OCD) that appear suddenly (acute onset) in young children, accompanied by other confusing and distressing symptoms. The linked guide above explains how to recognize PANS and PANDAS, how they’re diagnosed, and what the recommended treatments are. This guide can be helpful in the school mental health context given frequent misdiagnoses.


Mental Health-Related Booklists

Looking to increase mental health literacy through summer reading? The following booklists are curated by the Children’s Mental Health Matters Campaign to provide families and educators with age-appropriate mental health books that can help children and adolescents name and understand feelings, deal with painful experiences, cope with strong emotions, and more. 

 

Recommended Books For and About Children of Incarcerated Parents

The New York Initiative for Children of Incarcerated Parents provides a list of books for parents caregivers, providers, and policy makers about the diverse needs and experiences of children of incarcerated parents. Making books available in spaces children and families can access, such as classrooms, libraries, and offices can convey to children with incarcerated parents they are not alone and signal that you or your organization are supportive of families affected by incarceration. This resource list addresses children across all ages.

 

New PBS Television Show Promotes Computational and Critical Thinking Skills

With funding from the Department of Education’s Office of Special Education Programs, PBS Kids has created a new television show that premiered in February 2023 called Work It Out Wombats! The show introduces computational thinking concepts and problem solving to children ages 3–6 and features a trio of marsupial siblings that interact with a community of animal friends from their “Treeborhood.” It will be broadcast on PBS KIDS; digital games, videos, and other activities will be available on PBSKIDS.org.

 

Gender Diverse Youth Sport Inclusivity Toolkit

The Gender Diversity organization provides this resource guide for inclusive transgender and non-binary youth sport best practices. Continued efforts to better understand and implement inclusive practices are vital in creating an equitable playing field. This toolkit provides guidance and resources to assist administrators, educators and coaches in providing an inclusive environment where all students are welcomed. Tis toolkit includes up-to-date language, definitions, policy, FAQ, current ‘best practices’, guidance in nuanced scenarios, and more.

 

WETA’s AdLit: All About Adolescent Literacy

Looking for summer resources to keep adolescents who are struggling with reading practicing their skills? Educators and families can find a wealth of free resources for struggling adolescent readers and writers on this WETA site. Find diverse book recommendations, reading discussion guides, and classroom strategies to help make reading more engaging for students at home and in the classroom. Appeal to teens’ interests using the Book Finder tool to sort by reading level and genre.

 

Tools to Improve Practice (TIPs) for Working with Children, Youth, and their Families

From of the San Francisco Health Network, Dr. Ritchie Rubio’s TIPs website is rich with practice-oriented resources for clinicians, including culturally responsive and anti-racism tools. These resources also seek to strengthen the use of evidence-based assessment and interventions in a telehealth environment primarily for BIPOC communities.

 

Promoting Black Joy and Countering Bias Through Infant and Early Childhood Mental Health Consultation

A new guidance document from the Children’s Equity Project and the Center of Excellence for Infant and Early Childhood Mental Health Consultation (IECMH) places a much-needed emphasis on centering Black Joy in work with Black children and families. The goal of this resource is to support the development of equitable learning environments for Black children. Section One includes information about Black culture, history, cultural strengths, values, and ways of knowing and being; Section Two guides users through the Revised IECMH Consultation Competencies and provides promising practices and concrete strategies to increase consultants’ and supervisors’ capacity to handle personal and institutional bias; and Section Three invites users to consider the real-life implications of harmful practices through a series of case studies with questions for individual and group reflection.

 

Office of Planning, Research, and Evaluation Releases Dashboard to Track State Frameworks for Infant and Toddler Teacher and Caregiver Competencies

This data dashboard was developed as a part of the Infant and Toddler Teacher and Caregiver Competencies (ITTCC) with an intended audience of teachers and caregivers, administrators, coaches, technical assistance providers, institutions of high education, and/or policymakers.

 

Interactive Model of Virtual Healthy Schools

The Centers for Disease Control and Prevention (CDC) Virtual Healthy School (VHS) is an interactive tool that shows schools how to support the health and academic achievement of students through the Whole School, Whole Community, Whole Child (WSCC) model.


IES What Works Clearinghouse v5.0 Training and Certification Opportunity

The What Works Clearinghouse (WWC), of the Institute for Education Sciences, has launched online training and certification for the WWC Procedures and Standards Handbook, Version 5.0. The WWC offers this training to inform the public about key elements of the WWC group design standards, increase transparency of their review process, and to train reviewers who wish to become certified in the WWC’s group design standards. There are three levels of certification: Group Design, Advanced Group Design, and Single-Case Design. The trainings are free and available online through a series of video modules. After completing the training, reviewers can take a multiple-choice exam to become certified to review studies under WWC standards.

Journal Articles

Barriers to School-Based Mental Health Resources Utilization Among Black Adolescent Males

Black adolescent males use available mental health services at a disproportionately lower rate compared to males of other racial groups. This study examines barriers to school-based mental health resource (SBMHR) use among Black adolescent males, as a means of addressing reduced usage of available mental health resources and to improve these resources to better support their mental health needs. Secondary data for 165 Black adolescent males were used from a mental health needs assessment of two high schools in southeast Michigan. Logistic regression was employed to examine the predictive power of psychosocial (self-reliance, stigma, trust, and negative previous experience) and access barriers (no transportation, lack of time, lack of insurance, and parental restrictions) on SBMHR use, as well as the relationship between depression and SBMHR use. No access barriers were found to be significantly associated with SBMHR use. However, self-reliance and stigma were statistically significant predictors of SBMHR use. Participants who identified self-reliance in addressing their mental health symptoms were 77% less likely to use available mental health resources in their school. However, participants who reported stigma as a barrier to using SBMHR were nearly four times more likely to use available mental health resources; this suggests potential protective factors in schools that can be built into mental health resources to support Black adolescent males’ use of SBMHRs. This study serves as an early step in exploring how SBMHRs can better serve the needs of Black adolescent males. It also speaks to potential protective factors that schools provide for Black adolescent males who have stigmatized views of mental health and mental health services. Future studies would benefit from a nationally representative sample allowing for more generalizable results regarding barriers and facilitators to Black adolescent males’ use of school-based mental health resources.


Williams, E. D., Lateef, H., Gale, A., Boyd, D., Albrecht, J., Paladino, J., & Koschmann, E. (2023). Barriers to School-Based Mental Health Resource Utilization Among Black Adolescent Males. Clinical Social Work Journal, 1-16


Implementation of a School Mental Health Learning Collaborative Model to Support Cross‑Sector Collaboration

Facilitating success for students with behavioral health challenges requires effective collaboration among professionals from traditionally disparate systems (e.g., education, health, and mental health). The current investigation describes a case-study implementation of a school-based learning collaborative model and explores its effectiveness in promoting knowledge, skill, efficacy, and systems-related improvements in cross-sector collaboration. The learning collaborative (LC) was offered to school teams over the course of a year and consisted of a combination of didactic and experiential learning opportunities, guest speakers, district-specific improvement goals, peer learning and support, and individualized consultation support. Evaluation efforts included evidence demonstrating the efficacy of the LC, improvement in person-centered knowledge skills and competencies, and generation of concrete changes in school systems. Respondents consistently shared that the quality of the LC was high that the topics were highly useful for their day-to-day practice, and that they would recommend the LC to their colleagues and peers. In turn, this process fostered improvement in educators’ knowledge, skills, and confidence, and generated systemic improvement in districts to support children with behavioral health needs and their families. Specific components of this model that best account for changes are discussed, along with implications for application and next steps.


Heatly, M. C., Nichols-Hadeed, C., Stiles, A. A., & Alpert-Gillis, L. (2023). Implementation of a school mental health learning collaborative model to support cross-sector collaboration. School Mental Health, 1-18.


Special Education Teachers of Color Burnout, Working Conditions, and Recommendations for EBD Research

This article is in direct response to Garwood’s call to action about burnout and the special education teacher workforce. While Garwood’s call to action is critically needed, we contend that the call is incomplete as it lacks emphasis on factors linking sociocultural identity and burnout. Therefore, in this article, we discuss the significance of elevating sociocultural identity, specifically race and ethnicity, into research about special education teacher burnout. We argue that any research on special education teacher burnout that does not include race and ethnicity is overlooking the racialization of special education teachers’ working conditions, and ultimately is incapable of addressing one of the most pressing issues in the special education field—retaining teachers of color. Recommendations for researchers to address sociocultural identities (i.e., race and ethnicity) in their research, specifically about special education teachers of color teaching students with emotional and behavioral disorders, are addressed.


Scott, L. A., Bettini, E., & Brunsting, N. (2023). Special Education Teachers of Color Burnout, Working Conditions, and Recommendations for EBD Research. Journal of Emotional and Behavioral Disorders, 10634266221146495.


Using the Whole School, Whole Community, Whole Child Model to Support Mental Health in Schools

The COVID-19 pandemic increased already high rates of student mental health concerns and further underscored inequities and disparities in access to services and care. As schools continue to address the effects of the pandemic, they must prioritize student mental health and well-being. In this commentary, using feedback from the Maryland School Health Council, we present the connection between mental health in school and the Whole School, Whole Community, Whole Child (WSCC) model, a school health model commonly employed by schools and school districts. In doing so, we aim to highlight how school districts can use this model to address child mental health needs across a multi-tiered system of support.

 

Lever, N., Orenstein, S., Jaspers, L., Bohnenkamp, J., Chung, J., & Hager, E. (2023). Using the Whole School, Whole Community, Whole Child model to support mental health in schools. Journal of School Health.


Prescription Stimulant Medical and Nonmedical Use Among US Secondary School Students, 2005 to 2020

Recent information on the prevalence of prescription stimulant therapy for attention-deficit/hyperactivity disorder (ADHD) and nonmedical use of prescription stimulants (NUPS) at the school-level among US secondary school students is limited. The purpose of this paper is to investigate the school-level prevalence of and association between stimulant therapy for ADHD and NUPS among US secondary school students. This cross-sectional study used survey data collected between 2005 and 2020 as part of the Monitoring the Future study (data collected annually via self-administered survey in schools from independent cohorts). Participants were from a nationally representative sample of 3284 US secondary schools. Across US secondary schools, the past-year prevalence of NUPS ranged from 0% to more than 25%. The adjusted odds of an individual engaging in past-year NUPS were higher at secondary schools with higher proportions of students who reported stimulant therapy for ADHD, after controlling for other individual-level and school-level covariates. Students attending schools with the highest rates of prescription stimulant therapy for ADHD had approximately 36% increased odds of past-year NUPS compared with students attending schools with no medical use of prescription stimulants (adjusted odds ratio, 1.36; 95% CI, 1.20-1.55). Other significant school-level risk factors included schools in more recent cohorts (2015-2020), schools with higher proportions of parents with higher levels of education, schools located in non-Northeastern regions, schools located in suburban areas, schools with higher proportion of White students, and schools with medium levels of binge drinking. In this cross-sectional study of US secondary schools, the prevalence of past-year NUPS varied widely, highlighting the need for schools to assess their own students rather than relying solely on regional, state, or national results. The study offered new evidence of an association between a greater proportion of the student body that uses stimulant therapy and a greater risk for NUPS in schools. The association between greater school-level stimulant therapy for ADHD and other school-level risk factors suggests valuable targets for monitoring, risk-reduction strategies, and preventive efforts to reduce NUPS.


McCabe, S. E., Schulenberg, J. E., Wilens, T. E., Schepis, T. S., McCabe, V. V., & Veliz, P. T. (2023). Prescription stimulant medical and nonmedical use among US secondary school students, 2005 to 2020. JAMA network open, 6(4), e238707-e238707.


Educators Are Not Alright: Mental Health During COVID-19

Educator mental health sits at the intersection of multiple pressing educational issues. We are among the first to provide estimates of school system employee (SSE) stress, anxiety, and depression during the COVID-19 pandemic. Most participants reported clinically meaningful anxiety and depressive symptoms (77.96% and 53.65%, respectively). Being in the lowest strata of family income was associated with higher stress, a greater likelihood of clinically significant depressive symptoms, and reduced intentions to continue in the same job, portending the current staffing shortages affecting schools. Supporting SSE mental health should become a policy priority.


Hirshberg, M. J., Davidson, R. J., & Goldberg, S. B. (2023). Educators Are Not Alright: Mental Health During COVID-19. Educational Researcher, 0013189X221142595.

Policy Announcements

The Centers for Medicare & Medicaid Services (CMS) released Delivering Service in School-Based Settings: A Comprehensive Guide to Medicaid Services and Administrative Claiming. Developed in consultation with the U.S. Department of Education, the new guide represents an important part of the Biden-Harris Administration’s work implementing the Bipartisan Safer Communities Act (BSCA). BSCA charged CMS with expanding access to Medicaid health care services in schools, including behavioral health services, and reducing administrative burden for states and schools.


On April 18, 2023, President Biden signed an Executive Order that represents the most comprehensive set of executive actions taken by any president to improve access to child care for the nation’s babies and improve job quality for early childhood educators, President Biden’s Executive Order includes more than 50 directives to nearly every cabinet-level agency to expand access to affordable, high-quality care, and provide support for care workers and family caregivers.

 

Institute of Educational Sciences Report: How Districts Use Federal Funds to Attract, Train, and Retain Educators

The Institute of Education Sciences (IES) released a report providing the first comprehensive review of activities grantee districts prioritized with their Teacher and School Leader (TSL) funds and how well these activities aligned with key aspects of the program. The report is based on interviews conducted near the end of the initial 3-year grant period for the 24 districts in TSL’s first cohort awarded in 2017 and is part of a broader evaluation of TSL required by Congress. Key findings include:

  • TSL districts most commonly prioritized performance-based compensation and personalized support, such as with bonuses or teacher leaders who coach teachers.

  • Only some TSL districts indicated that their prioritized activities were central to improving educator diversity or increasing underserved students’ equitable access to effective educators, suggesting that grantees may not have emphasized these issues as much as the program expected.

  • TSL districts prioritized strategies to improve their educator workforce over strategies to improve their data infrastructure, perhaps because districts felt they already had an adequate system to drive decisions.

The National Center for School Mental Health at the University of Maryland School of Medicine is funded in part by the U.S. Department of Health and Human Services, Maternal and Child Health Bureau to advance school mental health programs and policies to promote success for America’s youth.