Identifying adolescents at risk through voluntary school-based mental health screening
Abstract
This study compares referrals for mental health services among high school students randomized to two means of referral to mental health services: referral via systematic identification through a brief mental health screening procedure (n = 365) or referral via the usual process of identification by school personnel, parents, or students themselves (n = 291). Screened students were significantly more likely than control students (AOR: 21.64 95%CI 6.66-70.36) to receive a referral for mental health services, whether it be to school-based services (AOR: 11.68 95%CI 3.52-8.73) or community-based services (AOR: 20.02 95%CI 2.66-150.41). Post-study, for those screened, 95.5% of school-based mental health services referrals, and 39.3% of community-based referrals were accessed. School based mental health screening identified a significantly greater proportion of youth to be in clinical need of mental health services than would have likely been identified without screening, and increased rates of referral resulted in greater access to mental health services.
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Educational settings have a central role in promoting mental health, recognising warning signs of mental ill health, and delivering prevention and intervention programmes.
“Educational settings have a central role in promoting mental health, 329,330 recognising the warning signs of mental ill health, 331 and delivering prevention and intervention programmes.”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [331]
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- Authors
- Husky, M. M., Kaplan, A., McGuire, L., Flynn, L., Chrostowski, C., & Olfson, M.
- Affiliations
- New York State Psychiatric Institute (US)
- Adolescent Boys Unit at Rockland Children’s Psychiatric Center 599 Convent Road Orangeburg NY 10962 United States
- Student Assistance Program Strong Vincent High School Erie PA United States
- Corresponding author
- Husky, Mathilde M.
- Venue
- Journal of Adolescence
- Publisher
- Wiley
- Published
- 2010-06-18
- Volume
- 34
- Issue
- 3
- Pages
- 505-511
- ISSN
- 0140-1971 (ISSN-L)
- 1095-9254
- OpenAlex
- W2104267607
- Cited by
- 93
- References
- 21
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 8 · 2023: 3 · 2022: 12 · 2021: 9 · 2020: 4 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 8 · 2015: 6 · 2014: 1 · 2013: 3 · 2012: 7
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescence (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- adolescent mental health, school-based mental health screening, mental health service referral, high school students, access to mental health care, school-based mental health services, community mental health services, voluntary screening
- MeSH terms
- Adolescent, Mental Disorders, Community Mental Health Services, Female, Humans, Male, Parents, Pennsylvania, Psychiatric Status Rating Scales, Referral and Consultation, School Health Services, Students, Urban Population, Adolescent Health Services
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