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Transformation of Children's Mental Health Services: The Role of School Mental Health
Abstract
The New Freedom Commission has called for a transformation in the delivery of mental health services in this country. The commission's report and recommendations have highlighted the role of school mental health services in transforming mental health care for children and adolescents. This article examines the intersection of school mental health programs and the commission's recommendations in order to highlight the role of school mental health in the transformation of the child and adolescent mental health system. Schools are uniquely positioned to play a central role in improving access to child mental health services and in supporting mental health and wellness as well as academic functioning of youths. The New Freedom Commission report articulated several goals related to school mental health: reducing stigma, preventing suicide, improving screening and treating co-occurring disorders, and expanding school mental health programs. The authors suggest strategies for change, including demonstrating relevance to schools, developing consensus among stakeholders, enhancing community mental health-school connections, building quality assessment and improvement, and considering the organizational context of schools.
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“School-based support has been associated with reduced stigma and increased engagement, especially among ethnic minority adoles cents (Stephan et al., 2007).”
From Acceptance and commitment therapy interventions in secondary schools and their impact on students' mental health and well-being: A systematic review (2022) · cites this paper as Stephan et al., 2007
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Velez, C. V., Campez, M., Canovas, J. M., Pedronzo, P. M., Ahn, Y. A., Dale, C. F., Dale, S. K., Gwynn, L. A., Jensen‐Doss, A., Pulgarón, E. R., et al. (2025) · JMIR Research Protocols · doi:10.2196/74080 · Cited by 1
Holmes, S. R., Santiago, R. T., Liu, C. L., Shaoli, S. S., Welland, J. B., Mitchell, A., & Owens, S. (2025) · School Mental Health · doi:10.1007/s12310-025-09792-9 · Cited by 1
Raviv, T., Snider, M. D. H., Elahi, S., Smith, M. L., Ilyumzhinova, R., Calderon, K., DeClemente, T., Ramirez‐Mercado, K., Sontag, A., & Cicchetti, C. (2026) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-025-01486-3 · Cited by 1
Knies, K. (2014) · Scholar Commons (University of South Carolina) · Cited by 1
Metadata
- Authors
- Stephan, S. H., Weist, M., Kataoka, S., Adelsheim, S., & Mills, C.
- Affiliations
- University of Maryland, Baltimore (US)
- Venue
- Psychiatric Services
- Published
- 2007-10
- Volume
- 58
- Issue
- 10
- Pages
- 1330-1338
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2056471711
- Cited by
- 279
- References
- 52
- Citations by year
- 2026: 7 · 2025: 17 · 2024: 8 · 2023: 16 · 2022: 20 · 2021: 15 · 2020: 41 · 2019: 12 · 2018: 18 · 2017: 15 · 2016: 19 · 2015: 12 · 2014: 15 · 2013: 18 · 2012: 14
- FWCI
- 17.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- Scholar Commons (University of South Carolina) (submittedVersion)
- Funders
- National Institutes of Health (5r01mh071015-03)
- U.S. Public Health Service (U45-MC-00174-01-0)
- National Institute of Mental Health (1R01 MH 71015-01A1)
- Center for Substance Abuse Prevention
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- school mental health, child and adolescent mental health services, mental health system transformation, access to mental health care, mental health stigma, suicide prevention, co-occurring disorders, mental health screening, quality improvement, academic functioning
- MeSH terms
- Suicide Prevention, Adolescent, Mental Disorders, Child, Humans, Mental Health Services, Organizational Innovation, School Health Services, United States, Advisory Committees
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