Advancing mental health screening in schools: Innovative, field‐tested practices and observed trends during a 15‐month learning collaborative
- 12 February 2022
- journal article
- research article
- Published by Wiley in Psychology in the Schools
- Vol. 59 (6) , 1135-1157
Abstract
Schools are well positioned to facilitate early identification and intervention for youth with emerging mental health needs through universal mental health screening. Early identification of mental health concerns via screening can improve long‐term student development and success, but schools face logistical challenges and lack of pragmatic guidance to develop local screening policies and practices. This study summarizes mental health screening practices tested by six school districts participating in a 15‐month learning collaborative. Qualitative analysis of 42 Plan‐Do‐Study‐Act cycles revealed that districts tested quality improvement changes across seven screening practice areas, with all teams conducting at least one test to (1) build a foundation and (2) identify resources, logistics, and administration processes. Quantitative data indicated that the average percentage of total students screened increased from 0% to 22% (range = 270–4850 students screened at follow‐up). Together, these results demonstrate how school districts not currently engaged in mental health screening can apply small, specific tests of change to develop a locally‐tailored, practical, and scalable process to screen for student mental health concerns. Lessons learned are provided to inform future directions for school‐based teams.Keywords
Funding Information
- Maternal and Child Health Bureau (U45MC27804)
- National Institute of Mental Health (K08 MH116119)
This publication has 39 references indexed in Scilit:
- Systematic review of the application of the plan–do–study–act method to improve quality in healthcareBMJ Quality & Safety, 2013
- Development and initial validation of the Social and Academic Behavior Risk Screener for Elementary Grades.School Psychology Quarterly, 2013
- Mixed Method Designs in Implementation ResearchAdministration and Policy in Mental Health and Mental Health Services Research, 2010
- Lifetime Prevalence of Mental Disorders in U.S. Adolescents: Results from the National Comorbidity Survey Replication–Adolescent Supplement (NCS-A)Journal of the American Academy of Child & Adolescent Psychiatry, 2010
- Ethical Dilemmas in School-Based Behavioral ScreeningAssessment for Effective Intervention, 2010
- School-Based Screening: A Population-Based Approach to Inform and Monitor Children’s Mental Health NeedsSchool Mental Health, 2010
- Cost‐Effectiveness of a School‐Based Emotional Health Screening ProgramJournal of School Health, 2009
- A Comparison of Systematic Screening Tools for Emotional and Behavioral DisordersJournal of Emotional and Behavioral Disorders, 2008
- A Brief Measure for Assessing Generalized Anxiety DisorderArchives of internal medicine (1960), 2006
- The PHQ-9Journal of General Internal Medicine, 2001