Key takeaways:
Many students struggle with mental health issues, such as anxiety, depression, and social phobia.
Schools are in an ideal position to provide mental health services onsite including counseling, assessments, and prevention.
Paying attention to mental health in schools breaks barriers to care like stigma, access, and transportation.
Mental health issues are common in children across the U.S. In fact, about 1 in 6 children have a mental health condition like anxiety or depression. Schools can address these issues because they interact with children almost daily.
That’s why it’s important for schools to provide mental health services. They can identify early warning signs, provide support, and coordinate care with parents.
Kids have it kind of rough these days. As they grow physically, emotionally, and socially, we want them to develop into mentally healthy young people. But some kids don’t have a good support system to guide them along the way. Their home life may be unstable, or they may struggle with their identity and have no one to talk to. They may also experience a significant number of adverse childhood experiences.
Then there are influences like technology and social media. Research tells us that too much screen time can contribute to anxiety and depression, disrupt healthy sleep, and lead to cyberbullying and a distorted body image.
Unfortunately, a lot of kids aren’t getting treated for mental health conditions. A National Survey of Children’s Health found that of the 7.7 million children with at least one mental health disorder in the U.S., only half got help from a healthcare provider. That means there are a lot of school-aged kids struggling mentally without support.
Schools can do their part by becoming aware of factors that can affect a student’s mental health, such as school stressors, home and family challenges, and traumatic events.
Several factors related to school itself can affect students’ mental health. These may include:
Difficulty adjusting to school routines
Academic struggles
Peer relationships
Unsafe school environments
Stressors at home don’t stop when children reach the classroom. Home and family challenges can affect student mental health, including:
Family history of mental illness
Harsh parenting
Poverty
Difficult living conditions
Lack of access to supports and services
Belonging to a marginalized ethnic group
Parental separation related to divorce, incarceration, or immigration
Trauma can also affect kids’ mental health at school. Examples of trauma children may experience include:
Abuse
Neglect
Exposure to violence
Sexual abuse
Loss of a loved one
Racial discrimination
Children and teens struggle with a variety of mental health issues, including anxiety, depression, ADHD, alcohol or substance misuse, suicidal thoughts, behavior problems, and eating disorders.
Many children have fears and worries that can disrupt school life. For example, they may worry about the future or fear social situations at school.
Children who feel helpless and hopeless may be depressed. They may have a hard time paying attention and be sluggish at school.
Attention deficit hyperactivity disorder (ADHD) can make it difficult for children to sit still and pay attention. The condition can lead to behavior and academic problems at school.
Students who engage in underage drinking and drug use typically have other mental health problems. Their substance misuse may be an attempt to self-medicate. These kids are less likely to graduate or pursue college degrees and are more likely to drop out of school.
Some kids who struggle with mental health issues may harm themselves or consider suicide. In fact, suicide is the second-leading cause of death among young people ages 10 to 34.
Some students act out at school by arguing with teachers, bullying other students, or skipping school. They may have mental health issues such as:
Children with these disorders often break school rules and don’t get along with other kids.
The number of children and adolescents with eating disorders is a significant concern. These kids may struggle with low self-esteem, depression, and pressure to change how their body looks.
In 2022, President Joe Biden pledged funding to expand school mental health services across the country. Funds will be used for schools to hire more counselors, social workers, and other mental health professions.
The initiative will enhance services already in place in many schools, such as:
Individual counseling by a school social worker, counselor, or psychologist
Case management to coordinate mental health services
Referrals to outside service providers
Mental health screenings
Telehealth therapy
Some schools also integrate social-emotional learning through mental health literacy programs. These programs raise awareness about mental health issues through their curriculum.
Offering mental health services in schools can:
Make counseling easily accessible
Give counselors a chance to detect issues early and provide treatment
Reduce concerns about treatment cost to parents
Remove barriers to accessing care, such as mental health stigma or lack of transportation
Get parents and teachers involved
Improve children’s emotional and behavioral difficulties
Raise math and reading scores
There are many organizations that offer free tools and guides for parents, teachers, and counselors. They include:
Students struggle with a wide range of mental health issues, and schools can play a critical role in the mental health and well-being of their students. They can provide mental health counseling, mental health screenings, and prevention strategies in a familiar environment.
Children who receive mental health services in school are more likely to remain engaged and less likely to skip school and take risks. If parents, teachers, and counselors work together, it’s possible for students to feel better about themselves and the world around them.
Active Minds. (n.d.). Be the mental health change.
African American Knowledge Optimized for Mindfully Healthy Adolescents. (n.d.). Welcome to the AAKOMA Project.
Alexander, K., et al. (2008). Eating disorders among adolescents and how educators can recognize symptoms with possible strategies for solutions. Contemporary Issues In Education Research.
Centers for Disease Control and Prevention. (2023). Adverse childhood experiences (ACEs).
Centers for Disease Control and Prevention. (2023). Anxiety and depression in children: Get the facts.
Centers for Disease Control and Prevention. (2023). Behavior or conduct problems in children.
Centers for Disease Control and Prevention. (2023). Data and statistics on children’s mental health.
Child Mind Institute. (n.d.). Transforming children’s mental health.
Curtin, S. C., et al. (2022). Provisional numbers and rates of suicide by month and demographic characteristics: United States, 2021. National Vital Statistics System, Vital Statistics Rapid Release.
Gall, G., et al. (2000). Utility of psychosocial screening at a school-based health center. The Journal of School Health.
Heradstveit, O., et al. (2017). Alcohol and illicit drug use are important factors for school-related problems among adolescents. Frontiers in Psychology.
Mukherjee, S. (n.d.). What are the factors affecting the mental health of children? Mental Health Research Centre.
National Alliance on Mental Illness. (n.d.). Mental health in schools.
National Association of School Psychologists. (n.d.). Mental health resources.
National Education Association. (n.d.). Student & educator mental health.
Organization for Economic Co-operation and Development. (2018). Children and young people’s mental health in the digital age: Shaping the future.
Panchal, N., et al. (2022). The landscape of school-based mental health services. Kaiser Family Foundation.
Richter, A., et al. (2022). Implementing school-based mental health services: A scoping review of the literature summarizing the factors that affect implementation. International Journal of Environmental Research and Public Health.
Sampaio, F., et al. (2022). Mental health literacy: It is now time to put knowledge into practice. International Journal of Environmental Research and Public Health.
Stopbullying.gov. (n.d.). Stop bullying on the spot.
Students Against Depression. (n.d.). How are you feeling?
Substance Abuse and Mental Health Services Administration. (2023). For educators.
Substance Abuse and Mental Health Services Administration. (2023). Understanding child trauma.
Swick, D., et al. (2018). Increasing access to care by delivering mental health services in schools: The school-based support program. School Community Journal.
The Trevor Project. (n.d.). Resources for mental health support.
U.S. Department of Education. (2022). Fact sheet: Biden-Harris administration announces two new actions to address youth mental health crisis.
Whitney, D. G., et al. (2019). US national and state-level prevalence of mental health disorder and disparities of mental health case use in children. JAMA Pediatrics.
World Health Organization. (2021). Mental health of adolescents.
For additional resources or to connect with mental health services in your area, call SAMHSA’s National Helpline at 1-800-662-4357. For immediate assistance, call the National Suicide Prevention Lifeline at 988, or text HOME to 741-741 to reach the Crisis Text Line.