The Relationship between School Characteristics and the Availability of Mental Health and Related Health Services in Middle and High Schools in the United States

Research output: Contribution to journalReview article

Abstract

Problems related to mental illness are increasingly becoming the focal point of public concern over the safety and performance of schools, yet little is known about the availability and quality of school-based mental health services in the United States. In this article it is estimated that approximately 50% of US middle and high schools have any mental health counseling services available on-site and approximately 11% have mental health counseling, physical examinations, and substance abuse counseling available on-site. There are substantial differences in mental health counseling availability by region, urbanicity, and school size, with rural schools, schools in the Midwest and South regions, and small schools being least likely to offer mental health counseling. Multivariate estimates suggest that disparities between schools in the availability of mental health counseling and related health services may be partly explained by differences in access to Medic aid for financing of health services provided at school.

Original languageEnglish (US)
Pages (from-to)382-392
Number of pages11
JournalJournal of Behavioral Health Services and Research
Volume30
Issue number4
DOIs
StatePublished - Oct 1 2003

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Health Services
Mental Health
health service
mental health
counseling
Counseling
school
Mental Health Services
rural school
mental illness
substance abuse
Physical Examination
Substance-Related Disorders
examination
Safety
performance

ASJC Scopus subject areas

  • Health(social science)
  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

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title = "The Relationship between School Characteristics and the Availability of Mental Health and Related Health Services in Middle and High Schools in the United States",
abstract = "Problems related to mental illness are increasingly becoming the focal point of public concern over the safety and performance of schools, yet little is known about the availability and quality of school-based mental health services in the United States. In this article it is estimated that approximately 50{\%} of US middle and high schools have any mental health counseling services available on-site and approximately 11{\%} have mental health counseling, physical examinations, and substance abuse counseling available on-site. There are substantial differences in mental health counseling availability by region, urbanicity, and school size, with rural schools, schools in the Midwest and South regions, and small schools being least likely to offer mental health counseling. Multivariate estimates suggest that disparities between schools in the availability of mental health counseling and related health services may be partly explained by differences in access to Medic aid for financing of health services provided at school.",
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AB - Problems related to mental illness are increasingly becoming the focal point of public concern over the safety and performance of schools, yet little is known about the availability and quality of school-based mental health services in the United States. In this article it is estimated that approximately 50% of US middle and high schools have any mental health counseling services available on-site and approximately 11% have mental health counseling, physical examinations, and substance abuse counseling available on-site. There are substantial differences in mental health counseling availability by region, urbanicity, and school size, with rural schools, schools in the Midwest and South regions, and small schools being least likely to offer mental health counseling. Multivariate estimates suggest that disparities between schools in the availability of mental health counseling and related health services may be partly explained by differences in access to Medic aid for financing of health services provided at school.

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