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Mental Health Screening and Follow-up Care in Public High Schools

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Title: Mental Health Screening and Follow-up Care in Public High Schools
Language: English
Authors: Husky, Mathilde M., Sheridan, Marian, McGuire, Leslie
Source: Journal of the American Academy of Child & Adolescent Psychiatry. Sep 2011 50(9):881-891.
Availability: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Peer Reviewed: Y
Physical Description: PDF
Page Count: 11
Publication Date: 2011
Document Type: Journal Articles
Reports - Research
Education Level: High Schools
Descriptors: Health Services, Community Services, Mental Health Programs, Mental Health, At Risk Students, Suicide, Adolescents, Identification, Mental Disorders, Grade 9, High School Students, Referral, Therapy, Self Destructive Behavior, Educational Environment
DOI: 10.1016/j.jaac.2011.05.013
ISSN: 0890-8567
Abstract: Objective: Despite increased interest in screening adolescents for mental health problems and suicide risk, little is known regarding the extent to which youth are identified and connected with appropriate services. Method: Between 2005 and 2009, a total of 4,509 ninth-grade students were offered screening. We reviewed the records of the 2,488 students who were screened. Students identified as being at risk were provided with a referral. Data were collected on screening results, mental health referrals, and completion of recommended treatment over approximately 90 days. Results: Among students screened, 19.6% were identified as being at risk, 73.6% of whom were not currently receiving any treatment. Students referred for school services tended to be less severely ill than those referred for community services, with lower rates of suicidal ideation, prior suicide attempts, and self-injury. Among at-risk students not currently in treatment, 76.3% of students referred received at least one mental health visit during the follow-up period. Overall, 74.0% of students were referred to school and 57.3% to community services. A great majority of school referrals (80.2%) successfully accessed services, although a smaller proportion of community services referrals successfully accessed treatment (41.9%). Conclusions: Systematic voluntary school-based mental health screening and referral offers a feasible means of identifying and connecting high-risk adolescents to school- and community-based mental health services, although linkages to community-based services may require considerable coordination. (Contains 1 figure and 4 tables.)
Abstractor: As Provided
Number of References: 36
Entry Date: 2011
Accession Number: EJ944419
Database: ERIC
FullText Text:
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  Data: Mental Health Screening and Follow-up Care in Public High Schools
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  Data: <searchLink fieldCode="AR" term="%22Husky%2C+Mathilde+M%2E%22">Husky, Mathilde M.</searchLink><br /><searchLink fieldCode="AR" term="%22Sheridan%2C+Marian%22">Sheridan, Marian</searchLink><br /><searchLink fieldCode="AR" term="%22McGuire%2C+Leslie%22">McGuire, Leslie</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+the+American+Academy+of+Child+%26+Adolescent+Psychiatry%22"><i>Journal of the American Academy of Child & Adolescent Psychiatry</i></searchLink>. Sep 2011 50(9):881-891.
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  Data: Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
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  Data: 11
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22High+Schools%22">High Schools</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Health+Services%22">Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Services%22">Community Services</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health+Programs%22">Mental Health Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health%22">Mental Health</searchLink><br /><searchLink fieldCode="DE" term="%22At+Risk+Students%22">At Risk Students</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Identification%22">Identification</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Disorders%22">Mental Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Grade+9%22">Grade 9</searchLink><br /><searchLink fieldCode="DE" term="%22High+School+Students%22">High School Students</searchLink><br /><searchLink fieldCode="DE" term="%22Referral%22">Referral</searchLink><br /><searchLink fieldCode="DE" term="%22Therapy%22">Therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Self+Destructive+Behavior%22">Self Destructive Behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Environment%22">Educational Environment</searchLink>
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  Data: 10.1016/j.jaac.2011.05.013
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  Data: 0890-8567
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Despite increased interest in screening adolescents for mental health problems and suicide risk, little is known regarding the extent to which youth are identified and connected with appropriate services. Method: Between 2005 and 2009, a total of 4,509 ninth-grade students were offered screening. We reviewed the records of the 2,488 students who were screened. Students identified as being at risk were provided with a referral. Data were collected on screening results, mental health referrals, and completion of recommended treatment over approximately 90 days. Results: Among students screened, 19.6% were identified as being at risk, 73.6% of whom were not currently receiving any treatment. Students referred for school services tended to be less severely ill than those referred for community services, with lower rates of suicidal ideation, prior suicide attempts, and self-injury. Among at-risk students not currently in treatment, 76.3% of students referred received at least one mental health visit during the follow-up period. Overall, 74.0% of students were referred to school and 57.3% to community services. A great majority of school referrals (80.2%) successfully accessed services, although a smaller proportion of community services referrals successfully accessed treatment (41.9%). Conclusions: Systematic voluntary school-based mental health screening and referral offers a feasible means of identifying and connecting high-risk adolescents to school- and community-based mental health services, although linkages to community-based services may require considerable coordination. (Contains 1 figure and 4 tables.)
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  Data: 2011
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  Data: EJ944419
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      – SubjectFull: Health Services
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      – SubjectFull: Grade 9
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      – SubjectFull: High School Students
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      – SubjectFull: Therapy
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      – SubjectFull: Self Destructive Behavior
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      – SubjectFull: Educational Environment
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