Social Determinants and the Role of School-Based Mental Health Services in Adolescents' Depressive Symptoms and Happiness.

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Title: Social Determinants and the Role of School-Based Mental Health Services in Adolescents' Depressive Symptoms and Happiness.
Authors: Kim, Soobin (AUTHOR), Kim, Isak (AUTHOR), Lee, Guijin (AUTHOR), Oh, Haewon (AUTHOR), Mowbray, Orion (AUTHOR)
Source: Health & Social Work. May2026, Vol. 51 Issue 2, p114-124. 11p.
Subjects: Cross-sectional method, Substance abuse, Social determinants of health, Adolescent health, Mental health, Psychology of high school students, Schools, Evaluation of medical care, Descriptive statistics, Families, Surveys, Happiness, School mental health services, Metropolitan areas, Psychology of parents, Data analysis software, Mental depression, Regression analysis, Educational attainment, Psychosocial factors, Adolescence
Geographic Terms: United States
Abstract: Adolescent mental health is a growing concern in the United States. Promoting health equity through addressing social determinants of health (SDOH) is a national priority and aligns with the Social Work Grand Challenge to "close the health gap." School-based mental health services (SBMHS) provide interdisciplinary support to enhance students' emotional, behavioral, and social functioning. This study analyzed data from 12th-grade participants in the 2022 and 2023 Monitoring the Future surveys—an annual, nationally representative, cross-sectional study—to (a) identify SDOH associated with depressive symptoms and happiness among high school seniors and (b) assess the influence of SBMHS on these outcomes. Two hierarchical regression analyses (n = 2,574 for depressive symptoms; n = 2,844 for happiness) revealed that attending schools in medium-sized cities (versus small cities) and having more friends using substances were social determinants associated with both higher depressive symptoms and lower happiness. Higher parental educational attainment and living with both parents were protective social determinants specific to depressive symptoms. SBMHS were significantly associated with reduced depressive symptoms and enhanced happiness. These findings highlight the importance of addressing social determinants of adolescent mental health and advocate for expanding SBMHS. [ABSTRACT FROM AUTHOR]
Copyright of Health & Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Social Determinants and the Role of School-Based Mental Health Services in Adolescents' Depressive Symptoms and Happiness.
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  Data: <searchLink fieldCode="AR" term="%22Kim%2C+Soobin%22">Kim, Soobin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kim%2C+Isak%22">Kim, Isak</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lee%2C+Guijin%22">Lee, Guijin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oh%2C+Haewon%22">Oh, Haewon</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mowbray%2C+Orion%22">Mowbray, Orion</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Health+%26+Social+Work%22">Health & Social Work</searchLink>. May2026, Vol. 51 Issue 2, p114-124. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+health%22">Adolescent health</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+high+school+students%22">Psychology of high school students</searchLink><br /><searchLink fieldCode="DE" term="%22Schools%22">Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+medical+care%22">Evaluation of medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Families%22">Families</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Happiness%22">Happiness</searchLink><br /><searchLink fieldCode="DE" term="%22School+mental+health+services%22">School mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Metropolitan+areas%22">Metropolitan areas</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+attainment%22">Educational attainment</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink>
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– Name: Abstract
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  Data: Adolescent mental health is a growing concern in the United States. Promoting health equity through addressing social determinants of health (SDOH) is a national priority and aligns with the Social Work Grand Challenge to "close the health gap." School-based mental health services (SBMHS) provide interdisciplinary support to enhance students' emotional, behavioral, and social functioning. This study analyzed data from 12th-grade participants in the 2022 and 2023 Monitoring the Future surveys—an annual, nationally representative, cross-sectional study—to (a) identify SDOH associated with depressive symptoms and happiness among high school seniors and (b) assess the influence of SBMHS on these outcomes. Two hierarchical regression analyses (n = 2,574 for depressive symptoms; n = 2,844 for happiness) revealed that attending schools in medium-sized cities (versus small cities) and having more friends using substances were social determinants associated with both higher depressive symptoms and lower happiness. Higher parental educational attainment and living with both parents were protective social determinants specific to depressive symptoms. SBMHS were significantly associated with reduced depressive symptoms and enhanced happiness. These findings highlight the importance of addressing social determinants of adolescent mental health and advocate for expanding SBMHS. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Health & Social Work is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1093/hsw/hlag004
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 114
    Subjects:
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Social determinants of health
        Type: general
      – SubjectFull: Adolescent health
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Psychology of high school students
        Type: general
      – SubjectFull: Schools
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Families
        Type: general
      – SubjectFull: Surveys
        Type: general
      – SubjectFull: Happiness
        Type: general
      – SubjectFull: School mental health services
        Type: general
      – SubjectFull: Metropolitan areas
        Type: general
      – SubjectFull: Psychology of parents
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Regression analysis
        Type: general
      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Psychosocial factors
        Type: general
      – SubjectFull: Adolescence
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: Social Determinants and the Role of School-Based Mental Health Services in Adolescents' Depressive Symptoms and Happiness.
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            NameFull: Kim, Soobin
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            NameFull: Kim, Isak
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            NameFull: Lee, Guijin
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            NameFull: Oh, Haewon
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            – D: 01
              M: 05
              Text: May2026
              Type: published
              Y: 2026
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              Value: 51
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