Children in the United States are facing unprecedented mental health challenges. In October 2021, First Focus on Children joined other leading children's health organizations to declare a national state of emergency regarding child mental health in the Sound the Alarm campaign, and in December 2021, the U.S. Surgeon General issued an advisory…

Research indicates that the provision of quality health services in a school setting increases the use of primary care for adolescents. With an ever-changing array of physical and mental health needs for students and staff, state policymakers are adapting comprehensive health supports. This captures a spectrum of student health support elements,…

Research tells a bleak story of U.S. children and youth with unmet mental health needs (anxiety, depression, eating disorders, etc.). One-in-five children and adolescents experiences a mental health condition in a given year. One-in-ten high school students attempted suicide one or more times during the past year. And 59% of youth with major…

It is the position of the National Association of School Nurses (NASN) that the registered professional school nurse (hereinafter referred to as school nurse) initiates and develops an Individualized Healthcare Plan (IHP) for students whose healthcare needs require more complex school nursing services. An IHP is a plan of care written by the…

It is the position of the National Association of School Nurses (NASN) that utilization of telehealth technology is a valuable tool that can assist registered professional school nurses (herein referred to as a school nurse) to enhance access to school and community health services. A substantial number of students experience health disparities…

Along with the late 1980s Medicaid expansion for pregnant women and children, states implemented multiple reforms to reduce administrative burdens and facilitate access to Medicaid and prenatal care. We use National Vital Statistics birth data from 1985 to 1994 and a difference-in-discontinuities approach to compare the effectiveness of these…

Primary care is an essential service for young children and one of the few settings where in-person care was provided during COVID-19 (recommended by the American Academy of Pediatrics, 2020). The HealthySteps (HS) model provides enhanced primary care to young children but required innovations to service delivery to adhere to public health orders…

It is the position of the National Association of School Nurses (NASN) that every student should attend school in a safe, supportive, and equitable environment. Access to a registered professional nurse (hereinafter referred to as a school nurse) democratizes healthcare for the most vulnerable students and families. This document provides the…

This paper presents a historical account of conceptual development at the intersection of American education and health. Beginning with early advancements from the Association for Supervision and Curriculum Development and the World Health Organization, the authors show the movement from early considerations of the codependency of health and…

Illinois has an important opportunity to dramatically expand comprehensive school-based health services for the state's most vulnerable children by making a simple change to its Medicaid policy. In 2014, the Centers for Medicare & Medicaid Services (CMS) issued a letter to state Medicaid directors clarifying which health services could be…

With more children and young adults experiencing mental health emergencies over the last 10 years, state and federal leaders made millions of dollars available to school districts for developing school-based mental health services and hiring and training school counselors, psychologists, and social workers. Yet schools still face considerable…

Background: In 2014, the Hawaii Department of Education (DOE), the only statewide school system in the United States, predominately enrolled children (keiki) from underserved communities and lacked school nurses or a school health program. Chronic absenteeism due to health concerns was identified as a barrier to academic success. Methods: The DOE…

The integration of behavioral health services in primary care has become increasingly popular in pediatric settings in recent years. While there are various models of integrated behavioral health (IBH), the aim is constant: to increase access to behavioral and mental health care through collaboration between behavioral health providers and…

Addressing the unmet physical and mental health needs of school-aged children in the U.S. has moved to the forefront of the emerging policy conversation about effective, school-based strategies to support students. Although some new and unique challenges regarding the physical and mental health of school-aged children can be directly attributed to…

Early Childhood Comprehensive Systems (ECCS) grants help states and communities improve early childhood systems to support child development, equitable access to quality services and supports, and family well-being. Truly interdisciplinary, ECCS promotes cross-sector systems change initiatives that focus on integrating health care, mental health,…