Implementation science has grown considerably in school mental health over the past decade, driven by the persistent gaps between knowledge about "what works" to promote student well-being and what is typically delivered in schools. In 2014, Owens and colleagues outlined an implementation research agenda for the field of school mental…

Objective: To examine providers' perceptions of integrated care prior to the merger of a university's student health center and counseling services. Participants: Seventeen providers across student health services (n = 9) and counseling (n = 8) agreed to participate in the qualitative study. Method: Semi-structured individual interviews that…

Schools are increasingly being seen as ideal locations in which to deliver school mental health (SMH) services via a multi-tiered system of support framework. Within this framework, Tier 3 services are provided to youth with the most significant level of mental health need. While schools employ a variety of SMH professionals to implement SMH…

A number of school-based mental health prevention programs have been found to be effective in research trials, but little is known about how to support implementation in real-life settings. To address this translational problem, this systematic review aims to identify effective strategies for enhancing the implementation of mental health…

With the increasing prominence of the children and adolescent mental health crisis after the COVID-19 pandemic, schools have been tasked with connecting students with supports to reduce non-academic barriers to learning. Student Assistance Programs (SAPs) can assist with this by connecting students and their families with school-based and…

Embedding counselors in various campus locations has been one strategy to address the student mental health crisis. The aim of this study was to evaluate challenges to implementing the primary care behavioral health (PCBH) model, in which behavioral health counselors (BHCs) are embedded within the college health center, and to explore…

Over the past 4 years, the Region 14 Comprehensive Center (R14CC) has provided capacity-building support to the state education agencies (SEAs) in Arkansas, Louisiana, and Texas via technical assistance (TA), a process through which R14CC designs and implements projects that build SEA capacity to carry out evidence-based policies and programs. In…

Digital transformation--which goes well beyond adopting new technology--requires a comprehensive approach that addresses organizational change, strategic alignment, and employee engagement. The Region 14 Comprehensive Center (R14CC) and its partners are at the forefront of this transformation for state education agencies (SEAs). The goal is to…

The rising prevalence of mental health challenges among youth has created a pressing need for effective, feasible, equitable, and contextually relevant interventions. Educators and school mental health professionals face critical challenges in helping students overcome such barriers to school success. This makes the need for school-based…

Despite significant social and legal progress, LGBTQ+ (lesbian, gay, bisexual, transgender, and other sexual and gender minority) populations continue to experience higher rates of mental health and substance use disorders than their heterosexual and cisgender counterparts. Effective LGBTQ+ affirmative mental health care is essential for…

Guided by Knoster's (1991) Model for Managing Complex Change, this qualitative study explored implementing mental health focused MTSS and addressing mental health support within schools. This study focused on the experiences and perspectives of five principals and six school counselors implementing mental health MTSS within a rural Central…

This manuscript offers an approach to secure needed SBMHS for students with disabilities through unique applications within the IEP development process, informed by an analysis of recent case law. We will discuss six components of this approach. First, the need for SBMHS must be established through evaluation data. Data sources to confirm the need…

Background: Mobile crisis (MC) services is a pediatric behavioral health service that diverts those who need a lower level of care away from the Emergency Department (ED), enabling EDs to focus on providing acute behavioral health services. However, despite MC's efficacy, utilization could be enhanced. Implementation science provides an…

Background: Marginalized mothers are disproportionately impacted by depression and face barriers in accessing mental health treatment. Recent efforts have focused on building capacity to address maternal depression in Head Start; however, it is unclear if mental health inequities can be addressed by two-generation programs in Head Start settings.…

Increasing rates of depression, anxiety, substance use, and suicidal thoughts and behaviors among college students were exacerbated by the COVID-19 pandemic. This report describes how components of the Johns Hopkins Suicide Prevention Awareness, Response and Coordination (JH-SPARC) Project aligned with a multi-faceted strategy for suicide…