The purpose of this special series is to highlight how the measurement of integrity, both treatment integrity and integrity for implementation strategies, can support intervention development, evaluation, and implementation research. The seven papers and one commentary in this special series illustrate how diverse measurement approaches are used…

The purpose of this special series is to highlight how the measurement of integrity, both treatment integrity and integrity for implementation strategies, can support intervention development, evaluation, and implementation research. The seven papers and one commentary in this special series illustrate how diverse measurement approaches are used…

Schools have become primary providers of mental health services for children and adolescents (Kern et al. in School Mental Health 9:205-217, 2017). Within schools, school principals play a significant role in the implementation of school-based mental health (SBMH; Langley et al. in School Mental Health 2:105-113, 2010). This multimethod study…

Across the United States, the number of children with mental health conditions has continued to rise. However, access and utilization of mental health services vary greatly. School-based mental health complements comprehensive school counseling and provides an opportunity for K-12 students to receive needed treatment they may not otherwise have…

Campus administrators and practitioners must make sense of state policy and system-level initiatives for successful implementation. This qualitative study examined campus administrators' and student health and well-being practitioners' sensemaking of the University System of Georgia's (USG) Mental Health Initiative (MHI) through interviews with…

This report describes and synthesizes implementation determinants and strategies to promote uptake and sustained implementation of comprehensive school mental health and trauma-sensitive practices in schools. The present synthesis of studies and reports emphasizes use of relevant and efficient practices with empirical support at the state,…

Numerous evidence-based programs (EBPs) exist for delivery in schools to promote youth mental health outcomes. However, school systems often lack the internal infrastructure to support the effective implementation and sustainment of EBPs when external supports are withdrawn, resulting in notable attenuation in the benefits in youth clinical…

The Massachusetts Multi-City Young Children's System of Care Project was a federally funded program to provide integrated early childhood mental health (ECMH) services in primary care for families of very young children (birth-six years old) with Serious Emotional Disturbances across three cities in Massachusetts, U.S.A. This study describes…

Students present with mental health needs and posttraumatic stress symptoms, yet they largely do not receive necessary services. Since schools are an ideal setting for students to receive mental health services, Mental Health Action Plans (MHAPs) were developed to define and detail the ways in which student mental health needs can be addressed at…

The COVID-19 pandemic and the closure of schools shone a spotlight on the issue of student mental health. Rates of depression and anxiety among youth skyrocketed, resulting in an increase in emergency room visits related to youth mental health. While children and youth were reporting the need for behavioral health supports prior to the pandemic,…

Emerging literature has highlighted the importance of discerning general and strategic organizational context (OC) factors (e.g., leadership and climate) and their interaction effect on individual implementation behaviors (e.g., attitudes toward evidence-based practices; EBPs) in youth mental healthcare. This study aimed to examine how leadership…

Community-engaged approaches to addressing mental health concerns have reduced health inequities experienced by refugee communities. Problem Management Plus (PM+)--a brief psychological intervention developed by the World Health Organization--has shown effectiveness in improving mental health and well-being of adults experiencing distress. This…

Mental health organizations that serve youth are under pressure to adopt measurement-based care (MBC), defined as the continuous collection of client-report data used to support clinical decision making as part of standard care. However, few frameworks exist to help leadership ascertain how to select an MBC approach for a clinical setting. This…

Pragmatic measures of evidence-based practice (EBP) implementation can support and evaluate implementation efforts. We examined the predictive validity of therapist reports of EBP strategy delivery for children's mental health outcomes. Data were obtained from 1,380 sessions with 248 children delivered by 76 therapists in two county systems.…

A public school district in southeast South Carolina implemented a new arts-based initiative due to the surge in demand for mental health services for students following the pandemic. With more students in the research site requiring intensive mental health support during the 2021-2022 academic year, compared to the 2016-2017 school year, the…