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,…

Background: School-based health centers (SBHCs) increase access to health care and improve academic achievement for underserved students. We report on the test of a strategy to take SBHCs to scale by addressing the issues of community need and support and financial sustainability. Methods: Using mixed methods, we collected data on student…

Objective: To evaluate college students' awareness of an educational initiative to increase campus influenza vaccination rates and strategies to improve it. Participants: Students attending a large public comprehensive university. Methods: An investigator-developed, online survey evaluated awareness of the initiative, the students' perception of…

Mental health is on the decline. At a community college in Southern California, 55% of students admit to suffering from anxiety, 42% have depression, and 16% have seriously considered or attempted suicide. However, less than a quarter have sought treatment due to the barriers of stigma, mental health literacy, and limited access to resources.…

School mental health services are essential for addressing youth mental health needs. To accomplish this goal, school teams manage the implementation of school mental health services. However, there is limited research on how SMH team composition and multidisciplinary impacts the delivery of services. To address this knowledge gap, this study used…

We employed a mixed-methods design to identify intervention elements that may improve relational inclusion in classrooms through equity-framed and culturally-attuned teacher-student relationship interventions. Quantitative and qualitative data were collected from 29 (26 female) school mental health professionals and 19 parents (mostly mothers) of…

Utilization of telehealth in school-based health centers (SBHCs) is increasing rapidly during the COVID-19 pandemic. This study used a quasi-experimental design to evaluate the effect on school absences and cost-benefit of telehealth-exclusive SBHCs at 6 elementary schools from 2015-2017. The effect of telehealth on absences was estimated compared…

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…

There is an urgent need for improved school-based mental health services to address students' increasing mental health needs. School nurses are often at the frontlines of youth mental health, but report feeling unprepared to manage student needs due to limited training. We conducted a rapid review to identify evidence-based mental health…

Based on a Healthy Minds Survey distributed to students at 21 Kentucky colleges and universities, 40% struggle with depression, 37% report experiencing anxiety, and 80% reported some level of academic impairment due to mental or emotional difficulties in the four weeks prior to being surveyed (ranging from one day to six or more days). Increasing…

Objective: To examine how students would describe their communication exchanges with college health professionals on a university campus and also how students perceived those exchanges to be effective health communication. Participants: 48 participants completed the online survey. Methods: An open-ended questionnaire was utilized to collect data.…

Objective: The interventions colleges use to help students be compliant with vaccinations is unknown. This study describes colleges' use of practices consistent with Centers for Disease Control and Prevention (CDC) recommendations to encourage student body vaccination. Participants: Participants were a convenience sample of 136 student health…

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 complexity and demands of the school nurse role have changed greatly over time. Our aims included determining tasks and knowledge relevant to modern school nursing in the United States, identifying continuing education needs of school nurses, and describing anticipated changes to the professional role. A secondary analysis of a cross-sectional…