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Mental health in schools and system restructuring.

H S Adelman1, L Taylor

  • 1Department of Psychology, University of California at Los Angeles 90095-1563, USA.

Clinical Psychology Review
|March 17, 1999
PubMed
Summary

Schools offer limited mental health support due to resource constraints, focusing on learning barriers. Emerging trends advocate for comprehensive, integrated school and community mental health services to serve more students effectively.

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Area of Science:

  • Educational Psychology
  • Public Health
  • Child and Adolescent Psychiatry

Background:

  • Schools primarily address learning barriers, not comprehensive student mental health.
  • Limited resources and legislative mandates restrict school-based mental health services.
  • Current interventions are often narrowly focused and short-term, serving few students.

Purpose of the Study:

  • To review current school mental health and psychosocial practices.
  • To identify and clarify emerging trends in school mental health.
  • To explore implications for systemic changes in school-based services.

Main Methods:

  • Literature review of school mental health initiatives.
  • Analysis of current trends in service delivery.

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  • Exploration of systemic change models.

    • Main Results:

    • School mental health services are often reactive and limited in scope.
    • Emerging trends focus on restructuring services and community partnerships.
    • There is a push towards multifaceted, comprehensive, and integrated approaches.

    Conclusions:

    • Current school mental health models are insufficient to meet student needs.
    • Systemic restructuring and community integration are crucial for expanding reach and effectiveness.
    • Future directions require a shift towards holistic, collaborative mental health support in schools.