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Active parental consent for a school-based community violence screening: comparing distribution methods.

Bradley D Stein1, Lisa H Jaycox, Audra Langley

  • 1RAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA 15213, USA. stein@rand.org

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Directly providing parents with school mental health program consent forms at meetings significantly increases parental consent and participation rates compared to classroom distribution. This improves access to vital student mental health services.

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Area of Science:

  • Child and Adolescent Psychiatry
  • School Psychology
  • Public Health

Background:

  • Parental consent is crucial for student participation in school mental health programs.
  • Students exposed to violence require accessible mental health support.
  • Barriers to parental consent can limit program effectiveness.

Purpose of the Study:

  • To evaluate the impact of two distinct approaches on parental consent rates for a school mental health screening.
  • To identify effective strategies for increasing parental engagement in student mental health initiatives.

Main Methods:

  • Two cohorts of parents received consent forms via different methods: parent orientation meetings versus classroom distribution.
  • School mental health clinicians directly engaged parents and students in explaining the program and consent process.

Main Results:

  • Direct distribution at parent meetings yielded significantly higher consent form return rates (89.8% vs. 53.2%).
  • Parents receiving forms directly showed substantially higher consent rates (69.6% vs. 27.9%).
  • Active refusal rates were similar across both methods (20.1% vs. 25.3%).

Conclusions:

  • Directly providing consent materials to parents at school meetings is a more effective strategy for increasing participation in school mental health programs.
  • Optimizing consent processes can enhance the reach and impact of school-based mental health interventions.
  • Findings inform strategies for improving parental engagement and consent for student services.