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Advancing Mental Health Screening in Schools: Innovative, Field-Tested Practices and Observed Trends During a
Elizabeth H Connors1,2, Kathryn Moffa3, Taneisha Carter2
1Department of Psychiatry, Yale University, 389 Whitney Avenue, Office 106, New Haven, CT 06511, USA.
Psychology in the Schools
|July 25, 2022
Summary
Schools can implement universal mental health screening for early identification of youth mental health needs. This study shows how six districts successfully increased screening rates through practical quality improvement strategies.
Area of Science:
- Educational Psychology
- Public Health
- Child and Adolescent Psychiatry
Background:
- Schools are vital for early identification and intervention of youth mental health issues.
- Implementing universal mental health screening in schools faces logistical and guidance challenges.
- Systematic approaches are needed to develop effective school-based screening policies.
Purpose of the Study:
- To summarize mental health screening practices tested by school districts.
- To evaluate the effectiveness of quality improvement methods in establishing screening programs.
- To provide practical guidance for schools implementing mental health screening.
Main Methods:
- A 15-month learning collaborative involving six school districts.
- Qualitative analysis of 42 Plan-Do-Study-Act (PDSA) cycles.
- Quantitative assessment of student screening rates before and after interventions.
Main Results:
- Districts tested quality improvement changes across seven screening practice areas.
- All teams focused on foundational steps and logistical planning.
- Average student screening increased from 0% to 22%, with significant numbers screened.
Conclusions:
- School districts can develop practical, scalable mental health screening processes through iterative testing.
- Quality improvement cycles facilitate the adaptation of screening to local needs.
- Lessons learned offer a roadmap for future school-based mental health initiatives.
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