Mental health needs in a large urban school district: Findings from a web-based survey

ObjectiveTo explore the mental health needs of students, and the professional development and support needs of teachers and school health professionals, as a way to foster community engagement and help set priorities for a comprehensive school mental health system in the Detroit Public Schools Commu...

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Main Authors: Koschmann, Elizabeth, Jacob, Robin, Robinson, Katja, Foster Friedman, Megan, Foster, Anna, Rodriguez-Quintana, Natalie, Vichich, Jennifer, Smith, Maureen, Rajaram, Hersheena
Format: Article in Journal/Newspaper
Language:unknown
Published: Wiley Periodicals, Inc. 2022
Subjects:
Online Access:https://hdl.handle.net/2027.42/173108
https://doi.org/10.1111/1475-6773.13924
id ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/173108
record_format openpolar
institution Open Polar
collection University of Michigan: Deep Blue
op_collection_id ftumdeepblue
language unknown
topic adolescent health
community health planning
community mental health services
needs assessment
school mental health services
surveys and questionnaires
Public Health
Health Sciences
spellingShingle adolescent health
community health planning
community mental health services
needs assessment
school mental health services
surveys and questionnaires
Public Health
Health Sciences
Koschmann, Elizabeth
Jacob, Robin
Robinson, Katja
Foster Friedman, Megan
Foster, Anna
Rodriguez-Quintana, Natalie
Vichich, Jennifer
Smith, Maureen
Rajaram, Hersheena
Mental health needs in a large urban school district: Findings from a web-based survey
topic_facet adolescent health
community health planning
community mental health services
needs assessment
school mental health services
surveys and questionnaires
Public Health
Health Sciences
description ObjectiveTo explore the mental health needs of students, and the professional development and support needs of teachers and school health professionals, as a way to foster community engagement and help set priorities for a comprehensive school mental health system in the Detroit Public Schools Community District (DPSCD).SettingThe study team surveyed all DPSCD staff in June 2019 and all students in grades 8–12 between October and December 2019.Study DesignA descriptive study based on anonymous, web-based surveys focused on student trauma exposure and mental health symptoms, student mental health resource utilization, staff burnout, and professional development needs.Data CollectionAll students (grades 8–12) and district staff were eligible to participate; the student survey was made available in six languages. Parents/guardians could opt children out; schools could exclude children unable to complete the survey independently. Student surveys were administered in school; staff surveys were sent via email.Principal FindingsThirty-four percent of DPSCD students reported moderate/severe depression symptoms; 22% had seriously considered suicide in the past year. Rates exceed national averages; 37% of students with severe depression and 34% of those with suicidal ideation had not accessed mental health supports. Staff indicated high levels of burnout and substantial interest in learning about self-care strategies or coping with vicarious trauma. Over 75% of teachers and school mental health professionals expressed interest in learning about best practices for supporting students impacted by trauma or mental illness.ConclusionsA large number of DPSCD students are experiencing symptoms of depression and anxiety, and many students who need care are not accessing it. Addressing the mental health needs of students is a high priority for staff, but they need more training and support, as well as support for their own vicarious trauma and high levels of burnout. Peer Reviewed ...
format Article in Journal/Newspaper
author Koschmann, Elizabeth
Jacob, Robin
Robinson, Katja
Foster Friedman, Megan
Foster, Anna
Rodriguez-Quintana, Natalie
Vichich, Jennifer
Smith, Maureen
Rajaram, Hersheena
author_facet Koschmann, Elizabeth
Jacob, Robin
Robinson, Katja
Foster Friedman, Megan
Foster, Anna
Rodriguez-Quintana, Natalie
Vichich, Jennifer
Smith, Maureen
Rajaram, Hersheena
author_sort Koschmann, Elizabeth
title Mental health needs in a large urban school district: Findings from a web-based survey
title_short Mental health needs in a large urban school district: Findings from a web-based survey
title_full Mental health needs in a large urban school district: Findings from a web-based survey
title_fullStr Mental health needs in a large urban school district: Findings from a web-based survey
title_full_unstemmed Mental health needs in a large urban school district: Findings from a web-based survey
title_sort mental health needs in a large urban school district: findings from a web-based survey
publisher Wiley Periodicals, Inc.
publishDate 2022
url https://hdl.handle.net/2027.42/173108
https://doi.org/10.1111/1475-6773.13924
long_lat ENVELOPE(-60.000,-60.000,-64.167,-64.167)
geographic Detroit
geographic_facet Detroit
genre Circumpolar Health
genre_facet Circumpolar Health
op_relation Koschmann, Elizabeth; Jacob, Robin; Robinson, Katja; Foster Friedman, Megan; Foster, Anna; Rodriguez-Quintana, Natalie
Vichich, Jennifer; Smith, Maureen; Rajaram, Hersheena (2022). "Mental health needs in a large urban school district: Findings from a web- based survey." Health Services Research 57(4): 830-841.
0017-9124
1475-6773
https://hdl.handle.net/2027.42/173108
doi:10.1111/1475-6773.13924
Health Services Research
Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166 ( 1 ): 1092 - 1097.
Swick D, Powers JD. Increasing access to care by delivering mental health services in schools: the school-based support program. Sch Community J. 2018; 28 ( 1 ): 129 - 144.
Chiu AW, Langer DA, McLeod BD, et al. Effectiveness of modular CBT for child anxiety in elementary schools. Sch Psychol Q. 2013; 28 ( 2 ): 141 - 153.
Atkins MS, Hoagwood KE, Kutash K, Seidman E. Toward the integration of education and mental health in schools. Adm Policy Ment Health. 2010; 37: 40 - 47.
Ball A, Iachini AL, Bohnenkamp JH, et al. School mental health content in state in-service K-12 teaching standards in the United States. Teach Teach Educ. 2016; 60: 312 - 320.
Xue Y, Leventhal T, Brooks-Gunn J, Earls FJ. Neighborhood residence and mental health problems of 5- to 11-year-olds. Arch Gen Psychiatry. 2005 May; 62 ( 5 ): 554 - 563.
Moon J, Williford A, Mendenhall A. Educators perceptions of youth mental health: implications for training and the promotion of mental health services in schools. Child Youth Serv Rev. 2017; 73: 384 - 391.
Phillippo KL, Kelly MS. On the fault line: a qualitative exploration of high school teachers’ involvement with student mental health issues. School Mental Health. 2014; 6: 184 - 200.
Reinke WM, Stormont M, Herman KC, Puri R, Goel N. Supporting childrens’ mental health in schools: teacher perceptions of needs, roles, and barriers. Sch Psychol Q. 2011; 26 ( 1 ): 1 - 13.
Nandakumar AL, Vande Voort JL, Nakonezny PA, et al. Psychometric properties of the Patient Health Questionnaire-9 modified for major depressive disorder in adolescents. J Child Adolesc Psychopharmacol. 2019; 29 ( 1 ): 34 - 40.
Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016; 39: 24 - 31. doi:10.1016/j.genhosppsych.2015.11.005
Tiirikainen K, Haravuori H, Ranta K, Kaltiala-Heino R, Marttunen M. Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in a large representative sample of Finnish adolescents. Psychiatry Res. 2019; 272: 30 - 35.
Underwood JM, Brener N, Thornton J, et al. Overview and methods for the youth risk behavior surveillance system - United States, 2019. MMWR Suppl. 2020; 69 ( Suppl-1 ): 1 - 10.
Halbesleben JRB, Demerouti E. The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work Stress. 2005; 19 ( 3 ): 208 - 220.
Demerouti E, Bakker AB, Vardakou I, Kantas A. The convergent validity of two burnout instruments: a multitrait-multimethod analysis. Eur J Psychol Assess. 2003; 19 ( 1 ): 12 - 23.
Demerouti E, Bakker AB. The Oldenburg Burnout Inventory: a good alternative to measure burnout (and engagement). Handbook of Stress and Burnout in Health Care. Vol 65; Nova Science Publishing; 2008: 78.
Halbesleben JRB. A meta-analysis of work engagement: relationships with burnout, demands, resources, and consequences, Work Engagement: A Handbook of Essential Theory and Research. Vol 8 (1); Psychology Press; 2010: 102 - 117.
Sonnentag S, Binnewies C, Mojza EJ. Staying well and engaged when demands are high: the role of psychological detachment. J Appl Psychol. 2010; 95 ( 5 ): 965 - 976.
Timms C, Brough P, Graham D. Burnt-out but engaged: the co-existence of psychological burnout and engagement. J Educ Adm. 2012; 50 ( 3 ): 327 - 345.
National Center for Homeless Education. McKinney-Vento definition of homeless. Accessed July 15, 2021. https://nche.ed.gov/mckinney-vento-definition
Michigan Center for Educational Performance and Information. DPSCD Student Count Snapshot; Staffing Count Snapshot (2019-2020); MI School Data. 2020. Accessed July 15, 2021. https://www.mischooldata.org. 2020
TRAILS. School Mental Health in Detroit Public School Community District. 2020. Accessed July 15, 2021. https://storage.trailstowellness.org/School_Mental_Health_in_DPSCD.pdf
Peterson U, Demerouti E, Bergström G, Samuelsson M, Åsberg M, Nygren Å. Burnout and physical and mental health among Swedish healthcare workers. J Adv Nurs. 2008; 62 ( 1 ): 84 - 95.
Rodriguez-Quintana N, Meyer AE, Bilek E, et al. Development of a brief group CBT intervention to reduce COVID-19 related distress among school-age youth. Cogn Behav Pract. 2021; 28: 642 - 652.
Child and Adolescent Health Measurement Initiative. 2017. Accessed July 15, 2021. https://www.cahmi.org/
Ivey-Stephenson AZ, Demissie Z, Crosby AE, et al. Suicidal ideation and behaviors among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020; 69 ( 1 ): 47 - 55.
Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of suicidal behaviors among high school students in the United States: 1991–2017. Pediatrics. 2019; 144 ( 5 ): e20191187.
Center for Disease Control and Prevention. High School YRBS. 2019. Accessed October 14, 2021. https://nccd.cdc.gov/youthonline/App/Results.aspx?TT=C&OUT=0&SID=HS&QID=H26&LID=XX&YID=2019&LID2=&YID2=&COL=R&ROW1=N&ROW2=N&HT=QQ&LCT=LL&FS=S8&FR=R1&FG=G1&FA=A1&FI=I1&FP=P1&FSL=S1&FRL=R1&FGL=G1&FAL=A1&FIL=I1&FPL=P1&PV=&TST=False&C1=&C2=&QP=G&DP=1&VA=CI&CS=Y&SYID=&EYID=&SC=DEFAULT&SO=ASC
Onnela A, Hurtig T, Ebeling H. School professionals committed to student well-being. Int J Circumpolar Health. 2021; 80: 1873589.
Sevelius JM, Gutierrez-Mock L, Zamudio-Haas S, et al. Research with marginalized communities: challenges to continuity during the COVID-19 pandemic. AIDS Behav. 2020; 24: 2009 - 2012.
Scharff DP, Mathews KJ, Jackson P, Hoffsuemmer J, Martin E, Edwards D. More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved. 2010; 21 ( 3 ): 879 - 897.
Merikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010; 49 ( 10 ): 980 - 989.
Asarnow JR, Haycox LH, Duan N, et al. Depression and role impairment among adolescents in primary care clinics. J Adolesc Health. 2005; 37 ( 6 ): 477 - 483.
Charvat JL. Research on the Relationship between Mental Health and Academic Achievement. National Association of School Pscyhologists; 2012.
Jaycox LH, Langley AK, Stein BD, et al. Support for students exposed to trauma: a pilot study. School Ment Health. 2009; 1 ( 2 ): 49 - 60.
Mychailyszyn MP, Beidas RS, Benjamin CL, et al. Assessing and treating child anxiety in schools. Psychol Sch. 2011; 48: 223 - 232.
Patel V, Weobong B, Weiss HA, et al. The Healthy Activity Program (HAP), a lay counsellor-delivered psychological treatment for severe depression, in primary care in India: a randomized controlled trial. Lancet. 2016; 389 ( 10065 ): 176 - 185.
Kessler RC, Foster CL, Saunders WB, Stang PE. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995; 152 ( 7 ): 1026 - 1032.
Kessler RC, Berglund PA, Foster CL, Saunders WB, Stang PE, Walters EE. Social consequences of psychiatric disorders, II: teenage parenthood. Am J Psychiatry. 1997; 154 ( 10 ): 1405 - 1411.
Kessler RC, Walters EE, Forthofer MS. The social consequences of psychiatric disorders, III: probability of marital stability. Am J Psychiatry. 1998; 155 ( 8 ): 1092 - 1096.
Wang PS, Aguilar-Gaxiola S, Alonso J, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007; 370 ( 9590 ): 841 - 850.
Center for Disease Control. 10 leading causes of death by age group, United States. 2018. Accessed July 15, 2021. https://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2018-508.pdf
Whyte C. US suicide rate at its highest since the end of second world war. New Scientist. 2019. Accessed July 15, 2021. https://www.newscientist.com/article/2207007-us-suicide-rate-at-its-highest-since-the-end-of-the-second-world-war
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spelling ftumdeepblue:oai:deepblue.lib.umich.edu:2027.42/173108 2023-10-09T21:50:46+02:00 Mental health needs in a large urban school district: Findings from a web-based survey Koschmann, Elizabeth Jacob, Robin Robinson, Katja Foster Friedman, Megan Foster, Anna Rodriguez-Quintana, Natalie Vichich, Jennifer Smith, Maureen Rajaram, Hersheena 2022-08 application/pdf https://hdl.handle.net/2027.42/173108 https://doi.org/10.1111/1475-6773.13924 unknown Wiley Periodicals, Inc. Blackwell Publishing Ltd Koschmann, Elizabeth; Jacob, Robin; Robinson, Katja; Foster Friedman, Megan; Foster, Anna; Rodriguez-Quintana, Natalie Vichich, Jennifer; Smith, Maureen; Rajaram, Hersheena (2022). "Mental health needs in a large urban school district: Findings from a web- based survey." Health Services Research 57(4): 830-841. 0017-9124 1475-6773 https://hdl.handle.net/2027.42/173108 doi:10.1111/1475-6773.13924 Health Services Research Spitzer RL, Kroenke K, Williams JBW, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166 ( 1 ): 1092 - 1097. Swick D, Powers JD. Increasing access to care by delivering mental health services in schools: the school-based support program. Sch Community J. 2018; 28 ( 1 ): 129 - 144. Chiu AW, Langer DA, McLeod BD, et al. Effectiveness of modular CBT for child anxiety in elementary schools. Sch Psychol Q. 2013; 28 ( 2 ): 141 - 153. Atkins MS, Hoagwood KE, Kutash K, Seidman E. Toward the integration of education and mental health in schools. Adm Policy Ment Health. 2010; 37: 40 - 47. Ball A, Iachini AL, Bohnenkamp JH, et al. School mental health content in state in-service K-12 teaching standards in the United States. Teach Teach Educ. 2016; 60: 312 - 320. Xue Y, Leventhal T, Brooks-Gunn J, Earls FJ. Neighborhood residence and mental health problems of 5- to 11-year-olds. Arch Gen Psychiatry. 2005 May; 62 ( 5 ): 554 - 563. Moon J, Williford A, Mendenhall A. Educators perceptions of youth mental health: implications for training and the promotion of mental health services in schools. Child Youth Serv Rev. 2017; 73: 384 - 391. Phillippo KL, Kelly MS. On the fault line: a qualitative exploration of high school teachers’ involvement with student mental health issues. School Mental Health. 2014; 6: 184 - 200. Reinke WM, Stormont M, Herman KC, Puri R, Goel N. Supporting childrens’ mental health in schools: teacher perceptions of needs, roles, and barriers. Sch Psychol Q. 2011; 26 ( 1 ): 1 - 13. Nandakumar AL, Vande Voort JL, Nakonezny PA, et al. Psychometric properties of the Patient Health Questionnaire-9 modified for major depressive disorder in adolescents. J Child Adolesc Psychopharmacol. 2019; 29 ( 1 ): 34 - 40. Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic metaanalysis. Gen Hosp Psychiatry. 2016; 39: 24 - 31. doi:10.1016/j.genhosppsych.2015.11.005 Tiirikainen K, Haravuori H, Ranta K, Kaltiala-Heino R, Marttunen M. Psychometric properties of the 7-item Generalized Anxiety Disorder Scale (GAD-7) in a large representative sample of Finnish adolescents. Psychiatry Res. 2019; 272: 30 - 35. Underwood JM, Brener N, Thornton J, et al. Overview and methods for the youth risk behavior surveillance system - United States, 2019. MMWR Suppl. 2020; 69 ( Suppl-1 ): 1 - 10. Halbesleben JRB, Demerouti E. The construct validity of an alternative measure of burnout: investigating the English translation of the Oldenburg Burnout Inventory. Work Stress. 2005; 19 ( 3 ): 208 - 220. Demerouti E, Bakker AB, Vardakou I, Kantas A. The convergent validity of two burnout instruments: a multitrait-multimethod analysis. Eur J Psychol Assess. 2003; 19 ( 1 ): 12 - 23. Demerouti E, Bakker AB. The Oldenburg Burnout Inventory: a good alternative to measure burnout (and engagement). Handbook of Stress and Burnout in Health Care. Vol 65; Nova Science Publishing; 2008: 78. Halbesleben JRB. A meta-analysis of work engagement: relationships with burnout, demands, resources, and consequences, Work Engagement: A Handbook of Essential Theory and Research. Vol 8 (1); Psychology Press; 2010: 102 - 117. Sonnentag S, Binnewies C, Mojza EJ. Staying well and engaged when demands are high: the role of psychological detachment. J Appl Psychol. 2010; 95 ( 5 ): 965 - 976. Timms C, Brough P, Graham D. Burnt-out but engaged: the co-existence of psychological burnout and engagement. J Educ Adm. 2012; 50 ( 3 ): 327 - 345. National Center for Homeless Education. McKinney-Vento definition of homeless. Accessed July 15, 2021. https://nche.ed.gov/mckinney-vento-definition Michigan Center for Educational Performance and Information. DPSCD Student Count Snapshot; Staffing Count Snapshot (2019-2020); MI School Data. 2020. Accessed July 15, 2021. https://www.mischooldata.org. 2020 TRAILS. School Mental Health in Detroit Public School Community District. 2020. Accessed July 15, 2021. https://storage.trailstowellness.org/School_Mental_Health_in_DPSCD.pdf Peterson U, Demerouti E, Bergström G, Samuelsson M, Åsberg M, Nygren Å. Burnout and physical and mental health among Swedish healthcare workers. J Adv Nurs. 2008; 62 ( 1 ): 84 - 95. Rodriguez-Quintana N, Meyer AE, Bilek E, et al. Development of a brief group CBT intervention to reduce COVID-19 related distress among school-age youth. Cogn Behav Pract. 2021; 28: 642 - 652. Child and Adolescent Health Measurement Initiative. 2017. Accessed July 15, 2021. https://www.cahmi.org/ Ivey-Stephenson AZ, Demissie Z, Crosby AE, et al. Suicidal ideation and behaviors among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020; 69 ( 1 ): 47 - 55. Lindsey MA, Sheftall AH, Xiao Y, Joe S. Trends of suicidal behaviors among high school students in the United States: 1991–2017. Pediatrics. 2019; 144 ( 5 ): e20191187. Center for Disease Control and Prevention. High School YRBS. 2019. Accessed October 14, 2021. https://nccd.cdc.gov/youthonline/App/Results.aspx?TT=C&OUT=0&SID=HS&QID=H26&LID=XX&YID=2019&LID2=&YID2=&COL=R&ROW1=N&ROW2=N&HT=QQ&LCT=LL&FS=S8&FR=R1&FG=G1&FA=A1&FI=I1&FP=P1&FSL=S1&FRL=R1&FGL=G1&FAL=A1&FIL=I1&FPL=P1&PV=&TST=False&C1=&C2=&QP=G&DP=1&VA=CI&CS=Y&SYID=&EYID=&SC=DEFAULT&SO=ASC Onnela A, Hurtig T, Ebeling H. School professionals committed to student well-being. Int J Circumpolar Health. 2021; 80: 1873589. Sevelius JM, Gutierrez-Mock L, Zamudio-Haas S, et al. Research with marginalized communities: challenges to continuity during the COVID-19 pandemic. AIDS Behav. 2020; 24: 2009 - 2012. Scharff DP, Mathews KJ, Jackson P, Hoffsuemmer J, Martin E, Edwards D. More than Tuskegee: understanding mistrust about research participation. J Health Care Poor Underserved. 2010; 21 ( 3 ): 879 - 897. Merikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010; 49 ( 10 ): 980 - 989. Asarnow JR, Haycox LH, Duan N, et al. Depression and role impairment among adolescents in primary care clinics. J Adolesc Health. 2005; 37 ( 6 ): 477 - 483. Charvat JL. Research on the Relationship between Mental Health and Academic Achievement. National Association of School Pscyhologists; 2012. Jaycox LH, Langley AK, Stein BD, et al. Support for students exposed to trauma: a pilot study. School Ment Health. 2009; 1 ( 2 ): 49 - 60. Mychailyszyn MP, Beidas RS, Benjamin CL, et al. Assessing and treating child anxiety in schools. Psychol Sch. 2011; 48: 223 - 232. Patel V, Weobong B, Weiss HA, et al. The Healthy Activity Program (HAP), a lay counsellor-delivered psychological treatment for severe depression, in primary care in India: a randomized controlled trial. Lancet. 2016; 389 ( 10065 ): 176 - 185. Kessler RC, Foster CL, Saunders WB, Stang PE. Social consequences of psychiatric disorders, I: educational attainment. Am J Psychiatry. 1995; 152 ( 7 ): 1026 - 1032. Kessler RC, Berglund PA, Foster CL, Saunders WB, Stang PE, Walters EE. Social consequences of psychiatric disorders, II: teenage parenthood. Am J Psychiatry. 1997; 154 ( 10 ): 1405 - 1411. Kessler RC, Walters EE, Forthofer MS. The social consequences of psychiatric disorders, III: probability of marital stability. Am J Psychiatry. 1998; 155 ( 8 ): 1092 - 1096. Wang PS, Aguilar-Gaxiola S, Alonso J, et al. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. 2007; 370 ( 9590 ): 841 - 850. Center for Disease Control. 10 leading causes of death by age group, United States. 2018. Accessed July 15, 2021. https://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2018-508.pdf Whyte C. US suicide rate at its highest since the end of second world war. New Scientist. 2019. Accessed July 15, 2021. https://www.newscientist.com/article/2207007-us-suicide-rate-at-its-highest-since-the-end-of-the-second-world-war IndexNoFollow adolescent health community health planning community mental health services needs assessment school mental health services surveys and questionnaires Public Health Health Sciences Article 2022 ftumdeepblue https://doi.org/10.1111/1475-6773.1392410.1016/j.genhosppsych.2015.11.005 2023-09-10T16:37:10Z ObjectiveTo explore the mental health needs of students, and the professional development and support needs of teachers and school health professionals, as a way to foster community engagement and help set priorities for a comprehensive school mental health system in the Detroit Public Schools Community District (DPSCD).SettingThe study team surveyed all DPSCD staff in June 2019 and all students in grades 8–12 between October and December 2019.Study DesignA descriptive study based on anonymous, web-based surveys focused on student trauma exposure and mental health symptoms, student mental health resource utilization, staff burnout, and professional development needs.Data CollectionAll students (grades 8–12) and district staff were eligible to participate; the student survey was made available in six languages. Parents/guardians could opt children out; schools could exclude children unable to complete the survey independently. Student surveys were administered in school; staff surveys were sent via email.Principal FindingsThirty-four percent of DPSCD students reported moderate/severe depression symptoms; 22% had seriously considered suicide in the past year. Rates exceed national averages; 37% of students with severe depression and 34% of those with suicidal ideation had not accessed mental health supports. Staff indicated high levels of burnout and substantial interest in learning about self-care strategies or coping with vicarious trauma. Over 75% of teachers and school mental health professionals expressed interest in learning about best practices for supporting students impacted by trauma or mental illness.ConclusionsA large number of DPSCD students are experiencing symptoms of depression and anxiety, and many students who need care are not accessing it. Addressing the mental health needs of students is a high priority for staff, but they need more training and support, as well as support for their own vicarious trauma and high levels of burnout. Peer Reviewed ... Article in Journal/Newspaper Circumpolar Health University of Michigan: Deep Blue Detroit ENVELOPE(-60.000,-60.000,-64.167,-64.167)