Empowering School Staff to Implement Effective School Mental Health Services

2021 ◽  
pp. 019874292110308
Author(s):  
Lee Kern ◽  
Mark D. Weist ◽  
Sarup R. Mathur ◽  
Brian R. Barber
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Administrative Support ◽  
School Mental Health ◽  
School Staff ◽  
Effective School ◽  
Effective Implementation ◽  
Tiered System

In this article, we follow up on recommendations from the Council for Children With Behavioral Disorders (CCBD) for providing school mental health (SMH) services by offering additional implementation suggestions for teachers and school staff. We highlight the need for and urgency of SMH services, particularly during and after the pandemic, and also consider broad issues that interfere with the success of SMH. We then provide a number of specific recommendations for integrating the delivery of SMH services within a tiered system of supports that are intended to empower school staff to move toward implementation. Last, we address how effective implementation can be facilitated by strong administrative support along with capacity building.

Consultation and Collaboration to Increase Integrity in School Mental Health

2017 ◽  
pp. 289-305
Author(s):  
Erika Coles ◽  
Greta M. Massetti
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Service Delivery ◽  
Treatment Integrity ◽  
School Mental Health ◽  
School Staff ◽  
School Consultation ◽  
Delivery Model ◽  
The Individual

The chapter “Consultation and Collaboration to Increase Integrity in School Mental Health,” in School Mental Health Services for Adolescents, describes the indirect service delivery model of school consultation, in which a consultant works with a consultee (e.g., teacher, school staff), who in turn provides direct service to a client. The importance of treatment integrity in the process is highlighted. Imperative to the process of school consultation is defining and measuring treatment integrity, or the degree with which a treatment is adhered to, the competence of the individual delivering the treatment as intended, and the extent to which the treatment can be differentiated from other existing treatments. Issues and challenges of measuring and increasing integrity are discussed.

Transdiagnostic versus Diagnosis-Specific Group Cognitive Behavioral Therapy for Anxiety Disorders and Depression: A Randomized Controlled Trial

2021 ◽  
pp. 1-14
Author(s):  
Nina Reinholt ◽  
Morten Hvenegaard ◽  
Anne Bryde Christensen ◽  
Anita Eskildsen ◽  
Carsten Hjorthøj ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Behavioral Therapy ◽  
Controlled Trial ◽  
Well Being ◽  
Major Depressive ◽  
Outpatient Mental Health ◽  
End Of Treatment

<b><i>Introduction:</i></b> The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) delivered in a group format could facilitate the implementation of evidence-based psychological treatments. <b><i>Objective:</i></b> This study compared the efficacy of group UP and diagnosis-specific cognitive behavioral therapy (dCBT) for anxiety and depression in outpatient mental health services. <b><i>Methods:</i></b> In this pragmatic, multi-center, single-blinded, non-inferiority, randomized controlled trial (RCT), we assigned 291 patients with major depressive disorder, social anxiety disorder, panic disorder, or agoraphobia to 14 weekly sessions in mixed-diagnosis UP or single-diagnosis dCBT groups. The primary test was non-inferiority, using a priori criteria, on the World Health Organisation 5 Well-Being Index (WHO-5) at the end of the treatment. Secondary outcomes were functioning and symptoms. We assessed outcomes at baseline, end-of-treatment, and at a 6-month follow-up. A modified per-protocol analysis was performed. <b><i>Results:</i></b> At end-of-treatment, WHO-5 mean scores for patients in UP (<i>n</i> = 148) were non-inferior to those of patients in dCBT (<i>n</i> = 143; mean difference –2.94; 95% CI –8.10 to 2.21). Results were inconclusive for the WHO-5 at the 6-month follow-up. Results for secondary outcomes were non-inferior at end-of-treatment and the 6-month follow-up. Client satisfaction and rates of attrition, response, remission, and deterioration were similar across conditions. <b><i>Conclusions:</i></b> This RCT demonstrated non-inferior acute-phase outcomes of group-delivered UP compared with dCBT for major depressive disorder, social anxiety disorder, panic disorder, and agoraphobia in outpatient mental health services. The long-term effects of UP on well-being need further investigation. If study findings are replicated, UP should be considered a viable alternative to dCBT for common anxiety disorders and depression in outpatient mental health services.

scholarly journals Child and adolescent mental health services liaison with Tier 1 services: a consultation exercise with school nurses

2000 ◽  
Vol 24 (12) ◽  
pp. 462-463 ◽  
Author(s):  
Greg Richardson ◽  
Ian Partridge
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Evidence Base ◽  
Audit Commission ◽  
Tier 1 ◽  
Tiered System ◽  
Consultation Intervention

Consultation with Tier 1 professionals is an integral part of comprehensive child and adolescent mental health services (CAMHS) (NHS Health Advisory Service, 1995; Audit Commission, 1999). Despite enthusiasm for consultative approaches and clearly described advantages (Steinberg, 1993), the evidence base for consultation work is thin. In schools, the consultation intervention has been found to be the least effective of four interventions (Kolvin et al, 1981). Consultation enables the development of an integrated tiered system, improves communication, provides a greater understanding of the roles of CAMHS by Tier 1 professionals and fosters more relevant referral patterns.

Engaging Youth and Families in School Mental Health Services

2015 ◽  
Vol 24 (2) ◽  
pp. 385-398 ◽  
Author(s):  
Kimberly D. Becker ◽  
Sara L. Buckingham ◽  
Nicole Evangelista Brandt
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
School Mental Health

A Twelve Month Follow-Up Study of Psychogeriatric Admissions to Mental Health Services and Geriatric Service Hospitals

1970 ◽  
Vol 4 (3) ◽  
pp. 131-136 ◽  
Author(s):  
P. W. Burvill
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Western Australia ◽  
Hospital Admissions ◽  
Public Health Department ◽  
Home Setting ◽  
Geriatric Service ◽  
Psychogeriatric Patients

Eighty-five (100 per cent) consecutive psychogeriatric patients admitted to the Public Health Department Geriatric Service of Western Australia and eighty (94 per cent) of the original 85 psychogeriatric patients admitted to the Mental Health Services of Western Australia were re-examined by the author 12 months after admission. Twenty-five Geriatric Service patients had died, 19 were alive in the community, and 41 alive in hospital; the corresponding Mental Health Services figures were 15, 33 and 32. Differences in movement pattern and outcome between the two services, and between mental hospital admissions in the United Kingdom and Western Australia, were documented. There was a considerable number of repeated transfers from one hospital or nursing home setting to another during the 12 months among those patients living in hospital at follow-up, and to a less extent among those who died. Outcome of the patients was related to a number of factors for each service.

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