Schooling and Children's Mental Health: Realigning Resources to Reduce Disparities and Advance Public Health

Annu Rev Clin Psychol. 2017 May 8:13:123-147. doi: 10.1146/annurev-clinpsy-032816-045234. Epub 2017 Mar 24.

Abstract

Schools have long been the primary setting for children's mental health services but have neither the resources nor the expertise to manage these services independently. The critical importance of school success for children's adjustment provides a strong rationale for schooling as an essential component of children's mental health services. In this article, we review evidence for how schooling and mental health coalesce, suggesting an alignment of school and community mental health resources that prioritizes successful schooling as a key mental health outcome. We describe collaborative principles and ecological practices that advance a public health focus on children's mental health while also reducing the burden on schools to maintain mental health services. We close with a model of mental health services illustrating these principles and practices in high-poverty urban schools and propose future directions for research and practice to promote positive mental health for all children and youth.

Keywords: children; collaboration; community mental health; ecological principles; education; sustainability; unmet needs; youth.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Child
  • Healthcare Disparities / standards*
  • Humans
  • Intersectoral Collaboration*
  • Mental Health Services / standards*
  • Public Health / standards*
  • School Health Services / standards*