School Counselors and Children's Mental Health

学校辅导员和儿童心理健康

基本信息

批准号：
10573995
负责人：
Christine Mulhern
金额：
$ 9.8万
依托单位：
RAND CORPORATION
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-01-01 至 2024-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10573995
关键词：
Academic achievement Academy Address Adolescent Adolescent Psychiatry Adult Adverse event Advocate Age American Anxiety Attention deficit hyperactivity disorder Behavior Black race California Certification Child Child Health Child Mental Health Child Psychiatry Counseling Country Data Diagnosis Disease Education Emergency Situation Emergency department visit Ethnic Origin Event Family Funding Future Gender Geography Goals Grant Health Health Professional Health Services Accessibility Health behavior Health behavior and outcomes Heterogeneity Hispanic Hour Human Resources Incidence Income Intervention Licensing Life Light Low income Measures Medical Mental Depression Mental Health Mental Health Services Mental disorders Modeling National Institute of Child Health and Human Development Observational Study Outcome Parents Patient Self-Report Pediatric Hospitals Pediatrics Performance Personal Satisfaction Persons Policies Policy Maker Professional counselor Provider Race Records Research Research Design Schools Services Students Study models Suicide attempt Surveys Time Urbanicity Variant Youth access disparities adolescent health aged coronavirus disease demographics design experience falls health care availability high risk high school improved insight instrument junior high school mental health counseling pandemic disease peer poor health outcome programs suicidal risk suicide rate

项目摘要

Project Summary A national child and adolescent mental health emergency was declared in fall 2021 amid rising mental health challenges. Approximately one in six children have a professionally diagnosed mental health disorder, which can lead to increased risk of suicide, worse health outcomes later in adulthood, and worse performance in school. However, approximately half of children with mental health disorders do not receive treatment, and Black, Hispanic, and low-income children, are less likely to receive mental health care than their peers. Schools are one of the main places children readily access health services, including mental health care, and school mental health services are often provided by licensed school counselors. Recently, there has been a push to increase mental health services in schools and access to school counselors in particular. The proposed study will examine one of the largest policies to increase funding for and access to school counselors in middle and high schools. Specifically, we will study how California’s 2006 Supplemental School Counseling Program (SSCP) impacted children’s access to school counselors, self-reported mental health outcomes, and related health and well-being outcomes. The SSCP provided middle and high schools with funds to hire more certified counselors, with funding levels that varied based on school sizes. We are not aware of any study that has examined the causal impacts of this large-scale policy on the mental health and related health outcomes of California students, or any related research examining the causal effects of a counseling policy of this scope on children’s health. We will leverage variation in funding levels over time and across schools in a simulated instruments and event study model to estimate the causal impacts of additional counselors hired through the SSCP on health outcomes. Using administrative education data on schools, students, and personnel from the California Department of Education, and self-reported measures of mental health, healthy behaviors, and health outcomes from the California Healthy Kids Survey, we will 1) document how expanded funding for school counselors impacted students’ access to counseling, including the number of counselors hired and their education, experience, and demographics, 2) estimate the causal impact of expanded access to school counselors on students’ health, including mental health, healthy behaviors, and well-being, and 3) examine how access to school counselors and their impacts on children’s health vary by urbanicity, family income, student race/ethnicity, and age. This research will provide evidence on how expanding access to school counselors may improve children’s mental health and how to effectively design related policies so that they impact the children most in need of these services. This is particularly important right now as places consider whether and how to use COVID relief funding to hire more counselors, and people seek ways to address the current national child and adolescent mental health emergency.

项目摘要在心理健康的增加，在2021年秋季宣布了一个全国儿童和青少年心理健康紧急情况挑战。大约六分之一的孩子患有专业诊断的心理健康障碍，这是可能导致自杀风险增加，成年后期的健康状况恶化，并且表现较差学校。但是，大约一半的心理健康障碍儿童没有接受治疗，黑人，西班牙裔和低收入儿童比同龄人接受心理保健的可能性较小。学校是儿童很容易获得卫生服务的主要地方之一，包括精神卫生保健和学校精神卫生服务通常由有执照的学校朋友提供。最近，一直在推动增加学校的心理健康服务，尤其是访问学校查询。拟议的研究将审查最大的政策之一，以增加中间和与学校公民的资金和访问高中。特别是，我们将研究加利福尼亚2006年的补充学校咨询计划（SSCP）影响了儿童与学校公民的接触，自我报告的心理健康成果以及相关的健康和福祉结果。 SSCP为中学提供了资金，以雇用更多认证 Menselors，基于学校规模的资金水平各不相同。我们不知道有任何研究研究了这种大规模政策对心理健康和相关健康成果的因果影响加利福尼亚学生或任何相关研究检查了此范围的咨询政策的因果关系儿童健康。我们将随着时间的流逝和整个学校的资金水平的差异在模拟中仪器和事件研究模型，以估计通过 SSCP关于健康结果。使用有关学校，学生和人员的行政教育数据加利福尼亚州教育部以及自我报告的心理健康，健康行为和加利福尼亚健康儿童调查的健康成果，我们将1）记录如何扩大资金学校辅导员影响了学生获得咨询的机会，包括雇用的辅导员人数及其教育，经验和人口统计学，2）估计扩大入学访问的因果影响学生健康的男性，包括心理健康，健康行为和幸福感，3）检查与学校朋友的接触方式及其对儿童健康的影响如何因城市化，家庭保险，学生种族/种族和年龄。这项研究将提供有关如何扩大上学访问的证据 Menselors可能会改善儿童的心理健康以及如何有效设计相关政策，以便他们影响最需要这些服务的孩子。现在考虑到这一点尤其重要是否以及如何使用COVID救济资金来雇用更多计数，人们寻求解决方案的方法来解决当前的民族儿童和青少年心理健康紧急情况。