School‐Based Mental Health Service Utilization Through the COVID‐19 Pandemic and Beyond

Author:

Stuenkel Mackenzie1ORCID,Koob Caitlin2ORCID,Richardson Emily1,Griffin Sarah F.2ORCID,Sease Kerry K.13ORCID

Affiliation:

1. Bradshaw Insititute for Community Child Health & Advocacy Prisma Health Children's Hospital Greenville SC

2. Department of Public Health Sciences Clemson University Clemson SC

3. Pediatrics University of South Carolina School of Medicine Greenville SC

Abstract

ABSTRACTBACKGROUNDWe examined trends in mental health service utilization before, during, and in the immediate return to in‐person learning throughout the COVID‐19 pandemic.METHODSRetrospective chart review was assessed for changes in odds of any visit being a mental health encounter from five school‐based health centers from the 2018‐2019 to the 2021‐2022 school years. Data are limited to the in‐person school year from mid‐August to early June.RESULTSData were assessed from 1239 students seen through 2256 visits over the 4 school years (Mage = 12.93). The odds of any visit being related to a mental health encounter increased each school year, with the 2020 to 2021 and 2021 to 2022 school years having significant increases in odds (both compared to the first and to the antecedent school year). In addition, during the 2019 to 2020 and 2020 to 2021 school years, the odds of a repeated mental health encounter significantly increased from year to year.CONCLUSIONSFindings indicate a steadily increasing number of mental health service utilization needs among adolescent students that was significantly exponentiated throughout the COVID‐19 pandemic.

Publisher

Wiley

Subject

Public Health, Environmental and Occupational Health,Philosophy,Education

Reference26 articles.

1. World Health Organization.Mental health of adolescents;2021. Available at:https://www.who.int/news‐room/fact‐sheets/detail/adolescent‐mental‐health. Accessed May 21 2023.

2. Epidemiology of mental disorders in children and adolescents

3. Centers for Disease Control and Prevention.Children's mental health. Data and statistics on children's mental health;2023. Available at:https://www.cdc.gov/childrensmentalhealth/data.html. Accessed May 21 2023.

4. National Alliance on Mental Health.Mental health by the numbers;2023. Available at:https://www.nami.org/mhstats. Accessed May 21 2023.

5. National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults

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