Increasing Access to Mental Health Services: A Data-Based Approach to Program Development

Summary

It is a startling fact that fewer than eight percent of all students with emotional disturbance in the largest state (based on student enrollment) receive school-based mental health services.  Given this low rate of services for one type of disability, what can be said for the state of mental health services for all students that need them?  A primary goal for school psychological services is to achieve a balance between meeting the academic learning needs of children with their often equally important mental health needs.  For more than thirty years school psychologists have striven for a broader role than simply identifying disabilities (Reschly & Wilson, 1995).  Current approaches to accountability in schools rely almost exclusively on measuring the extent to which students’ academic learning needs are being met  (Education Week, 2001).  Given the current perspectives on using data to ensure accountability, emotional appeals to provide mental services to children in school will not achieve success.  How can school psychologists use current approaches to school accountability to establish a rationale for comprehensive school-based mental health services? 

The purpose of this mini-skill workshop is to develop specific skills in using available data to reinforce the need for school-based mental health services and to evaluate their effectiveness.  Participants will become aware of current approaches in Focused Monitoring that support data-based accountability and the skills needed to develop local processes that argue for and support implementation of mental health services. 

Successful precedent for a data-based approach to accountability for school-based mental health services exists at the national, state, and local level.  This mini-skills workshop will build on the experiences of one local school district and three states’ efforts to increase school-based mental health services.  Participants will examine the process and products used by a local school system in one state to establish and expand school-based mental health services.  Participants will also review the data-based approach used by a state to support the priority of increasing school-based mental health services.  These examples will give participants in the mini-skills workshop ideas that they can adapt and apply in their own settings.

Accessibility to data is a key component of developing an argument for school-based mental health services.  National data has been compiled and disseminated regarding both student needs and system capacity (U. S. Department of Education, 2000).  These data are continuous and updated at least annually making their use as background material useful in making a persuasive argument at the local level.  Some states currently collect data on services and personnel related to school-based mental health services.  For example, California, Florida, New Mexico, and Louisiana, among others, have individual student data bases that report related services on at least an annual basis.  These data can be disaggregated at local system and school site levels and are accessible by LEA personnel.  Examples will be offered of how local school systems have used these databases to both establish a rationale for school-based mental health services and maintain accountability for provision of services.

Expected learner Outcomes: On completion of the mini-skill workshop, participants will be able to (1) access available national and state data, (2) follow a checklist to determine the availability and types of local data, (3) develop local data systems, and (4) use all these data to promote mental health services at local levels.  Participants will also receive a handout including several examples of local school system programs and how they routinely disseminate accountability information on school-based mental health services.