The Effectiveness of School-Based Mental Health Services for Elementary-Aged Children: A Meta-Analysis

Journal of the American Academy of Child and Adolescent Psychiatry
Amanda L SanchezJonathan S Comer

Abstract

Given problems and disparities in the use of community-based mental health services for youth, school personnel have assumed frontline mental health service roles. To date, most research on school-based services has evaluated analog educational contexts with services implemented by highly trained study staff, and little is known about the effectiveness of school-based mental health services when implemented by school professionals. Random-effects meta-analytic procedures were used to synthesize effects of school-based mental health services for elementary school-age children delivered by school personnel and potential moderators of treatment response. Forty-three controlled trials evaluating 49,941 elementary school-age children met the selection criteria (mean grade 2.86, 60.3% boys). Overall, school-based services demonstrated a small-to-medium effect (Hedges g = 0.39) in decreasing mental health problems, with the largest effects found for targeted intervention (Hedges g = 0.76), followed by selective prevention (Hedges g = 0.67), compared with universal prevention (Hedges g = 0.29). Mental health services integrated into students' academic instruction (Hedges g = 0.59), those targeting externalizing problems (Hedges g = 0.5...Continue Reading

Citations

Nov 22, 2019·Journal of Abnormal Child Psychology·Golda S GinsburgKelly L Drake
May 26, 2018·Administration and Policy in Mental Health·Karen T G SchwartzV Robin Weersing
May 16, 2019·Child Psychiatry and Human Development·Amanda L SanchezPhilip C Kendall
Feb 23, 2020·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Kristina ConroyJonathan S Comer
Jan 11, 2019·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Isabel BögeJörg M Fegert
Oct 14, 2020·Research on Child and Adolescent Psychopathology·Elizabeth P CaslinePhilip Kendall
Nov 24, 2020·Prevention Science : the Official Journal of the Society for Prevention Research·Madeline LarsonAaron R Lyon
Oct 29, 2020·Soa--chʻŏngsonyŏn Chŏngsin Ŭihak = Journal of Child & Adolescent Psychiatry·Jungeun SongHyun Ju Hong
Nov 12, 2020·Ciência & saúde coletiva·Lina Maria Herrera Nunez RiveroDenise De Micheli
Feb 17, 2021·Community Mental Health Journal·A Ravishankar RaoRosy Chhabra
Apr 27, 2021·School Mental Health·Elizabeth A BakerAaron R Lyon
Jul 27, 2021·Work : a Journal of Prevention, Assessment, and Rehabilitation·Sa Li

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