School Mental Health Presentation - California
School Mental Health Presentation
Medi-Cal Children's Health Advisory Panel
Marc Lerner, M.D. November 15, 2016
An estimated 20% of American children and adolescents between the ages of 5 to 18 have serious diagnosable emotional or behavioral health disorders resulting in
substantial to extreme impairment.
(Committee on Health, 2004; Nemeroff et al., 2008)
Why Deliver Mental Health
Services in Schools?
? Most children and youth, even those with insurance, do not access services
? Many children and youth who receive services get them at school
? Individual and group counseling in schools are linked to more developmental assets for students
? School-based services increase access and reduce stigma
? Improvement in mental health links to improvement in behavior, learning, and social skills
Initiation and Delivery for Mental Health Care is Inadequate
? No-show rates for initial intake MH appointments ranged from 48% to 62%
? If initial appointment was secured by telephone 28% of children never attended an initial visit
? 40% to 60% of children receiving outpatient mental health services attend few sessions and drop out quickly
Harrison, McKay & Bannon (2004) McKay, McCadam, & Gonzales (1996) McKay, Lynn and Bannon (2005) Gopalan G et al; (2010)
Schools Provide Greater Access to Mental Health Services (Jaycox, 2009)
Journal of Traumatic Stress, Vol. 23, No. 2, April 2010, pp. 223?231
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