Systemic racism is pervasive in US society and disproportionately limits opportunities for education, work, and health for historically marginalized and minoritized racial and ethnic groups, making it an urgent issue of social justice. Because systemic racism is a social determinant of health prevalent across multiple social and institutional…

Background: Health care utilization can vary by age group, geographic location, and socioeconomic status (SES). A paucity of information exists regarding the availability and utilization of medical care by injured scholastic athletes. The purpose of this study was to describe and compare injuries and health care service utilization by school SES…

Project Cal-Well is a cross-agency mental health initiative led by the California Department of Education focused on building capacity for sustainable school-based mental health systems in local educational agencies (LEAs) throughout California. As part of a series highlighting the work of Project Cal-Well partners in Cohort 2 (2019-2024), this…

School counselors advocate for students' academic, social, and emotional needs. School counselors are at the forefront of addressing students' mental health needs. This study sought to investigate the types of mental health services available in high schools and explore school counselors' awareness of the impact these services have on gifted…

School-Based Health Centers (SBHCs) often serve vulnerable populations who have been exposed to adverse childhood experiences (ACEs) which have been tied to an increase in adult health risk factors. At an urban SBHC serving adolescent students, 75% of patients reported three or more ACEs. This SBHC also had multiple practitioner students. A…

This study explored the availability of mental health services in the South Florida high school setting and how the application of said services could affect adolescent student-athletes who are experiencing depression and anxiety based on the perspective of the school's leadership. A total of eight individuals participated in the study, all of…

Objective: To examine short-term (i.e., post-intervention) outcomes from a randomized controlled trial comparing a school-based telehealth-delivered depression prevention program, Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST), to services as usual (SAU). We expected IPT-AST would be acceptable and feasible and that IPT-AST…

Background: Concussion-related guidelines appear to be inconsistently implemented in secondary schools in Aotearoa New Zealand. The purpose of this qualitative Participatory Action Research study was to describe key school stakeholders' perceptions of their current concussion management processes. Methods: Seventeen focus groups, two dyad, and…

This study explored adolescent perspectives on school-based health center (SBHC) services and how services differed from school nurses and community agencies. Six focus groups were conducted with adolescents, 13-19 years old, as part of a larger mixed-methods study. Data were analyzed for themes using content analysis. Adolescents (N = 30)…

Few studies have examined social anxiety in Black American adolescents, despite the role of unique sociocultural factors and lower rates of mental health service use in this population. The goal of this qualitative study was to examine the perceptions and experience of social anxiety, as well as attitudes toward help-seeking and school-based…

School-based health centers (SBHCs) positively influence student health. However, the extent to which these benefits are actualized varies across sites. We conducted focus groups with high school students and teachers at an underperforming SBHC to identify facilitators and barriers to student access to SBHC services. Our qualitative analysis…

For students with Autism Spectrum Disorder and comorbid Intellectual Disability (ASD/ID), effective post-secondary transition services are vital. Despite the research-supported transition success of many individuals with ASD, there is a lack of evidence on the effectiveness of suitable supports for those with a comorbid ID. When considering young…

We compared sexual/reproductive health services and sexuality education topics provided in Texas alternative high schools (AHSs) with the prevalence of sexual risk behaviors among students in AHS. Using cross-sectional data from convenience samples of 14 principals, 14 lead health educators, and 515 students, we calculated descriptive statistics…

To promote health equity, it is crucial to educate the next generation of healthcare workers about disparities early on during their education. We developed a virtual research program at a medical school in the United States of America with the goal of increasing the awareness of youth about the complexities of health inequities. The program was…

Research suggests that the COVID-19 pandemic has further exacerbated the need for mental health support, with an alarming increase in the number of adolescents reporting that their mental health has worsened during this period (Rodriguez, 2022). Well before the pandemic, substantial evidence indicated that young people were facing a rising tide of…