Background: Youth mental health rates of depression and anxiety continue to climb. Schools have a role to play to support youth mental health but often struggle to navigate community expectations. Methods: Focus groups (n = 17) were conducted with over 100 participants to understand community perceptions on the role of schools. Results: Three…

The focus of this report is on mental health interventions delivered in K-12 neighborhood public schools. A vast array of commercially available programs, conceptual frameworks, and approaches to school-based mental health are not unanimously recommended, applied, or agreed upon. This poses a challenge to any comprehensive description or…

Complex community health promotion programs are being held accountable for their effectiveness, but rural public health departments lack staff and expertise to carry out evaluations. In Kentucky, a university evaluation expert trains local public health staff in technical skills for program evaluation and provides ongoing mentoring and technical…

Analyzes why the current complex of social institutions and systems does not effectively serve poor children, highlighting the lack of early or preventative help for families and inappropriate organizational structure. Offers a series of five principles for a new foundation based on prevention, comprehensiveness, continuity, and accountability.…