Sustaining school-based mental health services: a case study of the implementation of the San Diego Unified School District's Mental Health Resource Center
Hernandez, Ramon Abel
MetadataShow full item record
Problem: A major gap in adolescent mental health services exists in the United States. Nearly 80% of children and adolescents who are defined as needing mental health services are not receiving mental health care. School-based services have demonstrated promise as a strategy to address this gap. The purpose of this dissertation is to determine how a large urban school system implemented and sustained an innovative service of care model in response to financial, human resource, and community constraints and opportunities. Methods: A case study of the San Diego Unified School District’s (SDUSD) Mental Health Resource Center (MHRC) was completed using Pettigrew and Whipp's Content, Context, and Process Model of Strategic Change (PWM) as the theoretical framework that guided the research. Three primary sources of evidence were collected covering a fifteen-year period of implementation (1999–2014): 1) documents; 2) archival records; and, 3) interviews. The interviews were conducted with local and state stakeholders (n=20) and with students who received MHRC services and their parents (n= 15). A chronological reconstruction was completed and all data underwent a content analysis to organize and identify emergent themes based on the PWM framework. Results: Eight factors were identified as critical to the implementation and sustainability of the MHRC: establishing the legitimacy of school as environment for the delivery of mental health services; aligning education and mental health policies; implementing cross systems collaboration; utilizing data to improve performance and prioritize services; strengthening parent and student involvement; commitment to lead; institutionalization of mental health training; and, investment in staff. Further analysis assessed potential system improvements and opportunities for new collaborations and produced sustainability recommendations for SDUSD and MHRC administration, staff, and stakeholders. Conclusion: The MHRC provides a unique systems model that can inform best practices and policy decisions regarding the implementation and sustainability of school-based mental health services. Lessons learned from the sustainability of the MHRC support schools as a legitimate environment for the delivery of mental health services and the integration of mental health services in schools as a feasible strategy to improve student academic and mental health outcomes.
Showing items related by title, author, creator and subject.
Factors influencing the underutilization of mental health services among Asian American women with a history of depression and suicide. Augsberger, Astraea; Yeung, Albert; Dougher, Meaghan; Hahm, Hyeouk Chris (2015-12-08)BACKGROUND: Despite the substantially high prevalence of depression, suicidal ideation and suicide attempts among Asian American women who are children of immigrants, little is known about the prevalence of mental health ...
Facilitators and barriers in access to mental health services for women with depression in Karachi, Pakistan Fatima, Batool (2016)BACKGROUND: Women in Pakistan experience a high prevalence of depression; yet make negligible use of mental health services. Information about the barriers and facilitators to mental health services for women is scarce. ...
Access to services for juvenile court-involved youth in the United States: a social and neurobiological case for the juvenile mental health advocacy project model Nguyen, Eliza (2016)Youth involved in the juvenile justice system have a well-documented need for mental, behavioral, and emotional health services, but they face barriers to accessing appropriate and timely care. Research indicates a high ...