Enhancing the Behavioral and Mental Health Services Within School-Based Contexts

ABSTRACT

Recent health care reform provides many new opportunities to expand mental health and behavioral support to students in schools and school–community partnerships. Through newly available funding sources, as well as expanded legislative initiatives, school psychologists can advocate for and become leaders in delivering universal programming, tiered mental health supports, and formalized collaborative efforts with community agencies. The authors highlight the application of tiered levels of services, with current practice samples, designed to address students' mental and behavioral health. Implications for practice are discussed.     

Cultural Mistrust of Mental Health Professionals Among Black Males Transitioning from Foster Care

We examined cultural mistrust of mental health professionals among Black males who are transitioning from the foster care system (N = 74) and its relationship to their level of satisfaction with child welfare services and the frequency of negative social contextual experiences. Results of hierarchical regression analysis showed that the level of satisfaction with child welfare services moderated the relationship between negative social contextual experiences and cultural mistrust of mental health professionals. Specifically, more frequent negative social contextual experiences were related to greater cultural mistrust of mental health professionals for Black males reporting low satisfaction with child welfare services, but not for those reporting high satisfaction with child welfare services. Implications for service delivery are discussed.     

Behavioral Genetics and the Forensic Mental Health Provider: An Overview

The area of behavioral genetics has sufficiently entered the area of forensic mental health work that providers should have some working knowledge of the strengths and limitations of these exciting technical advances. Using MAOA as an example, this essay reviews some of the recurring themes in forensic behavioral genetics and suggests additional ways in which the technology might be used in legal matters. Copyright © 2015 John Wiley & Sons, Ltd.     

Spiritual Maturity and Mental Health: Implications for Counseling

Evidence was found to support the validity of Genia's (1997) spiritual maturity typology. Participants (N = 256) were categorized as spiritually growth-oriented, transitional, dogmatic, or underdeveloped. Those in the underdeveloped and dogmatic groups seemed to be more emotionally distressed than those in the growth oriented group. The authors also formed a group, based on scores above the mean on both the Dissociation Scale and the Sexual Abuse Trauma Index (SATI) of the Trauma Symptom Checklist-40 (TSC-40; Elliott & Briere, 1992), that they hypothesized were traumatized in childhood. They found that those individuals, compared to the nontraumatized persons, experienced lower levels of spiritual support and were more symptomatic on mental health measures. The traumatized women, especially, experienced psychological distress, particularly in areas of depression, anxiety, and sexual problems. Although trauma generally was associated negatively with spiritual development, some traumatized persons also scored among the spiritually growth oriented, suggesting that such trauma is not associated in all cases with a detrimental effect in the process of spiritual development.     

Access to Child and Adolescent Mental Health Services

Adequate access to child and adolescent mental health services for young people in high need populations is an important concern of service systems researchers and program evaluators. We present results of a statewide study of access to community mental health services for eight populations of special concern. The analysis relied exclusively on existing databases in conjunction with innovative statistical techniques to provide comprehensive measures of access to care. Our findings indicate that access to care varied substantially across special populations, although children and adolescents in each of our eight “special populations” had greater access to public mental health services than members of the general population of the state. The interpretation of the findings and directions for future research are discussed.     

Integrating Career and Mental Health Counseling: Necessity and Strategies

Individuals seeking counseling might not recognize the interconnectedness of health, mental health, work, and life concerns. Counselors, however, need to be mindful that a person's wellness is interwoven with their work, life roles, and health. Research supports the interrelationship of career development and mental health as well as the effectiveness of an integrated approach to mental health and career counseling. An integrated approach from an ecological counseling perspective is proposed for conceptualizing client issues and intervention strategies.     

Mental Health Counseling: Past,Present, and Future

This article examines the significant events in the history of mental. health care that have contributed to the development of a specialty within the counseling profession referred to as mental health counseling. The development of credentials for the specialty and the issues currently facing mental health counseling are discussed, and a perspective on directions for the future is offered.     

Digital Mental Health Services: Moving From Promise to Results

The papers in this special series make a compelling case for the value of digital mental health services (DMHS; including technology-based interventions, assessments, and prevention programs) to help address some of the currently unmet needs in mental health care. At the same time, the papers highlight the work that needs to be accomplished for DMHS to fulfill their promise. We review the papers’ contributions in terms of (a) the imperative to increase access to evidence-informed, high-quality care, especially for underserved populations, both in the United States and globally; (b) ways to use DMHS to improve the ways that clinical care is provided to make treatment provision more effective and efficient; and (c) the current state of the research on DMHS for emotional disorders. We then consider lessons learned and recommendations to move the field forward, such as increasing (and making transparent) the research base on DMHS, adopting regulatory standards for DMHS, attending carefully to training issues for DMHS and best practices for dissemination and implementation, designing specifically for digital platforms, and being intentional about efforts to reduce disparities regarding who benefits from DMHS.     

Agency and Communion Related to Mental Health in Japanese Young Adults

Based on Bakan’s (1966) theory, Helgeson (1994) presented a conceptual model of the relationships of biological sex, agency, and communion with psychological and physical well-being. This study was designed to examine the relationships of mitigated and unmitigated agency (M, M-) /communion (F, F-) with mental health in Japanese young adults. Participants were 602 (247 men, 355 women) undergraduate students and vocational school students in Japan. The average age of the participants was 20.0 years (SD=4.1). The results showed that communion (F) was positively associated with social support, unmitigated communion (F-) was strongly and positively associated with dysphoria for both men and women, unmitigated agency (M-) was also positively associated with dysphoria for women, and agency (M) was negatively associated with dysphoria for women. Both M and F were positively associated and F- was negatively associated with self-esteem for both men and women. M may moderate F-, and social support may moderate M-, for women. Thus our findings partially supported Helgeson’s model.     

Moral Injury,Chaplaincy and Mental Health Provider Approaches to Treatment: A Scoping Review

Journal of Religion and Health - The aim of this research was to describe the evidence examining the approaches taken by mental health providers (MHPs) and chaplains to address symptoms related to...     

Transforming School Counseling to Serve the Mental Health Needs of At-Risk Youth

School counselors have an important part to play in helping schools respond to the increasing number of students whose mental health needs place them at risk for school failure. This article identifies the shortcomings of the current developmental guidance and counseling service delivery model as it relates to work with at-risk youth. In addition, a transformed model is proposed, with suggestions for changes in program organization and planning, school counselor role and function, and skills and expertise. Potential barriers to change are also identified.     

Ageism in Mental Health and Health Care: A Critical Review

Discussions of aging and mental health widely assume that ageism among mental health providers is an important factor limiting access to mental health services for older adults. Given the widespread citation of ageism as a problem, we critically review the history of the ageism construct, and evidence for its existence in both mental health and medical professionals. There is surprisingly little empirical evidence for age bias among mental health providers. Considerable evidence does suggest differential medical treatment for older adults in such diverse areas as physician–patient interaction, use of screening procedures, and treatment of varied medical problems, although it is unclear whether age bias accounts for these differences. We suggest that innovations in delivery of psychological services, such as collaborative medical/psychological care in primary care settings, may ultimately prove more useful in improving access to mental health services than efforts to combat ageism.     

School-Based Mental Health Programs and Services: Overview and Introduction to the Special Issue

School-based mental health (SBMH) programs and services have grown progressively in the United States in the past two decades, related in part to increased recognition of their advantages and heightened federal support. However, SBMH is an emerging field, with many issues needing attention. This introductory article provides a context for the special issue by highlighting the importance of increased conceptual clarity about SBMH, enhanced mental health—education systems integration, and advancement of the SBMH research base. Key elements for success of SBMH programs and services are discussed, as underscored recently by the report of the New Freedom Commission on Mental Health (2003) and other important initiatives. These elements include (a) school–family–community agency partnerships, (b) commitment to a full continuum of mental health education, mental health promotion, assessment, problem prevention, early intervention, and treatment, and (c) services for all youth, including those in general and special education. A synopsis of the articles in the special issue is provided, emphasizing their conceptual and empirical contributions to delivery and sustainability of effective mental health practices in schools.     

Responding to the Crisis in Children's Mental Health: Potential Roles for the Counseling Profession

Mental health concerns pose a substantial threat to the immediate and future health of children and their functioning at home, at school, and in the community. Research indicates that 1 in 5 children has a diagnosable mental or addictive disorder and 1 in 10 has a serious emotional disturbance. This review considers emerging trends, national initiatives, and the roles of related professions in responding to the crisis in children's mental health. Recommendations are offered for counseling practice, training, leadership, and research.     

Clinical and Mental Health Issues in Counseling the Gifted Individual

Research over the past several decades has identified several unique characteristics and experiences of gifted individuals that have implications for counselors. This article describes internal and external factors that contribute to gifted individuals' nonnormal lived experience and that may require counselors' specific attention to work effectively with gifted clients on clinical and mental health issues. These factors are applied to 4 issues: unhealthy perfectionism, anxiety, depression, and suicidality.     

The Use of Metaphor to Overcome Inmate Resistance to Mental Health Counseling

Mental health professionals who work with inmates typically encounter resistance to their services. Understanding the processes and purposes of inmate resistance is essential to establishing the rapport needed for counseling to take place. Metaphors, anecdotes, and stories can be used effectively in responding to inmate resistance. Two case examples are included to illustrate these techniques.     

The Effect of Racial and Ethnic Diversity on the Delivery of Mental Health Services in Pediatric Primary Care

The effects of racial and ethnic diversity on the detection and management of behavioral and emotional problems in pediatric primary care are addressed. Service access and utilization as a function of race and culture are initially examined. Important barriers within pediatric training including minimal emphases on behavioral training and the limited supply of minority physicians are underscored. The impact of ethnicity on the development and maintenance of the clinical relationship that is critical to accurately and sensitively identifying and managing behavioral and developmental problems is briefly addressed. Recommendations for further integration of racial/ethnic issues into mental health service provision within the pediatric primary care arena are presented.     

Implementing a Primary Mental Health Service for Children: Administrator and Provider Perspectives

The Child Mental Health Service (CMHS) is an Australian primary care program introduced in July 2010 to provide mental healthcare to children who have, or are at risk of, developing psychological disorders. The Australian Government provided supports (e.g., training for mental health professionals), resources (e.g., funding for positions devoted to fostering inter-agency linkages or partnerships) and various flexibilities in service delivery. This study aimed to explore the processes used in the implementation of the CMHS in order to achieve its objectives of delivering a high quality standard of service, and forging linkages and support networks with other relevant health and non-health agencies. Structured interviews were conducted with 20 program administrators, six referring professionals and eight mental health professionals. Interviews were recorded, transcribed and analysed for themes using NVivo. The CMHS appears to have made good progress towards achieving its objectives by implementing processes that facilitated the delivery of a high quality service (e.g., engaging appropriately qualified, and encouraging additional training and clinical support for, mental health professionals; employing quality assurance mechanisms and clinical governance arrangements) and establishment of inter-agency linkages (e.g., devoting a professional role—Coordination and Liaison—to this purpose). Provider perspectives suggest that the CMHS has had a positive impact on children and their families. Comparable countries implementing primary mental health programs for children may benefit from considering similar additional supports (e.g., training for mental health professionals), resources (e.g., funding positions devoted to fostering service inter-agency linkages) and service delivery flexibilities as those available in the CMHS.