Writing from Life – Mental Health in Elementary School

“Schools are among the most common settings in which youth receive mental health services and can make services easier to access and less stigmatizing.” says Gwendolyn Lawson, who is a researcher in the Department of Child and Adolescent Psychiatry and Behavioral Sciences at Children’s Hospital of Philadelphia (CHOP), in an email to Changing America.

In today’s fast-paced and complex world, the mental health of children is a topic of increasing concern. Research indicates that children with behavior problems often experience co-occurring anxiety and depression, highlighting the intricate nature of mental health challenges in young individuals. Gwendolyn Lawson, a researcher at the Children’s Hospital of Philadelphia (CHOP), emphasizes the significance of schools as key settings for providing mental health services to youth, making these services more accessible and reducing stigma.  

Behavioral Health Integration (BHI) emerges as a vital approach to improving access to mental health services for children and their families. According to a CDC-sponsored report published by the Milbank Memorial Fund, partnerships between primary medical care practices and mental health care specialists can significantly enhance the accessibility of mental health services for some families. This integration addresses a common barrier faced by families – the challenge of connecting with mental health care providers. 

In the formative years of elementary school, nurturing mental health becomes paramount for a child’s overall well-being and future success. The experiences and emotional support received during this crucial stage can significantly impact a child’s development, shaping their attitudes towards learning, relationships, and self-esteem.  

Educators play a pivotal role as frontline professionals in promoting mental health and well-being among elementary school children. They are not just conveyors of academic knowledge but also empathetic guides who can identify and support students’ mental health needs. By fostering a supportive and inclusive classroom environment, educators create spaces where children feel safe, valued, and understood. Through activities that promote emotional awareness, resilience, and coping skills, educators equip children with the tools they need to navigate life’s challenges effectively.  

Equally important is the role of families in nurturing children’s mental health. Building strong and intimate relationships between educators and families is crucial, as families provide valuable insights into a child’s life outside of school. Collaborative efforts between educators and families create a holistic support system for children, encompassing both academic and emotional needs. Open communication, trust, and shared goals between educators and families form the foundation of a collaborative environment that promotes positive mental health outcomes.  Behavioral Health Integration further strengthens this collaborative approach by ensuring that mental health services are seamlessly integrated into primary medical care practices and schools. This integration not only improves access to services but also reduces stigma, making it easier for children and families to seek help when needed. Policies that support BHI and allow mental health care to be located in primary care settings and schools can significantly enhance access to mental health services for children.  

Moreover, addressing gaps in the mental health workforce and understanding the impact of social determinants on mental health care are crucial aspects of promoting mental well-being in children. CDC-funded initiatives focus on increasing the capacity of healthcare providers and educators to support children’s mental health needs, exploring telemedicine as a tool for improving access, and identifying ways to reduce childhood poverty and support children with disabilities.  

Childhood and adolescence are phases filled with significant changes that can profoundly impact mental and physical health. Young people often experience new emotions that they may struggle to process, leading to potential behavioral, emotional, or social challenges if left unaddressed. Recognizing the importance of early intervention, school-based therapy has emerged as a valuable service to support students’ mental health needs. School-based therapists operate within elementary, middle, and high school settings, providing a range of services to help students overcome obstacles that affect their academic and personal lives. These services include individual and family counseling, risk assessments, specialized training for educators and parents, collaboration with community providers, and more. Karen Hasselman, a school-based therapist with Centerstone, emphasizes the benefits of this approach, stating, “Our job is to provide extra care and support to students on-site at school. This approach removes scheduling difficulties for parents and results in less learning time lost for students.” School-based therapists play a crucial role in advocating for students’ needs and communicating with families or guardians when issues exceed what a guidance counselor can address. They address a variety of common issues such as aggression, anxiety, depression, and trauma, providing comprehensive mental health services to students in need. The benefits of school-based therapy extend beyond improved mental health outcomes to include enhanced self-esteem, access to care, uninterrupted learning, better quality of life and relationships, improved emotional regulation, and increased self-awareness. Spreading awareness about school-based therapy through sharing experiences, seeking help when needed, and expressing concerns can encourage more families and students to access these valuable services.

Research on children’s mental health in the community, such as the Project to Learn About Youth – Mental Health (PLAY-MH), plays a crucial role in understanding and addressing mental health challenges in school-aged children. The PLAY-MH project focused on analyzing information collected from four communities to study attention-deficit/hyperactivity disorder (ADHD), other externalizing and internalizing disorders, as well as tic disorders in school-aged children. The aim was to gain insights into public health prevention and intervention strategies to support children’s health and development. This research provides valuable data on the prevalence of mental disorders and the types of treatments children receive in their communities, contributing to a more comprehensive understanding of children’s mental health needs.

The Behavioral and Mental Health team within the Office of Student and Family Support (SFS) plays a crucial role in ensuring that schools and districts have the internal capacity to address the social-emotional, behavioral, and mental health needs of their students, families, and staff. They also work on developing partnerships with community-based providers to enhance support networks. Funding initiatives such as Chapter 177 of the Acts of 2022, signed into law by Governor Baker, highlight the commitment to addressing barriers to mental health care, particularly in K-12 education. The Department of Elementary and Secondary Education (DESE) collaborates with various organizations and agencies, such as the Rennie Center, to implement professional development programs like the Comprehensive School Mental Health System (CSMHS) and the Supporting Students’ Social Emotional Learning, Behavioral & Mental Health, and Wellness Grant. These initiatives aim to build comprehensive and evidence-based mental health services within schools, promote holistic support, and strengthen partnerships between schools and community-based mental health agencies. Through targeted funding and collaborative efforts, schools are better equipped to provide integrated mental health support systems for their students, families, and staff, ultimately fostering a healthier and more supportive learning environment.

In conclusion, nurturing mental health in elementary school children requires a collaborative effort between educators, families, and policies that support Behavioral Health Integration. By creating supportive environments, fostering emotional awareness, and building strong relationships, we can promote positive mental health outcomes and empower children to thrive academically, socially, and emotionally.

Leave a Comment