{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T15:59:18Z","timestamp":1791561558535,"version":"4.3.4"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T00:00:00Z","timestamp":1549843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>Poor mental health outcomes persist among adolescent youth. Secondary schools play a critical role in fostering positive mental health by implementing policies and practices grounded in evidence. The factors associated with implementation, however, are unclear. This study examines which school\u2010 and state\u2010level factors are associated with improved implementation of mental health policies and practices at secondary schools across the United States.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>US Centers for Disease Control and Prevention data stemming from 3 datasets (School Health Policies and Practices, School Health Profiles, and Youth Risk Behavior Surveillance System) surveys were integrated and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Health educator certification, school use of data during school improvement planning, presence of a health\/safety coordinator, presence of a health council and state\u2010provided health educator professional development in mental health and suicide prevention were each significantly positively associated with schools' implementation of mental health policies and practices.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>To promote improved implementation of mental health policies and practices in schools and provide better support for youth mental health outcomes, the use of certified health educators and health\u2010related supports should be considered. State health and education agencies should undertake evaluations of its mental health practices to ensure the assistance they offer to schools is evidence based.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.12738","type":"journal-article","created":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T08:39:22Z","timestamp":1549874362000},"page":"328-338","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["The Implementation of Mental Health Policies and Practices in Schools: An Examination of School and State Factors"],"prefix":"10.1111","volume":"89","author":[{"given":"Laura A.","family":"Guerra","sequence":"first","affiliation":[{"name":"Department of Health and Behavioral Studies, Teachers College, Columbia University  255 West 120th Street, New York, NY 10027"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonali","family":"Rajan","sequence":"additional","affiliation":[{"name":"Department of Health and Behavioral Studies, Teachers College, Columbia University  255 West 120th Street, New York, NY 10027"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine J.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Health and Behavioral Studies, Teachers College, Columbia University  255 West 120th Street, New York, NY 10027"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Child and Adolescent Mental Health Policies and Plans","author":"WHO","year":"2005"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0673"},{"key":"e_1_2_6_4_1","volume-title":"Disparities in Child and Adolescent Mental Health and Mental Health Services in the U.S","author":"Alegr\u00eda M","year":"2015"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1406"},{"key":"e_1_2_6_6_1","volume-title":"Children's Mental Health: What Every Policymaker Should Know","author":"Stagman S","year":"2010"},{"key":"e_1_2_6_7_1","unstructured":"National Dissemination Center for Children with Disabilities.Categories of disability under IDEA.2012;285:1\u20106.http:\/\/nichcy.org."},{"key":"e_1_2_6_8_1","unstructured":"Digest of Education Statistics. Annual report to Congress on the implementation of the Individuals with Disabilities Education Act. Published2013. Available at:https:\/\/nces.ed.gov\/programs\/digest\/d13\/tables\/dt13_204.30.asp. Accessed January 9 2016."},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.08.021"},{"key":"e_1_2_6_10_1","volume-title":"National Research Council (US) and Institute of Medicine (US) Committee on the Prevention of Mental Disorders and Substance Abuse Among Children, Youth, and Young Adults: Research Advances and Promising Interventions","author":"O'Connell ME","year":"2009"},{"key":"e_1_2_6_11_1","volume-title":"State Mental Health Legislation 2014: Trends, Themes & Effective Practices","author":"National Alliance on Mental Illness","year":"2014"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2007.58.10.1330"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12308"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12310"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12204"},{"key":"e_1_2_6_16_1","unstructured":"DemissieZ BrenerND McmanusT ShanklinSL HawkinsJ KannL. School Health Profiles 2014: Characteristics of Health Programs among Secondary Schools.2014. Available at:http:\/\/www.jstor.org\/stable.42001058. Accessed January 9 2016."},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12489"},{"key":"e_1_2_6_18_1","unstructured":"United States Senate. The Every Child Achieves Act of 2015;2015:1\u20135."},{"key":"e_1_2_6_19_1","first-page":"1","article-title":"Summary of the Every Student Succeeds Act, Legislation reauthorizing The Elementary and Secondary Education Act","author":"National Conference of State Legislatures","year":"2015","journal-title":"Natl Conf State Legis"},{"key":"e_1_2_6_20_1","volume-title":"Results from the School Health Policies and Practices Study","author":"Centers for Disease Control and Prevention (CDC)","year":"2014"},{"issue":"4","key":"e_1_2_6_21_1","first-page":"1","article-title":"Youth risk behavior surveillance United States","volume":"61","author":"Eaton J","year":"2012","journal-title":"MMWR"},{"issue":"4","key":"e_1_2_6_22_1","first-page":"1","article-title":"Youth risk behavior surveillance\u2014United States, 2011","volume":"61","author":"Eaton DK","year":"2012","journal-title":"MMWR"},{"key":"e_1_2_6_23_1","volume-title":"Using Multivariate Statistics","author":"Tabachnick BG","year":"2013"},{"key":"e_1_2_6_24_1","unstructured":"BladerC BershadC. Realizing the promise of the whole\u2010school approach to children's mental health: a practical guide for schools.2011. Available at:www.promoteprevent.org. Accessed January 15 2016."},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12304"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12306"},{"key":"e_1_2_6_27_1","unstructured":"FoxHB McManusMA ArnoldKN. Significant multiple risk behaviors among US high school students.2010. Available at:http:\/\/www.thenationalalliance.org\/pdfs\/FS8. Accessed January 9 2016."},{"issue":"1","key":"e_1_2_6_28_1","first-page":"67","article-title":"Has adolescent suicidality decreased in the United States? Data from two national samples of adolescents interviewed in 1995 and 2005","volume":"39","author":"Wolitzky\u2010Taylor K","year":"2010","journal-title":"J Clin Child Adolesc Psychol"},{"key":"e_1_2_6_29_1","unstructured":"AngelesJ TierneyM OsherD.How to obtain Medicaid funding for school\u2010based services: a guide for schools in system of care communities.2003.http:\/\/www.rippleeffects.com\/pdfs\/MedicaidFunding.pdf. Accessed July 9 2017."},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-8609-1"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12240"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-011-0342-3"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/19325037.2004.10603598"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203852279"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v067.i01"},{"key":"e_1_2_6_36_1","doi-asserted-by":"crossref","unstructured":"KuznetsovaA BrockhoffPB HauboR ChristensenB.2016. lmerTest: Tests in linear mixed effects models. Available at:https:\/\/cran.r\u2010project.org\/package=lmerTest. Accessed August 15 2017.","DOI":"10.18637\/jss.v082.i13"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-98141-3"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.18637\/jss.v056.i05"},{"key":"e_1_2_6_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-75969-2"},{"key":"e_1_2_6_40_1","unstructured":"R Core Team \u201cforeign: Read data stored by Minitab S SAS. SPSS Stata Systat Weka dBase ...\u201d R package version 0.8\u201066.2015. Avaliable at:https:\/\/CRAN.R-project.org\/package=foreign. Accessed April 5 2016."},{"key":"e_1_2_6_41_1","unstructured":"WongEC CollinsRL CerullyJL. Reviewing the Evidence Base for Mental Health First Aid.2015. Avaliable at:http:\/\/www.rand.org\/content\/dam\/rand\/pubs\/research_reports\/RR900\/RR972\/RAND_RR972.pdf. Accessed March 5 2016."},{"issue":"3","key":"e_1_2_6_42_1","first-page":"451","article-title":"Current developments in accreditation and certification for health promotion and health education: a perspective on systems of quality assurance in the United States","volume":"36","author":"Cottrell R","year":"2009","journal-title":"Health Educ"},{"issue":"2","key":"e_1_2_6_43_1","first-page":"56","article-title":"African Americans and their distrust of the health care system: healthcare for diverse populations","volume":"14","author":"Kennedy BR","year":"2007","journal-title":"J Cult Divers"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.3102\/01623737026004259"},{"key":"e_1_2_6_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tate.2006.12.013"},{"key":"e_1_2_6_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.12305"},{"key":"e_1_2_6_47_1","doi-asserted-by":"publisher","DOI":"10.1177\/1403494811401473"},{"key":"e_1_2_6_48_1","volume-title":"American Cancer Society (ACS) Improving School Health: A Guide to School Health Councils","author":"Bellian CP","year":"1998"},{"key":"e_1_2_6_49_1","doi-asserted-by":"publisher","DOI":"10.1080\/13811118.2013.826155"},{"key":"e_1_2_6_50_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.3.485"},{"key":"e_1_2_6_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4614-7624-5"}],"container-title":["Journal of School Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjosh.12738","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/josh.12738","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,14]],"date-time":"2023-09-14T22:49:14Z","timestamp":1694731754000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/josh.12738"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,11]]},"references-count":50,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/josh.12738"],"URL":"https:\/\/doi.org\/10.1111\/josh.12738","archive":["Portico"],"relation":{},"ISSN":["0022-4391","1746-1561"],"issn-type":[{"value":"0022-4391","type":"print"},{"value":"1746-1561","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,11]]},"assertion":[{"value":"2017-12-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-02-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}