{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:02:19Z","timestamp":1790949739674,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:00:00Z","timestamp":1755216000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>Background<\/jats:title>School nurses are often tasked with identifying and managing mental and behavioral health concerns. The objective of this study was to better understand school nurse and school preparedness to identify and manage mental health conditions and psychological stressors.<\/jats:p><\/jats:sec>Methods<\/jats:title>The authors developed a questionnaire, which was electronically distributed to several National Association of School Nurses members during the 2021\u20132022 school year.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 994 questionnaires were completed and analyzed, a 50% response rate. Of school nurse respondents, 76% felt responsible for identifying depression; 40% reported that their school has naloxone; 22% reported that their school has an emergency preparedness and response plan for opioid overdose; and 18% screened for bullying in the past year.<\/jats:p><\/jats:sec>Implications for School Health Policy, Practice, and Equity<\/jats:title>School policies and guidelines for the critical areas identified in the present study should be considered.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Based on our national sample of school nurses, we have identified strengths and areas for improvement in school nurse and school preparedness to identify and manage mental health conditions and psychological stressors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.70067","type":"journal-article","created":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T03:18:31Z","timestamp":1755314311000},"page":"970-977","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Mental and Behavioral Health Services Provided by Schools in the United States: A National Survey of School Nurses*"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1688-2461","authenticated-orcid":false,"given":"Paige C.","family":"Chardavoyne","sequence":"first","affiliation":[{"name":"Penn State Milton S. Hershey Medical Center Pennsylvania State University College of Medicine Hershey Pennsylvania USA"},{"name":"Department of Psychiatry and Behavioral Medicine Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Penn State Milton S. Hershey Medical Center Pennsylvania State University College of Medicine Hershey Pennsylvania USA"},{"name":"Department of Emergency Medicine George Washington University Washington DC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcus","family":"Erdman","sequence":"additional","affiliation":[{"name":"Penn State Milton S. Hershey Medical Center Pennsylvania State University College of Medicine Hershey Pennsylvania USA"},{"name":"Department of Pediatrics, US Air Force\u2014673 Medical Group Joint Base Elmendorf\u2010Richardson Anchorage Alaska USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan J.","family":"Boehmer","sequence":"additional","affiliation":[{"name":"Department of Public Health Services Penn State Milton S. Hershey Medical Center Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Olympia","sequence":"additional","affiliation":[{"name":"Departments of Emergency Medicine and Pediatrics Penn State Hershey Medical Center Hershey Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,15]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Data and Statistics on Children's Mental Health","year":"2025"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2021.05.003"},{"key":"e_1_2_12_4_1","volume-title":"Improving Children's Behavioral Health","year":"2022"},{"key":"e_1_2_12_5_1","volume-title":"Preventing Adverse Childhood Experiences","year":"2024"},{"key":"e_1_2_12_6_1","volume-title":"What School Nurses Do","year":"2025"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1942602X211066656"},{"key":"e_1_2_12_8_1","volume-title":"Comprehensive School\u2010Based Mental and Behavioral Health Services and School Psychologists","year":"2021"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pits.22670"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/2372966X.2020.1827682"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20101211"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405241277798"},{"key":"e_1_2_12_15_1","volume-title":"Assessing Substance Abuse Risk in Students","year":"2022"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/10598405241275951"},{"key":"e_1_2_12_17_1","volume-title":"Percentage of Teens Aged 12\u201317\u2009Years Who Were Ever Bullied in the Past 12 Months, United States, July 2021\u2013December 2023","year":"2025"},{"key":"e_1_2_12_18_1","volume-title":"Bullying and Cyberbullying\u2014Prevention in Schools Position Statement","author":"Wheeler J. 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