{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T07:54:25Z","timestamp":1790927665092,"version":"4.1.0"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"MultiCare Behavioral Health Foundation"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Journal of School Nursing"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>School nurses play a critical role in addressing K-12 students\u2019 mental and behavioral health (MH) needs, yet many report limited preparation to manage these concerns. Existing MH training often excludes school nurses or focuses narrowly on literacy, leaving gaps in communication, referral processes, and evidence-based interventions. This study evaluated school nurses\u2019 experiences and preferences for ongoing professional development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive survey was conducted with 15 school nurses from diverse educational settings assessed priority training areas and preferred formats. Quantitative data were analyzed descriptively. Open-ended responses were analyzed to complement the quantitative findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nurses prioritized training in internalizing behaviors, communication with students and caregivers, care coordination across healthcare, and community MH systems. Participants preferred ongoing, web-based learning that incorporated expert consultation and peer discussion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Web-based training platforms offer a flexible, scalable approach to addressing MH training needs. Sustained online collaboration may enhance competence, reduce isolation, and improve coordination.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10598405261490433","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T15:28:43Z","timestamp":1790609323000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing School Nurses' Mental Health Competence Training Needs"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8073-5733","authenticated-orcid":false,"given":"Sunny Chieh","family":"Cheng","sequence":"first","affiliation":[{"name":"University of Washington Tacoma"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmine","family":"Kaneshiro","sequence":"additional","affiliation":[{"name":"University of Washington School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Hapenny","sequence":"additional","affiliation":[{"name":"University of Washington School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Walsh","sequence":"additional","affiliation":[{"name":"University of Washington School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9874-3739","authenticated-orcid":false,"given":"Mayumi","family":"Willgerodt","sequence":"additional","affiliation":[{"name":"University of Washington School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Ramos","sequence":"additional","affiliation":[{"name":"Wellfound Behavioral Health Hospital, Tacoma, WA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas","family":"McIntyre","sequence":"additional","affiliation":[{"name":"MultiCare Behavioral Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"American School Counselor Association. (2026). ASCA school counselor professional standards & competencies. https:\/\/www.schoolcounselor.org\/getmedia\/a8d59c2c-51de-4ec3-a565-a3235f3b93c3\/SC-Competencies.pdf"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17249503"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-019-09314-4"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1059840518785437"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.12968\/chhe.2020.1.6.268"},{"key":"e_1_3_3_7_1","unstructured":"Centers for Disease Control and Prevention. (2022 March 31). New CDC data illuminate youth mental health threats during the COVID-19 pandemic. Centers for Disease Control and Prevention. https:\/\/archive.cdc.gov\/#\/details?url=https:\/\/www.cdc.gov\/media\/releases\/2022\/p0331-youth-mental-health-covid-19.html"},{"key":"e_1_3_3_8_1","unstructured":"Centers for Disease Control and Prevention. (2024a November 29). Mental health \u2013 adolescent and school health. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/healthy-youth\/mental-health\/index.html"},{"key":"e_1_3_3_9_1","unstructured":"Centers for Disease Control and Prevention. (2024b May 16). Health disparities in suicide. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/suicide\/disparities\/index.html#:\u223c:text=Youth%20and%20young%20adults%20ages group%2C%20accounting%20for%207%2C126%20deaths"},{"key":"e_1_3_3_10_1","unstructured":"Centers for Disease Control and Prevention. (2024c November 29). Youth mental health: the numbers \u2013 adolescent and school health. Centers for Disease Control and Prevention. https:\/\/www.cdc.gov\/healthy-youth\/mental-health\/mental-health-numbers.html"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.70067"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-022-09528-z"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-023-09582-1"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-022-09530-5"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12310-022-09526-1"},{"key":"e_1_3_3_16_1","volume-title":"National Survey of Children\u2019s Health: Adolescent Mental and Behavioral Health, 2023","author":"Health Resources and Services Administration","year":"2023","unstructured":"Health Resources and Services Administration. (2023). National Survey of Children\u2019s Health: Adolescent Mental and Behavioral Health, 2023. U.S. Department of Health and Human Services. 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