How mental health care in schools became the norm in Minnesota

Facing a youth mental health crisis, some schools are using digital screening tools like BIMAS-2 and DESSA to identify students needing behavioral support. Districts in Green Bay and Alexandria report positive results, but widespread adoption meets resistance due to costs, parent concerns, and limited capacity for follow-up support.

New legislation in Colorado will implement statewide mental health screenings, expanding existing programs in schools and health centers. For example, Glenwood Springs High School has had a screening program in place since 2020. The school's health center provides care ranging from dental exams to counseling and served over 2,500 students last year.

Sources of Strength is a student-led mental health prevention program operating in about 35 Maine middle and high schools, coordinated by NAMI Maine and the state CDC. The program trains peer leaders to act as "connectors" who listen to struggling classmates and guide them to trusted adults before problems escalate. Students report that peer support makes it easier to discuss struggles with someone experiencing similar pressures.

Sonar Mental Health, the developer of the AI-powered “wellbeing companion” named Sonny, is offering its services to schools that struggle to meet students’ demand for mental health services. Sonny’s algorithm also has trained humans working behind the scenes to ensure students receive proper care. The hybrid bot is available in more than 4,500 public middle and high schools across the country, many of which are in rural and low-income areas.

A partnership between Hazel Health and the local school district is bridging the gap between students and mental and physical healthcare by providing therapy and telehealth resources before, during and after the school day. Care is provided without any necessary out-of-pocket costs and from November 2023 to June 2024, Hazel Health provided 630 therapy sessions to students across 25 schools.

“Chill Rooms,” offer students a place where they can go and talk to “chill therapists” when they’re feeling anxious, stressed or just need a minute to reset during the school day. Some schools have even partnered with other organizations to offer creative forms of mental health care, like equine therapy. In the Northgate School District, the graduation rate has increased by 11% since incorporating Chill Rooms.

After the pandemic, many teens are still opting for telehealth therapy rather than in-office care. Telehealth makes therapy more accessible for those who need it, particularly through collaboration with mental health platforms like Daybreak that partner with school districts across the U.S. to provide access to virtual therapy in schools. Daybreak’s data shows that 92% of families see behavioral improvements and 80% of school staff see attendance and grade improvements in students who participate in therapy.

Amongst an increased need for mental health care, Monadnock Family Services is offering group therapy to children to get them in for some level of care as staff shortages make offering individual therapy too difficult. The American Psychological Association found that group therapy is as effective as individual therapy for most conditions — as well as more efficient. Monadnock Family Services offers a variety of groups depending on a patient’s interests and identity, like groups for those who enjoy hiking to groups for members of the LGBTQ+ community.

ACCESS Open Minds connects youth and young adults to mental health support, including therapists, caseworkers and peer navigators to help them get the care they need. One of ACCESS’s main goals is to bridge the gap between the complexities of the mental health care system and the community. By creating these youth wellness hubs and connecting people with the appropriate services, ACCESS has decreased the number of hospitalizations and emergency room visits and increased the number of people getting mental health care.

The Crisis Response Center provides mental health and crisis care services as an alternative to emergency rooms or jails. The center is staffed 24 hours a day, 365 days a year and offers a variety of services focused on recovery for children, teens and adults struggling with mental health and/or substance abuse. The Center is set to expand ahead of the new 988 dialing code for the National Suicide Prevention Lifeline. Once expansions are done, the Center will have the capacity to serve between 400 and 600 extra visits a month, on top of the 800 to 1,000 adults who visit the center each month.