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This article mostly talks about COVID-19 has most of the responsibility of student's mental health as well as educators

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Bipartisan Safer Communities Act

The BSCA is a historic investment of over $1 billion additional funding for mental health and other school-based services. As the first major federal gun safety legislation in decades, the law expands gun safety measures like increased background checks, and targets interstate gun trafficking. The law also addresses violence more broadly by expanding school-based mental health services, reducing obstacles to schools' billing for services under Medicaid, and creating a technical assistance center to facilitate compliance and operations.

The BSCA treats schools as a key point for observation and intervention. States can now extend Medicaid's reach beyond the IEP and tap into Medicaid funding to increase access and resources for comprehensive school-based health services. Despite the considerable increase in funding and additional mental health services for students that this expansion provides, at the time of publication, only 18 states have expanded Medicaid's reach beyond the IEP for school-based health services. States must act in order to maximize this historic opportunity!

NEA has created a resource that details how affiliates can work with state decision makers to use the BSCA to increase mental health and other services for students, and reduce gun violence in schools and communities. This resource provides recommended actions and includes actions of states successfully moving forward.

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The current mental health crisis in schools, colleges, and universities continues to impact both students and educators across the country.

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Nearly 3 quarters of U.S. parents said their child would benefit from mental health counseling up from 68% in 2021. The Biden administration’s pandemic relief plans have made the largest-ever, single investment in public schools. Now educators are making sure that money is used for the counselors, social workers, school psychologists, behavioral coaches, etc., that students need to be successful.

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The bottom line on student learning today is this: "You can't teach if you're not addressing mental health," says Rene Myers, an intervention specialist in St. Paul, Minn.

Myers has been working in public education for more than 33 years. Over the decades, the mental health needs of her students have grown, and grown, and grown, she says. The pandemic, coupled with decades of inaction by school boards and state legislators, has only made things worse.

About 214,000 U.S. children have lost a parent to COVID-19. They're adrift, grieving. Many other parents and caregivers lost their jobs. Today, 17 million U.S. children struggle with hunger-about 6 million more than before the pandemic. On top of that, recent years have reinforced how much this nation still struggles with racism and antiLGBTQ+ hatred.

So when Myers sat down at the bargaining table this year, seeking to negotiate a new contract between the St. Paul Federation of Educators (SPFE) and her school district, her number-one priority was students' mental health.

"To know what our students and staff have gone through in the past two years ... to say we don't need mental health supports? It's like saying you don't need air. It's unimaginable!" she said.

In February, St. Paul educators voted to strike. Then, in early March, just hours before hitting the streets, union negotiators reached an agreement to preserve the mental health teams that SPFE won during 2020 bargaining. Those teams include counselors, nurses, social workers, and school psychologists in every St. Paul school.

These professionals are essential to providing students with what they need, says Myers.

From Bad to Worse

In the past year, even as the nation has returned to "normal" life, the latest research shows that many students are still living in a state of mental health crisis. This data isn't at all surprising to educators and parents.

"Of course we see advanced need! On top of the pandemic, everything happening with the economy also is impacting our families," says Theresann Pyrett, a Michigan middle school teacher and president of the West Ottawa Education Association (WOEA). "It's like a perfect breeding ground for mental health issues to develop."

In an April poll, nearly three-quarters of U.S. parents said their child would benefit from mental health counseling-up from 68 percent in 2021. Additionally, about a third said their child has recently shown symptoms of mental health issues, including anxiety (19 percent) and depression (13 percent).

Among parents of students with disabilities-including learning, developmental, and physical challenges-almost a third said their child has anxiety, and rates of depression are higher as well.

"The biggest misconception is that COVID makes people mentally ill. From my point of view, COVID unmasked people who have underlying vulnerabilities," said John Walkup, chair of the behavioral health department at Chicago's Lurie Children's Hospital, in an interview with the New York Times.

Before the pandemic, between 2016 and 2019, the number of children diagnosed with anxiety rose by 27 percent, while depression diagnoses rose by 24 percent. But recently, it's worse than ever.

In the past year, 15 percent of teens suffered at least one major depressive episode- that's an additional 306,000 teens over the previous 12 months, according to the 2022 data from Mental Health America. On top of that, nearly two-thirds of teens with major depression say they haven't gotten any help.

Demanding Help for Students

In West Ottawa, the local union is making sure students get what they need. That includes using local property tax revenues to hire 10 additional mental wellness coaches throughout the district and using federal pandemic relief funds to hire 16 additional interventionists.

WOEA leaders work closely with district administrators, all asking the same question: What's best for students?

"One thing I keep repeating, over and again, is that more hands on deck makes for a lighter load," Pyrett says. "We're focused on picking up kids-and if you have more hands to pick those kids up, it's so beneficial for those kids."

The Biden administration's pandemic relief plans have made the largest-ever, single investment in public schools. Now educators are making sure that money is used for the counselors, social workers, school psychologists, behavioral coaches, etc., that students need to be successful.

Unions also are bargaining contracts that include those supports. In Minneapolis, educators went on strike this spring for more than two weeks, finally settling a deal that doubles the number of nurses and counselors in elementary schools and provides a social worker in every school.

"Don't Say Gay" - Or Trans, Either

Maybe the most alarming figure in recent mental health data is this: Nearly half of young LGBTQ+ people have considered ending their lives in the past 12 months, according to a survey of 34,000 young people by the Trevor Project.

Among those young people with suicidal ideas, more than half are transgender and nonbinary youth and nearly half are Black. (Nonbinary is a term for people who do not identify as male or female.)

The numbers are troubling, but not surprising to Palm Beach County, Florida high school teacher Michael Woods. "Especially here in Florida, with the ' Don't Say Gay ' law, which should also be called 'Don't Say Trans,' we have a lot of kids in stress," Woods says. "They're just coming back to the rigors of school [after the pandemic]-and now this!"

The Florida law enables parents to sue school districts if they think their child has had inappropriate instruction on gender and sexuality. The cost of litigation will be borne by districts, which are already beginning to remove curricula on these topics.

Anti-gay laws are also spreading far beyond Florida. In Texas, Gov. Greg Abbott has ordered teachers to report parents of transgender youth for child abuse if the parents seek gender-affirming care for their child. NEA and state educators unions have spoken out against these laws.

For his part, Woods-an educator of 29 years-isn't afraid. He wears his "We're All Human" T-shirt and answers his students' questions. But he worries about younger teachers with less job security, living in more conservative areas.

"I tell the kids, I'm always here for you. I'm always a safe space for you. I'm not giving up on you, and you shouldn't give up on yourself," he says. "When young people don't feel like they have anywhere to turn or anyone to talk to ... well, I know why the stats are the way they are."

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Mental Health in Schools: The Kids Are Not All Right | NEA

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As students' mental health needs rise, so do educators' demands for help.

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A student that is a junior in high school talks about her experiences with mental health in school and how she saw her friends have poor mental health in school and don't receive any help. She also talks about that mental health supports are not accessible to all youths.

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Mental Health in Schools: We’re Doing it Wrong | Maya Dawson | TEDxYouth@CherryCreek

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She started her mental health journey at 6 yrs old due to anxiety and depression. Her mom agreed with her that she has 3 mental health days per semester as long as she does good in school. She talks about how having those days available for her to take off helped her become a successful student and why it's important to have days off to better yourself.

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Why students should have mental health days | Hailey Hardcastle

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This video is about how mental health issues impact college students, and highlighting that young adults with mental health struggles are more likely to have lower grades, drop out, and be unemployed. This video also gives information about solutions or support systems to be available for students.

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This article is about college students mental health. The article mentions a survey of 274 institutions, 88% of counseling center directors reported an increase in “severe” psychological problems over the previous 5 years including learning disabilities, self-injury incidents, eating disorders, substance use, and sexual assaults. This article also includes more mental health diseases such as depression, eating disorders, anxiety, etc.

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College Students: Mental Health Problems and Treatment Considerations

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Attending college can be a stressful time for many students. In addition to coping with academic pressure, some students have to deal with the stressful tasks of separation and individuation from their family of origin while some may have to attend…

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This article includes student talking about their mental health and their story. The article also includes statistics about the percentage of students who are a specific ethnicity or gender that experiences or perceived racism, sexual violence, sadness, and not feeling safe in school.

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The prevalence of mental health issues is hard to measure, but federal data show how widespread the challenges are. The Centers for Disease Control and Prevention (CDC) said we need to address threats to mental health in young people-especially adolescents.

More than one third (37%) of high schoolers in the United States reported experiencing poor mental health during the COVID-19 pandemic, according to a 2021 CDC study. Almost half (44%) of high schoolers reported feeling persistently sad or hopeless in the last year. Some of these feelings were also linked to experiences of racism, social stigma around gender and sexual identity, and sexual violence.

"I was also having issues with my friendships at school and an increased level of stress when it came time for tests, projects, and other assessments...the feeling of isolation, lack of appetite, and absolute hatred of school were not normal."
-Morgan, New Jersey

Studies like these can help shed light on issues that teens may be hesitant or unable to discuss with parents, doctors, and school staff.

Stigma and a lack of information or access to care also keep many teens from getting help. But sharing personal stories about mental health can offer encouragement and connection. This can help teens feel like they are not alone. That's why NIH asked high schoolers to describe these challenges in their own words for the 2022 Speaking Up About Mental Health! essay contest.

The contest was sponsored by the National Institute of Mental Health (NIMH), the National Institute on Minority Health and Health Disparities (NIMHD), and the Eunice Kennedy Shriver  National Institute of Child Health and Human Development (NICHD). They wanted to start conversations around youth mental health and highlight different aspects of this national health crisis.

In their essays, many students talked about feeling lost, embarrassed, or frustrated by their mental health struggles. Others wrote about going from being confident in early childhood to feeling alone or unseen in adolescence.

NIH-funded researcher Tamar Mendelson, M.A., Ph.D., Bloomberg Professor of American Health and Director for the Center for Adolescent Health at the Johns Hopkins Bloomberg School of Public Health, says that's not surprising. Depression rates tend to increase around puberty, especially among girls but also in boys. Dr. Mendelson said this can be caused by a combination of hormonal changes, new social relationships, and new pressures from academic, athletic, and other activities.

"For many Asian American youths, getting help for mental health can be hindered by stereotypes.  Asian American boys, in particular, may not seek therapy since their cultures expect them to be more resilient than girls. After all, as the older brother, how can I let my little sister know when I am not feeling well emotionally?"
-Evan, Texas

"Young people who are feeling overwhelmed or are not sure how to cope with emotions may be more likely to use substances to kind of help with that," Dr. Mendelson said. Such substances could include alcohol, tobacco, or prescription or illicit drugs, for example.

Puberty is also when many young people become more aware of their sexual orientations and gender identities. For some, this can lead to being unaccepted or bullied. Rates of substance use and misuse also tend to increase during puberty.

In addition to navigating the typical stressors that teens face, more recently they also had to cope with the COVID-19 pandemic and related family losses or financial struggles. They've experienced or witnessed racial- and identity-based discrimination, gun violence, political unrest, natural disasters, and climate change. These challenges coupled with other risk factors, including some parenting styles, can lead to mental health issues such as anxiety and depression.

Even though environmental triggers have changed over time, adolescent anxiety was rising even before the pandemic.

Michele Ybarra, Ph.D., an adjunct professor of mental health at the Johns Hopkins Bloomberg School of Public Health and also an NIH-supported researcher, said that not long ago, it was widely believed that youth could not have depression because people thought, "What do [they] have to be depressed about?"

"Schools are places where students should feel safe and comfortable enough to ask for help. By using simple technology and dedicating time toward impactful mental health screening, schools can truly serve students and assist them in living happier, healthier lives."
-Huda, North Carolina

But in the last several decades, Dr. Ybarra said, mental health professionals have realized that depression can happen to anyone at any age.

Several students wrote about schools with limited, outdated, or no education on the topic. Some said they could not speak to a therapist or school counselor when they needed to.

The issue is worse for students in rural areas, in schools with limited financial resources, or who need culturally appropriate care such as bilingual mental health information.

But digital tools can connect youth to information about their mental health. For example, Dr. Ybarra said, the rise of telehealth and teletherapy since the pandemic has helped increase access for some.

Dr. Ybarra said that while technology (including social media) can have both positive and negative effects on mental health, it can also be a force for good. The nature of relationships has changed in the internet age, and connecting online is natural for adolescents. Options like crisis lines or online therapy can get help to teens quickly.

Multiple students said when they could not find resources from their schools or communities, they started their own. Some also said their experiences have inspired them to study mental health and treatments after high school.

One student said they began volunteering for a teen crisis hotline after their cousin used the same service for help. The student also joined a youth advisory group for their state governor's office and offered help as a peer-to-peer counselor at their school.

"My passion towards becoming a researcher on psychiatric disorders is stronger than ever," they wrote.

The way people talk about mental illness could also be better, one student wrote. They preferred the phrase "living" with a mental illness rather than "suffering" from one. This small change in language signals it's possible for people with such conditions to live happy and fulfilling lives. This student also said their own school began marking mental health-related absences as excused and holding an annual mental health week to encourage open conversation.

It's too early to tell what the long-term effects of the past few years will have on youth mental health. But Dr. Ybarra said some teens have become more resilient since the pandemic began.

"I don't think this generation is doomed in any way," she said. "Several kids have said [the pandemic] really gave them the time to better understand themselves, they better understand their sexuality ... Other kids took on new hobbies, and they learned how to do new things. Maybe they gave themselves permission to not talk to that toxic person in their lives." While there's no denying the pandemic has been a stressful experience, Dr. Ybarra's impression is that most teens have come out the other side with perspective and an ability to thrive.

"This is good news. It also means that we need to be diligent about identifying teens who continue to struggle and connect them to services," she said.
If you think a teen is experiencing a mental health crisis, the 988 Suicide and Crisis Lifeline is a national, 24/7 hotline that can connect you with a trained crisis counselor by phone or online chat. Call or text 988 to connect to a trained crisis counselor 24/7 or use the live online chat option. TTY users can contact the Lifeline via their preferred relay service or by dialing 711, then 988.
By the numbers

According to the Centers for Disease Control and Prevention, in 2021:

36% of high school students perceived or experienced racism before or during the pandemic

Asian (non-Hispanic): 64%

Black (non-Hispanic): 55%

Multiracial (non-Hispanic): 55%

Hispanic or Latino: 42%

American Indian/Alaska Native (non-Hispanic): 27%

Native Hawaiian/Pacific Islander (non-Hispanic): 55%

White (non-Hispanic): 23%

18% of female high schoolers and 5% of male high schoolers experienced sexual violence, up from 15% and 4%, respectively, in 2017

57% of female high schoolers and 29% of male high schoolers had persistent feelings of sadness or hopelessness
Up from 41% and 21%, respectively, in 2017

69% of lesbian, gay, bisexual, and questioning (LGBQ+) high schoolers* and 35% of heterosexual students had persistent feelings of sadness or hopelessness
14% of LGBQ+ high schoolers and 7% of heterosexual students did not go to school because of safety concerns

*Data set did not account for gender identity, although previous research has shown that transgender youth experience more stigma and are more likely to have more suicidal thoughts or behaviors compared to their peers.
NIH-supported research on adolescent mental health

Greater Engagement in Gender-Sexuality Alliances (GSAs) and GSA Characteristics Predict Youth Empowerment and Reduced Mental Health Concerns

This study, supported by NIMHD, focused on the connections between sexual and gender minority youth's involvement in extracurricular activities and their mental health. Researchers focused on gender-sexuality alliances (also sometimes called gay-straight alliances), which are school-based clubs to bring young people together to discuss shared issues or interests. Learn more about this study.

Understanding Bystanders for Self-Directed Violence Prevention: A Prospective National Study Highlighting Marginalized Youth and Young Adults

Self-directed violence refers to anything a person does intentionally that can cause injury or death to themselves. This study will examine the effectiveness of programs that train youth to be "active bystanders" and help those in danger of self-directed violence. Researchers will survey approximately 5,000 participants ages 13 to 22, recruited via social media, about the impacts of these bystander training programs in real-world situations. Read more about this study.

Strategic Framework for Addressing Youth Mental Health Disparities

This plan outlines research studies and other activities by NIMH, NICHD, and NIMHD to reduce mental health disparities among underserved and underrepresented youth by 2031. Some of the plan's goals are to develop culturally appropriate mental health interventions for youth and parents and to research co-occurring mental illness among young people in groups that have been marginalized. Read more about the framework.
Alternative accessible version (pdf)

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Teens are talking about mental health | NIH MedlinePlus Magazine

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National awareness of teen mental health challenges has risen since the pandemic. NIH held an essay contest last year which asked teens to describe their experiences and proposed solutions in their own words.