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Dec. 3, 2023

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Mental health services lacking in schools

High demand combined with few entering fields leaves students in limbo

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Mira Ugwuadu, 17, poses for a portrait on Thursday, Nov. 17, 2022, in Marietta, Ga. School districts across the country have struggled to staff up to address students' mental health needs. (AP Photo/Brynn Anderson) (David J.
Mira Ugwuadu, 17, poses for a portrait on Thursday, Nov. 17, 2022, in Marietta, Ga. School districts across the country have struggled to staff up to address students' mental health needs. (AP Photo/Brynn Anderson) (David J. Phillip/Associated Press) Photo Gallery

Mira Ugwuadu felt anxious and depressed when she returned to her high school in Cobb County, Ga., last fall after months of remote learning, so she sought help. But her school counselor kept rescheduling their meetings because she had so many students to see.

“I felt helpless and alone,” the 12th grader later said.

Despite an influx of COVID-19 relief money, school districts across the country have struggled to staff up to address students’ mental health needs that have only grown since the pandemic hit.

Among 18 of the country’s largest school districts, 12 started this school year with fewer counselors or psychologists than they had in fall 2019, according to an analysis by Chalkbeat. As a result, many school mental health professionals have caseloads that far exceed recommended limits, according to experts and advocates, and students must wait for urgently needed help.

Some of the extra need for support has been absorbed by social workers — their ranks have grown by nearly 50 percent since before the pandemic, federal data shows — but they have different clinical training from other mental health professionals and many other duties, including helping families. Districts included in the analysis, which serve a combined 3 million students, started the year with nearly 1,000 unfilled mental health positions.

Hiring challenges are largely to blame, but some school systems have invested relief money in other priorities. The Cobb County district, for one, has not added any new counselors.

“They have so many students that they’re dealing with,” said Mira, 17. “I personally don’t want to blame them. But I also deserve care and support, too.”

A spokesperson for Cobb County Public Schools said school counselor positions are based on a state funding formula, and the district strongly supports more funding.

The Chalkbeat analysis is based on school staffing and vacancy data obtained through open-records requests. The 31 largest districts in the U.S. were surveyed, but some did not track or provide data.

Some school systems used federal relief money to add mental health staff, but others did not because they worried about affording them once the aid runs out. Districts have limited time to spend the nearly $190 billion allocated for recovery.

“Here’s this conundrum that we’re in,” said Christy McCoy, the president of the School Social Work Association of America. “It’s like we are trying to put a Band-Aid on something that needs a more comprehensive and integrated approach.”

Many of the schools that have wanted to hire more mental health workers simply can’t find them. School psychologist positions have been particularly hard to fill.

With their extended training, school psychologists are relied upon to provide intensive one-on-one counseling and help determine whether students are at risk for suicide.

In Maryland, a shortage of psychologists at Montgomery County Public Schools has kept the short-staffed department focused on crisis intervention and providing legally mandated services like special education assessments, said Christina Connolly-Chester, director of psychological services. That has meant they cannot keep up with other, less urgent counseling services.

“If that psychologist has more schools because there are vacancies and they’re not able to spend as much time in their assigned schools, then things like counseling go away,” she said.

Even before the pandemic, some schools struggled to find psychologists. New practitioners have not been entering the field fast enough, and others have been switching to telehealth or private practices with higher pay and often better working conditions.

“We can’t afford to pay professionals enough to make it a desirable position,” said Sharon Hoover, a psychologist who co-directs the National Center for School Mental Health at the University of Maryland.

Counselor staffing has been a challenge for some districts, too, with nine of the large districts down counselors this year, while another nine saw increases.

Where hiring has been toughest, schools have turned to alternatives. In Hawaii, which had 31 vacant counselor positions and 20 vacant psychologist roles at the start of the year, the state has trained educators to spot signs that a student is in distress — an increasingly common practice — and pays a private company to provide tele-mental health services.

In the Chalkbeat analysis, half of the 18 large districts budgeted for fewer counselor or psychologist positions this school year than they did in fall 2019.

In April, just 4 in 10 districts reported hiring new staffers to address students’ mental health needs, according to a national survey.

“For all the talk about mental health, the actual money they’re spending on it is not that high,” said Phyllis Jordan, associate director of FutureEd, a think tank at Georgetown University that tracks school spending. School districts planned to spend only about 2 percent of the largest round of federal COVID aid on mental health hiring, according to the group’s analysis of more than 5,000 district spending plans.

One bright spot in the school mental health landscape, though, is the increase in social workers.

The Chalkbeat analysis echoes national data collected by the White House that show the number of school social workers was up 48 percent this fall compared with before the pandemic, while the number of school counselors was up a more modest 12 percent and the count of school psychologists inched up 4 percent.

In Houston, staffing increases meant nearly every school started this fall with a counselor or social worker.

Newly hired social worker Natalie Rincon is able to meet one on one with students who are in crisis and teach other students calming strategies.

Still, need often outstrips capacity at Rincon’s school, where many students are refugees or recent immigrants coping with trauma. She often has to prioritize helping students with urgent issues, leaving less time to check in on others.

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