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Addressing Students' Mental Health Needs via Telehealth

Children and adolescents face a wide variety of mental health challenges, ranging from coping with the death of a loved one to major depression with suicidal ideation. An adolescent's behavioral health issues can impact friendships, relationships with family members, and academic achievement [1]. Rates of depression and anxiety in children and adolescents have been steadily increasing over the past 15 years. In 2017, 13.3% of the US population aged 12-17 had at least one major depressive episode [2]. In North Carolina, suicide is the second leading cause of death for adolescents, and this rate has doubled in the past 10 years [3]. In 2017, 16% of all North Carolina adolescents and 43% of LGBTQ adolescents reported considering suicide within the past year [4]. Despite these growing numbers, less than half of students with a major depressive episode received treatment [4]. Currently, 84 of the 100 counties in North Carolina contain at least one Health Professional Shortage Area (HPSA) for mental health, resulting in decreased access to care [5]. Providing behavioral health services in schools through school-based health centers has been shown to be highly effective in increasing adolescents' access to care [6]. However, bricks and mortar school-based health centers are more likely to be found in larger schools in urban areas due to the financial challenges of providing care in schools with fewer than 500 students [7]. Over the past 15 years there has been a steady growth in the use of telehealth to provide these services in schools, with…