Universal, School-Based Mental Health Program Implemented Among Racially and Ethnically Diverse Youth Yields Equitable Outcomes: Building Resilience for Healthy Kids

Community Ment Health J. 2023 Aug;59(6):1109-1117. doi: 10.1007/s10597-023-01090-5. Epub 2023 Feb 9.

Abstract

Although suicide is a leading cause of mortality among racial and ethnic minority youth, limited data exists regarding the impact of school-based mental health interventions on these populations, specifically. A single-arm pragmatic trial design was utilized to evaluate the equity of outcomes of the universal, school-based mental health coaching intervention, Building Resilience for Healthy Kids. All sixth-grade students at an urban middle school were invited to participate. Students attended six weekly sessions with a health coach discussing goal setting and other resilience strategies. 285 students (86%) participated with 252 (88%) completing both pre- and post-intervention surveys. Students were a mean age of 11.4 years with 55% identifying as girls, 69% as White, 13% as a racial minority, and 18% as Hispanic. Racial minority students exhibited greater improvements in personal and total resilience compared to White students, controlling for baseline scores.

Keywords: Adolescence; Coaching; Equity; Resilience; School.

MeSH terms

  • Adolescent
  • Child
  • Ethnicity*
  • Female
  • Health Promotion
  • Humans
  • Mental Health*
  • Minority Groups
  • School Health Services