The percentage of US youths experiencing mental health and substance use problems has risen rapidly in recent years.1-3 Schools are important settings for prevention, but whether preventive programming meets student needs is unknown.4 This study examined trends in school programming related to mental health and substance use and teacher professional development across US middle and high schools from 2008-2020.
From 2008-2020, teachers reported an increase in emotional/mental health and suicide prevention in schools, along with related teacher training. However, they reported a decrease in substance use prevention, particularly among middle schools, and no change in teacher training. Substance use during early adolescence is associated with risk for long-term addiction, and middle schools may be underused for prevention.
Chloe Gao, BHSc1,2; Donald Szlosek, MS3; Anthony Zhong, MA4; et alScott E. Hadland, MD, MPH, MS4,5; Sarah S. Benes, EdD, MPH6
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