School Nurses’ Importance in Students’ Mental Health

Mental health is a problem in today’s fast-paced world, and it affects both children and adults. Many important American institutions, such as the American Center for Mental Health (ACMH), have produced a report revealing that one in every five children in the United States has indications of diagnosable behavioral, emotional, and mental health issues. School nurses collaborate with mental health specialists, community healthcare providers, students, and families to identify children with mental disorders and improve the healthcare system for those who need it.

student health management system

Due to their direct connection to kids, they are highly equipped and capable of spotting students with possible mental health issues. Both in and out of the classroom, school nurses act as advocates, facilitators, and counselors for behavioral health services.

How does it all start?

The unwillingness to attend school, as well as trouble studying and concentrating in class, are the first few mild indicators of student mental disorders. Children have challenges with disruptive behavior, eating, and sleeping. While some of these symptoms are transitory, moderate, or mild, others produce severe discomfort, disorientation, and a loss of control that is difficult to manage.

Poor academic performance, a lack of interest for school, a loss of enthusiasm for homework, or poor interactions with peers or instructors are all signs that the kid is having difficulties at school.

What are the most common mental health issues among students?

Children, like adults, are impacted by mental health concerns and react to them in different ways. When an adult is sad, for example, he has problems concentrating and enjoying activities that he used to enjoy. If a youngster is depressed, he or she may exhibit indications of irritation rather than melancholy. Behavioral disorders are frequently shown as symptoms by youngsters who are suffering with mental health concerns.

As a result of mental health issues, children are more likely to display behavioral anomalies. Oppositional defiant disorder (ODD), conduct disorder (CD), and obsessive-compulsive disorder (OCD) are common behavioral disorders in children (OCD).

The following are some of the behavioral health challenges that students face:

  • Anxiety Disorder is a mental illness that affects people.
  • Autism Spectrum Disorder (ASD) is a group of disorders (ASD)
  • Mood Disturbances
  • Eating Disorder
  •  Attention Deficit Hyperactivity Disorder (ADHD) (ADHD)

Anxiety Disorders: What Are They and How Can They Be Treated?

Anxiety may affect everyone, whether they are a toddler or an adult. It might be an indicator of something more serious if it interferes with the child’s capacity to excel in school or form social bonds. Obsessive-compulsive disorder, post-traumatic stress disorder, and social phobias are among the most common among youngsters.

Autism Spectrum Disorder (ASD)

Autism spectrum disorder is another difficult-to-define and comprehend mental health problem (ASD). It’s a learning disability that affects a child’s speech and conduct. Every child with ASD is different, but many struggle to communicate and connect with others.


A medical condition known as attention deficit hyperactivity disorder (ADHD) hinders a child’s ability to process his or her own emotions in order to understand the needs and feelings of others. The main symptom is difficulty concentrating; nevertheless, children with this disorder often exhibit irritable and fidgety behavior, difficulty following directions, and frequent daydreaming.

Eating Disorders and Mood Disorders:

Children of all ages can suffer from eating and mood problems, which are frequently brought on by stress or trauma. Life-threatening eating disorders include anorexia, bulimia, and binge-eating disorder. Suicidal and even violent thoughts might arise as a result of mood disorders.

What Can School Nurses Do to Assist Students?

Connecting, maintaining, and engaging with parents is a critical approach for a school nurse in establishing and supporting great student outcomes. The assessment and screening of kids with mental health issues is a crucial element of school nursing practice. School nurses continue to meet with kids and their families on a daily basis, assisting in the formation of important and enduring ties.

School nurses seek to keep parents involved in a variety of activities and opportunities by addressing common issues and obstacles via good connections with parents and other support employees.

Mental Health Screening And Evaluation at School:

Most screening approaches only offer a preliminary indication that anything is amiss. More accurate evidence from evaluation techniques is necessary when contemplating formal diagnosis and prescriptions for how to remedy the situation. Nurses identify many mental health disorders when kids attend their clinic or are being tested for other health issues.

During attendance and discipline evaluations, assessments for special education placement, crisis interventions, or when others (staff, parents, students) raise concerns about a specific kid, such issues are also brought to the nurses’ attention. Educating educators, peers, parents, and others on how to accurately identify and refer kids is another of a nurse’s tasks.

It’s possible that what looks to be a cognitive disability or an attention difficulty is actually an emotional issue; learning difficulties can lead to behavior problems and hyperactivity. It’s possible that troubles at school are the result of issues at home. The child’s trauma symptoms and causes will be identified in the initial evaluation report.

School Nurses Work Closely with Parents and Others of the Community.

School nurses can provide mental health education to parents and assist them in treating their children. Nurses ask parents about their children’s health needs and interests, as well as how they wish to participate in the school’s health activities, services, and programmes, during school evaluations.

They work with school authorities to create rules and processes that will encourage parent participation in school health initiatives. They also develop school health initiatives, such as student wellness lectures, that address parents’ concerns.

Parents are Educated about Mental Health Concerns by Schools and Nurses.

School nurses, on their own or in partnership with community groups, provide parent education seminars on depression, suicide prevention, and student resiliency. They give parents information on the same mental health issues they discuss with children. In neighborhood libraries, community centers, and other public spaces, they provide and promote school-sponsored mental health resources.

How can school nurses keep parents interested in their children’s education?

Through parent-teacher organizations, school health councils, or other groups, school nurses might invite parents to participate in school decision-making. They work with teachers to develop family-based education strategies that encourage parents to communicate to their children about their health. For example, community health promotion projects and homework assignments incorporating parent engagement.

Phone calls, school events, newsletters, report cards, websites, and emails are all options for communicating with parents.

Best methods for dealing with mental health concerns among children from school nurses

School nurses have traditionally played an essential role in improving student health and providing assistance. They now have the opportunity and duty to take on a greater and more significant role. As a result of this process, they may aid schools in moving toward a comprehensive integrated approach for dealing with learning issues and increasing efforts to foster healthy growth.

Developing a Framework for Student Mental Health Support:

The nursing approach creates a framework for the school nurse to assist the mental health of students. It entails ongoing assessment, the development of a student’s individualized health care plan (IHP), the implementation of student-specific interventions (e.g., referral, education, counseling, and postvention), and the measurement of student health outcomes.

Screening and Assessment:

To identify the next steps, school nurses assess student home, social, cultural, educational, physical, and emotional difficulties. Assessment and screening for mental health issues can help other members of the school mental health team by identifying extra students who are at risk and getting them the help they need faster.

The connection between the school nurse and the students is especially important for students who are unable to articulate why they need to see a school counselor or who are concerned about the stigma associated with mental health care.

Intervening and planning:

The majority of school nurses are involved in student mental health therapy in some form. The nursing process then moves on to planning and intervening. Primary, secondary, or tertiary prevention might be the focus of intervention (e.g., following a treatment plan for a known mental health concern, crisis planning).

School nurses need to be able to provide medication. School nurses are also familiar with the grief process and may be able to help pupils who have lost a loved one. Interventions such as active listening, therapeutic communication, conflict and anger management skill development, and successful coping and problem-solving are all viable.


As part of the nursing process, the school nurse evaluates progress toward the specified student health outcomes to measure the efficacy and timeliness of the intervention approaches indicated in the IHP. Individual student health or school health outcomes are regularly examined in reality, with data gathered from the whole mental health team.

School Nurse Mental Health Education Program:

School nurses’ self-efficacy is boosted by a nurse’s instructional programme. The curriculum is divided into five sections, each of which focuses on a different aspect of school nursing and student mental health. Each training part is linked to the provision of high-quality mental health treatment in a systematic way.

(1) Mental Health Problems Identification and Screening (including Safety Assessment and Crisis Response); (2) Mental Health Resources and Referral Mapping; (3) Common Factors; (4) Common Elements; and (5) Psychotropic Medication are all included.

Final Thoughts

A student health management system is mandatory for every school to know the students health and success. School nurses provide physical and mental health treatment to students on a daily basis. They’re in a rare position to see mental health difficulties in students early on.

They also have distinct perspectives on mental health and associated issues that may differ from what educators and other mental health experts have to offer. School nurses should also be proactive in reaching out to existing school teams and sharing their expertise and perspectives.

The importance of school mental health teams in establishing a positive school atmosphere cannot be overstated. As the first point of contact for students with mental health issues, school nurses play a crucial role. They are experts in detecting mental health problems and connecting clients with additional options.

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