dc.contributor.author |
Denny, Simon |
en |
dc.contributor.author |
Howie, Hamish |
en |
dc.contributor.author |
Grant, Sue |
en |
dc.contributor.author |
Galbreath, Ross |
en |
dc.contributor.author |
Utter, Jennifer |
en |
dc.contributor.author |
Fleming, Theresa |
en |
dc.contributor.author |
Clark, Terryann |
en |
dc.date.accessioned |
2018-10-17T00:55:17Z |
en |
dc.date.issued |
2018-01 |
en |
dc.identifier.issn |
1355-8196 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/42328 |
en |
dc.description.abstract |
Objective School-based health services (SBHS) have been shown to improve access to mental health services but the evidence of their effectiveness on students' mental health is lacking. Our objective was to examine associations between variation in the provision of SBHS and students' mental health. Methods A cross-sectional analysis of a nationally representative health and well-being survey of 8500 New Zealand high school students conducted in March-November 2012. Students' mental health is related to data on school health services obtained from clinic leaders and clinicians from 90 participating high schools. Results After adjustment for socio-demographic differences in students between schools, increasing levels of services were associated with progressively lower levels of student-reported depressive symptoms (p = 0.002), emotional and behavioural difficulties (p = 0.004) and suicidality (p = 0.008). Services with greater levels of nursing hours (p = 0.02) and those that performed routine, comprehensive psychosocial assessments (p = 0.01) were both associated with lower levels of student-reported depressive symptoms. Greater levels of nursing hours and doctor hours were associated with lower self-reported suicidality among students. Conclusions Although a causal association between school-based health services and students' mental health cannot be demonstrated, these findings support the benefit of such services and the need for a cluster randomized trial. |
en |
dc.format.medium |
Print-Electronic |
en |
dc.language |
eng |
en |
dc.relation.ispartofseries |
Journal of health services research & policy |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Humans |
en |
dc.subject |
Cross-Sectional Studies |
en |
dc.subject |
Affective Symptoms |
en |
dc.subject |
Depression |
en |
dc.subject |
Mental Health |
en |
dc.subject |
Mental Disorders |
en |
dc.subject |
Mental Health Services |
en |
dc.subject |
Time Factors |
en |
dc.subject |
Socioeconomic Factors |
en |
dc.subject |
Students |
en |
dc.subject |
Adolescent |
en |
dc.subject |
Child |
en |
dc.subject |
School Health Services |
en |
dc.subject |
Health Services Accessibility |
en |
dc.subject |
New Zealand |
en |
dc.subject |
Female |
en |
dc.subject |
Male |
en |
dc.subject |
Suicidal Ideation |
en |
dc.title |
Characteristics of school-based health services associated with students' mental health. |
en |
dc.type |
Journal Article |
en |
dc.identifier.doi |
10.1177/1355819617716196 |
en |
pubs.issue |
1 |
en |
pubs.begin-page |
7 |
en |
pubs.volume |
23 |
en |
dc.rights.holder |
Copyright: The author |
en |
dc.identifier.pmid |
28662585 |
en |
pubs.end-page |
14 |
en |
pubs.publication-status |
Published |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/RestrictedAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
en |
pubs.subtype |
Journal Article |
en |
pubs.elements-id |
636061 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Nursing |
en |
dc.identifier.eissn |
1758-1060 |
en |
pubs.record-created-at-source-date |
2017-07-01 |
en |
pubs.dimensions-id |
28662585 |
en |