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GAO-08-19R 1 (2007-10-05)

handle is hein.gao/gaocrptavqq0001 and id is 1 raw text is: Sai Accountability * Integrity * Reliability United States Government Accountability Office Washington, DC 20548 October 5, 2007 The Honorable Edward M. Kennedy Chairman Committee on Health, Education, Labor, and Pensions United States Senate Dear Mr. Chairman: Subject: School Mental Health: Role of the Substance Abuse and Mental Health Services Administration and Factors Affecting Service Provision The U.S. Surgeon General reported in 1999 that about one in five children in the United States suffers from a mental health problem that could impair their ability to function at school or in the community. Yet many children receive no mental health services. While many of the existing mental health services for children are provided in schools, the extent and manner of school mental health service delivery vary across the country and within school districts.' Federally led initiatives have identified schools as a potentially promising location for beginning to address the mental health needs of children. Both the report of the Surgeon General's Conference on Children's Mental Health and the 2003 report of the President's New Freedom Commission on Mental Health-Achieving the Promise: Transforming Mental Health Care in America-identified school mental health services as a means of improving children's mental and emotional well-being.2 At the federal level, the Department of Health and Human Services' (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) has a stated mission of building resilience and facilitating recovery for people-including children at risk for mental health problems. Although SAMHSA is the federal government's lead agency for mental health services, other federal agencies and departments, such as HHS's Centers for Disease Control and Prevention (CDC) and the Department of Education (Education), engage in, or 'For the purposes of this report, we use the term school mental health services to refer to both school-based services, i.e., services provided in the school, and school-linked services, i.e., services provided by a community provider through a link with the school. Throughout this report, the term school is used to refer to elementary and secondary education, i.e., kindergarten through 12th grade. 2U.S. Public Health Service, Report of the Surgeon General's Conference on Children's Mental Health: A National Action Agenda, Department of Health and Human Services (Washington, D.C.: Sept. 18-19, 2000) and New Freedom Commission on Mental Health, Achieving the Promise: Transforming Mental Health Care in America: Final Report, Department of Health and Human Services (Rockville, Md.: July 22, 2003). GAO-08-19R School Mental Health Services

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