title: Mental health care in a high school based health service.
abstract: This paper describes the mental health services provided at a high school based health center that integrates mental health and medical services. Five years after the inception of the center in 1988, mental health visits had quadrupled. In 1992 alone, students made 1,002 mental health visits. Strikingly, one-third of these students reported problematic substance use among other family members. Other leading reasons for utilizing mental health services included pregnancy (19%), past or present suicidal ideation (14%), obesity (8.7%), ongoing depression (8%), and issues related to sexuality (7.5%).
authors.affiliation: North Shore University Hospital School Health Centers, Manhasset, New York 11030, USA.
authors.forename: L
authors.initials: L
authors.lastname: Jepson
authors.forename: L
authors.initials: L
authors.lastname: Juszczak
authors.forename: M
authors.initials: M
authors.lastname: Fisher
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D003866:Depressive Disorder / Q000453:epidemiology; D005192:Family Health; D005260:Female; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D009518:New York / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D012572:School Health Services / Q000458:organization & administration / Q000706:statistics & numerical data*; D019529:Sexuality; D019966:Substance-Related Disorders / Q000453:epidemiology; D013405:Suicide / Q000523:psychology