School Nurses' Perspectives on the Implementation of a Behavioral Health Referral Process

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Bibliographic Details
Title: School Nurses' Perspectives on the Implementation of a Behavioral Health Referral Process
Language: English
Authors: Leila Habib (ORCID 0000-0002-1468-8614), Rachel Sadlon, Tiffany Wise, Kafui Doe, Lori Garibay, Olga Acosta Price (ORCID 0000-0002-2748-6528)
Source: Journal of School Nursing. 2025 41(6):702-718.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 17
Publication Date: 2025
Document Type: Journal Articles
Reports - Research
Descriptors: School Nurses, Attitudes, Mental Health, Referral, Affordances, Barriers, Access to Health Care, Teamwork, Child Health, Program Effectiveness, Program Implementation, Role, Sustainability
Geographic Terms: District of Columbia
DOI: 10.1177/10598405241298469
ISSN: 1059-8405
1546-8364
Abstract: Increasing youth behavioral health needs in the United States have underscored the essential role school nurses can play in mitigating them. In response, the District of Columbia Department of Health developed the Behavioral Health Referral Process (BHRP) as a standardized guide, integrating school nurses into multidisciplinary teams and improving students' access to behavioral health services. To assess the BHRP's strengths and opportunities while understanding factors that could impact its implementation, key informant interviews were conducted using the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework with seven school nurses and school nurse managers working in DC schools. Participants anticipated challenges related to the BHRP, from managing competing priorities to overcoming stigmas. Still, nurses reported the BHRP will enable a more coordinated referral process that promotes student linkage to care. The findings can inform efforts to assess and optimize school behavioral health referral processes as part of larger, comprehensive care systems.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1491622
Database: ERIC
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