New USC study sheds light on adolescent mental health crisis in the United States

Key Findings

This study suggests:

• Teen girls and pre-teen boys exhibit distress differently, with pre-teen boys struggling with externalizing behaviors and hyperactivity, while teen girls are experiencing symptoms of anxiety and depression.
• Students who are on track to be chronically absent or who are earning Cs are three or more times as likely to face mental health challenges as those with fewer absences or As and Bs.
• Black and lower-income families report fewer school mental health services, but are more likely to utilize them when available.
• Nearly 20 percent of families without access to mental health services would enroll their children if offered.

The mental health of children in the United States has reached a critical juncture, with rising rates of teen suicides, emergency room visits and anxiety and depression among youth. Contributing factors include the social isolation of the pandemic, academic disruptions, family challenges, economic impacts and social media’s inescapable influence.

Today, researchers with USC Dornsife College of Letters, Arts and Sciences and USC Rossier School of Education released a new report titled “A Nation’s Children at Risk: Insights on Children’s Mental Health from the Understanding America Study” that examined the current state of adolescent mental health in the United States.

In a nationally representative sample of U.S. families, this new report examines adolescent mental health through the lens of their school experiences and parental perspectives. The study delved into mental health scores across multiple demographic groups and explored the correlation between scores, school attendance and course grades. Importantly, the study also investigated the availability of mental health resources in schools to support students in need.

Study co-authors Amie Rapaport, Morgan Polikoff, Anna Saavedra and Daniel Silver presented the finding’s implications and offered recommendations in their report.

“Our data supports the interconnected nature of student needs; to improve academic outcomes, schools must need to also prioritize mental health and attendance,” said Rapaport, co-director with the Center for Applied Research in Education (CARE) and research scientist with the Center for Economic and Social Research (CESR) both with USC Dornsife.

The study suggests that when students receive mental health support in school, 75 percent of parents report that these services are beneficial, with 72 percent expressing satisfaction. However, disparities in service availability exist, with service availability more than 20 percentage points greater in schools serving more White and higher-income households. This despite the fact that lower-income families are more than 5 times as likely as higher-income families to take up the services in schools when offered.

“While there is a growing awareness of the mental health struggles faced by adolescents, our study underscores that different student groups are experiencing different struggles–clearly, a one-size-fits-all solution to this problem will not work,” said Polikoff, USC Rossier professor of education and co-faculty director of the USC EdPolicy Hub.

Among the study’s implications:

• While the mental health struggles of our nation’s adolescents often are in the headlines, the report sheds light on the unique challenges faced by different subgroups of children.
• The study recommends a need for targeted allocation of resources to address mental health needs in schools.
• The correlation between mental health struggles and academic outcomes-including the approximately threefold increase in mental health warning flags among students chronically absent or with lower grades - underscores the importance of comprehensive support systems for students.

“The study shows that there is substantial unmet need for mental health services in schools, especially for the most disadvantaged students–states and the federal government need to step in and provide resources and guidance to address this crisis,” said Saavedra, a research scientist with CESR and co-director at CARE.

The study was supported by the Peter G. Peterson Foundation Pandemic Policy Research Fund at the USC Schaeffer Center for Health Policy & Economics.