Mental Health: Universal School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms

CDC

An Evidence-Based Practice

Description

Universal school-based cognitive behavioral therapy (CBT) programs to prevent or reduce depression and anxiety symptoms are delivered to all students, regardless of the presence or absence of mental health conditions. The programs help students develop strategies to solve problems, regulate emotions, and establish helpful patterns of thought and behavior.
Trained school staff (e.g., school mental health professionals, trained teachers, nurses) or external mental health professionals (e.g., non-school psychologists, social workers) use therapeutic approaches outlined in an intervention protocol to engage with students in individual or group settings. They deliver the interventions during two or more sessions that are designed to prevent or reduce depression or anxiety symptoms, and promote well-being.

Impact

The Community Preventive Services Task Force (CPSTF) recommends universal school-based cognitive behavioral therapy programs to prevent or reduce depression and anxiety symptoms among school-aged children and adolescents.
The CPSTF also recommends Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms for students who are assessed to be at increased risk for these conditions, and group and individual CBT to reduce psychological harm from traumatic events among children and adolescents.

Results / Accomplishments

The systematic review included 38 studies of universal school-based CBT programs.

Small decreases were reported for symptoms of depression (27 studies) and anxiety (24 studies).
There was no difference between interventions delivered by external mental health professionals and those delivered by trained school staff.

About this Promising Practice

Primary Contact
The Community Guide
1600 Clifton Rd, NE
MS H21-8
Atlanta, GA 30329
(404) 498-1827
communityguide@cdc.gov
https://www.thecommunityguide.org/
Topics
Health / Mental Health & Mental Disorders
For more details
https://www.thecommunityguide.org/findings/mental-...

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.