Virginia's silent crisis: Student mental health
November 11, 2022
By Keith Perrigan
November 11, 2022
This piece originally ran in Cardinal News on November 11, 2022, and was republished with permission as a blog article by the Center for Rural Education at Virginia Tech.
Recently, a tremendous amount of attention has been paid to the decline in student achievement in Virginia since 2019. Simply enter any combination of “Virginia,” “NAEP,” “SOL,” “cut scores,” “higher expectations,” etc., and a plethora of news articles, OpEds, and reports will fill your screen. Rightly so. Ensuring our current students recover academically from the effects of the pandemic, and other factors, is critical to their personal destiny, and our Commonwealth’s collective future success. The warning siren has sounded and school divisions across the Commonwealth, and the Nation, are responding in earnest to the academic crisis that has evolved. However, we’re facing another crisis that is receiving far less attention and may be potentially more devastating. That less covered crisis is student mental health. The nonpartisan research arm of the Virginia General Assembly (JLARC), released a major new study, http://jlarc.virginia.gov/pdfs/reports/Rpt568.pdf, this week providing much needed voice to this silent crisis.
According to the JLARC study, of the fifteen areas considered, student behavior problems were rated the most serious. It was reported that more than half of all middle school students and two-thirds of high school students are nervous, anxious, or on edge. Ten percent of middle school students and thirteen percent of high school students indicated that they had seriously considered suicide in the last twelve months. A concerning number of students also reported attempting suicide. COVID-19 obviously had an impact on these alarming statistics, but pre-pandemic changes in allowable billable services that Medicaid covers prevented, and still prevents, many students from receiving much needed mental health support.
Just this week, more than half of school divisions in Southwest Virginia were notified that their community mental health provider was ending their partnership beginning December 12, 2022. This sudden and unexpected change is partially due to difficulty in receiving reimbursements from Medicaid because of changes at the Virginia Department of Medical Assistance Services. This unexpected announcement will significantly intensify the problem in Virginia’s highest poverty region.
Unfortunately, there is another sneaky factor that is quietly impacting student academic performance and student mental health. That factor is absenteeism. One in every five students across the Commonwealth was chronically absent (missing 18 days of school or more) last year. If we learned nothing else from the pandemic, we now have clear data that in-person learning, and face-to-face interactions are key to both student achievement and student wellbeing. Virginia has a partial solution to this issue which is to account for chronic absenteeism in school accreditation. However, that is not enough for many families who remain disengaged.
Unfortunately, Virginia provides very little support to students whose parents don’t ensure they attend school regularly. The courts are already inundated with crime and mental health issues and can’t effectively deal with truancy. Additionally, Virginia is one of 24 states that doesn’t recognize educational neglect in its Code. As a result, the Department of Social Services is unable to support chronically absent students either and is already overwhelmed with their current caseloads.
It goes without saying that if students aren’t at school, they miss valuable instruction and suffer academically. However, chronically absent students also miss out on meals, behavioral supports, mental health resources, and other important services that most schools now provide to students daily. The cold hard data released in the JLARC report shows that we are in the middle of a crisis which the pandemic has exacerbated and now is the time to act.
Thankfully, JLARC released recommendations for how to deal with some of these issues. Those recommendations include allowing psychologists from other fields to be provisionally licensed to work in schools and assisting school divisions in making partnerships with community health providers. These recommendations may help, but more must be done during the upcoming General Assembly session.
One simple change that will help improve test scores and student mental health is to provide chronically absent students needed support by adding “educational neglect” to the Code of Virginia and to provide additional resources to DSS to support these families. The purpose for this is not to be punitive, but to open doors to students who need support regarding school attendance that aren’t currently available. Schools must continue to work hard to engage families, but chronic absenteeism is a community issue that will take a community solution. This is especially true in high poverty communities where absenteeism is largely a factor of conditions created by poverty.
Another change that could have immediate impact is to provide more flexibility in Medicaid billing to ensure Community Service Boards can provide the mental health services our students need. School divisions have been using Federal COVID response funds (ESSER) to fill those gaps, but those one-time monies will run out soon. There have also been proposals before to add Medicaid navigators to the Virginia Department of Education to help schools better leverage Federal resources to provide health services to students. It’s worth considering how these positions could provide technical advising to schools, especially small high poverty schools in Virginia. The mental health of our students should not be negatively impacted because of bureaucratic red tape. Medicaid should be a benefit, not a barrier.
Virginia’s very future is at stake as we deal with the academic, behavioral, and mental health needs of our students. Talking about mental health and developing solutions is much less popular than addressing student achievement, and certainly much harder. However, we can’t significantly improve student achievement if we don’t ensure that chronically absent students return to a school environment where their mental health and other needs are being met. I hope the General Assembly will consider giving voice to all three issues during the upcoming Session. Virginia’s students deserve it and the successful future of our Commonwealth depends on it.
Keith Perrigan, Ed.D., is the Superintendent of Bristol Virginia Public Schools and the President of the Coalition of Small & Rural Schools of Virginia.
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