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Digest of Education Statistics
2021 Tables and Figures All Years of Tables and Figures Most Recent Full Issue of the Digest


Tabl 233.69a. Number and percentage of public schools providing diagnostic mental health assessments and treatment to students and, among schools providing these services, percentage providing them at school and outside of school, by selected school characteristics: 2017-18 and 2019-20
[Standard errors appear in parentheses]
School characteristic Diagnostic mental health assessments to evaluate students for mental health disorders Treatment to students for mental health disorders
Percent of schools providing these assessments 2019-201 Percent of schools
providing treatment
2019-201
2017-18 2019-201 Number of
schools providing these assessments
Among schools providing these assessments, percent providing them at school and outside of school 2017-18 2019-201 Number of schools providing treatment Among schools providing treatment, percent providing it at school and outside of school
At school only Outside of school only Both at school and outside of school At school only Outside of school only Both at school and outside of school
1 2 3 4 5 6 7 8 9 10 11 12 13
Total 51.2   (1.20) 54.8   (1.26) 45,600   (1,040) 28.6   (1.74) 10.8   (1.15) 60.6   (1.66) 38.3   (1.09) 42.4   (1.17) 35,200   (980) 30.4   (1.98) 7.3   (1.11) 62.4   (2.15)

School level2
                                                                       
Elementary 48.5   (1.99) 49.6   (2.18) 24,400   (1,060) 31.1   (2.83) 10.7   (2.02) 58.2   (2.59) 37.2   (1.80) 39.5   (1.79) 19,400   (880) 33.9   (3.37) 7.1   (1.78) 58.9   (3.62)
Middle 55.8   (1.85) 64.0   (1.50) 9,400   (220) 27.6   (1.83) 11.1   (1.43) 61.3   (2.03) 38.5   (1.79) 47.1   (2.14) 6,900   (320) 28.1   (2.13) 7.0   (1.37) 64.9   (2.58)
Secondary/high 57.5   (1.85) 64.7   (1.82) 10,400   (290) 25.4   (1.78) 9.2   (1.41) 65.4   (1.97) 43.9   (1.79) 46.8   (1.76) 7,500   (290) 24.3   (2.39) 5.6   (1.11) 70.1   (2.48)
Combined/other 35.9   (9.07) 44.8   (5.44) 1,500   (180) 14.6 ! (5.58) 21.8 ! (6.79) 63.6   (7.05) 21.4 ! (8.42) 42.3   (5.61) 1,400   (190) 24.8   (7.37) 18.8 ! (6.93) 56.4   (8.91)

Enrollment size
                                                                       
Less than 300 43.2   (3.44) 42.9   (3.48) 7,600   (620) 29.9   (6.05) 13.5   (3.15) 56.6   (5.63) 34.5   (3.32) 34.7   (3.10) 6,200   (550) 28.0   (6.65) 3.7 ! (1.68) 68.3   (6.61)
300 to 499 49.0   (2.54) 52.8   (2.80) 13,500   (730) 30.3   (3.13) 12.2   (2.15) 57.5   (3.39) 40.3   (2.55) 43.3   (2.97) 11,100   (760) 36.0   (3.01) 11.4   (2.43) 52.7   (3.10)
500 to 999 53.7   (1.98) 58.6   (1.96) 18,100   (610) 26.4   (2.17) 8.8   (1.63) 64.8   (2.23) 37.2   (1.76) 44.8   (1.81) 13,900   (570) 28.3   (2.89) 5.3   (1.41) 66.4   (3.18)
1,000 or more 64.0   (2.09) 71.3   (2.25) 6,300   (200) 29.5   (2.29) 10.3   (1.68) 60.1   (2.52) 44.0   (2.13) 46.8   (2.11) 4,100   (190) 25.9   (2.78) 8.1   (1.90) 66.0   (3.09)

Locale
                                                                       
City 58.4   (2.13) 60.9   (2.71) 13,900   (620) 29.9   (3.11) 10.2   (2.26) 59.8   (2.85) 41.7   (1.89) 45.3   (2.19) 10,300   (500) 29.9   (3.76) 9.8   (2.46) 60.3   (4.27)
Suburban 52.9   (2.37) 60.2   (2.24) 16,400   (610) 27.3   (2.27) 10.1   (1.76) 62.6   (2.52) 35.7   (2.43) 40.2   (2.32) 11,000   (630) 31.9   (3.61) 5.4   (1.54) 62.7   (3.79)
Town 46.3   (3.70) 50.0   (4.00) 5,300   (420) 31.4   (4.34) 10.7   (2.87) 58.0   (4.27) 40.5   (3.48) 44.8   (3.47) 4,700   (360) 34.3   (5.89) 8.1 ! (3.37) 57.6   (5.91)
Rural 44.3   (2.31) 44.5   (2.57) 10,000   (580) 27.3   (3.67) 12.7   (2.22) 60.0   (3.67) 37.1   (2.48) 40.9   (2.73) 9,200   (610) 27.1   (3.30) 6.2 ! (2.18) 66.8   (3.30)

Percent minority enrollment3
                                                                       
0 to 25 percent 43.3   (1.88) 50.4   (1.97) 13,900   (620) 29.4   (3.20) 11.5   (1.80) 59.1   (3.11) 37.2   (1.75) 43.3   (2.31) 12,000   (730) 33.2   (3.41) 4.5 ! (1.39) 62.4   (3.43)
26 to 50 percent 51.8   (2.55) 52.9   (3.06) 9,400   (560) 27.1   (3.29) 9.3   (1.78) 63.7   (3.18) 39.6   (2.67) 41.1   (3.06) 7,300   (570) 25.3   (3.30) 6.7 ! (2.67) 68.0   (4.12)
51 to 75 percent 57.9   (3.85) 58.1   (3.55) 9,300   (630) 31.2   (3.40) 14.3   (3.08) 54.5   (3.77) 37.0   (3.27) 40.2   (3.11) 6,400   (530) 34.2   (4.52) 10.0 ! (3.34) 55.8   (5.35)
76 to 100 percent 57.8   (2.95) 59.6   (2.66) 13,000   (830) 26.8   (3.46) 8.7   (2.15) 64.5   (3.51) 39.4   (2.03) 43.9   (2.66) 9,600   (740) 28.2   (3.52) 9.3   (2.40) 62.5   (3.91)

Percent of students eligible for
    free or reduced-price lunch
                                                                       
0 to 25 percent 50.3   (2.57) 55.5   (2.58) 8,200   (480) 34.6   (4.32) 12.0   (2.37) 53.4   (4.36) 33.6   (2.63) 39.2   (2.74) 5,800   (490) 35.6   (4.78) 5.0 ! (1.81) 59.3   (5.02)
26 to 50 percent 46.1   (2.58) 57.5   (2.36) 12,000   (710) 29.0   (3.45) 10.6   (2.00) 60.4   (3.56) 35.0   (2.17) 41.3   (2.54) 8,600   (640) 32.6   (3.89) 5.9   (1.57) 61.6   (4.05)
51 to 75 percent 46.6   (2.71) 49.9   (3.28) 10,800   (820) 25.9   (3.64) 11.4   (2.06) 62.7   (3.64) 39.0   (2.34) 41.9   (2.51) 9,100   (710) 29.5   (3.52) 7.2   (2.11) 63.4   (4.09)
76 to 100 percent 59.1   (2.94) 56.5   (2.58) 14,600   (880) 26.9   (3.08) 9.9   (2.03) 63.3   (3.07) 42.8   (1.82) 45.5   (2.40) 11,700   (850) 26.9   (3.68) 9.4   (2.18) 63.7   (3.74)
!Interpret data with caution. The coefficient of variation (CV) for this estimate is between 30 and 50 percent.
1 The coronavirus pandemic affected the 2019-20 data collection activities, while the change to virtual schooling and the adjusted school year may have impacted the data collected by SSOCS. Readers should use caution when comparing 2019-20 estimates with those from earlier years. For more information, see Crime, Violence, Discipline, and Safety in U.S. Public Schools in 2019–20: Findings From the School Survey on Crime and Safety (NCES 2022-029).
2 Elementary schools are defined as schools that enroll students in more of grades K through 4 than in higher grades. Middle schools are defined as schools that enroll students in more of grades 5 through 8 than in higher or lower grades. Secondary/high schools are defined as schools that enroll students in more of grades 9 through 12 than in lower grades. Combined/other schools include all other combinations of grades, including K–12 schools.
3 Percent combined enrollment of Black, Hispanic, Asian, Pacific Islander, and American Indian/Alaska Native students, and students of Two or more races.
NOTE: A diagnostic mental health assessment is an evaluation conducted by a mental health professional that identifies whether an individual has one or more mental health diagnoses. Treatment is a clinical intervention--which may include psychotherapy, medication, and/or counseling--addressed at lessening or eliminating the symptoms of a mental health disorder. Schools were instructed to include only services provided by a licensed mental health professional employed or contracted by the school. Licensed mental health professionals include psychiatrists, psychologists, psychiatric/mental health nurse practitioners, psychiatric/mental health nurses, clinical social workers, and professional counselors. Responses were provided by the principal or the person most knowledgeable about school crime and policies to provide a safe environment. Some data have been revised from previously published figures.
SOURCE: U.S. Department of Education, National Center for Education Statistics, 2017-18 and 2019-20 School Survey on Crime and Safety (SSOCS), 2018 and 2020. (This table was prepared November 2021.)

2021 Tables and Figures All Years of Tables and Figures Most Recent Full Issue of the Digest