Staff shortages and funding gaps hamper NC school-based mental health support |
North Carolina schools are expanding efforts to support student mental health through statewide frameworks, school-based services, and community partnerships, but staffing shortages and limited funding continue to strain the system. The state uses the Whole School, Whole Community, Whole Child model and the Multi-Tiered System of Supports framework to guide mental health services, with schools required to maintain mental health plans under state policy. School counselors, psychologists, social workers, and nurses play central roles in delivering support, ranging from preventative programs to crisis intervention. However, North Carolina exceeds recommended national staffing ratios across all school health personnel categories, including one school psychologist for every 1,928 students and one school social worker for every 995 students. Districts, particularly in rural areas, report difficulties hiring qualified staff because of limited funding, low salaries, and workforce pipeline challenges. State leaders are considering additional investments, including Gov. Josh Stein’s proposal for $32.1m in recurring funding to support more than 360 additional school health positions. Federal grants totaling millions of dollars are also helping recruit and retain school counselors, psychologists, and social workers, while community partnerships and Medicaid reforms aim to expand access to school-based mental health services.