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Digest of Education Statistics
2023 Tables and Figures All Years of Tables and Figures Most Recent Full Issue of the Digest


Table 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: School years 2017-18, 2019-20, and 2021-22
[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 2021-22 Percent of schools
providing treatment
2021-22
2017-18 2019-201 2021-22 Number of
schools providing these assessments
Among schools providing these assessments, percent providing them at school and outside of school 2017-18 2019-201 2021-22 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 14 15
     Total 51.2 (1.20) 54.8   (1.26) 49.4   (1.20) 42,100   (1,030) 38.0   (1.52) 10.0   (1.16) 52.1   (1.63) 38.3 (1.09) 42.4   (1.17) 37.6   (1.41) 32,000   (1,200) 31.8   (1.71) 5.6   (0.79) 62.6   (1.73)

School level










































  Elementary 48.5   (1.99) 49.6   (2.18) 44.5   (1.93) 22,700   (990) 42.1   (2.55) 9.8   (2.05) 48.1   (2.85) 37.2   (1.80) 39.5   (1.79) 34.5   (2.13) 17,600   (1,090) 34.1   (2.93) 4.5   (1.30) 61.5   (3.05)
  Middle  55.8   (1.85) 64.0   (1.50) 55.4   (1.73) 8,400   (260) 33.3   (1.92) 8.3   (1.24) 58.5   (2.13) 38.5   (1.79) 47.1   (2.14) 44.7   (1.92) 6,800   (290) 32.0   (2.32) 6.1   (0.98) 61.8   (2.40)
  Secondary/high 57.5   (1.85) 64.7   (1.82) 59.4   (1.79) 10,100   (310) 32.2   (1.99) 11.3   (1.56) 56.5   (2.11) 43.9   (1.79) 46.8   (1.76) 41.2   (1.88) 7,000   (320) 25.1   (2.41) 6.4   (1.36) 68.5   (2.40)
  Combined/other 35.9   (9.07) 44.8   (5.44) 46.6   (5.60) 900   (110) 41.8   (7.92) 15.7 ! (5.78) 42.5   (8.20) 21.4 ! (8.42) 42.3   (5.61) 32.2   (4.88) 600   (100) 39.7   (10.28) 23.1 ! (10.72) 37.2   (8.80)

Enrollment size










































  Less than 300 43.2 (3.44) 42.9   (3.48) 38.5   (3.00) 7,600   (610) 41.9   (5.28) 13.2   (3.40) 44.9   (4.92) 34.5 (3.32) 34.7   (3.10) 33.3   (3.50) 6,600   (690) 37.3   (5.69)   (†) 60.3   (5.72)
  300 to 499  49.0 (2.54) 52.8   (2.80) 45.4   (2.62) 11,800   (690) 41.6   (3.43) 12.5   (2.63) 45.9   (3.94) 40.3 (2.55) 43.3   (2.97) 35.7   (2.80) 9,300   (730) 31.1   (4.03) 7.3   (1.98) 61.6   (4.02)
  500 to 999  53.7 (1.98) 58.6   (1.96) 55.9   (2.16) 17,100   (660) 35.8   (2.39) 7.4   (1.47) 56.8   (2.52) 37.2 (1.76) 44.8   (1.81) 39.9   (1.79) 12,200   (540) 31.1   (2.78) 6.6   (1.49) 62.3   (2.65)
  1,000 or more  64.0 (2.09) 71.3   (2.25) 63.1   (2.00) 5,600   (180) 31.7   (2.65) 8.1   (1.53) 60.2   (3.05) 44.0 (2.13) 46.8   (2.11) 44.7   (2.01) 4,000   (180) 26.4   (2.37) 3.8   (1.02) 69.8   (2.61)

Locale










































  City  58.4 (2.13) 60.9   (2.71) 55.0   (2.14) 13,100   (500) 38.3   (3.46) 8.7   (1.58) 53.0   (3.36) 41.7 (1.89) 45.3   (2.19) 41.8   (2.35) 9,900   (560) 30.3   (3.28) 7.3   (2.18) 62.4   (3.76)
  Suburban  52.9 (2.37) 60.2   (2.24) 54.2   (2.23) 15,100   (620) 33.6   (2.65) 10.8   (1.88) 55.6   (3.19) 35.7 (2.43) 40.2   (2.32) 36.5   (2.12) 10,100   (590) 27.6   (2.71) 4.1   (1.17) 68.2   (2.72)
  Town 46.3 (3.70) 50.0   (4.00) 43.8   (3.02) 4,700   (320) 38.0   (4.94) 9.7 ! (3.12) 52.3   (5.17) 40.5 (3.48) 44.8   (3.47) 35.7   (3.11) 3,800   (330) 30.1   (5.08) 4.3 ! (1.53) 65.6   (5.27)
  Rural  44.3 (2.31) 44.5   (2.57) 40.5   (2.22) 9,300   (510) 44.5   (3.73) 10.5   (2.31) 45.0   (3.68) 37.1 (2.48) 40.9   (2.73) 35.4   (2.99) 8,200   (690) 39.6   (4.46) 5.9   (1.54) 54.5   (4.57)

Percent of students who are 
   American Indian/Alaska 
   Native, Asian, Black, 
   Hispanic, Pacific Islander, 
   or of Two or more races










































  0 to 25 percent 43.3   (1.88) 50.4   (1.97) 44.1   (2.18) 12,300   (730) 40.6   (2.75) 7.5   (1.54) 51.9   (2.61) 37.2   (1.75) 43.3   (2.31) 38.9   (2.49) 10,900   (720) 33.9   (3.57) 4.3 ! (1.46) 61.8   (3.65)
  26 to 50 percent  51.8   (2.55) 52.9   (3.06) 52.4   (2.50) 9,700   (660) 39.1   (3.80) 13.7   (2.59) 47.2   (4.03) 39.6   (2.67) 41.1   (3.06) 33.2   (2.41) 6,100   (510) 32.1   (4.28) 5.3 ! (1.68) 62.6   (4.51)
  51 to 75 percent 57.9   (3.85) 58.1   (3.55) 47.3   (3.21) 7,300   (560) 37.0   (4.19) 8.8   (2.43) 54.2   (4.71) 37.0   (3.27) 40.2   (3.11) 39.7   (2.83) 6,100   (440) 31.3   (4.24) 8.6 ! (2.79) 60.1   (4.82)
  76 to 100 percent  57.8   (2.95) 59.6   (2.66) 54.9   (2.58) 12,900   (660) 35.2   (3.01) 10.2   (2.06) 54.6   (3.13) 39.4   (2.03) 43.9   (2.66) 38.0   (2.25) 8,900   (530) 29.4   (3.75) 5.3   (1.36) 65.3   (3.64)

Percent of students eligible 
   for free or reduced-price 
   lunch










































  0 to 25 percent  50.3 (2.57) 55.5   (2.58) 44.9   (3.03) 7,300   (640) 38.8   (4.03) 11.1   (2.08) 50.1   (3.89) 33.6 (2.63) 39.2   (2.74) 29.8   (2.64) 4,800   (520) 31.1   (4.51) 6.2   (1.66) 62.8   (4.30)
  26 to 50 percent  46.1 (2.58) 57.5   (2.36) 50.5   (2.69) 10,100   (710) 43.1   (4.19) 12.2   (3.07) 44.7   (3.92) 35.0 (2.17) 41.3   (2.54) 37.6   (2.88) 7,500   (680) 34.6   (4.40) 6.7 ! (2.11) 58.7   (4.51)
  51 to 75 percent 46.6 (2.71) 49.9   (3.28) 45.4   (2.20) 8,300   (670) 39.7   (4.19) 7.7   (1.89) 52.6   (4.60) 39.0 (2.34) 41.9   (2.51) 39.6   (3.02) 7,300   (720) 35.6   (3.95) 5.4 ! (1.78) 59.0   (4.18)
  76 to 100 percent  59.1 (2.94) 56.5   (2.58) 53.6   (1.92) 16,400   (760) 33.5   (2.58) 9.2   (1.84) 57.3   (2.32) 42.8 (1.82) 45.5   (2.40) 40.5   (1.86) 12,400   (700) 28.2   (2.82) 4.8   (1.10) 67.0   (2.97)
†Not applicable.
!Interpret data with caution. The coefficient of variation (CV) for this estimate is between 30 and 50 percent.
‡Reporting standards not met. Either there are too few cases for a reliable estimate or the coefficient of variation (CV) is 50 percent or greater.
1The 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 other 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).
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, 2019-20, and 2021-22 School Survey on Crime and Safety (SSOCS), 2018, 2020, and 2022. (This table was prepared November 2023.)

2023 Tables and Figures All Years of Tables and Figures Most Recent Full Issue of the Digest