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


Table 233.69b.Percentage of public schools reporting that various factors limited in a major way their efforts to provide mental health services to students, by selected school characteristics: School year 2021-22
[Standard errors appear in parentheses]
School characteristicInadequate access to licensed
mental health professionals1
Inadequate
funding
Potential legal issues for school or district2Concerns about reactions from parentsLack of community support for providing mental health services to students
in their school
Written or unwritten policies regarding the school's requirement to pay for the diagnostic mental health assessment or treatment of students3Reluctance to label students with mental health disorders to avoid stigmatizing the child
12345678
     Total39.1(1.24)39.0(1.36)12.4(1.00)9.5(0.79)9.3(0.66)13.9(0.79)8.3(0.74)
School level
  Elementary40.1(1.90)40.1(1.95)12.9(1.61)10.1(1.30)10.0(1.06)14.6(1.14)9.1(1.09)
  Middle 39.8(1.39)38.5(1.81)10.3(0.88)8.5(1.03)8.9(1.13)14.6(1.29)6.9(0.93)
  Secondary/high35.3(1.80)36.5(1.59)12.4(1.21)8.5(0.85)7.1(0.73)11.0(0.94)7.1(0.92)
  Combined/other41.9(5.34)34.8(6.16)15.7(3.78)10.6(2.80)11.9!(3.70)12.9(3.74)8.3!(2.64)

Enrollment size





















  Less than 300 40.3(3.43)40.6(3.24)14.2(2.74)9.5(2.09)10.3(1.97)13.7(2.36)10.3(2.21)
  300 to 49942.7(2.75)41.9(2.37)12.1(1.49)10.1(1.42)8.7(1.23)13.2(1.56)7.9(1.48)
  500 to 999 37.7(1.92)36.9(1.89)11.4(1.16)9.6(1.17)10.2(1.14)15.0(1.25)8.3(1.07)
  1,000 or more 31.1(1.73)34.3(1.84)12.8(1.20)7.4(1.23)5.7(0.94)12.3(1.36)5.3(1.01)

Locale





















  City 37.4(2.52)38.8(2.47)14.0(1.85)11.2(1.66)10.8(1.53)14.4(1.38)9.6(1.25)
  Suburban 36.5(2.37)37.7(1.88)12.2(1.49)8.0(1.12)8.2(1.18)14.4(1.69)5.3(1.07)
  Town41.8(3.75)36.5(3.51)8.3(1.89)9.8(2.02)13.0(2.62)11.1(2.00)6.9(1.60)
  Rural42.8(3.05)41.9(3.22)12.8(2.27)9.5(1.88)7.5(1.48)14.0(2.06)11.3(1.91)

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





















  0 to 25 percent43.2(2.04)38.1(2.22)10.3(1.66)8.9(1.44)8.2(1.31)12.5(1.55)7.5(1.29)
  26 to 50 percent37.4(2.65)43.1(2.70)10.2(1.43)7.8(1.35)8.7(1.38)15.2(1.93)6.2(1.35)
  51 to 75 percent38.7(2.97)41.7(3.79)15.1(2.34)9.0(1.65)7.4(1.21)10.7(1.53)9.4(1.86)
  76 to 100 percent 35.9(2.26)35.2(2.03)14.9(2.01)11.9(1.54)12.3(1.80)16.6(1.68)10.3(1.49)

Percent of students eligible for 
   free or reduced-price lunch





















  0 to 25 percent33.5(2.51)35.4(2.82)10.7(1.84)11.1(2.18)9.7(1.91)13.6(1.78)9.6(1.99)
  26 to 50 percent38.9(2.47)39.2(2.76)12.2(2.08)5.9(0.96)4.2(0.73)12.1(1.83)6.6(1.38)
  51 to 75 percent 45.0(2.43)44.8(2.76)12.1(2.41)7.9(2.00)10.3(1.90)13.0(2.15)4.8(1.07)
  76 to 100 percent 38.7(2.47)37.3(2.04)13.6(1.72)12.1(1.46)11.8(1.35)15.7(1.41)10.9(1.41)
!Interpret data with caution. The coefficient of variation (CV) for this estimate is between 30 and 50 percent.
1Licensed mental health professionals include psychiatrists, psychologists, psychiatric/mental health nurse practitioners, psychiatric/mental health nurses, clinical social workers, and professional counselors.
2Examples of legal issues provided to respondents were malpractice, insufficient supervision, and confidentiality.
3A 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.
NOTE: Respondents were asked to indicate the extent to which each factor limited the school's efforts to provide mental health services to students. For each factor, they could select "limits in major way," "limits in minor way," or "does not limit." Estimates in this table represent only those schools reporting that a factor limited their efforts in a major way. Responses were provided by the principal or the person most knowledgeable about school crime and policies to provide a safe environment.
SOURCE: U.S. Department of Education, National Center for Education Statistics, 2021-22 School Survey on Crime and Safety (SSOCS), 2022. (This table was prepared November 2023.)

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