School-based health workers told members of the U.S. House that student health supports—behavioral, social-emotional, and mental health—cannot be addressed as separate “silos” if schools want to improve learning outcomes. During a May 19 congressional briefing, representatives from the School-Based Health Alliance, the National Association of School Psychologists, the American School Counselor Association, the National Association of School Nurses, and the School Social Work Association of America argued for multidisciplinary approaches tied to student success. The briefing emphasized gaps in staffing ratios across schools. Recent federal and association data cited in the discussion show many schools lack access to key professionals: as of 2020–21, 73% of schools had at least one counselor, 52% had at least one psychologist, and 40% had at least one social worker; a separate survey found 66% had access to a full-time nurse. Panelists argued that academic achievement is linked to physical and mental well-being and that unmet health needs reduce students’ ability to learn even in classrooms with strong instruction. Betsy Looney, a school nurse coordinator for the Catholic Diocese of Richmond, and Kelly Vaillancourt Strobach of the National Association of School Psychologists highlighted the need for policies that support school staffing and coordinated intervention. For universities training future educators and for K–12–higher ed partnerships that depend on school readiness and student persistence, the proposal centers student well-being as an instructional prerequisite—not an optional add-on.
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