Take Action Mental Health in Your State

Nebraska

By The Numbers

319,000

Number of K-12 Students (2022 Projection)i

24,000
Children with major depressionii
12,000

Children with major depression who do not receive treatmentiii

1:1,164

Ratio of School Psychologists to Students
(Recommended Ratio 1:500)

1:3,350

Ratio of School Social Workers to Students
(Recommended Ratio 1:250)

1:385

Ratio of School Counselors to Students
(Recommended Ratio 1:250)

Take Action
in Nebraska

There is a national emergency in children’s mental health. Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. 

Take Action

Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. Mental health challenges can affect success at school and in life, yet few students get the help they need to thrive.

The Hopeful Futures Campaign, a coalition of national organizations, is committed to ensuring that every student has access to effective and supportive school mental health care. The campaign’s school mental health report cards highlight accomplishments and provide important action steps to help address the children’s mental health crisis in every state.

At A Glance: State School Mental Health Policies

School Mental Health Professionals:

School-Family-Community Partnerships:

Teacher and Staff Training:

Funding
Supports:

Well-Being Checks:

Healthy School Climate:

Skills for Life Success:

Mental Health Education:

Little or no progress achieved

Some progress achieved

Meaningful progress achieved

Substantial progress achieved

HOW NEBRASKA COMPARES

State Rankings from Mental Health America iv

2015

2020

2021

2022

Overall State Rank for Youth Mental Health

15

35

21

37

Youth with At Least One Major Depressive Episode in the Past Year

12,000 / 7.97%

20,000 / 13.01%

22,000 / 14.20%

24,000 / 15.50%

Youth with Major Depressive Episodes in the
Past Year Who Did Not Receive Treatment

Not Asked

14,000 / 55.4%

12,000 / 55.4%

12,000 / 52.60%

Youth with Major Severe Depressive Episodes in the Past Year

Not Asked

12,000 / 7.7%

14,000 / 9.0%

19,000 / 12.40%

Youth with Severe Major Depressive Episodes
Who Received Some Consistent Treatment

Not Asked

5,000 / 35.9%

5,000 / 35.9%

5,000 / 27.80%

Students Identified with Emotional Disturbance
for an Individualized Education Program

1.957 / 7.40%

2,664 / 9.5%

2,864 / 10.06%

2,861 / 9.98%

Youth with Private Insurance That Did Not
Cover Mental or Emotional Problems

7.891 / 27.4%

19,000 / 8.80%

10,000 / 12.6%

13,000 / 15.40%

Youth with Substance Use Disorder in the Past Year

10,000 / 7.12%

6,000 / 4.05%

6,000 / 3.69%

6,000 / 3.94%

i. Projections of education statistics to 2022. National Center of Education Statistics. (n.d.). Retrieved November 11, 2021, from https://nces.ed.gov/pubs2014/2014051.pdf.
ii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iv. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
Nebraska

By The Numbers

319,000

Number of K-12 Students (2022 Projection)i

24,000
Children with major depressionii
12,000

Children with major depression who do not receive treatmentiii

1:1,164

Ratio of School Psychologists to Students
(Recommended Ratio 1:500)

1:3,350

Ratio of School Social Workers to Students
(Recommended Ratio 1:250)

1:385

Ratio of School Counselors to Students
(Recommended Ratio 1:250)

Take Action
in Nebraska

There is a national emergency in children’s mental health. Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. 

Take Action

Children and youth are experiencing soaring rates of anxiety, depression, trauma, loneliness, and suicidality. Mental health challenges can affect success at school and in life, yet few students get the help they need to thrive.

The Hopeful Futures Campaign, a coalition of national organizations, is committed to ensuring that every student has access to effective and supportive school mental health care. The campaign’s school mental health report cards highlight accomplishments and provide important action steps to help address the children’s mental health crisis in every state.

At A Glance: State School Mental Health Policies

School Mental Health Professionals:

School-Family-Community Partnerships:

Teacher and Staff Training:

Funding
Supports:

Well-Being Checks:

Healthy School Climate:

Skills for Life Success:

Mental Health Education:

Little or no progress achieved

Some progress achieved

Meaningful progress achieved

Substantial progress achieved

HOW NEBRASKA COMPARES

State Rankings from Mental Health America iv

2015

2020

2021

2022

Overall State Rank for Youth Mental Health

15

35

21

37

Youth with At Least One Major Depressive Episode in the Past Year

12,000 / 7.97%

20,000 / 13.01%

22,000 / 14.20%

24,000 / 15.50%

Youth with Major Depressive Episodes in the
Past Year Who Did Not Receive Treatment

Not Asked

14,000 / 55.4%

12,000 / 55.4%

12,000 / 52.60%

Youth with Major Severe Depressive Episodes in the Past Year

Not Asked

12,000 / 7.7%

14,000 / 9.0%

19,000 / 12.40%

Youth with Severe Major Depressive Episodes
Who Received Some Consistent Treatment

Not Asked

5,000 / 35.9%

5,000 / 35.9%

5,000 / 27.80%

Students Identified with Emotional Disturbance
for an Individualized Education Program

1.957 / 7.40%

2,664 / 9.5%

2,864 / 10.06%

2,861 / 9.98%

Youth with Private Insurance That Did Not
Cover Mental or Emotional Problems

7.891 / 27.4%

19,000 / 8.80%

10,000 / 12.6%

13,000 / 15.40%

Youth with Substance Use Disorder in the Past Year

10,000 / 7.12%

6,000 / 4.05%

6,000 / 3.69%

6,000 / 3.94%

i. Projections of education statistics to 2022. National Center of Education Statistics. (n.d.). Retrieved November 11, 2021, from https://nces.ed.gov/pubs2014/2014051.pdf.
ii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iii. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.
iv. The state of Mental Health in America. Mental Health America. (n.d.). Retrieved November 9, 2021, from https://mhanational.org/issues/state-mental-health-america.

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School Mental Health Professionals

Little or no progress achieved

School psychologists, social workers, and counselors who, together, provide a range of necessary mental health services in schools.

 

Current Policy:

  • School Psychologists: Nebraska has one school psychologist for every 1,164 students (the recommended ratio is 1:500).
  • School Social Workers: Nebraska has one school social worker for every 3,350 students (the recommended ratio is 1:250).
  • School Counselors: Nebraska has one school counselor for every 385 students (the recommended ratio is 1:250).

 

Policy Opportunity:

  • Invest in significantly improving the ratios of school psychologists, school social workers, and counselors in K-12, including through telehealth partnerships and workforce programs that incentivize careers in mental health.

School-Family-Community Partnerships

Meaningful progress achieved

Policies that support and enable schools to engage with families and community partners.

 

Current Policy:

  • Family/community engagement: State statutes and policies require districts to adopt plans, policies, or strategies to engage parents and families in the educational process.

 

Policy Opportunity:

  • Require partnerships between school districts and community mental health providers that ensure access to services for students with ongoing needs.

Teacher and Staff Training:

Some progress achieved

Policies that support training of teachers and staff in mental health, substance use, and suicide prevention.

 

Current Policy:

  • Teacher/staff training: Rev. Stat. Ann. § 79-2,146 (2014) requires all public school nurses, teachers, counselors, school psychologists, administrators, school social workers, and any other appropriate personnel to receive at least one hour of suicide awareness and prevention training each year

Policy Opportunity:

  • Expand on existing training requirements to ensure K-12 teachers and staff receive regular training on mental health conditions and substance use conditions, including available school and community-based services and resources.

Funding Supports

Little or no progress achieved

Policies that help support funding of school mental health services for Medicaid-eligible students.  

 

Current Policy:

  • No recommended Medicaid school mental health policies
  • Medicaid coverage: State Medicaid program does not cover school-based mental health services for all Medicaid-eligible students.
  • Medicaid telehealth: State Medicaid program only covers telehealth services for Individualized Education Plan (IEP) services.

 

Policy Opportunity:

  • Expand Medicaid billing to include school-based mental health services, including via telehealth, for all Medicaid eligible students (beyond students with an IEP).
  • Ensure the state Medicaid program covers services delivered by school psychologists, social workers, and school counselors.

Well-Being Checks

Little or no progress achieved

Regular checks of mental wellness that help identify students and staff who may need support.

  

Current Policy:

  • No well-being checks required.

 

Policy Opportunity:

  • Require annual well-being checks for all students and staff in K-12.

Healthy School Climate

Some progress achieved

Policies that foster safe, supportive schools, including anti-bullying policies, school climate surveys, inclusive environment (anti-discrimination) policies, excused absences for mental health, alternatives to exclusionary discipline, and suicide prevention programs.

 

Current Policy Achieved:

  • Anti-bullying: Rev. Stat. § 79-2,137 (2008) enacts a definition and scope of bullying, and requires district policies to address consequences of bullying and local review of those policies.
  • Suicide prevention: Rev. Stat. Ann. § 79-3104 (2021) establishes the “Safe2HelpNE” report line managed by the Department of Education, whose staff are “trained in threat assessment and management processes, suicide prevention, recognizing mental illness and emotional disturbance, and applicable confidentiality and privacy laws. The report line staff shall have access to clinical consultation and support seven days per week and twenty-four hours per day from a licensed mental health professional.”

 

Policy Opportunity:

  • Enact legislation to address additional healthy school climate policies, such as requiring annual school climate surveys, promoting an inclusive environment through anti-discrimination policies, permitting excused absences for mental health concerns, and requiring adoption of alternatives to exclusionary discipline that keep youth in school, with services and supports to get their lives on track.

Skills for Life Success

Little or no progress achieved

Skills, such as responsible decision-making, relationship skills, and self-management, that help students succeed in school and life. 

 

Current Policy Achieved:

  • No recommended life skills competencies required in K-12 (CASEL).

 

Policy Opportunity:

  • Require adoption of evidence-based life skills education for K-12, including making training in the curriculum available to parents and caregivers.

Mental Health Education

Little or no progress achieved

Health education in K-12 that includes instruction on mental health.

  

Current Policy Achieved:

  • No mental health education required in K-12.

 

Policy Opportunity:

  • Require K-12 health education to explicitly include education on mental health, similar to legislation passed by New York and Virginia.