Take Action Mental Health in Your State

Virginia

By The Numbers

1,384,000

Number of K-12 Students (2022 Projection)i

98,000
Children with major depressionii
58,000

Children with major depression who do not receive treatmentiii

1:1,623

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

1:2,067

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

1:345

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

Take Action
in Virginia

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 VIRGINIA COMPARES

State Rankings from Mental Health America iv  

2015

2020

2021

2022

Overall State Rank for Youth Mental Health

26

17

20

21

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

57,000 / 9.14%

83,000 / 13.22%

90,000 / 14.28%

98,000 / 15.57%

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

Not Asked

44,000 / 51.3%

51,000 / 53.0%

58,000 / 55.2%

Youth with Major Severe Depressive Episodes in the Past Year

Not Asked

55,000 / 9.1%

62,000 / 10.2%

79,000 / 13.0%

Youth with Severe Major Depressive Episodes
Who Received Some Consistent Treatment

Not Asked

15,000 / 28.3%

16,000 / 26.1%

19,000 / 25.0%

Students Identified with Emotional Disturbance
for an Individualized Education Program

9,432 / 8.34%

9752 / 8.39%

9782 / 8.38%

9,913 / 8.47%

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

Not Asked

25,000 / 7.8%

21,000 / 6.6%

22,000 / 6.4%

Youth with Substance Use Disorder in the Past Year

35,000 / 5.71%

23,000 / 3.65%

22,000 / 3.56%

23,000 / 3.71%

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.
Virginia

By The Numbers

1,384,000

Number of K-12 Students (2022 Projection)i

98,000
Children with major depressionii
58,000

Children with major depression who do not receive treatmentiii

1:1,623

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

1:2,067

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

1:345

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

Take Action
in Virginia

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 VIRGINIA COMPARES

State Rankings from Mental Health America iv  

2015

2020

2021

2022

Overall State Rank for Youth Mental Health

26

17

20

21

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

57,000 / 9.14%

83,000 / 13.22%

90,000 / 14.28%

98,000 / 15.57%

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

Not Asked

44,000 / 51.3%

51,000 / 53.0%

58,000 / 55.2%

Youth with Major Severe Depressive Episodes in the Past Year

Not Asked

55,000 / 9.1%

62,000 / 10.2%

79,000 / 13.0%

Youth with Severe Major Depressive Episodes
Who Received Some Consistent Treatment

Not Asked

15,000 / 28.3%

16,000 / 26.1%

19,000 / 25.0%

Students Identified with Emotional Disturbance
for an Individualized Education Program

9,432 / 8.34%

9752 / 8.39%

9782 / 8.38%

9,913 / 8.47%

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

Not Asked

25,000 / 7.8%

21,000 / 6.6%

22,000 / 6.4%

Youth with Substance Use Disorder in the Past Year

35,000 / 5.71%

23,000 / 3.65%

22,000 / 3.56%

23,000 / 3.71%

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: Virginia has one school psychologist for every 1,623 students (the recommended ratio is 1:500).
  • School social workers: Virginia has one school social worker for every 2,067 students (the recommended ratio is 1:250).
  • School counselors: Virginia has one school counselor for every 345 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 behavioral 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 regulations 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: 22.1-298.6 (2020) requires each school board to implement policies that require teachers and other personnel to complete a mental health awareness training program at least once.

 

Policy Opportunity:

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

Funding Supports

Substantial progress achieved

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

 

Current Policy:

  • Medicaid coverage expansion first step: Virginia is awaiting federal approval of a Medicaid state program amendment that would cover school-based mental health services for all Medicaid-eligible students.
  • Medicaid telehealth: State Medicaid program covers school-based mental health services delivered via telehealth.

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

Meaningful 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:

  • School climate survey: The Virginia Department of Health implements a survey in odd-numbered years to monitor health and behavioral health risk factors. 
  • Anti-bullying: 
    • § 22.1-279.6 (2020) requires that school districts include policies that prohibit bullying, including cyberbullying, in the district codes of student conduct. 
    •  § 22.1-208.01 (2013) requires districts to establish character education for students which must emphasize the inappropriateness of bullying.
  • Inclusive environment:  22.1-23.3 (2020) directs the Department of Education to provide model policies concerning the treatment of transgender students that includes maintaining a safe and supportive learning environment.
  • Mental health excused absences: 22.1-254 (2021) allows for students to be granted an excused absence due to mental health.

 

Policy Opportunity:

  • Enact legislation to address additional healthy school climate policies, such as requiring age-appropriate suicide prevention education for students 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:

  • No recommended life skills competencies 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

Substantial progress achieved

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

 

Current Policy:

  • Mental health education:  § 22.1-207 (2018) requires that K-12 physical and health education shall include mental health and the relationship of physical and mental health.