Supporting Student Mental Health Needs: Teacher Perspectives and Classroom Interventions in Secondary Education
In recent years, there has been an influx of questions regarding mental health in education. This study aimed to investigate the classroom challenges secondary teachers experience while supporting students with mental health needs and to identify strategies and interventions teachers perceive as effective in promoting student success. This study was designed to answer the following questions: What challenges do secondary teachers experience while supporting students with mental health needs in the classroom? What strategies and interventions are secondary teachers using to support students with mental health support needs? Secondary teachers responded to survey questions about the emotional and behavioral needs in classrooms and what instructional strategies or interventions are being used to support students with mental health concerns. Results were analyzed and themes reported, including prevalence and observed student needs related to mental health well-being in the classroom, interventions being utilized, and teacher roles and preparedness to teach mental health supports.
Bitsko, R. H., Claussen, A. H., Lichstein, J., Black, L. I., Jones, S. E., Danielson, M. L., Hoenig, J. M., Jack, S. P. D., Brody, D. J., Gyawali, S., Maenner, M. J., Warner, M., Holland, K. M., Perou, R., Crosby, A. E., Blumberg, S. J., Avenevoli, S., Kaminski, J. W., & Ghandour, R. M. (2022). Mental health surveillance among children—United States, 2013-2019. MMWR supplements, 71(2), 1 – 42. https://doi.org/10.15585/mmwr.su7102a1
Borntrager, C., & Lyon, A. R. (2015). Client progress monitoring and feedback in school-based mental health. Cognitive and Behavioral Practice, 22(1), 74–86. https://doi.org/10.1016/j.cbpra.2014.03.007
Deaton, J. D., Ohrt, J. H., Linich, K., Wymer, B., Toomey, M., Lewis, O., & Newton, T. (2022). Teachers' experiences with K‐12 students' mental health. Psychology in the Schools, 59(5), 932 – 949. https://doi.org/10.1002/pits.2658
Frei, J. M., Beames, J. R., Hudson, J. L., & Werner-Seidler, A. (2025). Mental health literacy of primary school teachers: A scoping review. School Psychology Review, 1 – 30. https://doi.org/10.1080/2372966X.2025.2542718
García-Carrión, R., Villarejo-Carballido, B., & Villardón-Gallego, L. (2019). Children and adolescents mental health: A systematic review of interaction-based interventions in schools and communities. Frontiers in Psychology, 10, 918. https://doi.org/10.3389/fpsyg.2019.00918
Goodman-Scott, E., Betters-Bubon, J., & Donohue, P. (2018). Aligning comprehensive school counseling programs and positive behavioral interventions and supports to maximize school counselors’ efforts. Professional School Counseling, 19, 57 – 67. https://doi.org/10.5330/1096-2409-19.1.57
Lawson, G. M., Orapallo, A., Ginsburg, G. S., Brewton, A., Baker, C. N., & Azad, G. (2025). Teacher-delivered mental health interventions: Promises, challenges, and recommendations for future directions. Administration and Policy in Mental Health and Mental Health Services Research, 52(6), 1296 – 1310. https://doi.org/10.1007/s10488-025-01467-6
Liao, Y., Ameyaw, M. A., Liang, C., & Li, W. (2023). Research on the effect of evidence-based intervention on improving students’ mental health literacy led by ordinary teachers: A meta-analysis. International Journal of Environmental Research and Public Health, 20(2), 949. https://doi.org/10.3390/ijerph20020949
O’Reilly, M., Svirydzenka, N., Adams, S., & Dogra, N. (2018). Review of mental health promotion interventions in schools. Social Psychiatry and Psychiatric Epidemiology, 53(7), 647 – 662. https://doi.org/10.1007/s00127-018-1530-1
Reinert, M., Fritze, D., & Nguyen, T. (2021). The state of mental health in America 2022. Mental Health America. https://mhanational.org/wp-content/uploads/2025/03/2022-State-of-Mental-Health-in-America.pdf
Semchuk, J. C., McCullough, S. L., Lever, N. A., Gotham, H. J., Gonzalez, J. E., & Hoover, S. A. (2022). Educator-informed development of a mental health literacy course for school staff: Classroom well-being information and strategies for educators (Classroom WISE). International Journal of Environmental Research and Public Health, 20(1), 35. https://doi.org/10.3390/ijerph20010035
Shamim, F., & Coleman, H. (2018). Large-sized classes. In J. I. Liontas (Ed.), The TESOL encyclopedia of English language teaching. Wiley. https://doi.org/10.1002/9781118784235.eelt0633
Wettstein, A., Schneider, S., grosse Holtforth, M., & La Marca, R. (2021). Teacher stress: A psychobiological approach to stressful interactions in the classroom. Frontiers of Education, 6. https://doi.org/10.3389/feduc.2021.681258
Wiedermann, C. J., Barbieri, V., Plagg, B., Marino, P., Piccoliori, G., & Engl, A. (2023). Fortifying the foundations: A comprehensive approach to enhancing mental health support in educational policies amidst crises. Healthcare (Basel, Switzerland), 11(10), 1423. https://doi.org/10.3390/healthcare11101423