Assessing Implementation Readiness of Key Stakeholders for Universal School-based Depression Screening

This poster presented findings from a comprehensive mixed-methods research project designed to assess the readiness of key stakeholders for implementing universal annual depression screening in public schools statewide. Research activities included key-informant interviews with 15 middle and high school administrators and health professionals, an online survey of 70 school psychologists and social workers, a state survey of 678 parents, and content analysis of 99 state legislative hearings, reports, and testimonials, 213 local news stories, and 27 official statements from prominent mental health advocacy organizations and professional associations.

Across stakeholders, support for universal screening was substantial yet qualified. About two-thirds of parents indicated they would likely consent, and 87% of school psychologists and social workers viewed evidence-based screening as desirable. Still, fewer than 5% reported existing screening procedures, one-in-four parents believed schools should not be involved in screening, and Non-White parents expressed greater concern about misinterpretation, privacy, and stigma. Across groups, respondents converged on the need for explicit procedural guidance, clarity on school responsibilities following positive screens, dedicated staff and funding, and a phased approach to statewide rollout. The findings demonstrate the value of engaging stakeholders proactively to anticipate implementation barriers and inform policy decisions about resource allocation, phasing, and monitoring.