Skip to Content
Article

How teletherapy can transform mental health services in schools

The need for robust behavioral and mental health services in schools is undeniable. Students face a growing range of challenges, from academic pressures and peer stressors to family conflicts and bullying. Meanwhile, shortages of qualified clinicians leave onsite specialty staff, such as school psychologists, social workers, and speech-language pathologists working exhaustively to support student needs. This supply-to-demand imbalance creates waitlists and limited resources, often leaving students without the critical support they need to thrive.

This is where teletherapy emerges as a powerful tool to increase access to mental health services and transform how schools approach student well-being. Teletherapy offers a flexible and effective way to bridge the gaps in student support services, fostering a more comprehensive and holistic approach to mental health in schools.

Stronger together: Partnership and work-life balance

Teletherapy isn’t meant to replace existing staff. Instead, it empowers both onsite personnel and remote clinicians. Shortages of specialized clinicians in schools mean existing staff are often stretched thin. Remote clinicians can provide valuable support in these scenarios by freeing up onsite staff to handle unexpected events or matters requiring hands-on support. This collaboration allows both parties to maintain a manageable workload, promoting a healthy work-life balance for all. When clinicians are well-rested and focused, the ultimate beneficiaries are students.

Addressing high-risk situations efficiently

Schools face high-risk scenarios ranging from student crises to schoolwide emergencies. Such situations can leave existing staff overwhelmed, adding to the already existing backlog of tasks. Having remote clinicians in place provides crucial backup support, enabling onsite staff to facilitate crisis intervention. Tasking remote clinicians with key roles such as online mental health counseling, special education-related services, or psychoeducational evaluations affords onsite staff the space to swiftly and comprehensively manage precarious situations.

Combating staffing shortages and boosting clinical retention

The National Association of School Psychologists reported critical shortages of qualified mental health professionals as of 2023.Âą Scarcities such as these can create waitlists and, ultimately, delays in critical services. Teletherapy eases this burden by allowing school districts to tap into a wider talent pool of qualified support. Geographically-limited clinicians, for example, can now reach students across the state, and part-time clinicians can offer flexible support by picking up the slack during peak times or addressing specific student or school needs.

The flexibility of teletherapy can also significantly improve clinician retention. Clinicians with childcare needs or those seeking a work-from-home option can continue their careers while maintaining a healthy work-life balance. This not only benefits the clinician but also provides schools access to more specialized professionals, ultimately benefiting students by facilitating consistent and qualified care.

Meeting mental health counseling needs with tailored solutions

Teletherapy is anything but a cookie-cutter solution and much of its beauty lies in its adaptability. Schools’ needs vary from one another and change from year to year and, in some cases, week to week. Unexpected school trends or community events could cause shifts in the needs of school districts as the year unfolds. Remote clinicians can fulfill myriad roles, including individual and group counseling, conducting student evaluations, engaging in consultation and strategy development, and leading school-wide initiatives. District stakeholders can choose which roles are best suited for remote clinicians to support onsite staff and, ultimately, address the diverse needs of their student population.

Making the most of your mental health services

Teletherapy can be a financially sound investment in the long run, allowing schools to stretch their resources further and provide more comprehensive mental health services. For instance, if your onsite school psychologist’s schedule is becoming unmanageable but you don’t have the need (or budget) for another full-time practitioner, hiring a part-time remote clinician could be a cost-effective solution to meet both your student and personnel needs. Similarly, leveraging a remote clinician to reduce the burden on onsite staff can contribute to employee retention. A 2020 study published in the Journal of School Psychology found that schools implementing teletherapy programs reported a significant decrease in staff turnover due to burnout.² This translates to cost savings for schools, as recruiting and training new staff is expensive.

Beyond teletherapy: Fostering collaboration and innovation

By evening out caseloads, teletherapy paves the way for greater collaboration with specialized clinicians. With lighter task demands, onsite and virtual practitioners alike have more time and mental bandwidth to consult with school personnel, parents, and one another. This teamwork enhances overall service delivery by enabling effective brainstorming and problem-solving, thus leading to more comprehensive solutions and better student outcomes.

From a school psychologist’s perspective, the pressure of a heavy caseload can create a sense of isolation. The fear of being overwhelmed by additional requests might limit one’s participation in collaborative efforts with staff. Teletherapy combats this problem by giving clinicians more control over their workload. This shift allows practitioners to ensure they can dedicate time and energy to provide consultation services and engage more fully with teachers and staff, fostering a collaborative environment where all parties can work together to support student success.

Creating bandwidth for school-wide initiatives

Schools often tackle multiple large-scale priorities, like launching new programs to improve student behavior or addressing mental health concerns. This can overwhelm onsite clinicians, making it difficult to keep up with day-to-day tasks. In these instances, partnering with a remote clinician can be a game-changer. By handling some of the workload, like referrals or assessments, a remote clinician can free up onsite clinicians’ time and mental energy. This allows onsite staff to focus on important school-wide initiatives, such as spearheading a suicide prevention program or leading an inclusivity movement.

Building a stronger team: Enhanced appreciation and trust

Trust and rapport are key to successful collaboration. A 2022 Learning Policy Institute report highlights the positive correlation between staff retention and improved school climate and student achievement.Âł By embracing teletherapy as a solution for easing high caseloads and promoting staff retention, schools demonstrate a commitment to staff well-being. This sends a powerful message that the school administration values its personnel and prioritizes creating a supportive environment for everyone. Similarly, retaining qualified staff promotes more meaningful relationships among colleagues as well as continuity of care for students.

Conclusion

Teletherapy is not a replacement for existing school mental health services: It’s a powerful tool to elevate them. By integrating teletherapy, schools can create a more comprehensive, supportive, and effective system that caters to their students’ diverse needs. It fosters a more collaborative approach among mental health professionals, leading to better outcomes for students. Teletherapy is an investment in the future, ensuring a healthier and more successful learning environment where all students can thrive.

Melissa L. Mitchell, PsyD, EdS

Meet the Author

Melissa L. Mitchell, PsyD, EdS

School Psychologist

Dr. Melissa L. Mitchell is a certified school psychologist with 12 years of experience helping children thrive academically, socially, and emotionally. Her warm, evidence-based approach emphasizes self-compassion and collaboration with parents and other professionals. A pioneer in teletherapy, Dr. Mitchell has served students through Presence for 7 years and authored “From Survival to Service: The Life-Altering Impacts of Telepractice,” a leading guide on telepractice. As editor-in-chief of the newsletter “It All Adds Up: Telepractice in Schools,” she advocates for accessible mental health services. Beyond her private practice and clinical work, Dr. Mitchell is a dedicated wife, mother, and author.

  1. National Association of School Psychologists (NASP). (2023, March). School Psychologist Workforce Data. https://www.nasponline.org/research-and-policy/policy-priorities/critical-policy-issues/shortage-of-school-psychologists
  2. Han, H., & Pianta, R. C. (2020). The Impact of Teletherapy on School Psychologists’ Workload, Satisfaction, and Retention. Journal of School Psychology, 80, 144-158. https://www.sciencedirect.com/science/article/pii/S2666560322000822
  3. Learning Policy Institute. (2022, April). The High Cost of Teacher Turnover. https://eric.ed.gov/?id=ED498001
Stay Connected for More Insights

Stay Connected for More Insights


Don't miss out on valuable insights. Stay connected with us for ongoing support and knowledge.