A Therapist in Every School ✦ California Can't Wait ✦ A Therapist in Every School ✦ California Can't Wait ✦ A Therapist in Every School ✦ California Can't Wait ✦ A Therapist in Every School ✦ California Can't Wait ✦ A Therapist in Every School ✦ California Can't Wait ✦ A Therapist in Every School ✦ California Can't Wait ✦
WHY THERAPY
Why Therapy — School Mental Health in California

California's Kids Are in a Mental Health Crisis.
We Can Reach Them Before It Becomes an Emergency.

Millions of kids spend most of their day at school. It is one of the only places where we can reach almost every young person — no matter how much money their family has, where they live, or whether they know how to find a therapist.

California Can't Wait is fighting to make sure students can get help before they reach a breaking point.

The Numbers

This Is a Real Crisis.

The Crisis
Is Real.
40%
of U.S. high school students reported persistent feelings of sadness or hopelessness in the 2023 Youth Risk Behavior Survey.
20%
seriously considered attempting suicide.
9%
reported attempting suicide.

Source: CDC Youth Risk Behavior Survey, 2023

These are not rare problems happening to a few kids.

In an average classroom, several students may be struggling with serious mental health problems.

Most of them will never tell an adult. Many will never see a therapist at all.

Timing Matters

Mental Health Problems
Often Start Young.

About half of all mental health conditions begin by the mid-teens.

That means childhood and adolescence are some of the most important years to spot a problem and connect someone with help.

Waiting until someone is in the emergency room, addicted, hospitalized, arrested, or suicidal is not early intervention.

We need to reach people sooner.

Birth Age 14 Age 25
~50%

of mental health conditions have already started by about age 14. Researchers put the peak age of onset at 14.5 years. School is exactly where those years are spent.

The Evidence

Therapy Works.

Therapy is not just talking about feelings.

Evidence-based therapy can help young people manage depression, anxiety, trauma, grief, stress, family problems, and other serious challenges.

Research has repeatedly found that psychological treatment improves mental health symptoms in children and teenagers. In a review of five decades of studies covering more than 30,000 young people, kids who got therapy did better than kids who did not about 63% of the time. In a Cochrane review of therapy for youth anxiety, about 49% of young people no longer met the criteria for their main anxiety disorder after treatment, compared with about 18% of those who were left waiting.

Without Early Help
1 A problem starts
2 It gets worse — quietly
3 Crisis
4 Emergency care
With Early Help
1 A problem starts
2 The student asks for help
3 A therapist steps in
4 Support and treatment
Prevention

Early Help Can Save Lives.

Suicide and overdose usually do not appear out of nowhere.

There are often warning signs first — mental health problems, trauma, substance use, or major life stress. Mental health conditions and substance use very often show up together in the same young person.

A therapist can spot risk, provide treatment, build a safety plan, involve family when it is appropriate, and connect a student to a higher level of care when it is needed. In one study of adults treated in emergency rooms, people who made a safety plan with a provider and got follow-up calls had about 45% fewer suicidal behaviors over the next six months than people who got usual care.

The point is not that therapy prevents every tragedy. The point is that we have a far better chance of helping someone when we reach them before the crisis.

Struggling
in silence
→
Reaches out
for help
→
Therapist
intervenes
→
Support,
treatment,
better future
The Case for Schools

So Why Put Therapists in Schools?

Because kids are already there.

Because families should not have to search for months to find help.

Because cost should not decide whether a child gets support.

Because teachers are not therapists.

Because school counselors and psychologists are already overwhelmed.

Because early intervention only works when people can actually reach it.

A licensed therapist in — or directly connected to — every school gives students a door they can walk through when something is wrong.

School counselors do vital work, but they are not the same as licensed therapists, and there are nowhere near enough of them. California has long had one of the highest student-to-counselor ratios in the country: recently roughly 460 to 500 students for every school counselor, compared with the 250-to-1 that the American School Counselor Association recommends.

A student should not need to be suicidal before someone pays attention.

What Changes

Imagine What Could Change.

None of this is far-fetched. It is what happens when a young person can reach a therapist in time.

01

A 12-year-old whose parents are divorcing talks to someone before depression takes over.

02

A teenager having panic attacks gets treatment before they stop coming to school.

03

A student using drugs to cope with trauma gets help before addiction becomes their future.

04

A child thinking about suicide tells a therapist instead of suffering alone.

This is what prevention looks like.

The Missing Piece

California Can Do Better.

10,000+

public schools across California, serving nearly 5.8 million students. We already know where young people are.

Age 14

is around when half of all mental health conditions have already begun. We already know early intervention matters.

Decades

of research show that effective mental health treatment for young people exists and works.

The Gap

is making sure that help is actually there — on time — when a student needs it.

California Can't Wait is building a movement to make timely access to licensed therapists through schools the standard, not the exception.

Take Action

Help Us Put Mental Health Care Where Kids Already Are.

You do not need a degree in psychology. You need a few hours and the belief that a kid in crisis deserves better than a waiting list.

A crisis should not be the first time a child gets help.

California Can't Wait.

If you or someone you know needs help right now: call or text 988 to reach the Suicide & Crisis Lifeline, 24 hours a day, in English and Spanish. If someone is in immediate danger, call 911. 988lifeline.org

Sources

  1. Centers for Disease Control and Prevention. 2023 Youth Risk Behavior Survey Results.
  2. CDC. Mental Health and Suicide Risk Among High School Students — YRBS, United States, 2023. MMWR Suppl 2024;73(4).
  3. CDC. Youth Risk Behavior Survey Data Summary & Trends Report, 2013–2023.
  4. World Health Organization. Adolescent mental health fact sheet.
  5. National Institute of Mental Health. Mental Illness statistics.
  6. Solmi M, et al. Age at onset of mental disorders worldwide: meta-analysis. Molecular Psychiatry, 2022.
  7. Weisz JR, et al. What five decades of research tells us about the effects of youth psychological therapy. American Psychologist, 2017;72(2):79–117.
  8. James AC, et al. Cognitive behavioural therapy for anxiety disorders in children and adolescents. Cochrane Database of Systematic Reviews, 2020.
  9. Stanley B, et al. Comparison of the Safety Planning Intervention With Follow-up vs Usual Care. JAMA Psychiatry, 2018;75(9):894–900. (Study conducted with adults in Veterans Affairs emergency departments.)
  10. National Institute on Drug Abuse. Common Comorbidities with Substance Use Disorders.
  11. CDC. Suicide Prevention: Risk and Protective Factors.
  12. CDC. Adolescent and School Health: Mental Health.
  13. American School Counselor Association. School Counselor Roles & Ratios.
  14. California Department of Education. Fingertip Facts on Education in California.
  15. National Institute of Mental Health. Child and Adolescent Mental Health.