Date of Graduation

Spring 5-18-2023

Document Type


Degree Name

Doctor of Nursing Practice (DNP)


School of Nursing and Health Professions




Psychiatric Mental Health Nurse Practitioner

First Advisor

Dr. Trinette Radasa

Second Advisor

Dr. Susan Mortell


After the onset of the COVID pandemic, there were significant increases of adolescents with anxiety, behavioral and conduct problems. These disorders have devasting individual, social, and economic ramifications and school-based staff play a key role in identification, assessment, and treatment. Evidence suggested that healthcare providers, school counselors and teachers were not confident or knowledgeable about adolescent mental health. The purpose of the change in practice project was to increase knowledge and confidence among school-based healthcare providers, school counselors and teachers by providing an adolescent mental health tool kit. The toolkit focused on disruptive behavior and other prevalent mental health disorders and trauma focused evidence-based resources that can be used with students. For healthcare providers there is education about an adolescent mental health risk assessment tool and its application. Ethical considerations included the American Nurses Association code of ethics, University of San Francisco Jesuit values and the high school mission. The quality improvement project was a two-group pre-post assessment with educational PowerPoint presentations and integrated concepts of the Conceptual Model of Nursing and Population Health. One group consisted of the school counselors and teachers and the other group were healthcare providers. The barriers that were faced when implementing the innovation were time restriction and resistance to change. Data analysis results showed the projects aim was achieved with over a 20% learning gain for both groups and both parametric and nonparametric pre and post differences in means were significant, there was however an insufficient study population. Qualitative evaluation indicated positive staff attitudes of the adolescent mental health tool kit.

Included in

Nursing Commons