Representative Steve Eliason proposes the following substitute bill:


1     
CONCURRENT RESOLUTION REGARDING MENTAL HEALTH

2     
SUPPORT IN SCHOOLS

3     
2023 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: Steve Eliason

6     
Senate Sponsor: Ann Millner

7     

8     LONG TITLE
9     General Description:
10          This resolution recognizes the crucial contributions of school nurses, psychologists,
11     social workers, and counselors in Utah schools.
12     Highlighted Provisions:
13          This resolution:
14          ▸     highlights the critical role of school nurses, psychologists, social workers, and
15     counselors in education;
16          ▸     recognizes the inadequacy of current funding streams to meet demand for
17     school-based mental health professionals;
18          ▸     supports the creation and adoption of school formulas for staffing school-based
19     mental health professionals at appropriate levels; and
20          ▸     commits to exploring legislative options for increased funding allocations for
21     school-based mental health positions.
22     Special Clauses:
23          None
24     

25     Be it resolved by the Legislature of the state of Utah, the Governor concurring therein:

26          WHEREAS, the Legislature recognizes that school nurses, school social workers,
27     school psychologists, and school counselors are uniquely qualified to provide essential
28     supports that address the physical, social, and emotional needs of students;
29          WHEREAS, all children and youth learn best when they are healthy, supported, and
30     receive an education that meets their individual needs, schools can more effectively ensure that
31     all students are ready and able to learn if schools meet all the needs of each student, and
32     learning and development are directly linked to the physical and mental health of children and a
33     supportive learning environment is an optimal place to promote physical and mental health;
34          WHEREAS, the school-based mental health professionals create a strong support for
35     students by directly working with parents and families and connecting parents, families, and
36     students with community resources outside the school system;
37          WHEREAS, the State of Utah has a shortage of all of the professionals listed in this
38     resolution, and as of the 2021-2022 school year:
39          the ratio of school psychologists to students in Utah was 1:2,114 students, while the
40     national recommendation is 1:500-700;
41          the ratio of school social workers to students in Utah was 1:2,443, while the national
42     recommendation is 1:250;
43          the ratio of school nurses to students in Utah was 1:2,445, while the national
44     recommendation is one for each school, and the Utah recommendation is 1:2,000; and
45          the ratio of school counselors to students in Utah was 1:503, while the national
46     recommendation is 1:250, and the Utah recommendation is 1:350;
47          WHEREAS, school psychologists are specially trained to deliver mental health services
48     and academic support that lower barriers to learning and allow teachers to teach more
49     effectively; school psychologists use sound psychological principles which are critical to
50     proper instruction and learning, social and emotional development, prevention and early
51     intervention, and support for a culturally diverse student population; school psychologists
52     facilitate collaboration that helps parents and educators to identify and reduce risk factors,
53     promote protective factors, create safe schools, and access community resources; and school
54     psychologists are trained to assess barriers to learning, utilize data-based decision making,
55     implement research-driven prevention and intervention strategies, evaluate outcomes, and
56     improve accountability;

57          WHEREAS, school social workers are trained mental health professionals especially
58     skilled in providing services to students who face serious challenges to school success,
59     including disability, poverty, discrimination, abuse, neglect, mental illness, homelessness,
60     bullying, familial stressors, and other barriers to learning; school social workers, being licensed
61     mental health professionals in schools in the United States, are a vital link between the home,
62     school, and community by providing necessary assessments, interventions, counseling, family
63     outreach, and community referrals; and school social workers maintain knowledge of school
64     culture and school climate, which are necessary for responsible school safety planning;
65          WHEREAS, school nurses are registered professional school nurses that advance the
66     well-being, academic success, and life-long achievements of all students by serving the school
67     community and providing a critical safety net for our state's children; school nurses provide
68     support and direct care to students with acute injuries and chronic health conditions through
69     care management, advocacy, and coordination; school nurses are often the first to identify
70     behavioral health concerns and families in crisis; school nurses act as a liaison to the school
71     community, parents, and health care providers on behalf of children's health by promoting
72     wellness and improving health outcomes for our community's children; and school nurses, as
73     members of school-based mental health teams, understand the link between health and learning
74     and are in a position to make a positive difference for children every day;
75          WHEREAS, school counselors recognize and respond to the need for mental health
76     services that promote social/emotional wellness and development for all students; school
77     counselors advocate for the mental health needs of all students by offering instruction that
78     enhances awareness of mental health, appraisal, and advisement addressing academic, career,
79     and social/emotional development, short-term counseling interventions, and referrals to
80     community resources for long-term support; school counselors perform a wide range of duties
81     to help students excel academically, develop resiliency, adjust socially, and cope with
82     school-related and personal concerns or problems both in and out of school; school counselors
83     help develop well-rounded students by guiding students through academic learning, social and
84     emotional development, and career exploration; school counselors play a vital role in ensuring
85     that students are ready for both college and careers; and school counselors coordinate efforts to
86     foster a positive school climate, resulting in a safe learning environment for all students;
87          WHEREAS, the Legislature recognizes that school nurses, school social workers,

88     school psychologists, and school counselors are uniquely qualified to provide essential
89     supports that address the physical, social, and emotional needs of students;
90          WHEREAS, the need for comprehensive student support has grown beyond what is
91     currently funded in the prototypical school model, and the need for these professionals in
92     schools has grown beyond what is currently available for staffing and hiring availability;
93          WHEREAS, the Legislature recognizes that solving a shortage problem in these
94     multiple fields will require a multifaceted response; action and problem solving will need to
95     address training program funding, training program increased capacity, payment structures that
96     incentivize and honor professionals to work and stay working in school systems, models of
97     school-based mental health services to best utilize all professionals, ensuring professionals are
98     able to work within their appropriate domains, creative funding solutions, and taking advantage
99     of all funding opportunities to support intentional efforts to solve this issue; more than one
100     solution will be necessary, and solutions will need to be collaboratively created with all
101     stakeholders; and we cannot wait for one solution before working towards another, otherwise
102     we continue to be stuck in a loop of inaction;
103          WHEREAS, current funding streams do not support appropriate hiring of school-based
104     mental health professionals, and the opening of other funding streams, such as general
105     education funds, would more accurately represent student needs and support hiring of
106     school-based mental health professionals; and
107          WHEREAS, while certain school-based mental health professionals have codified
108     ratios in place, others do not; having a codified ratio is a step in the right direction, and each
109     school-based mental health profession should have a codified ratio; however, ratios are of little
110     practical use if local education agencies (LEAs) are not able to or choose not to use multiple
111     streams of funding to pay for professionals; ongoing funding is needed to meet the ratio rules
112     that already exist or should be created; and codified ratios help to guide LEAs in appropriate
113     staffing decisions:
114          NOW, THEREFORE, BE IT RESOLVED that the Legislature of the state of Utah, the
115     Governor concurring therein, supports the creation and adoption of school formulas for staffing
116     physical, social, and emotional support in schools to meet staffing ratio recommendations for
117     school nurses, school counselors, school social workers, and school psychologists.
118          BE IT FURTHER RESOLVED that the Legislature and the Governor honor and

119     recognize the contributions of school nurses, school counselors, school social workers, and
120     school psychologists in providing social and emotional support and health services to K-12
121     students across the state of Utah.
122          BE IT FURTHER RESOLVED that the Legislature and the Governor commit to
123     exploring legislation to provide increased allocations to LEAs that demonstrate they have hired
124     staff for these roles or have a need for hiring to meet appropriate ratios in anticipation that
125     enhanced state funding will allow school districts to hire additional school nurses, school social
126     workers, school psychologists, and school counselors.
127          BE IT FURTHER RESOLVED that the Legislature and the Governor commit to
128     exploring increased funding to increase the number of school nurses, school counselors, school
129     social workers, and school psychologists providing social and emotional support and health
130     services to K-12 students across the state by adopting a formula for the distribution of a basic
131     education instructional allocation for each LEA.
132          BE IT FURTHER RESOLVED that the Legislature and the Governor support exploring
133     the codification of appropriate ratios for all professions if they are not already in statute.
134          BE IT FURTHER RESOLVED that the Legislature and the Governor commit to
135     funding for training programs to increase student capacity and explore ways that training
136     programs can access necessary supports, funding, and personnel to increase training of future
137     professionals.
138          BE IT FURTHER RESOLVED that the Legislature and the Governor commit to
139     furthering retention and attraction of professionals to the school system and finding related
140     retention and attraction solutions.
141          BE IT FURTHER RESOLVED that the Legislature and the Governor commit to
142     exploring salary and payment of professionals compared to other educators and professionals
143     working in the private sector and to generating ideas to make payment equitable and attractive.
144          BE IT FURTHER RESOLVED that the Legislature and the Governor commit to
145     exploring professionals' scope of practice and structures of school-based mental health services
146     to ensure that professionals are being used in the appropriate capacity and are able to function
147     in their specific domains that support their retention in school systems and best services
148     delivered to students.