Survey: 1 in 4 Kids Who Needed Mental Health Help Didn’t Get It

When a middle schooler sits down in math class, she might be thinking about the argument she had on the way to school, the stress at home she can’t escape or whether she’s going to eat today. She is probably not thinking about algebra. 

Adults design policies for her future — the classes she takes, the programs available in her neighborhood, the career training offered at her school — but very few of us have ever asked her what she actually needs

In New Orleans, we asked. And what we heard changed the way we design support for young people. Your city should, too

For the past seven years, the Education Research Alliance for New Orleans at Tulane University has led the New Orleans Citywide Youth Survey — a collaborative effort with a steering committee of community organizations, government agencies and school leaders to ask students directly about their lives inside and outside of school. Our most recent survey, conducted with about 2,000 sixth through 11th graders across 16 public schools last spring, added new questions about mental health. The findings are hard to sit with.

About one in three New Orleans youth is struggling with their mental health. About 41% report feeling sad or hopeless almost every day. These are not just New Orleans numbers. National datashow similar rates of adolescent depression and anxiety. 

What is distinctive about New Orleans is that we asked why they are not getting needed help. Twenty-six percent of students said they needed counseling at some point in the past year but didn’t get it. And more than half — 55% — have avoided seeking mental health help at some point because of what others might think. Among Black youth, the numbers are starker: Nearly twice as many reported needing counseling and not receiving it compared to white youth.

Perhaps most telling is whom young people turn to when they’re struggling. The majority said they’d reach out to a friend. Fewer than one in 10 would go to a school counselor. Almost one in five said they wouldn’t reach out to anyone. New Orleans youth told us why they are struggling. And knowing changes things

When we released earlier surveys showing that students were leaving home before dawn to catch school buses, the district changed its busing policy. When a charter management organization noticed that its students’ sense of belonging lagged that of similar schools, they redesigned their social-emotional learning approach. When community leaders learned that New Orleans middle schoolers had far fewer career-preparation opportunities than students nationwide, local workforce organizations began rethinking what support looks like before high school. 

None of those changes would have happened if adults had continued making decisions based on assumptions about what young people need

The mental health findings from this year are already moving conversations. At our public release event, a high school student who helped design the survey described watching classmates struggle in silence — afraid to ask for help, unsure where to turn, not trusting that anyone would understand. She was describing data she had helped collect from students who looked like her. 

The superintendent of New Orleans Public Schools, Fateama Fulmore, said “This report provides encouragement and a sober reminder of the responsibilities we carry as a school system and as a city for our children.” Meshawn Siddiq, deputy director of the city’s Department of Health, echoed, “As a system, I feel like in order for it all to work, every aspect of it needs to work together.” That is the point of this work.

Other cities can do this. The model is not complicated, but it requires intentionality: a commitment to collaborating with local stakeholders to know what information they need, to asking young people real questions, to sharing what you hear even when it’s uncomfortable, and to letting their answers actually drive decisions

Our students are not getting the mental health support they need. They told us that because we asked. The least we can do is listen