Youth mental health needs are increasing, and access to services remains uneven across North Carolina. Schools represent a critical access point for prevention, early identification, and intervention. North Carolina implemented Project AWARE/ACTIVATE to build coordinated school-based mental health infrastructure across diverse districts. This commentary includes a policy and implementation analysis that integrates program documentation and evaluation findings from six pilot Local Education Agencies participating in Project AWARE/ACTIVATE.
Austin et al. (Thu,) studied this question.