"Beyond the Classroom Walls: School Mental Health Nursing as a Catalyst for Student Well‑Being and Educational Success"

Abstract: Mental health concerns among school‑aged children and adolescents have emerged as a major public health and educational challenge worldwide. Rising prevalence of anxiety, depression, behavioral disorders, self‑harm, substance use, and psychosocial stressors has intensified the need for accessible, early, and developmentally appropriate mental health services within school settings. School Mental Health Nursing (SMHN) has evolved as a critical and specialized field that integrates nursing, mental health care, public health, and education to promote holistic student well‑being. This review article aims to critically examine the emerging roles of school mental health nurses and evaluate their effectiveness in improving mental health outcomes, academic engagement, and overall school climate. Drawing on contemporary literature, the review discusses the conceptual foundations of school mental health nursing, core competencies, role expansion, models of service delivery, evidence of effectiveness, ethical and legal considerations, interprofessional collaboration, and future directions. The article highlights how school mental health nurses function as clinicians, educators, advocates, coordinators, and change agents within complex school ecosystems. Despite growing evidence supporting their impact, challenges such as workforce shortages, role ambiguity, limited policy support, and resource constraints persist. Strengthening school mental health nursing through education, research, and policy integration is essential for addressing the mental health needs of students and fostering resilient school communities..