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Community Health Needs Assessment Theme 4: The School-Parent Relationship is Strained.

The fourth major theme to come of our 2025 community health needs assessment is the strain that exists in the relationship between schools and parents. Parents describe teachers as dedicated, compassionate, overworked, and underpaid, while also expressing dissatisfaction with school district policies and administration.

Public school districts are convenient access points for a variety of social and health services, but parents do not universally trust the districts. Schools want there to be less strain, yet they find parent engagement challenging. The tension in the school–parent relationship stems from six domains, which are described below. 

A father and mother meet with a teacher in a school classroom. The father looks a bit concerned.

In our 2025 community health needs assessment, we heard 10 major themes impacting youth mental and behavioral health in St. Louis County. See them all and learn how we conducted this assessment. 

A female teacher stands and speaks with a table of three middle school age students in a classroom.

What’s Causing the Tension?

  1. Communication and engagement. Parents report many examples of weak communication with public schools regarding student behaviors, noting that outreach is postponed until the situation has become far too serious. Communication methods and administrative processes sideline them as partners in their child’s education. These feelings undermine trust. Educators acknowledge phone and email communication with parents is challenging, due to classroom teaching duties.
  2. Personnel turnover. All participant groups say the high turnover of counselors harms children; it interrupts treatment plans and forces children to establish a relationship with a new counselor, which can be difficult and time-consuming. For certain groups of children with abandonment trauma, such as youth who are unhoused or in foster care, this effect is exacerbated. Parents believe that high turnover results in less experienced or less effective counselors being left at their child’s school. Note: The term counselor includes therapists, social workers, and guidance counselors who work at the school; they may be employed by the school district or a partner organization. Unlike educators and providers, parents do not differentiate counselors by a type of professional license or functional role.
  3. School safety. Parents describe youth as fearful in schools due to violence or bullying; youth agree that the school environment can be dangerous. They also report stories of schools failing to protect vulnerable children, especially those with mental and behavioral health conditions. They noted that when children are “pulled out” of class for services, they are marked for bullying by peers or unfair treatment by adults with stigma.
  4. Suspension and punishment. There are concerns about using punishment to control youth behavior, in schools where the practices are common. The frequency and severity of punishments that lead to social isolation and disengagement from learning are questioned by parents and educators. See Section 4: Supplemental Findings for additional insight into how these practices are perceived to be connected to justice-involved youth.
  5. Accessing educational resources and school-based services. Parents describe the IEP/504 policies and procedures as a fight, and they are usually dissatisfied with the initial plan for accommodations or healthcare services. Some parents view school districts as uninterested or unwilling to help. Parent frustration is highest when their child’s behaviors or academic struggles are not quite severe enough to qualify for services.
  6. Overuse of technology. Many parents say school districts overuse internet-based technology for assignments, classroom activities, and teacher-student interaction. They believe technology erodes the student-teacher relationship and promotes mobile device addiction, weakening problem-solving skills, and increasing opportunities for cyber-bullying.

Strengthening the Relationship.

The school-parent relationship may be strained, but there are factors that strengthen the school-parent relationship. For example, school-based counseling/therapy services are convenient; school social workers (aka, mental health specialists) are coordinating the efforts of teachers and school staff to support students with and without IEP/504 plans. Parents are aware of and appreciate third-party providers co-located in schools; they value third-party providers for their quality and independence (i.e., not school district employees). Parents like after-school programs, especially the arts, which encourage creativity and develop communication skills. Lastly, parents view teachers as advocates for mental well-being and partners in the care of their children.

Parents and their young son shake hands with a school-based professional in a classroom.

We spoke to more than 300 St. Louisans to understand what needs exist when it comes to youth behavioral health. Learn more about our process.