Supporting Student Well-Being in Christian Schools: What Graduates Teach Us About Mental Health, Spiritual Formation, and School Environment

Nancy Gillespie | June 30, 2026

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There is a mental health crisis among American children. Mental health concerns among adolescents continue to rise, with more than eight million children ages 3–17 experiencing a diagnosed mental or behavioral health condition (CDC, 2024). Research suggests that students in public and Protestant schools report similar mental health concerns (Swaner et al., 2024), and most mental health conditions emerge before age 18 (Velasco et al., 2020). Because schools are often the first place where concerns are observed, Christian schools have a unique opportunity to support students through positive relationships, spiritual formation, and access to mental health resources. 

 

 

 

 

 

Methodology: 

This qualitative phenomenological study explored the lived experiences of 13 graduates from ACSI member high schools across four states. Participants graduated between 2020 and 2025 and completed semi-structured interviews focused on mental health, spiritual formation, school environment, and access to mental health support and resources. 

 

Findings

After a thematic analysis of the data, five themes emerged as key components of the graduates' lived experiences.   

 

  1. The commonality of mental health challenges:  

Most participants described experiencing stress, anxiety, depression, or other mental health challenges during high school. 

 

  1. The influence of the school environment on an individual’s high school experience: 

Small school environments often fostered a sense of belonging and connection, but some graduates raised concerns about confidentiality and professional boundaries. Graduates described times when they felt unsure about whom to approach if they had something difficult and confidential to discuss, as they didn’t want to become the topic of conversation within the school community.  

 

  1. The power of relationships: 

Trusted adults, including teachers, counselors, coaches, and administrators, often had a lasting impact on students' mental health and spiritual development. Relationships impacted individuals both positively and negatively. Some students looked to the adults in the building as spiritual mentors and people with a Godly influence on their spiritual journey. Other participants recalled relationships that were hurtful and judgmental, leaving a negative imprint on them both emotionally and spiritually.  

 

  1. The connection between spiritual and mental health: 

Participants consistently described a relationship between their spiritual growth and emotional well-being, though experiences varied. To illustrate, I created a timeline based on two participants (pseudonyms have been assigned), showing how their life experiences aligned in many ways, yet their spiritual and mental health journeys went in opposite directions.  

 

A timeline diagram comparing spiritual development and mental health progress for Brook and Amber across different life stages. Each row uses blue dots and text labels to highlight key experiences, challenges, and milestones such as mission trips, COVID-19 impact, and changes in faith and mental well-being, with arrows indicating the relationship between spiritual and mental health.

 

 

  1. The school’s response to mental health: 

Graduates from schools with licensed school counselors and intentional mental health programming reported more positive experiences and greater access to support. Participants described three types of experiences: schools with limited mental health resources, where counselors in the building did not have positive relationships with students; schools that relied on trusted adults rather than formal counselors and trained professionals; and schools with licensed school counselors who provided proactive mental health education and support. Graduates from the latter group reported the most comprehensive support. 

 

Each participant was asked the question: If you could go back and wish for one thing that your high school would have changed regarding mental health support, what would that be? Here is what they had to say in their own words (pseudonyms assigned). 

 

 

 

 

 

 

 

Implications for School Leaders: 

The findings suggest that Christian schools should prioritize access to licensed school counselors and evidence-based mental health programming. While Christian schools have historically emphasized academic achievement and spiritual formation, participants consistently described mental health support as foundational to both. Investing in mental health resources may strengthen students' academic success, spiritual growth, and overall well-being. 

 

The average private high school has an enrollment of 257.7 (258) students (National Center for Education Statistics (NCES), 2021). According to the latest data from the CDC, of those 258 students, hypothetically, 102 (39.7%) would likely experience persistent sadness and hopelessness; 74 (28.5%) would likely struggle with poor mental health; 53 (20.4%) students would likely seriously consider attempting suicide, and 25 (9.5%) are likely to make a suicide attempt (Verlenden et al., 2023). These numbers are staggering, and mental health must be addressed in our schools by trained and licensed school counselors or other mental health professionals to offer a culture of care and an environment that promotes well-being.  

 

 

References: 

Centers for Disease Control and Prevention. (2024, May 15). Data and statistics on children's mental health. U.S. Department of Health and Human Services.  

 

National Center for Education Statistics. (2021). Private school universe survey. U.S. Department of Education.  

 

Swaner, Lynn E., Albert Cheng, and Jonathan Eckert. “School-Sector Influence on Graduate Outcomes and Flourishing: Findings from the 2023 Cardus Education Survey.” Cardus, 2024.    

Swaner, Lynn E., Rian Djita, and Adam Wilson. “Mental Health and Well-Being in Christian Schools: Educators’ Perspectives.” Cardus, 2026.  

 

Velasco, A., Cruz, I. S. S., Billings, J., Jiménez, M., & Rowe, S. (2020). What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review. BMC Psychiatry, 20(1), 293.  

Verlenden JV, Fodeman A, Wilkins N, et al. Mental health and suicide risk among high school students and protective factors — Youth Risk Behavior Survey, United States, 2023. MMWR Suppl 2024;73(Suppl-4):79–86.

 

 


 

About the Author

 

Nancy Gillespie is an experienced school counselor with a demonstrated history of working collaboratively and professionally to create and implement a comprehensive school counseling program at Grove City Christian in Ohio. She has been a licensed school counselor for 16 years and has served as a supervisor to over 25 master鈥檚 level school counselors in training. She is passionate about her role and is convinced she has the greatest job in the world as she invests in the lives of young people. To better serve her students and families, Nancy is pursuing a Ph.D. in Counselor Education and Supervision from The Ohio State University. Her research interests include adolescent mental health, COVID disruptions, the effects of technology on teens, and developmental assets. She was instrumental in bringing the Mental Health & Well-Being Network to ACSI and advocates for staff and students' mental health and well-being. She is passionate about her role as a pastor鈥檚 wife, mom, and school counselor. Nancy loves to write, speak, and share God's amazing message of hope with those around her.
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