Mental Health Interventions and Supports for Students with Autism Spectrum Disorder and Comorbid Mental Health Diagnoses

This qualitative case study examined the impact of mental health interventions on behavioral outcomes, disciplinary incidents, and placement stability among students diagnosed with autism spectrum disorder (ASD) and comorbid mental health conditions. The study focused on the experiences of two families in Ohio whose children exhibited significant behavioral challenges and received educational services through the Autism Scholarship Program. Semi-structured interviews were conducted with parents to explore their perceptions of the effectiveness of mental health support, including counseling, cognitive-behavioral therapy (CBT), medication management, and specialized educational placements. Data was analyzed using thematic analysis, revealing four major themes: the importance of consistency and continuity of mental health support; the value of individualized and holistic approaches that address both behavioral and emotional needs; the influence of environmental and programmatic fit on behavioral success; and the benefits of collaboration and wrap-around services among schools, families, and mental health providers. Parents also identified barriers such as fragmented communication, limited access to qualified providers, placement instability, and systemic funding constraints. Findings suggest that coordinated, contextually appropriate mental health interventions can reduce challenging behaviors, decrease time out of class for disciplinary concerns, and promote placement stability for students with ASD and co-occurring mental health disorders. Implications for educational practice and policy include the integration of mental health services within schools, targeted professional development, and equitable access to specialized programming. Keywords: Autism Spectrum Disorder, comorbid mental health, behavioral intervention, placement stability, qualitative case study, education, Ohio Autism Scholarship