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First Book, an Innovative Leader in Education Equity, Releases Groundbreaking Research Illustrating the Impact of COVID-19 on Emotional Wellness of Students in Underserved Communities

Nearly One Thousand Educators Participated; Report that over half (53%) of the students they serve struggle with their mental health.

WASHINGTON, April 5, 2022—First Book, a nonprofit organization dedicated to ensuring education equity for children living in poverty, today announced the results of a national survey designed to identify emotional wellness challenges faced by school-age children. In addition to reinforcing earlier findings regarding the devastating mental health effects of COVID-19, this survey shed new light on the severity of this impact — especially in communities of need. It also established that emotional wellness issues have become a significant barrier to education for many students who attend schools in these communities – a majority of whom are children of color. Pediatric psychologists from Nationwide Children’s Hospital’s On Our Sleeves movement for children’s mental health partnered with First Book to offer a clinical perspective on survey questions and process.

In the new survey findings, educators report that 53 percent of the students they serve struggle with their mental health and only 20 percent of educators feel prepared to support the mental well-being of their students. Of significant concern, 98 percent of educators say mental health challenges act as a barrier to children’s education. And notably, educators are facing their own mental health challenges. Student mental wellness issues have a ripple effect on educators who feel helpless and unsupported.

“Educators across the country are speaking out about the urgency of the mental wellness issues that their students are facing, how they don’t feel prepared to address the issues, and how those issues act as a barrier to learning. Based on what we’re hearing from our Network of educators, this is truly a crisis,” said Kyle Zimmer, president and CEO, First Book. “First Book is committed to supporting low-income communities that have been disproportionally impacted by the pandemic and the data revealed in this survey is guiding us in providing educators with high-quality, research-driven tools to nurture emotional wellness and develop healthy habits that prepare students to not only learn but thrive.”

On an ongoing basis First Book solicits input from its Network of more than 525,000 educators – all of whom serve children in need – to enable the organization to directly address the needs of practitioners and the children they serve. Mental wellness was spotlighted as a critical problem exacerbated by COVID-19, leading the organization to design focus groups and a survey to better understand the magnitude and scope of the issue, as well as what is needed to address this barrier to education. Nearly 1,000 educators responded to the survey providing startling data. The results provided a framework for the resource, which is now available, entitled: Taking Care: An Educator Guide to Healthy Habits for Student Emotional Wellness, a free resource created in collaboration with On Our Sleeves. The resource and study are now available through First Book.

“Collaborating with First Book to provide educators with evidence-informed activities and curriculum is one more step forward in making sure they feel more prepared to support their students,” said Ariana Hoet, Ph.D., clinical director of On Our Sleeves and pediatric psychologist at Nationwide Children’s Hospital. “Educators have been on the frontline supporting children’s mental health before and throughout the pandemic with limited resources. We know the pandemic has exacerbated worries around children’s mental health, so this need is even more crucial than ever.”

According to the First Book study, the top three life circumstances or experiences that contribute to children’s mental health challenges are 1) unstable or difficult home life; 2) hunger/food insecurity and 3) isolation due to Covid-19. Because these three factors often intersect as children grapple with returning to normalcy post-pandemic, the resources First Book provides to educators are essential tools for helping them become better equipped to aid students who are still dealing with the effects of Covid-related depression, trauma, loneliness, and loss.

First Book’s findings are particularly relevant given recent warnings issued by professional organizations such as the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association. These groups have declared a national emergency in children’s mental health and have noted that psychological strains, made worse over the past few years by pandemic-associated isolation, anxiety, fear, and grief, have caused a crisis in several societal sectors including education. They also emphasize that children in communities of color have been disproportionately impacted due to previously unresolved inequities linked to structural racism.

Additional key findings in First Book’s survey include:

  • 72% of educators say the pandemic has introduced new mental health challenges among students/children;
  • 65% of educators report the pandemic has exacerbated the existing mental health challenges students already faced;
  • 80% of educators believe gaining access to mental health support is a high or emergency priority in relation to students’ overall needs at this time;
  • 98% of educators say mental health challenges act as a barrier to children’s education;
  • 93% of educators became aware that a student was struggling with mental health issues due to a noticeable change in behavior;
  • 92% of educators indicated they are very or extremely interested in accessing support resources focused on promoting the general mental health and well-being of all students;
  • 51% of educators report that a student’s race/racial identity is relevant to their mental health;
  • 68% of respondents indicate that they take a child’s race and/or culture into consideration when supporting their mental well-being (e.g. observe family/cultural norms, design a culturally inclusive curriculum, and foster open and trusting relationships with their students);
  • 74% of educators are very or extremely interested in accessing support resources to help them approach mental health challenges related to race, identity, and intersectionality;
  • Older children reportedly struggle more than younger children. Educators serving middle and high school students estimate that 59% and 60% (respectively) of the students they serve struggle with mental health, while early childhood and elementary educators estimate 50% and 52% (respectively) of their students struggle.  This compares to the general population at 53%;
  • Educators in urban and suburban communities consider addressing mental health as a stronger priority (83% high/emergency priority) vs. their rural counterparts (75% high/emergency priority). 

Media Contact + Information

About First Book

Founded in Washington, D.C., in 1992 as a 501(c)3 nonprofit social enterprise, First Book is a leader in the educational equity field. Over its 29-year history, First Book has distributed more than 200 million books and educational resources, with a retail value of more than $2 billion. First Book believes education offers children in need the best path out of poverty. First Book breaks down barriers to quality education by providing its Network of more than 525,000 registered teachers, librarians, after school program leaders, and others serving children in need with millions of free and affordable new, high-quality books, educational resources, and basic needs items through the award-winning First Book Marketplace nonprofit eCommerce site. The First Book Network comprises the largest and fastest-growing community of formal and informal educators serving children in need.

First Book also expands the breadth and depth of the education field through a family of social enterprises, including First Book Research & Insights, its proprietary research initiative, and the First Book Accelerator, which brings best-in-class research-based strategies to the classroom via relevant, usable educator resources. First Book Impact Funds target support to areas of need, such as rural communities or increasing diversity in children’s books. For more information about First Book, please visit

About On Our Sleeves®

Children don’t wear their thoughts on their sleeves. With 1 in 5 children living with a significant mental health concern and half of all lifetime mental health concerns starting by age 14, we need to give them a voice. On Our Sleeves®, powered by behavioral health experts at Nationwide Children’s Hospital, aims to provide every community in America with free resources necessary for breaking child mental health stigmas and educating families and advocates, because no child or family should struggle alone.

Since the inception of On Our Sleeves® in 2018, more than 3 million people in every state across America have interacted with the movement’s free pediatric mental health educational resources at and educator curricula have reached more than four of five classrooms across the United States.

To schedule an interview with a spokesperson for First Book, please contact Yona Deshommes at or Ian Kenison at Visit our press room for additional information, including our media kit.