Pulse Check 2025: Mothers on Child Mental Health Impacts, Care, and Support
September 17, 2025
In-depth

In September 2025, Count on Mothers released findings from a nationally representative study of mothers across regions and the political spectrum on children's mental health needs, access to care, and family experiences navigating support systems. The study examines mothers' firsthand observations at home, in schools, and in healthcare settings to identify gaps in care and practical paths forward. Findings show the scale of unmet need, the central role of cost and insurance barriers, and the importance of school-based and family-centered solutions.

Related themes:

Child and Family Mental Health Access and Support

Shared Priorities and Cross-Partisan Alignment Among Mothers

Family Economic Security and Cost Pressures

  • Worry about children's mental health is widespread. 56% of mothers say they are worried about their children's mental health, consistent across income, region, and political affinity.
  • Many mothers who seek care cannot get it. Among mothers who sought mental health support for their child, nearly 1 in 4 (23%) were unable to get care when they needed it, most often because of cost.
  • Cost is the primary barrier, including for insured families. 96% of families report insurance coverage, and 51% of mothers still name cost as the main obstacle to accessing mental health care for their children.
  • Private coverage falls short on access. Fewer than half of privately insured mothers say their plan provides sufficient access to mental health care.
  • Mothers' and children's mental health move together. Mothers who worry about their children's mental health are significantly more likely to report difficulty caring for their own.
  • Existing services remain hard to use. Where services exist, mothers describe practical obstacles including therapist availability, uneven school-based supports, limited provider training, and scheduling constraints.
  • School-based supports are the solution mothers name most. Asked to describe the mental health support that would work best for their family, mothers most frequently identified expanded, well-resourced school-based mental health services.

Source. Count on Mothers, Pulse Check 2025: Mothers on Child Mental Health Impacts, Care, and Support, September 2025. Nationally representative survey of 2,700 U.S. mothers, weighted to be representative of U.S. mothers nationally, with findings reported across region and political ideology. Inseparable funded the study and provided subject matter expertise on the survey instrument, with advance access to findings before publication. Inseparable had no editorial influence. Count on Mothers retained final authority over methodology, data analysis, interpretation, and publication. Research led by Jennifer Brailsford, PhD, Director of Research, and Melissa Lawrence, MPH, Director of Data Science. Full methodology and field dates are available in the report.

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Methodology

Count on Mothers conducts nationally representative research with U.S. mothers, weighted to reflect the population and reported in aggregate. Research is led by a PhD-credentialed methodologist and MPH data scientist.

Findings have been cited by U.S. Senators and Representatives in legislative briefings and one-pagers on technology policy, childcare, and paid leave.
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