Exit Plan

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A Clear, Practical Way Out of the Youth Mental Health Crisis for Parents, Educators, and Legislators

A clear, practical way out of the youth mental health crisis for parents, educators, and legislators.
We’re living through a youth mental health crisis—and for many adults trying to fix it, the hardest part is that nothing seems to change. Despite best intentions, schools, families, and systems often feel stuck, overwhelmed, or unsure where to begin.
In Exit Plan: Mapping a Way Out of the Youth Mental Health Crisis, Dr. Kathleen Mackenzie draws on decades of work inside K–12 schools to explain what this crisis really looks like on the ground. Along the way, she explores why it’s happening now and, more importantly, what actually helps.
Through vivid stories and practical examples, readers gain insight into how schools can respond differently and how families can take meaningful action. Rather than offering quick fixes, this book focuses on grounded, realistic steps you can start using right away.
At its coreExit Plan is part memoir and part practical guide—rooted in dignity, autonomy, and harm reduction. It is written as a direct conversation with parents, educators, and leaders who are ready for change.
You’ll learn why sleep is foundational (not a luxury), how digital environments shape mood and motivation, and how to build an “exit plan” at home, in classrooms, and at the policy level. Most importantly, the book offers clarity without panic and direction without blame.
Because protecting kids takes all of us, this work emphasizes collaboration over control. We can’t keep doing more of the same—and the good news is, we don’t have to.

Book Available for purchase Spring 2026

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WHAT PEOPLE ARE SAYING

Testimonials

Dr. Mackenzie’s legacy as an educator and clinician, who advances wellbeing and fights to find solutions for those who are vulnerable is impressive. Dr. Mackenzie is an outstanding listener, who elicits trust and works to bring out the best in those she serves.

Dr. Kristen Lee

LICSW, Author, Clinician, Keynote Speaker Dr. Kris Lee

Dr. Mackenzie is a visionary leader in school-based mental health who oversees and trains counselors through innovative professional development systems. A skilled and inspiring speaker, she translates expertise in trauma-informed practice, crisis intervention, and social-emotional learning into practical strategies that empower educators and strengthen student support.

John Crocker, MEd

Founder and Director of Massachusetts School Mental Health Consortium MASMHC

Dr. Mackenzie saved my life. She was the only one who cared for me when I got removed from my home as a teenager. I felt suicidal and she helped me find a reason to live. Now I have a meaningful career and I am the happy mother of 3.

Anonymous