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“So – You Are Interested in Getting More Mental Health Services – Now What?” . Regional School Counselor Conference 2014. Objectives. Participants will be able to: Describe the three tiers of an expanded school mental health model (ESMH) - PowerPoint PPT Presentation
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“So – You Are Interested in Getting More Mental Health Services – Now
What?”
Regional School Counselor Conference 2014
ObjectivesParticipants will be able to:• Describe the three tiers of an expanded
school mental health model (ESMH)• Identify at least three resources for
planning and implementing a comprehensive model
• Identify at least three strategies essential to successful implementation
2
Introductions
Tiffany Pittman, WV DHHR, BHHF• [email protected]
Jessica Laslo, School Counselor, Ohio County• [email protected]
Stephanie Hayes, Marshall University• [email protected]
3
5
Links Between Mental Health and School Success
Facts• 5-9 % of children and teens have a
serious emotional disturbance. (US Surgeon General’s Report, 1999)
• 20% of children and adolescents at any given time have a diagnosable mental disorder which interferes with their functioning.(US Surgeon General’s Report, 1999)
7
Facts• 1-2 children in every classroom have a
diagnosable mental health concern which hinders functioning. (President’s New Freedom Commission Report)
• Less than 50% of children and adolescents with a mental illness receive adequate (or any) services (Kataoka, Shang, Wells, 2002)
8
Academic Performance• Is negatively affected by:
– Alcohol, tobacco, and other drug use – Emotional problems – Health risk behaviors (e.g. obesity, sexual behavior,
poor diet)– Low self-esteem, risky sexual behavior– Lack of access to health and mental health care– Poor home life
• Is positively affected by:– High levels of resiliency, developmental assets, and
school connectedness(work of CASEL, Search Institute; and others)
9
Graduation RatesSchool Mental Health strategies can improve graduation rates by addressing factors that interfere with a student’s ability to succeed in school, such as:• Exposure to violence• Anxiety disorders• Other unmet mental health needs
(Black, et al, 2003, Woodward & Ferguson, 2001; and others)
10
DefinitionExpanded School Mental Health refers to programs that build on the core services typically provided by schools. It is a three-tiered framework that includes the full continuum of:
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• Prevention• Early intervention • Treatment• Emphasizes shared
responsibility between schools and community providers
…IN BOTH GENERAL AND SPECIAL EDUCATION
Focuses on all students…
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Builds on existing school programs, services, and strategies.
13
(Is consistent with and supported by WVDE policies 4373, etc.)
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TIER 1 - UNIVERSAL PREVENTIONRECOMMENDATIONS1. Infrastructure2. Positive Behavior
Support3. Developmental
guidance4. Early identification5. School climate6. Connectedness
7. Family engagement8. Staff development9. School safety 10. Support for Transitions
15
Student Support Services
Social and Emotional Learning
Mental Health Services Act
Student Mental Health Initiative Safe Schools, Healthy Students
Peer-to-Peer Support
School climate
School connectedness
Coordinated school health program
Suicide Prevention
Strengths based
Risk and protective factors
Family support services
Cultural competence
MulticulturalismShared Agenda
School based
School linked
Special Education
NCLB
IDEA
Crisis management
Evidence based practice
Multi system approach
Response to InterventionPBIS
Systems of Care
School linked
Wrap around
Student Assistance Team
Where to Begin?
16
Planning Process1. Educate yourself 2. Gain support from administration
• Principal• District
3. Form core school leadership team (Administration, RESA Wellness Spec, school nurse, SAT, special ed…)
4. Form steering team MH Child Liaison, health, business, FRN, substance abuse, parents, youth….)• http://www.dhhr.wv.gov/bhhf/resources/Documents/Resources/PD
F%20Comprehensive%20CBHC%20Directory%20revised%205.4.2012.pdf
• Meet regularly• Educate one another, review models• Keep notes , develop an action plan, follow through• Build RELATIONSHIPS
Planning Process4. Analyze needs and resources
• School data; SWOT analysis• School Improvement Plan• MH-PET: www.nasbhc.org/mhpet
5. Identify and negotiate with community MH provider(s)
6. Develop an implementation plan• Set vision, goals, objectives, timeframes
7. Memo of Understanding (MOU)• Hours, funding, staffing, liability
8. Monitor, re-assess, evaluate progress
Funding
19
It doesn’t take a lot of money; just a few committed people
Start small – focus on “low hanging fruit”
A diversified funding base increases sustainability
• School System: Title 1, Safe and Supportive Schools, SIG, Innovation Zone
• BBHHF - [email protected]
• Community Mental Health
• Third party insurance
• Community Health Centers
• Corporations/Businesses
• Hospitals• County Commission
• Community Foundations- SSJHWF, regional
• Family Resource Network
Recommended Reading
Realizing the Promise of the Whole-School Approach to Children’s Mental Health: A Practical Guide for Schools
National Center for Mental Health Promotion and Youth Violence Prevention:
http://promoteprevent.org/Publications/
20
National ResourcesCenter for School Mental HealthU of Maryland: www.csmh.umaryland.edu
National Assembly on School Based Health Care: www.nasbhc.org
Compassionate Schoolswww.k12.wa.us/CompassionateSchools
21
West Virginia Resources“WV Educators Speak” video
Tool Kits & Briefs
Website Links
ESMH Start-Up Guidehttp://livewell.marshall.edu/mutac/wp-content/uploads/2013/11/ESMH-Start-Up-Guide.pdf
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www.schoolmentalhealthwv.org
www.wvshtac.org
Linda Anderson, MPHMarshall UniversityHuntington, West [email protected]
Stephanie Hayes, MAMarshall UniversityHuntington, West [email protected]
Ohio County SchoolsMadison Elementary
Expanded School Mental Health
Services
Tier 1 Academic and Behavioral Supports
Co-teaching PLC bi-weekly Teacher study/support groups Anchor (after school) Attendance care calls NetSmartz Music Together
Too Good for Drugs/Violence Second Step Keep a Clear Mind Family dinner nights Gold Star (PBS) D.A.R.E Lunch Buddy Program
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Tier 2 Academic and Behavioral Supports
SAT SPL Tier pull-out interventions Extended day tutoring Juvenile Mediation Program Extended Year
KOOL Kids Program (middle school transition) Weekend Snack Bag Program Group counseling- Bullfrogs & Butterflies
Afterschool Program (Coping Cat)
27
Tier 2&3School-Based Mental Health
CHOICES Program (since 2002)
Group, Individual & Family Therapy in coordination with Northwood Health Systems
A Center for HOPE & Change (est. 2012)
Individual and family counseling,Coordination with local agencies
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Challenges and Barriers
Scheduling time for students to be seen during the school day
Having a regular, confidential space for children to receive services
Staffing Family participation and commitment Keeping cases open through the summer
29
Impact on Students & Families Having the services at school during the school day
reduces the barriers for children to get needed services and minimizes the disruption to their education.
First year outcomes include improved attendance, increased social skills, decreased aggression, and improved relationships.
In addition, Madison Elementary was named a 2012 WV Title 1 Distinguished School - one of 12 out of 329 Title 1 schools in West Virginia.
30
2012-13 ESMH SERVICE HIGHLIGHTS FOR
MADISON ELEMENTARY“For All” (Tier 1):
37 staff trained to become a Trauma-Informed School 30-35 Families attending Family Night Program Positive Behavior Support (250 students)
“For Some” (Tier 2): 37 students receive mentoring, after-school group counseling and
other academic/behavior supports “Kool Kids” significantly impacting 5th grade attendance rate
“For a Few” (Tier 3): 22 students receive individual, group & family therapy through
Northwood “Choices” program “Center for Hope & Change” offers supports after school and over the
summer
31
Ohio County SchoolsMadison Elementary School
Before… …After
We are proud of A Center for HOPE & Change
and the CHOICES Program
Questions?
Linda Anderson, Marshall University• [email protected]
Dr. Barbara Brady, WVDE• [email protected] Pittman, WV DHHR, BHHF• [email protected]
Jessica Laslo, School Counselor, Ohio County• [email protected]
Stephanie Hayes, Marshall University• [email protected]
33Thank you!