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BRADLEY CRUICEMBA-MHM, BSN, RN
DirectorHealth and Wellness
Division
LAFAYETTE PARISHSCHOOL SYSTEM
100% at-risk birth to 5 year olds
LPSS Early Childhood ProgramsHead Start/Early Head Start
Private day care/home (FCC Setting)
Developmental K
Kindergarten (Ready)1st/2nd grade (learning to read)
3rd grade (reading, math, writing on grade level)
6th grade5th grade4th grade
12th
11th
10th 9th
8th
7th Aptitude Assessments
Career Path Plan
Graduation Plan
Case Managers: “Hand carry to
completion.”
Military College Job Technical Training
Specialty
EffectiveTechnology
Health and Wellness
Community Support
Parental Involvement
& Engagement
RobustCurriculum
Teacher Efficacy
CapableLeadership
EffectiveCommunication
100% In…100% OutOne Plan. One Focus. Educational Excellence for Lafayette Parish Public
Schools
“All children can learn, if given the opportunity.” Dr. Pat Cooper
Health EducationPhysical EducationHealth ServicesCounseling and Mental HealthStaff WellnessCommunity & Interagency InvolvementFood and NutritionSafe Schools and CommunityAcademic Opportunity
Coordinated School Health Program
It is the mission of the Health and Wellness Division to improve access to quality physical and mental health care to enhance academic achievement by removing barriers to learning.
Mission Statement
Holistic Approach
Academics
Physical Health
Mental Health
Social Living
“It does take an entire village to raise a child, but we change the way we do business in the village.”
Dr. Pat Cooper
Health and Wellness Team
Designed to improve the physical health, mental health and wellness of students in order to maximize academic performance through collaboration with health, mental health, and academic professionals.
School Based Health and Wellness Teams
Members consist of:AdministratorNurseSocial WorkerSchool CounselorPupil Appraisal RepresentativeTeacher of recordParent and Student (when appropriate)Other academic professionals (as needed)
School Based Health and Wellness Teams
Members consist of:Child PsychologistChild PsychiatristPediatric NurseMental Health ProfessionalDistrict Administrator
Wrap Around Teams
Enhance the implementations of a regular education initiativeExpedite communication among various school staffProvide support to teachersParental input and feedback within the decision-making process Expedite educational interventions for studentsFirst school contact for Section 504 disabilitiesScreening vehicle for referral to Pupil Appraisal Services Review all students being considered for retention
Health & Wellness Team Major Functions
“Provide better care for patients, a better workplace for employees, and a better place to practice medicine for physicians.”
Quint StuderStuder Group
Hardwiring Excellence
“Provide better education for students, a better workplace for employees, and a better place to teach for educators.”
Any school professional may refer a student after reviewing data and validating a need
Data reviewed may include universal screening, standardized tests, grades, behavior &/or medical information
The referring individual completes the Initial Referral Form and submits it to the H&W Team Leader for schedulingThe H&W Team Leader schedules the meeting and invites the parentThe referring individual gathers necessary data and brings to the meetingAt the scheduled meeting, the data will be reviewed and actions may be takenA Case Manager is assigned to follow the child’s progression through the action plan
Referral Process
School Data Review Team, Data AnalystUniversal Screening or Individual Referral
Physical Health Concern Behavior/Mental Academic ConcernNutritional Concern Health Concern
Health & Wellness TeamAdministrator, Nurse, Mental Health
Professional, School Counselor, Pupil Appraisal, Teacher, Parent & Student (When Appropriate), Other Academic Professionals
Nurse Behavior/ Mental Health
Professional
Academic Professional
Case ManagementHealth
ReferralMental Health/
Behavioral Referral
504Evaluation
RTIReferralAcademic
Pupil AppraisalEvaluation
DyslexiaEvaluation
Other
Wrap Around TeamFrom District and Community (e.g. Child Psychologist, Child Psychiatrist, Pediatric Nurse, Licensed Clinical Social Worker, District Administrator)
SCHOOL BASED HEALTH & WELLNESS TEAM
Health and Wellness
“Our children must be healthy to learn, but first must learn to be
healthy.”Dr. Pat Cooper
Health Services
School Nurses
Screen for barriers to learning, i.e. vision and hearing
Triage and treat accidents
Administer medications and manage chronic illnesses
School Based Health Centers
Provide primary care, mental health care
Offer physical exams, conduct clinical and lab tests, treat chronic illness
Prescribe and dispense medications
Health ServicesSBHCs & School Nurses
Benefits of Working Together
Enhance students’ health, academic outcomes, and overall well-beingPlan and implement health promotion and disease prevention programsIncrease information sharing to protect student privacy and continuity of careReduce emergency room visits and hospitalizationsDetect health problems before the onset of chronic conditionsEducate students and families about healthy behaviors and nutrition Enroll students and families in public insurance programs
Mental Health Services
Licensed Clinical Social Workers
Provide therapy Counseling Mental health evaluations Behavior plan development Transition planning Service coordination
Mental Health Services
Licensed Clinical Social Workers
Standardized assessment tool Clinical evaluation and diagnosis Development of collaborative treatment plan Comprehensive documentation Data tracking of outcomes
Educate on the importance of school climate/culture in achieving both academic and social success for studentsAssist schools with assessing school climate by using results of both student, parent and staff perception/opinion surveysBased on survey assessment, assist schools to identify appropriate interventions at the school-wide, group and individual student levels
School Climate Specialist
School-wide PBISResponse to InterventionDrug & Alcohol True StoriesLifeskills trainingS. O. S.Check and ConnectRipple EffectsTeaching Kids to CopeLeadership Violence Prevention ProjectLeadership & ResiliencyBullying training
Interventions
Proposed for 2013 school yearAddress RtI needsTier IITier III
Provide enrichment for other studentsACT prep classesHealth and Wellness interventionsSmall group sessionsSchool-wide initiatives
Enrichment Period
Ensure students are attending school regularly and making adequate progress towards completion.
Primary roles:Student and parent advocatesSpecialists in student engagementCommunity activists Resource expertsNot simply truancy officers
Community Liaisons
Key responsibilitiesEngagement and attendanceStudent and family involvementDropout preventionCommunity involvementDiscipline
Community Liaisons
Automatic notification of unexcused absencesEarly dropout warning systemDocumentation system of interventionRisk assessment completed by teachers and parentsActive member of Health and Wellness TeamConduct parent education sessions to address some of the root causes of truancyServe as Case Managers by addressing non-academic barriersInitiate grass roots awareness campaigns within individual communitiesEngage community stakeholders for their support in creative & proactive waysCollaborate with schools to reduce out of school suspensions and referralsWork a staggered schedule to provide staff during the intercessions and the summerSchedule and coordinate attendance recovery for students during intercessions The most complex cases will be taken to court in order to ask for assistance
Community LiaisonsIntervention Strategies
Community Health and Wellness Committee
Monthly meetings10-20 community agenciesFour sub-committees Physical health Mental health Social services Academic outcomes
Grant participation Parental involvement
Lafayette Assessmentand Direction Center
“Lafayette has the highest rate of incarceration in the state, Louisiana has the highest rate of incarceration in the country, and the US has the highest incarceration rate in the world.”
Judge Francie Bouillion
Lafayette Assessmentand Direction Center
Collaborative effort between agenciesGoal of preventing juveniles from entering the judicial systemProvide child and family supportDevelop a more cohesive systemStaff includes: supervisor, officers, case worker, mental health professionals, secretaryFall 2013 scheduled opening
Family and ChildDevelopment Center
Teen parents and their children or expecting teensServicesChild care for children ages 6wks – 4 yrsTeen parenting classesChild developmentServices for children with special needs
Collaborating community partners
Family and ChildDevelopment Center
MS model - Of the 97 teens eligible to graduate who had a first baby
95 (98%) graduated from high schoolNational average is 20%
3 (3.1%) had a second childNational average is 50%
97% of the babies who started kindergarten were on level…not in special education
Coordinated Student Record
Endeavor between DHH, OPH, LPSS, ULL, LAHIE, Picard Center and MicrosoftHolistic view of studentProvide comprehensive overviewIndividual studentGroups of studentsSchools & District
Aggregate data Provide for focus of interventions
Coordinated Records
Academic Physical Health Behavioral Health Mental Health Food & Nutrition Special Ed
Coordinated Results
Student Parent LPSS Picard Center DHH/OPH Judicial System LaHIE LINCS
Other Applications
Physical Education Health Education Employee Wellness Early Childhood Population management Revenue Cycle Research
Health and Wellness
“Coming together is a beginning. Keeping together is progress. Working together is success.”
Henry Ford
TRIED and TRUE MODEL
West Feliciana Parish (St. Francisville)• Started this program in 1989• Now they are consistently rated in the top
five school districts in stateMcComb, MS• Started the program in 1997 • 85% free and reduced lunch and 89%
minorityNew Orleans, LA• Started Program in 2009
0
50
100
150
200
250
300
350
1998 1999 2000 2001 2002 2003 2004 2005
Number of Juvenile Arrests
70
75
80
85
90
95
100
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Graduation Rates
LPSS Updated Data
Academics
Physical Health
Mental HealthSocial Living
“The greatest force on earth is the human soul on fire.”
Ferdinand FocheFrench Allied Supreme Commander
World War I
Thank You!
Questions?