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Expanded School Mental Health in West Virginia
Kidstrong ConferenceJune 14, 2012
Charleston, WV
Objectives
Participants will be able to:1. Describe the three tiers of a comprehensive school mental health model2. List at least two examples of components in each tier3. Identify at least three resources for planning and implementing a comprehensive model4. Identify at least three strategies essential to successful implementation
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Introductions
• Linda Anderson, Marshall University• Fran Jackson, Youth Health Services• Sonnee Stanley, Southern Highlands Mental
Health Center• Jessica Laslo, Ohio County Schools• Tiffany Pittman, Bureau for Behavioral Health
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MilestonesPre-2000• WVDE Coordinated School
Health Model• School based health
centers• System of Care grant• BBHHF funds SMH• SSJHWF funds SBHCs
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Milestones2006•WV Behavioral Health Commission recommends more school MH services
2007•WVDE and BBHHF sign MOU•ESMH steering team organized
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Milestones
2008-2009• Designated as
subcommittee of WV Behavioral Health Commission
• Expanded School Mental Health planning sites funded (7)
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Milestones2010-2012• ESMH implementation
sites funded• ESMH model defined• Policies and practices
incorporate ESMH• RFA for 4 more planning
grants announced
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Purpose of the WV Expanded School Mental Health Network
• A statewide community of stakeholders• Advocate for implementation of a full
continuum of mental health programs and services in WV schools
• Develop plans for implementing the 10 critical factors for advancing school mental health (http://www.nasbhc.org )
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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• Serves all students • Emphasizes shared responsibility between schools and community providers
A partnership between schools and community health organizations…
Guided by youth and families.
Builds on existing school programs, services, and strategies.
…IN BOTH GENERAL AND SPECIAL EDUCATION
Focuses on all students…
Includes a full array of programs, services, and strategies
Diagram courtesy Louisiana Department of Education 16
TIER 1 - UNIVERSAL PREVENTIONRECOMMENDATIONS
1. Infrastructure2. Positive Behavior
Support3. Developmental
guidance4. Early identification5. School climate
6. Connectedness7. Family engagement8. Staff development9. School safety 10. Support for Transitions
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Expanded School Mental Health ServicesInRural Communities
Youth Health Service, Inc.Elkins, WV (Randolph, Tucker, Pocahontas, Barbour, Upshur Counties)
The “We” Position
~ School said: “We need Tier 3 mental health services to get to our students.”
~ We said: “We have Tier 3 and a lot more services, but we can't get to your students.”
4-years later~ working together we are achieving good things for children and families thanks to the ESMH Program.
• 256 students –Tier 1 Services
• 15 students –Tier 2 Small Group early intervention services, and
• 53 students –Tier 3 services including weekly intensive mental health therapy, psychological and or psychiatric evaluation, case management, parent consultation and treatment planning
• Teacher consultation and feedback to school counselors and Student Assistant Teams.
During the first six-months of implementation we
provided~
We will provide:
• Psycho-education and mental health treatment small-groups in local parks for our clients.
• Transportation to and from services three days per week.
• Individual therapy in community sites during the summer months.
This Summer~
Why do this?
Goal: To increase access to mental health services for children living in rural, isolated communities.
Expected Outcomes
1) School attendance, academic performance, and child/ adolescent social behavioral functioning improves.
2) Family involvement in a child’s academic success and mental health services improves.
Initial Problems ~
➲ High social stigma associated with MH services.
➲ 15% of all school-age students at one time will have a mental health problem.
➲ Teachers feel unprepared to screen children.
➲ School counselors identify but do not have time to provide treatment services.
➲ Good prevention services, but severely limited treatment services for children.
➲ No evidence-based treatment services.
Development up to present
~ Planning Process Complete
~ In two counties (Tucker and Pocahontas) - 5 schools
STRATEGIES
Strategy 1- Develop and Infrastructure, Collaboration Plan and MOU
Strategy 2 - Complete a planning period
Strategy 3 - Improve quality through EBPs
Strategy 4 - Offer Telemental Health services supported by Electronic Medical Records
Strategy 5 - Develop Centralized Scheduling
Beg
ORIGINAL FORECASTS WHICH TURNED OUT TO BE TRUE
~Children & Parents will Benefit
Schools and Communities will Benefit
Collaborative Mental Health Organizations will Benefit
• ORIGINAL FORECASTS WHICH TURNED OUT NOT TO BE TRUE~Instituting telemental health services would be easy!
Schools would not be receptive!
Staff would not be receptive!
Ohio County SchoolsMadison Elementary School
Before… …After
We are proud of A Center for HOPE & Change
and the CHOICES Program
Tier 1 Academic and Behavioral Supports
• Too Good For Drugs (K-5)• Second Step (K-5)• Keep a Clear Mind (4)• NetSmartz Internet Safety• D.A.R.E.• Classroom interventions • Co-teaching• Guest Speakers
(Harmony House, SAHC, Easter Seals)
• PLC by-weekly meetings• Family Nights• Teacher Study Groups
(How to work with parents, New teacher support group)
• Anchor after school program
• Gold Star Program- PBS• Care calls• Lunch Buddy Program
Universal/All Students
Tier 2 Academic and Behavioral Supports
SATSPL (RtI)Tier 2 and 3 pull out interventionsExtended day tutoringMentoring (SOS) with 5th gradeHomework time at breakfast
Weekend Snack Bag ProgramAcademic Counseling/ConferencesExtended Year Group counseling-A Center for HOPE & Change Juvenile Mediation (truancy)KOOL Kids Program
At-risk students
Tier 3 Academic and Behavioral Supports
Individual therapy- A Center for HOPE & Change
CHOICES Groups
CHOICES individual therapy
Referrals to outside agencies (CPS, YSS, mental health)
Referrals to HealthyCHILD (PK mental health support through HeadStart)
Intensive, Individual
Collaboration between
Mercer School&
Southern Highlands Community Mental
Health Center
Structure
• Strong ESMH advisory Team• ESMH counselor• Referral process• Consents
Programs• Universal (tier 1)
– Capturing Kids Hearts & Second Step– Truancy Diversion program
• Early Intervention (Tier 2)– Topics: Children of addicted parents, social skills, relationship
building, emotion recognition and management, bullying, substance use, self harm, and self esteem
– Programs not provided by ESMH counselor: Girls on the run, Drama group, 3 Musketeer group
• Intensive (Tier 3)– Cognitive behavioral therapy, ADHD regulation techniques, crisis
intervention, Parenting
Kiddos served• Universal (tier 1): 365 children• Early Intervention (tier 2): 45 children
– Boys group (5)– Girls group (5) – Short supportive counseling (35)
(Goal was 109 = 41%)• Intensive (tier 3): 3 children
(Goal was 36 = 8%)
Barriers• Space• Consents from parents• Logistics: billing & technology
• Turnover• Time
• Energy Express• Community education• Parenting Groups
Planning Process
• Support from School Administration• Form school leadership team• Identify needs and resources• Begin dialogue with community agencies• Incorporate into School Improvement Plan• Gain commitment through MOU with community
agencies
Mental Health Planning and Evaluation Template
• www.nasbhc.org/mhpet• Developed in partnership with the Center for
School Mental Health• Used in planning and evaluating activities and
services for new or established SMH programs• Eight dimensions, 34 indicator measure• Web-based, completed by teams, computer
generated scores
8/8/11 43
8/8/11 44
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Academics & Mental Health
• Information Briefs• Video testimonials • Website
www.schoolmentalhealthwv.org
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www.schoolmentalhealthwv.org
www.wvshtac.org
Linda Anderson, MPHMarshall UniversityHuntington, West [email protected]
Linda Anderson, MPHMental [email protected]
Richard Crespo, [email protected]
Stephanie MontgomeryData and [email protected]
Paula Fields, MSN, RNPrimary Health Care/[email protected]
Stephanie Hayes, MAMental Health [email protected]
Bobbi Jo Muto, RDH, BSOral Health [email protected]
Resources, assistance, and training related to SBHCs, school-based behavioral and oral health programs.
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