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Families and Education Levy Student Health Investments

Families and Education Levy Student Health Investments. 2012 – 2013 Update Levy Oversight Committee Meeting October 9, 2012. Public Health Seattle & King County Community and School Based Partnerships Staff. Sara Rigel, MPH Jessica Knaster-Wasse, MPH Emily Yette, MPH Diana Vinh, RN.

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Families and Education Levy Student Health Investments

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  1. Families and Education Levy Student Health Investments 2012 – 2013 Update Levy Oversight Committee Meeting October 9, 2012

  2. Public Health Seattle & King County Community and School Based Partnerships Staff • Sara Rigel, MPH • Jessica Knaster-Wasse, MPH • Emily Yette, MPH • Diana Vinh, RN

  3. PHSKC Leads Student Health Investment • Coordinates partnership between SPS, OFE, sponsor organizations. • Provides training and support for SBHC providers and school health support staff, and family support workers • Subcontracts with health care organizations and Seattle Public Schools to provide services to students

  4. Student Health Investments Support Academic Achievement • SBHCs and school health support services: • Assess for academic risk • Provide intensive interventions and/or referrals to support academic success • Collaborate with school staff • Seattle SBHC use is associated with improved attendance and increased grade point average.

  5. 2012–2013 FEL Student Health Investment

  6. Partners Leverage Funds • Health organizations covered 36% of 2011-2012 SBHC expenses • Medicaid/FHQC and other patient-generated revenue • Sponsor contributions and in-kind • Other revenue (e.g., grants) • SPS • School district funds and in-kind (space, etc.) • Medicaid Administrative Match revenue • PHSKC – Medicaid Administrative Match revenue

  7. Middle and High School SBHC Sponsors * Denotes school also receiving FEL Innovation or Linkage funds in SY 2012 – 2013

  8. Elementary SBH Sponsors * Denotes school also receiving FEL Innovation funds in SY 2012 – 2013

  9. Middle and High School SBHC and School Health Support Services • Preventive, primary, and acute health care • Reproductive health care • Mental health services • Health education and health promotion • Care coordination for drug/alcohol services • Dental care • Clinical support for students managing chronic and mental health conditions

  10. SBHCs Partner with School Health Support Services School health support staff and SBHC providers work together to: • Assess and refer students to SBHCs and other services • Increase immunization compliance • Manage chronic conditions

  11. 2010-2011 SBHC Users

  12. Positive Results from Student Health Investment 2011-2012 • Served 5,942 students; over 33,00 SBHC visits • 1,271 students received intensive support for school success • 8,448 students brought into immunization compliance • 1,139 students screened by nurses for behavioral risk factors • 2010 – 2011: 628 users met state test standards; 1,230 senior users graduated

  13. Middle and High School 2012 – 2013 Outcomes and Indicators

  14. SBHC Investment Plans • SBHC sponsors submitted draft Investment Plans May, 2012 • Site visits were conducted by Public Health staff to review plans June, 2012 • Final plans were submitted July, 2012

  15. Investment Plans • Plans include: • Program enhancements and new strategies • Collaboration with other Levy-funded strategies • Coordination with schools to identify and address the academic and health needs of the Levy’s priority students • New academically oriented performance targets

  16. Investment Plans – Examples of Strategies to Increase Academic Success • The SBHC team at Franklin HS participate in new SHIELD and CARE teams. • At Aki Kurose MS staff sent post cards over the summer to students at high-risk. • At the World School SBHC staff participate in interdisciplinary case conferences with SPS staff and community partners to create and execute care plans

  17. Investment Plan –Coordinated School Health Strategies • Comprehensive School Health Education • Expanded health education efforts • Physical Activity • Create fitness opportunities • School Health Services • West Seattle Coordination Pilot • School Nutrition Services • Cooking programs, nutrition education

  18. CSH Strategies Continued • School Counseling, Psychological and Social Services • YRBS data to help plan therapy groups • Healthy School Environment • Student Health Advisory Councils • School Site Health Promotion for Staff • Flu shots and B/P screening for staff • Family and Community Involvement in School Health • Bilingual patient navigators

  19. Next Steps with Investment Plans • Monthly meetings with sponsor managers • Provision of technical assistance as needed • Monitoring of productivity and contracts • Site visits are planned in January to evaluate progress on plan goals and to provide further assistance as needed

  20. Elementary School Health Services • Provide, link, or partner to provide health, mental health, and health care access services • School-specific models • Family centered • Healthy school environment

  21. Elementary School Health ServiceSponsors 2012-2014 October 2012 RFI to select one or two health partners to serve 2 more schools in 2013-14.

  22. Initial Pilot Models – Neighborcare • Initial model the same in each school • Will adjust to meet each school’s specific needs • In each school, levy funds will support portions of: • .25 ARNP • .275 MH therapist • .45 health coordinator • Other agency funds will support the administration, clinical supervision, and remaining provider costs.

  23. Initial Pilot Models - Odessa Brown Beacon Hill • Levy funds will support portions of: • .4 community outreach worker • .15 nurse practitioner • Other agency funds will support: • .4 MH therapist • .02 dentist • .02 dental assistant, as well as administrative, supervisory, and remaining provider costs Madrona • Focus on mental health services in 2012-2013 • Increase to a full scope of services in 2013-2014

  24. ESBH Targets

  25. Mental Health Enhancement Background • Mental health and academic achievement are inextricably linked • Seattle students have significant unmet mental health needs • Mental health services that are evidence-based yield greater academic impacts

  26. School Mental Health Pyramid • Tier 3: Intensive Interventions: • Community Mental Health Services • Individual/ Family • Higher intensity • Longer duration • Tier 2: Targeted Interventions: • School-Based Mental Health • Group or individual • Moderate intensity • Shorter term • Tier 1: Core Interventions (all students): • District/Building-Level Program & Policy • Preventive • Proactive

  27. Mental Health Enhancement Goal: Enhance the academic impact of all FEL Health Investments by improving the quality of school mental health services Increase use of evidence-based practice, with focus on standardized assessment and outcome monitoring • Provider training & supports • Web-based monitoring & feedback system (MHITS) • Go-live with middle and high school SBHC providers in January 2013, with staged spread to all Health Investments and Family Support Workers.

  28. Mental Health Enhancement MHITS- Mental Health Integrated Tracking System • Toolbox of standardized screening instruments • Track progress over time, cue providers • Manage caseload systematically so no one falls through the cracks • Incorporate academic data to treat to academic targets • Rich outcome data, transparency & accountability • Pilot: Improve coordination between school, SBHC, community mental health providers

  29. Mental Health Enhancement West Seattle HS/Interagency Pilot- January 2013 • Coordinate referrals/services between school staff, SBHC, and community mental health agencies • School can see when drug/alcohol referrals have been completed, reducing the need for out of school suspension • Develop school protocol to trigger mental health referral: pilot use of SPS risk score • Give each student one shared care plan that all mental health providers implement collaboratively • Apply learnings to develop guidelines for replication at other sites

  30. Interagency Academy • $273,680 for 2013-2014 • RFI released end of October to select new CBO sponsor • Notification in February 2013

  31. Dental • $273,680 available for Dental Enhancement in 2013-14 • Will serve existing and future Levy investment schools • Released early December • Due mid-January • Notification late March 2013

  32. Coordinated School Health (CSH) • Collaborative training for SBHC staff and school nurses via a newsletter, website, webinars, and in-person meetings • New positions dedicated to CSH at the district and public health

  33. All children will graduate from school college/career ready. Working together with SPS, OFE, school staff, students, families, community partners and stakeholders, health investments are integral to reaching this goal.

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