BRADLEY CRUICE MBA-MHM, BSN, RN

1. LAFAYETTE PARISH SCHOOL SYSTEM BRADLEY CRUICEMBA-MHM, BSN, RN Director Health and Wellness Division

2. 100% at-risk birth to 5 year olds 100% In…100% Out One Plan. One Focus. Educational Excellence for Lafayette Parish Public Schools Teacher Efficacy Effective Technology Technical Training Military College Job Specialty 12th 11th 10th 9th 8th 7th Health and Wellness Case Managers: “Hand carry to completion.” Robust Curriculum Capable Leadership Graduation Plan Community Support 6th grade 5th grade 4th grade Effective Communication Career Path Plan Aptitude Assessments Parental Involvement & Engagement 3rd grade (reading, math, writing on grade level) 1st/2nd grade (learning to read) Kindergarten (Ready) DevelopmentalK LPSS Early Childhood Programs Head Start/Early Head Start Private day care/home (FCC Setting)

3. “All children can learn, if given the opportunity.” Dr. Pat Cooper

4. Coordinated School Health Program Health Education Physical Education Health Services Counseling and Mental Health Staff Wellness Community & Interagency Involvement Food and Nutrition Safe Schools and Community Academic Opportunity

5. Mission Statement 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.

6. Holistic Approach Academics Mental Health Physical Health Social Living

7. Health and Wellness Team “It does take an entire village to raise a child, but we change the way we do business in the village.” Dr. Pat Cooper

8. School Based Health and Wellness Teams 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.

9. School Based Health and Wellness Teams Members consist of: Administrator Nurse Social Worker School Counselor Pupil Appraisal Representative Teacher of record Parent and Student (when appropriate) Other academic professionals (as needed)

10. Wrap Around Teams Members consist of: Child Psychologist Child Psychiatrist Pediatric Nurse Mental Health Professional District Administrator

11. Health & Wellness Team Major Functions Enhance the implementations of a regular education initiative Expedite communication among various school staff Provide support to teachers Parental input and feedback within the decision-making process Expedite educational interventions for students First school contact for Section 504 disabilities Screening vehicle for referral to Pupil Appraisal Services Review all students being considered for retention

12. Hardwiring Excellence “Provide better education for students, a better workplace for employees, and a better place to teach for educators.” “Provide better care for patients, a better workplace for employees, and a better place to practice medicine for physicians.” Quint Studer Studer Group

13. Referral Process • 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 scheduling • The H&W Team Leader schedules the meeting and invites the parent • The referring individual gathers necessary data and brings to the meeting • At the scheduled meeting, the data will be reviewed and actions may be taken • A Case Manager is assigned to follow the child’s progression through the action plan

14. SCHOOL BASED HEALTH & WELLNESS TEAM School Data Review Team, Data Analyst Universal Screening or Individual Referral Physical Health Concern Behavior/Mental Academic Concern Nutritional Concern Health Concern Academic Professional Behavior/ Mental Health Professional Nurse Wrap Around Team From District and Community (e.g. Child Psychologist, Child Psychiatrist, Pediatric Nurse, Licensed Clinical Social Worker, District Administrator) Health & Wellness Team Administrator, Nurse, Mental Health Professional, SchoolCounselor, Pupil Appraisal, Teacher, Parent & Student (When Appropriate), Other AcademicProfessionals Case Management Dyslexia Evaluation Other Health Referral Mental Health/ Behavioral Referral 504 Evaluation Pupil Appraisal Evaluation RTI Referral Academic

15. Health and Wellness • “Our children must be healthy to learn, but first must learn to be healthy.” Dr. Pat Cooper

16. Health Services

17. Health ServicesSBHCs & School Nurses • Benefits of Working Together • Enhance students’ health, academic outcomes, and overall well-being • Plan and implement health promotion and disease prevention programs • Increase information sharing to protect student privacy and continuity of care • Reduce emergency room visits and hospitalizations • Detect health problems before the onset of chronic conditions • Educate students and families about healthy behaviors and nutrition • Enroll students and families in public insurance programs

18. Mental Health Services • Licensed Clinical Social Workers • Provide therapy • Counseling • Mental health evaluations • Behavior plan development • Transition planning • Service coordination

19. 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

20. School Climate Specialist Educate on the importance of school climate/culture in achieving both academic and social success for students Assist schools with assessing school climate by using results of both student, parent and staff perception/opinion surveys Based on survey assessment, assist schools to identify appropriate interventions at the school-wide, group and individual student levels

21. Interventions School-wide PBIS Response to Intervention Drug & Alcohol True Stories Lifeskills training S. O. S. Check and Connect Ripple Effects Teaching Kids to Cope Leadership Violence Prevention Project Leadership & Resiliency Bullying training

22. Enrichment Period • Proposed for 2013 school year • Address RtI needs • Tier II • Tier III • Provide enrichment for other students • ACT prep classes • Health and Wellness interventions • Small group sessions • School-wide initiatives

23. Community Liaisons Ensure students are attending school regularly and making adequate progress towards completion. Primary roles: • Student and parent advocates • Specialists in student engagement • Community activists • Resource experts • Not simply truancy officers

24. Community Liaisons Key responsibilities • Engagement and attendance • Student and family involvement • Dropout prevention • Community involvement • Discipline

25. Community LiaisonsIntervention Strategies Automatic notification of unexcused absences Early dropout warning system Documentation system of intervention Risk assessment completed by teachers and parents Active member of Health and Wellness Team Conduct parent education sessions to address some of the root causes of truancy Serve as Case Managers by addressing non-academic barriers Initiate grass roots awareness campaigns within individual communities Engage community stakeholders for their support in creative & proactive ways Collaborate with schools to reduce out of school suspensions and referrals Work a staggered schedule to provide staff during the intercessions and the summer Schedule and coordinate attendance recovery for students during intercessions The most complex cases will be taken to court in order to ask for assistance

26. Community Health and Wellness Committee • Monthly meetings • 10-20 community agencies • Four sub-committees • Physical health • Mental health • Social services • Academic outcomes • Grant participation • Parental involvement

27. 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 FrancieBouillion

28. Lafayette Assessmentand Direction Center • Collaborative effort between agencies • Goal of preventing juveniles from entering the judicial system • Provide child and family support • Develop a more cohesive system • Staff includes: supervisor, officers, case worker, mental health professionals, secretary • Fall 2013 scheduled opening

29. Family and ChildDevelopment Center • Teen parents and their children or expecting teens • Services • Child care for children ages 6wks – 4 yrs • Teen parenting classes • Child development • Services for children with special needs • Collaborating community partners

30. Family and ChildDevelopment Center • MS model - Of the 97 teens eligible to graduate who had a first baby • 95 (98%) graduated from high school • National average is 20% • 3 (3.1%) had a second child • National average is 50% • 97% of the babies who started kindergarten were on level…not in special education

31. Coordinated Student Record • Endeavor between DHH, OPH, LPSS, ULL, LAHIE, Picard Center and Microsoft • Holistic view of student • Provide comprehensive overview • Individual student • Groups of students • Schools & District • Aggregate data • Provide for focus of interventions

32. Coordinated Records Academic Physical Health Behavioral Health Mental Health Food & Nutrition Special Ed

33. Coordinated Results Student Parent LPSS Picard Center DHH/OPH Judicial System LaHIE LINCS

34. Other Applications Physical Education Health Education Employee Wellness Early Childhood Population management Revenue Cycle Research

35. Health and Wellness • “Coming together is a beginning. Keeping together is progress. Working together is success.” Henry Ford

36. 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 state • McComb, MS • Started the program in 1997 • 85% free and reduced lunch and 89% minority • New Orleans, LA • Started Program in 2009

40. LPSS Updated Data Academics Mental Health Physical Health Social Living

41. “The greatest force on earth is the human soul on fire.” Ferdinand Foche French Allied Supreme Commander World War I

42. Thank You! Questions?