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Expanded School Mental Health in West Virginia

Expanded School Mental Health in West Virginia. Kidstrong Conference June 14, 2012 Charleston, WV. Objectives. Participants will be able to: 1. Describe the three tiers of a comprehensive school mental health model 2. List at least two examples of components in each tier

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Expanded School Mental Health in West Virginia

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  1. Expanded School Mental Health in West Virginia Kidstrong Conference June 14, 2012 Charleston, WV

  2. Objectives Participants will be able to: 1. Describe the three tiers of a comprehensive school mental health model 2. List at least two examples of components in each tier 3. Identify at least three resources for planning and implementing a comprehensive model 4. Identify at least three strategies essential to successful implementation

  3. 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

  4. Milestones Pre-2000 • WVDE Coordinated School Health Model • School based health centers • System of Care grant • BBHHF funds SMH • SSJHWF funds SBHCs

  5. Milestones 2006 • WV Behavioral Health Commission recommends more school MH services 2007 • WVDE and BBHHF sign MOU • ESMH steering team organized

  6. Milestones 2008-2009 • Designated as subcommittee of WV Behavioral Health Commission • Expanded School Mental Health planning sites funded (7)

  7. Milestones 2010-2012 • ESMH implementation sites funded • ESMH model defined • Policies and practices incorporate ESMH • RFA for 4 more planning grants announced

  8. 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 )

  9. Definition Expanded 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: • Prevention • Early intervention • Treatment • Serves all students • Emphasizes shared responsibility • between schools and community providers

  10. A partnership between schools and community health organizations… Guided by youth and families.

  11. Builds on existing school programs, services, and strategies.

  12. Focuses on all students… …in both general and special education

  13. Includes a full array of programs, services, and strategies

  14. Diagram courtesy Louisiana Department of Education

  15. Tier 1 - Universal PreventionRecommendations • Infrastructure • Positive Behavior Support • Developmental guidance • Early identification • School climate • Connectedness • Family engagement • Staff development • School safety • Support for Transitions

  16. Expanded School Mental Health Services In Rural Communities Youth Health Service, Inc. Elkins, WV (Randolph, Tucker, Pocahontas, Barbour, Upshur Counties)

  17. 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.

  18. During the first six-months of implementation we provided~ • 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.

  19. This Summer~ • 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.

  20. 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.

  21. 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.

  22. Development up to present • ~ Planning Process Complete • ~ In two counties (Tucker and Pocahontas) - 5 schools

  23. 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

  24. Beg

  25. Original forecasts which turned out to be true~Children & Parents will Benefit Schools and Communities will BenefitCollaborative Mental Health Organizations will Benefit

  26. 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!

  27. Ohio County SchoolsMadison Elementary School We are proud of A Center forHOPE& Change and the CHOICES Program Before… …After

  28. Tier 1 Academic and Behavioral Supports Universal/All Students • 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

  29. Tier 2 Academic and Behavioral Supports At-risk students • SAT • SPL (RtI) • Tier 2 and 3 pull out interventions • Extended day tutoring • Mentoring (SOS) with 5th grade • Homework time at breakfast • Weekend Snack Bag Program • Academic Counseling/Conferences • Extended Year • Group counseling-A Center for HOPE & Change • Juvenile Mediation (truancy) • KOOL Kids Program

  30. Tier 3 Academic and Behavioral Supports Intensive, Individual • 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)

  31. Collaboration betweenMercer School& Southern Highlands Community Mental Health Center

  32. Structure • Strong ESMH advisory Team • ESMH counselor • Referral process • Consents

  33. 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

  34. 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%)

  35. Barriers • Space • Consents from parents • Logistics: billing & technology • Turnover • Time

  36. Energy Express • Community education • Parenting Groups

  37. 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

  38. 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

  39. Academics & Mental Health • Information Briefs • Video testimonials • Website www.schoolmentalhealthwv.org

  40. www.schoolmentalhealthwv.orgwww.wvshtac.org Linda Anderson, MPH Marshall University Huntington, West Virginia 304-544-3917 landerson@marshall.edu

  41. Resources, assistance, and training related to SBHCs, school-based behavioral and oral health programs. Paula Fields, MSN, RN Primary Health Care/SBHCs 304-846-9739 pfields4@yahoo.com Stephanie Hayes, MA Mental Health Evaluation 304-634-7769 Stephanie.hayes@marshall.edu Bobbi Jo Muto, RDH, BS Oral Health Coordinator 304-542-9592 bjmuto.steele@marshall.edu Linda Anderson, MPH Mental Health 304-544-3917 landerson@marshall.edu Richard Crespo, PhD Director 304-691-1193 crespo@marshall.edu Stephanie Montgomery Data and Evaluation 304-634-1008 smontgom@marshall.edu

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