School Based Learning Support Meeting

1. School Based Learning Support Meeting September 25th, 2019

2. We acknowledge and thank the Coast Salish Nations of Musqueam, Tsleil-Waututh and Squamish on whose traditional territories we teach, learn and live.

3. Agenda • Opening ActivityKatie Eddy • Team IntroductionKatie Eddy   • Ministry Updates Morray Genge  • CBIEP Drop in Session Schedule & ExemplarsKatie Eddy • Planning Tool ReminderKatie Eddy • DLST for Alt Programs Referral Process Tanya Grant • District Behaviour Analyst Referral Process Nadine Trottier & Ryan Konarski  • Math & Science Program ConsultantDonna Morgan • Break • Child Services Resource TeamDeb Pearson • Nursing support servicesBonnie Ogilvie • District counsellor Tracy Aaron • School Psychologists • Closing

4. Opener Activity

5. Team Introduction

6. Ministry Updates Morray Genge

7. CBIEP Information

8. Ministry Planning Tools

9. District Behaviour Analyst Referral Process Nadine & Ryan

10. DLST for Alt Programs Referral ProcessTanya Grant 

11. Math and Science Program Consultant Donna Morgan

12. Break!

13. Child Services Resource Team Jenny Finnegan – Speaker Ljiljana Jaksic Deb Pearson Marie DesRosier Annet Sherman

14. The Children’s Services Resource Team (CSRT) and Nursing Support Services (NSS) An Introduction to Services Fall 2019

15. CSRT/NSS

16. Referral Process • Referrals received from School District, BC Center for Ability (CFA), Doctors, and parents. • Parent consent needed for referral. • Referral forms can be found on the LSS blog under “forms”: https://blogs.sd41.bc.ca/lss/forms/

17. Criteria for Acceptance to CSRT Caseload The criteria for acceptance to the Children’s Services Resource Team (CSRT) caseload is a child/youth who requires ongoing consultation from our team in the area of occupational therapy or physiotherapy, and has school support personnel available. Additionally, the child must fit one or more of the following criteria: • A physical disability requiring assistance to carry out activities of daily living (eating, toileting, mobility). OR • A diagnosis of a moderate to severe developmental disability and physical safety concerns requiring assistance to carry out activities of daily living (eating, toileting, mobility). OR • Complex medical needs requiring child specific recommendations and training for school safety and accessibility in the school setting.

18. CSRT One Time Consultation Service • We have a part time therapist assigned to complete a one-time assessment on students with fine/gross motor difficulties. These motor concerns are affecting their learning. • The consultation consists of a combination of classroom observation, formal assessment and  discussion with parents and teachers. A written report with recommendations is provided. • If there are concerns with the motor issues/test results, parents can then share the report with a doctor to assist with a possible medical diagnosis. • We usually see between 30-35 students a year for a comprehensive one time consultation.

19. CSRT Team Role • Provide consultation services to schools • Train school staff to safely care for students at school • Support children’s needs in their home • Support integration and inclusion • Recommendations for equipment and accessibility • Attend school-based meetings and participate in IEP goal development

20. Examples of Training (CSRT) • Equipment: Wheelchairs, transfers, standing frames, walkers, lift systems, use of slings, splints & orthotics etc. • Feeding: Assistance, supervision & safety • Personal Care: Toileting & dressing • Recommendations for fine and gross motor Development

21. Contact Information Children’s Services Resource Team (604) 918-7652 CSRT@fraserhealth.ca Please feel free to contact us if you have questions!

22. Nursing Services Bonnie OgilvieCheryl Chila

23. Nursing Support ServicesGeneral OverviewSept 2019

24. Your NSS team • Bonnie and Cheryl cover both Burnaby and New Westminster School Districts-Public School Districts (including Private & Independent Schools). • 1.87 fte nurses (1 full time, 1 part time) • Message--- time is precious and we all try to respect each others commitments. • Please be prepared

25. General Description-Nursing Support Services (NSS) ROLE: • To support students in schools by teaching school staff (EAs) to do special health care tasks by following an individual careplan. • Tasks are trained by a RN (Nursing Support Services Coordinator-NSSC) under their licensing body of the BC College of Nursing Professionals (BCCNP). Many factors are considered when a careplan can be put in place safely. NSS is a “Provincial Program”. Provincial Health Services Authority (PHSA) sets the program standards and guidelines in which all NSSCs follow. NSSC’s are employed by Fraser Health.

26. A tribute

27. Delegation

28. Delegation - examples • Diabetes management (BGM, Insulin administration, Continuous Glucose Monitoring) • Gastrostomy tube (G- Tube) feeds • Seizure management (unstable) • Clean intermittent catheterization • Oral suctioning • Pre-set oxygen administration

29. Careplan purposes

30. Sign Off - Competent to do care

31. Expectations

32. The REFERRAL Any student who requires care at school and is not already on careplan, requires a formal physician referral sent to CENTRALIZED INTAKE at PHSA Provincial Office • http://www.bcchildrens.ca/our-services/sunny-hill-health-centre/our-services/nursing-support Referrals to be sent directly to nssreferrals@cw.bc.ca or fax to: 604-708-2127 or 604-453-8301 Until NSSC receives the referral, we have no consent to take action or discuss the student.

33. QUESTIONS Please contact your NSS Coordinator or the Fraser Health NSS Supervisor NSS Contact information is on the Care Plan NSS Supervisor – Cindy Arbeau (604) 918 - 7652

34. District Counsellor Tracy Aaron

35. Everything You Ever Wanted to Know About Making a Referral to YourSchool Psychologists

36. Who We Are • Jennifer/Rosamund – Cariboo Hill • Karen – South • Kathy – Central • Jill – Moscrop • Lianne – Alpha • Linda – Byrne Creek • Simona – Mountain   • Tanya – North • We each have another 4-6 elementary schools • We are part of the BTA

37. What We Do

38. What We Do ASSESSMENT – Psychoeducational and behavior COLLABORATE with other itinerant teams REVIEW and determine the 1701 eligibility designations (C, D, G, K, Q) REVIEW incoming psychological reports CONSULT – If you have questions, we have answers about: • Mental Health Diagnoses (ADHD, Anxiety, Autism) • Learning Disabilities • Classroom Behaviour Challenges We also provide EDUCATION and IN-SERVICE to Schools as needed

39. How to Make a Referral

40. How to Not Make a Referral WHAT NOT TO DO!! • Do Notpromise the parents and/or teacher that the student will be tested without first consulting with your School Psychologist! • Do Nothave the informed consent signed by the parent without first consulting with the School Psychologist!

41. From Referral to Assessment

42. And Finally – We Promise Not To Secretly Test Your IQ

43. SBLST Meetings for the Year