“So – You Are Interested in Getting More Mental Health Services – Now What?”

1. “So – You Are Interested in Getting More Mental Health Services – Now What?”  Regional School Counselor Conference 2014

2. Objectives Participants will be able to: • Describe the three tiers of an expanded school mental health model (ESMH) • Identify at least three resources for planning and implementing a comprehensive model • Identify at least three strategies essential to successful implementation

3. Introductions Tiffany Pittman, WV DHHR, BHHF • tiffany.j.pittman@wv.gov Jessica Laslo, School Counselor, Ohio County • jlaslo@access.k12.wv.us Stephanie Hayes, Marshall University • stephanie.hayes@marshall.edu

5. Links Between Mental Health and School Success

6. Facts • 5-9 % of children and teens have a serious emotional disturbance. (US Surgeon General’s Report, 1999) • 20% of children and adolescents at any given time have a diagnosable mental disorder which interferes with their functioning.(US Surgeon General’s Report, 1999)

7. Facts • 1-2 children in every classroom have a diagnosable mental health concern which hinders functioning. (President’s New Freedom Commission Report) • Less than 50% of children and adolescents with a mental illness receive adequate (or any) services (Kataoka, Shang, Wells, 2002)

8. AcademicPerformance • Is negatively affected by: • Alcohol, tobacco, and other drug use • Emotional problems • Health risk behaviors (e.g. obesity, sexual behavior, poor diet) • Low self-esteem, risky sexual behavior • Lack of access to health and mental health care • Poor home life • Is positively affected by: • High levels of resiliency, developmental assets, and school connectedness (work of CASEL, Search Institute; and others)

9. Graduation Rates School Mental Health strategies can improve graduation rates by addressing factors that interfere with a student’s ability to succeed in school, such as: • Exposure to violence • Anxiety disorders • Other unmet mental health needs (Black, et al, 2003, Woodward & Ferguson, 2001; and others)

10. 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 • Emphasizes shared responsibility between schools and community providers

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

12. (Is consistent with and supported by WVDE policies 4373, etc.) Builds on existing school programs, services, and strategies.

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

15. Response to Intervention PBIS Student Assistance Team Student Mental Health Initiative Safe Schools, Healthy Students Special Education Crisis management Systems of Care Social and Emotional Learning School linked Wrap around Shared Agenda Multiculturalism NCLB Family support services Where to Begin? Cultural competence Risk and protective factors School based Strengths based Multi system approach School linked Student Support Services Suicide Prevention Mental Health Services Act IDEA School climate Peer-to-Peer Support School connectedness Evidence based practice Coordinated school health program

16. Planning Process Educate yourself Gain support from administration Principal District Form core school leadership team (Administration, RESA Wellness Spec, school nurse, SAT, special ed…) Form steering team MH Child Liaison, health, business, FRN, substance abuse, parents, youth….) http://www.dhhr.wv.gov/bhhf/resources/Documents/Resources/PDF%20Comprehensive%20CBHC%20Directory%20revised%205.4.2012.pdf Meet regularly Educate one another, review models Keep notes , develop an action plan, follow through Build RELATIONSHIPS

17. Planning Process Analyze needs and resources School data; SWOT analysis School Improvement Plan MH-PET: www.nasbhc.org/mhpet Identify and negotiate with community MH provider(s) Develop an implementation plan Set vision, goals, objectives, timeframes Memo of Understanding (MOU) Hours, funding, staffing, liability 8. Monitor, re-assess, evaluate progress

18. Funding It doesn’t take a lot of money; just a few committed people Start small – focus on “low hanging fruit” A diversified funding base increases sustainability • School System: Title 1, Safe and Supportive Schools, SIG, Innovation Zone • BBHHF - Tiffany.J.Pittman@wv.gov • Community Mental Health • Third party insurance • Community Health Centers • Corporations/Businesses • Hospitals • County Commission • Community Foundations- SSJHWF, regional • Family Resource Network

19. Recommended Reading Realizing the Promise of the Whole-School Approach to Children’s Mental Health: A Practical Guide for Schools National Center for Mental Health Promotion and Youth Violence Prevention: http://promoteprevent.org/Publications/

20. National Resources Center for School Mental Health U of Maryland: www.csmh.umaryland.edu National Assembly on School Based Health Care:www.nasbhc.org Compassionate Schools www.k12.wa.us/CompassionateSchools

21. West Virginia Resources “WV Educators Speak” video Tool Kits & Briefs Website Links ESMH Start-Up Guidehttp://livewell.marshall.edu/mutac/wp-content/uploads/2013/11/ESMH-Start-Up-Guide.pdf

23. www.schoolmentalhealthwv.orgwww.wvshtac.org Linda Anderson, MPH Marshall University Huntington, West Virginia 304-544-3917 landerson@marshall.edu Stephanie Hayes, MA Marshall University Huntington, West Virginia 304-634-7769 stephanie.hayes@marshall.edu

24. Ohio County SchoolsMadison Elementary Expanded School Mental Health Services

25. Co-teaching PLC bi-weekly Teacher study/support groups Anchor (after school) Attendance care calls NetSmartz Too Good for Drugs/Violence Second Step Keep a Clear Mind Family dinner nights Gold Star (PBS) D.A.R.E Lunch Buddy Program Tier 1 Academic and Behavioral Supports

26. SAT Tier pull-out interventions Extended day tutoring Juvenile Mediation Program Extended Year KOOL Kids Program (middle school transition) Weekend Snack Bag Program Group counseling- Bullfrogs & Butterflies Afterschool Program (Coping Cat) Tier 2 Academic and Behavioral Supports

27. Tier 2&3School-Based Mental Health CHOICES Program(since 2002) Group, Individual & Family Therapy in coordination with Northwood Health Systems A Center forHOPE& Change(est. 2012) Individual and family counseling, Coordination with local agencies

28. Challenges and Barriers • Scheduling time for students to be seen during the school day • Having a regular, confidential space for children to receive services • Staffing • Family participation and commitment • Keeping cases open through the summer

29. Impact on Students & Families • Having the services at school during the school day reduces the barriers for children to get needed services and minimizes the disruption to their education. • First year outcomes include improved attendance, increased social skills, decreased aggression, and improved relationships. • In addition, Madison Elementary was named a 2012 WV Title 1 Distinguished School - one of 12 out of 329 Title 1 schools in West Virginia.

30. 2012-13 ESMH SERVICE HIGHLIGHTS FOR MADISON ELEMENTARY “For All” (Tier 1): • 37 staff trained to become a Trauma-Informed School • 30-35 Families attending Family Night Program • Positive Behavior Support (250 students) “For Some” (Tier 2): • 37 students receive mentoring, after-school group counseling and other academic/behavior supports • “Kool Kids” significantly impacting 5th grade attendance rate “For a Few” (Tier 3): • 22 students receive individual, group & family therapy through Northwood “Choices” program • “Center for Hope & Change” offers supports after school and over the summer

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

32. Questions? Linda Anderson, Marshall University • landerson@marshall.edu Dr. Barbara Brady, WVDE • bashcraft@access.k12.wv.us Tiffany Pittman, WV DHHR, BHHF • tiffany.j.pittman@wv.gov Jessica Laslo, School Counselor, Ohio County • jlaslo@access.k12.wv.us Stephanie Hayes, Marshall University • stephanie.hayes@marshall.edu Thank you!