expanded school mental health in west virginia kidstrong conference june 14, 2012 charleston, wv

Expanded School Mental Health in West Virginia

Kidstrong ConferenceJune 14, 2012

Charleston, WV

Objectives

Participants will be able to:1. Describe the three tiers of a comprehensive school mental health model2. List at least two examples of components in each tier3. Identify at least three resources for planning and implementing a comprehensive model4. Identify at least three strategies essential to successful implementation

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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

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MilestonesPre-2000• WVDE Coordinated School

Health Model• School based health

centers• System of Care grant• BBHHF funds SMH• SSJHWF funds SBHCs

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Milestones2006•WV Behavioral Health Commission recommends more school MH services

2007•WVDE and BBHHF sign MOU•ESMH steering team organized

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Milestones

2008-2009• Designated as

subcommittee of WV Behavioral Health Commission

• Expanded School Mental Health planning sites funded (7)

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Milestones2010-2012• ESMH implementation

sites funded• ESMH model defined• Policies and practices

incorporate ESMH• RFA for 4 more planning

grants announced

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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 )

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DefinitionExpanded 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:

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• Prevention• Early intervention • Treatment• Serves all students • Emphasizes shared responsibility between schools and community providers

A partnership between schools and community health organizations…

Guided by youth and families.

Builds on existing school programs, services, and strategies.

…IN BOTH GENERAL AND SPECIAL EDUCATION

Focuses on all students…

Includes a full array of programs, services, and strategies

Diagram courtesy Louisiana Department of Education 16

TIER 1 - UNIVERSAL PREVENTIONRECOMMENDATIONS

1. Infrastructure2. Positive Behavior

Support3. Developmental

guidance4. Early identification5. School climate

6. Connectedness7. Family engagement8. Staff development9. School safety 10. Support for Transitions

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Expanded School Mental Health ServicesInRural Communities

Youth Health Service, Inc.Elkins, WV (Randolph, Tucker, Pocahontas, Barbour, Upshur Counties)

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.

• 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.

During the first six-months of implementation we

provided~

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.

This Summer~

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.

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.

Development up to present

~ Planning Process Complete

~ In two counties (Tucker and Pocahontas) - 5 schools

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

Beg

ORIGINAL FORECASTS WHICH TURNED OUT TO BE TRUE

~Children & Parents will Benefit

Schools and Communities will Benefit

Collaborative Mental Health Organizations will Benefit

• 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!

Ohio County SchoolsMadison Elementary School

Before… …After

We are proud of A Center for HOPE & Change

and the CHOICES Program

Tier 1 Academic and Behavioral Supports

• 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

Universal/All Students

Tier 2 Academic and Behavioral Supports

SATSPL (RtI)Tier 2 and 3 pull out interventionsExtended day tutoringMentoring (SOS) with 5th gradeHomework time at breakfast

Weekend Snack Bag ProgramAcademic Counseling/ConferencesExtended Year Group counseling-A Center for HOPE & Change Juvenile Mediation (truancy)KOOL Kids Program

At-risk students

Tier 3 Academic and Behavioral Supports

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)

Intensive, Individual

Collaboration between

Mercer School&

Southern Highlands Community Mental

Health Center

Structure

• Strong ESMH advisory Team• ESMH counselor• Referral process• Consents

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

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%)

Barriers• Space• Consents from parents• Logistics: billing & technology

• Turnover• Time

• Energy Express• Community education• Parenting Groups

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

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

8/8/11 43

8/8/11 44

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Academics & Mental Health

• Information Briefs• Video testimonials • Website

www.schoolmentalhealthwv.org

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www.schoolmentalhealthwv.org

www.wvshtac.org

Linda Anderson, MPHMarshall UniversityHuntington, West Virginia304-544-3917landerson@marshall.edu

Linda Anderson, MPHMental Health304-544-3917landerson@marshall.edu

Richard Crespo, PhDDirector304-691-1193crespo@marshall.edu

Stephanie MontgomeryData and Evaluation304-634-1008smontgom@marshall.edu

Paula Fields, MSN, RNPrimary Health Care/SBHCs304-846-9739pfields4@yahoo.com

Stephanie Hayes, MAMental Health Evaluation304-634-7769Stephanie.hayes@marshall.edu

Bobbi Jo Muto, RDH, BSOral Health Coordinator304-542-9592bjmuto.steele@marshall.edu

Resources, assistance, and training related to SBHCs, school-based behavioral and oral health programs.

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