BRADLEY CRUICEMBA-MHM, BSN, RN

DirectorHealth and Wellness

Division

LAFAYETTE PARISHSCHOOL SYSTEM

100% at-risk birth to 5 year olds

LPSS Early Childhood ProgramsHead Start/Early Head Start

Private day care/home (FCC Setting)

Developmental K

Kindergarten (Ready)1st/2nd grade (learning to read)

3rd grade (reading, math, writing on grade level)

6th grade5th grade4th grade

12th

11th

10th 9th

8th

7th Aptitude Assessments

Career Path Plan

Graduation Plan

Case Managers: “Hand carry to

completion.”

Military College Job Technical Training

Specialty

EffectiveTechnology

Health and Wellness

Community Support

Parental Involvement

& Engagement

RobustCurriculum

Teacher Efficacy

CapableLeadership

EffectiveCommunication

100% In…100% OutOne Plan. One Focus. Educational Excellence for Lafayette Parish Public

Schools

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

Health EducationPhysical EducationHealth ServicesCounseling and Mental HealthStaff WellnessCommunity & Interagency InvolvementFood and NutritionSafe Schools and CommunityAcademic Opportunity

Coordinated School Health Program

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.

Mission Statement

Holistic Approach

Academics

Physical Health

Mental Health

Social Living

“It does take an entire village to raise a child, but we change the way we do business in the village.”

Dr. Pat Cooper

Health and Wellness Team

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.

School Based Health and Wellness Teams

Members consist of:AdministratorNurseSocial WorkerSchool CounselorPupil Appraisal RepresentativeTeacher of recordParent and Student (when appropriate)Other academic professionals (as needed)

School Based Health and Wellness Teams

Members consist of:Child PsychologistChild PsychiatristPediatric NurseMental Health ProfessionalDistrict Administrator

Wrap Around Teams

Enhance the implementations of a regular education initiativeExpedite communication among various school staffProvide support to teachersParental input and feedback within the decision-making process Expedite educational interventions for studentsFirst school contact for Section 504 disabilitiesScreening vehicle for referral to Pupil Appraisal Services Review all students being considered for retention

Health & Wellness Team Major Functions

“Provide better care for patients, a better workplace for employees, and a better place to practice medicine for physicians.”

Quint StuderStuder Group

Hardwiring Excellence

“Provide better education for students, a better workplace for employees, and a better place to teach for educators.”

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 schedulingThe H&W Team Leader schedules the meeting and invites the parentThe referring individual gathers necessary data and brings to the meetingAt the scheduled meeting, the data will be reviewed and actions may be takenA Case Manager is assigned to follow the child’s progression through the action plan

Referral Process

School Data Review Team, Data AnalystUniversal Screening or Individual Referral

Physical Health Concern Behavior/Mental Academic ConcernNutritional Concern Health Concern

Health & Wellness TeamAdministrator, Nurse, Mental Health

Professional, School Counselor, Pupil Appraisal, Teacher, Parent & Student (When Appropriate), Other Academic Professionals

Nurse Behavior/ Mental Health

Professional

Academic Professional

Case ManagementHealth

ReferralMental Health/

Behavioral Referral

504Evaluation

RTIReferralAcademic

Pupil AppraisalEvaluation

DyslexiaEvaluation

Other

Wrap Around TeamFrom District and Community (e.g. Child Psychologist, Child Psychiatrist, Pediatric Nurse, Licensed Clinical Social Worker, District Administrator)

SCHOOL BASED HEALTH & WELLNESS TEAM

Health and Wellness

“Our children must be healthy to learn, but first must learn to be

healthy.”Dr. Pat Cooper

Health Services

School Nurses

Screen for barriers to learning, i.e. vision and hearing

Triage and treat accidents

Administer medications and manage chronic illnesses

School Based Health Centers

Provide primary care, mental health care

Offer physical exams, conduct clinical and lab tests, treat chronic illness

Prescribe and dispense medications

Health ServicesSBHCs & School Nurses

Benefits of Working Together

Enhance students’ health, academic outcomes, and overall well-beingPlan and implement health promotion and disease prevention programsIncrease information sharing to protect student privacy and continuity of careReduce emergency room visits and hospitalizationsDetect health problems before the onset of chronic conditionsEducate students and families about healthy behaviors and nutrition Enroll students and families in public insurance programs

Mental Health Services

Licensed Clinical Social Workers

Provide therapy Counseling Mental health evaluations Behavior plan development Transition planning Service coordination

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

Educate on the importance of school climate/culture in achieving both academic and social success for studentsAssist schools with assessing school climate by using results of both student, parent and staff perception/opinion surveysBased on survey assessment, assist schools to identify appropriate interventions at the school-wide, group and individual student levels

School Climate Specialist

School-wide PBISResponse to InterventionDrug & Alcohol True StoriesLifeskills trainingS. O. S.Check and ConnectRipple EffectsTeaching Kids to CopeLeadership Violence Prevention ProjectLeadership & ResiliencyBullying training

Interventions

Proposed for 2013 school yearAddress RtI needsTier IITier III

Provide enrichment for other studentsACT prep classesHealth and Wellness interventionsSmall group sessionsSchool-wide initiatives

Enrichment Period

Ensure students are attending school regularly and making adequate progress towards completion.

Primary roles:Student and parent advocatesSpecialists in student engagementCommunity activists Resource expertsNot simply truancy officers

Community Liaisons

Key responsibilitiesEngagement and attendanceStudent and family involvementDropout preventionCommunity involvementDiscipline

Community Liaisons

Automatic notification of unexcused absencesEarly dropout warning systemDocumentation system of interventionRisk assessment completed by teachers and parentsActive member of Health and Wellness TeamConduct parent education sessions to address some of the root causes of truancyServe as Case Managers by addressing non-academic barriersInitiate grass roots awareness campaigns within individual communitiesEngage community stakeholders for their support in creative & proactive waysCollaborate with schools to reduce out of school suspensions and referralsWork a staggered schedule to provide staff during the intercessions and the summerSchedule and coordinate attendance recovery for students during intercessions The most complex cases will be taken to court in order to ask for assistance

Community LiaisonsIntervention Strategies

Community Health and Wellness Committee

Monthly meetings10-20 community agenciesFour sub-committees Physical health Mental health Social services Academic outcomes

Grant participation Parental involvement

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 Francie Bouillion

Lafayette Assessmentand Direction Center

Collaborative effort between agenciesGoal of preventing juveniles from entering the judicial systemProvide child and family supportDevelop a more cohesive systemStaff includes: supervisor, officers, case worker, mental health professionals, secretaryFall 2013 scheduled opening

Family and ChildDevelopment Center

Teen parents and their children or expecting teensServicesChild care for children ages 6wks – 4 yrsTeen parenting classesChild developmentServices for children with special needs

Collaborating community partners

Family and ChildDevelopment Center

MS model - Of the 97 teens eligible to graduate who had a first baby

95 (98%) graduated from high schoolNational average is 20%

3 (3.1%) had a second childNational average is 50%

97% of the babies who started kindergarten were on level…not in special education

Coordinated Student Record

Endeavor between DHH, OPH, LPSS, ULL, LAHIE, Picard Center and MicrosoftHolistic view of studentProvide comprehensive overviewIndividual studentGroups of studentsSchools & District

Aggregate data Provide for focus of interventions

Coordinated Records

Academic Physical Health Behavioral Health Mental Health Food & Nutrition Special Ed

Coordinated Results

Student Parent LPSS Picard Center DHH/OPH Judicial System LaHIE LINCS

Other Applications

Physical Education Health Education Employee Wellness Early Childhood Population management Revenue Cycle Research

Health and Wellness

“Coming together is a beginning. Keeping together is progress. Working together is success.”

Henry Ford

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 stateMcComb, MS• Started the program in 1997 • 85% free and reduced lunch and 89%

minorityNew Orleans, LA• Started Program in 2009

0

50

100

150

200

250

300

350

1998 1999 2000 2001 2002 2003 2004 2005

Number of Juvenile Arrests

70

75

80

85

90

95

100

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Graduation Rates

LPSS Updated Data

Academics

Physical Health

Mental HealthSocial Living

“The greatest force on earth is the human soul on fire.”

Ferdinand FocheFrench Allied Supreme Commander

World War I

Thank You!

Questions?