Presented for: The Leadership Summit on Mental Health By:Don Martin, Superintendent...

Presented for:Presented for:

The Leadership Summit on Mental HealthThe Leadership Summit on Mental Health

By:By: Don Martin, SuperintendentDon Martin, Superintendent

Winston-Salem/Forsyth County SchoolsWinston-Salem/Forsyth County Schools

October 17, 2005October 17, 2005

WINSTON-SALEM/FORSYTH COUNTY SCHOOLSWINSTON-SALEM/FORSYTH COUNTY SCHOOLS

Student Enrollment—49,782Student Enrollment—49,782

73 Schools73 Schools

-- 40 Elementary40 Elementary

-- 14 Middle14 Middle

-- 13 High Schools 13 High Schools (includes four (includes four

small Gates high schools)small Gates high schools)

-- 6 Special Schools 6 Special Schools

WINSTON-SALEM/FORSYTH COUNTY SCHOOLSWINSTON-SALEM/FORSYTH COUNTY SCHOOLS

District Staffing to Improve Student Mental District Staffing to Improve Student Mental HealthHealth

RatioRatio # Positions# Positions

-- CounselorsCounselors 1: 375 (134)1: 375 (134)-- Social WorkersSocial Workers 1:1,476 ( 34)1:1,476 ( 34)-- PsychologistsPsychologists 1:2,008 ( 25)1:2,008 ( 25)

School Health AllianceSchool Health Alliance

Anti-Bullying InitiativeAnti-Bullying Initiative

SCHOOL HEALTH ALLIANCE FOR SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTYFORSYTH COUNTY

Non-profit 501(c)(3) – funded by Wake Forest Non-profit 501(c)(3) – funded by Wake Forest University Baptist Medical Center, Forsyth University Baptist Medical Center, Forsyth Medical Center, various, grants, WS/FC Medical Center, various, grants, WS/FC SchoolsSchools

Founded 1999Founded 1999 Mission: to improve the ability of students to Mission: to improve the ability of students to

learn bylearn by Improving their health and safetyImproving their health and safety Coordinating and targeting resources of Coordinating and targeting resources of

community health providerscommunity health providers


OBJECTIVESOBJECTIVES

To develop and evaluate models of school-To develop and evaluate models of school-based health care promoting preventive based health care promoting preventive strategies and improving access to health strategies and improving access to health care and mental health servicescare and mental health services

To replicate and fund effective modelsTo replicate and fund effective models


OBJECTIVESOBJECTIVES

To develop and fund programs that To develop and fund programs that address those conditions most closely address those conditions most closely associated with school performance associated with school performance (initially behavior problems and asthma)(initially behavior problems and asthma)

To focus on a preventive program for To focus on a preventive program for cardiovascular disease, a major cause of cardiovascular disease, a major cause of morbidity and mortality in Winston-Salemmorbidity and mortality in Winston-Salem

To serve as School Health Advisory To serve as School Health Advisory Council for WS/FCSCouncil for WS/FCS

SCHOOL HEALTH ALLIANCESCHOOL HEALTH ALLIANCE

BOARD OF DIRECTORSBOARD OF DIRECTORS

Wake Forest University Health SciencesWake Forest University Health SciencesForsyth Early Childhood DevelopmentForsyth Early Childhood DevelopmentForsyth County Department of Social ServicesForsyth County Department of Social ServicesThe North Carolina Baptist Hospitals, Inc.The North Carolina Baptist Hospitals, Inc.Forsyth County Department of Public HealthForsyth County Department of Public HealthWinston-Salem/Forsyth County SchoolsWinston-Salem/Forsyth County SchoolsWinston-Salem State UniversityWinston-Salem State UniversityCenterPoint Human ServicesCenterPoint Human ServicesForsyth Pediatric AssociatesForsyth Pediatric AssociatesForsyth County Council of PTAsForsyth County Council of PTAsMedical Park HospitalMedical Park HospitalForsyth Medical CenterForsyth Medical CenterForsyth-Stokes-Davie County Medical SocietyForsyth-Stokes-Davie County Medical Society

SCHOOL HEALTH ALLIANCE SCHOOL-BASEDSCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICESMENTAL HEALTH SERVICES

Licensed Clinical Social Workers (LCSW)Licensed Clinical Social Workers (LCSW)

Three modelsThree models 1.5 FTE LCSW in comprehensive health center 1.5 FTE LCSW in comprehensive health center

(Mineral Springs Elementary and Middle (Mineral Springs Elementary and Middle Schools)—parental consent requiredSchools)—parental consent required

0.5 FTE (Ashley) and 1.0 FTE (Atkins) LCSW 0.5 FTE (Ashley) and 1.0 FTE (Atkins) LCSW partnered with registered nurse—students all partnered with registered nurse—students all eligible unless parent declineseligible unless parent declines

1.0 FTE LCSW solo in high school (North 1.0 FTE LCSW solo in high school (North Forsyth) for alternative and high risk students—Forsyth) for alternative and high risk students—offered to targeted students, voluntaryoffered to targeted students, voluntary


Social workers accept referrals from Social workers accept referrals from teachers and administrative staff; teachers and administrative staff; collaborate with other disciplines on SHA collaborate with other disciplines on SHA staffstaff

With parents’/students’ consent, social With parents’/students’ consent, social workers work closely with teachers, workers work closely with teachers, monitoring effects of therapy, assisting monitoring effects of therapy, assisting teachers with behavioral managementteachers with behavioral management


STRUCTURESTRUCTURE

Contract between SHA and WS/FCSContract between SHA and WS/FCS

Medical direction by pediatricianMedical direction by pediatrician

Coordination with other SHA services by Coordination with other SHA services by nurse practitioner/coordinatornurse practitioner/coordinator

Consultation with psychiatrist (on-site in two Consultation with psychiatrist (on-site in two models; periodic case review in all models)models; periodic case review in all models)

Billing arrangements in transitionBilling arrangements in transition


EVALUATIONEVALUATION

2003-042003-04

MEASURESMEASURES

Comparison of initial vs. latest…Comparison of initial vs. latest…

Child and Adolescent Functional Assessment Scale Child and Adolescent Functional Assessment Scale (CAFAS)(CAFAS)

Reading and math gradesReading and math grades


EVALUATIONEVALUATION

2003-042003-04

OUTCOMESOUTCOMES

For students with mental health conditions For students with mental health conditions

Statistical improvement in CAFAS scoresStatistical improvement in CAFAS scores

Statistical improvement in math gradesStatistical improvement in math grades

Trend toward improvement in reading Trend toward improvement in reading grades (did not reach statistical grades (did not reach statistical significance)significance)


OTHER ACTIVITIESOTHER ACTIVITIES

Community protocol for collecting and Community protocol for collecting and exchanging information between exchanging information between physicians and elementary schoolsphysicians and elementary schools Common entry point for concerns: SAT Common entry point for concerns: SAT

at schoolat school Schools collect Vanderbilt Scales Schools collect Vanderbilt Scales

(parent and teacher), achievement test (parent and teacher), achievement test results, cognitive screening test, current results, cognitive screening test, current placementplacement

Form for physician to complete and Form for physician to complete and return to schoolreturn to school


OTHER ACTIVITIESOTHER ACTIVITIES

Liaison with Child and Family Advisory Liaison with Child and Family Advisory Committee of the Local Management Entity Committee of the Local Management Entity (LME)(LME)

Liaison with Forsyth Council for Children Liaison with Forsyth Council for Children and Familiesand Families

Contract with LME for administrative Contract with LME for administrative support of school-based servicessupport of school-based services

LME Director serves on Board of SHALME Director serves on Board of SHA

THE DISCIPLINE TASK FORCETHE DISCIPLINE TASK FORCE

Formed and met during the Formed and met during the 2003-04 school year. 2003-04 school year.

Consisted of parents, teachers, Consisted of parents, teachers, counselors and administrators. counselors and administrators.


PurposePurpose

-- To study areas of needed To study areas of needed improvement based on the improvement based on the 2003 Safety Survey results.2003 Safety Survey results.

-- To identify effective To identify effective discipline models and discipline models and programs that would programs that would

address areas of concern. address areas of concern.


Concentrated on two areas: Concentrated on two areas:

-- Bullying Bullying

-- School Climate School Climate


DEFINITION OF DEFINITION OF BULLYINGBULLYING

The term “bully” means the repeated andThe term “bully” means the repeated and

deliberate verbal and physical abuse of a student deliberate verbal and physical abuse of a student

by one or more students. This aggressive behavior by one or more students. This aggressive behavior

is unwelcome, unprovoked and intended to do is unwelcome, unprovoked and intended to do

emotional harm. It generally occurs in a context emotional harm. It generally occurs in a context

where there is a real or perceived imbalance of where there is a real or perceived imbalance of

power, physical or social, between the bully and power, physical or social, between the bully and

the victim. the victim.


TYPES OF PROHIBITED BULLYING BEHAVIORSTYPES OF PROHIBITED BULLYING BEHAVIORS

a.a. Physical bullying includes the repeated and Physical bullying includes the repeated and deliberate making of obscene gestures, deliberate making of obscene gestures, pushing, shoving, hair pulling, and any other pushing, shoving, hair pulling, and any other unwelcomed physical contact intended to unwelcomed physical contact intended to create an intimidating and hostile create an intimidating and hostile environment.environment.



b.b. Verbal bullying includes such acts as:Verbal bullying includes such acts as:

(1) hurtful name-calling, teasing, or (1) hurtful name-calling, teasing, or intimidating; intimidating; (2) defaming or spreading false rumors about (2) defaming or spreading false rumors about another person to cause them to be disliked, another person to cause them to be disliked, humiliated or disrespected by their peers; humiliated or disrespected by their peers; (3) persuading, encouraging or leading other (3) persuading, encouraging or leading other students to exclude or socially isolate the students to exclude or socially isolate the victim in order to cause emotional harm;victim in order to cause emotional harm;



b.b. (4) extorting money, property or services (4) extorting money, property or services from another student; and/orfrom another student; and/or

(5) making derogatory, demeaning or hostile (5) making derogatory, demeaning or hostile comments about another student’s race, comments about another student’s race, disability, ethnicity, or gender.disability, ethnicity, or gender.


RECOMMENDATIONSRECOMMENDATIONS

DISTRICT DISTRICT

1.1. At the beginning of each school At the beginning of each school year, increase efforts to inform year, increase efforts to inform parents and students of policy and parents and students of policy and administrative regulation related to administrative regulation related to bullying. bullying.



DISTRICT DISTRICT

2.2. Provide information about bullying Provide information about bullying to use with parents and community to use with parents and community groupsgroups

- to increase awareness - to increase awareness

-- to share prevention to share prevention strategies. strategies.

-- to ask for support and to ask for support and involvement. involvement.



DISTRICT DISTRICT

3.3. Provide professional development Provide professional development related to bullying for all related to bullying for all employees.employees.



DISTRICT DISTRICT

4.4. Complete cultural competency Complete cultural competency training for all employees by the training for all employees by the end of the 2006-07 school year. end of the 2006-07 school year.



DISTRICT DISTRICT

5.5. Improve the monitoring of student Improve the monitoring of student behavior on school buses by behavior on school buses by purchasing a camera per school for purchasing a camera per school for school administrators to place school administrators to place rotationally on buses as needed. rotationally on buses as needed.



DISTRICT DISTRICT

6.6. Involve students in bullying Involve students in bullying prevention efforts:prevention efforts:

-- a district-wide poster a district-wide poster contest contest

-- an essay contestan essay contest



School-Level School-Level

1.1. Ask that each school staff have a Ask that each school staff have a school wide discipline plan that school wide discipline plan that includes rules and consequences includes rules and consequences that address bullying. that address bullying.




2.2. Communicate the school-wide Communicate the school-wide discipline plan in multiple ways. discipline plan in multiple ways.




3.3. Encourage student clubs, such as Encourage student clubs, such as Students Against Violence Students Against Violence Everywhere (SAVE), Student Everywhere (SAVE), Student Council, and other organizations to Council, and other organizations to emphasize bullying prevention.emphasize bullying prevention.




4.4. Analyze and share school data Analyze and share school data

Utilize the data to make revisions in Utilize the data to make revisions in the school’s safety plan as needed. the school’s safety plan as needed.

Involve students at the upper Involve students at the upper elementary, middle and high school elementary, middle and high school levels in this process. levels in this process.




5.5. Emphasize and model the Emphasize and model the need to build strong need to build strong relationships relationships -- staff staff -- students and staff students and staff -- staff and parents staff and parents -- staff and the school staff and the school community. community.




6.6. Integrate character education into Integrate character education into content areas by using the WS/FCS content areas by using the WS/FCS Character Development Plan and Character Development Plan and the WS/FCS Character Education the WS/FCS Character Education Supplement. Supplement.




7.7. Review the Life Management Skills Review the Life Management Skills course at the high school level for course at the high school level for possible revision to include bullying possible revision to include bullying prevention and intervention prevention and intervention

strategies.strategies.



CommunityCommunity

1.1. Share information about the Share information about the district’s character education district’s character education program with the faith-based program with the faith-based community community



CommunityCommunity

2.2. Develop a list of speakers from the Develop a list of speakers from the district who will do presentations on district who will do presentations on bullying to businesses and bullying to businesses and community groups. community groups.


STUDENT SURVEY RESPONSESTUDENT SURVEY RESPONSE

Has a student bullied you this year Has a student bullied you this year

at school?at school?

Percent Answering Percent Answering YesYes

AllAll GradeGrade GradeGradeGradeGrade

StudentsStudents 5 5 8 8 12 12

20042004 15.5% 15.5% 21.8%21.8% 14.8%14.8% 8.6%8.6%

20052005 12.2% 12.2% 16.0%16.0% 13.2%13.2% 5.8%5.8%



When a student bullied you thisWhen a student bullied you this

year at school, did you tell an year at school, did you tell an

adult at the school?adult at the school?


AllAll GradeGrade GradeGrade GradeGrade


20042004 58.2% 58.2% 69.1%69.1% 47.7%47.7% 46.4%46.4%

20052005 55.4% 55.4% 63.2%63.2% 49.6%49.6% 45.6%45.6%



When you reported bullying to an When you reported bullying to an

adult, did the adult do something adult, did the adult do something

about it?about it?




20042004 48.0% 48.0% 53.7%53.7% 39.7%39.7% 40.2%40.2%

20052005 54.7% 54.7% 60.6%60.6% 49.2%49.2% 43.5%43.5%



Has one or more of your teachers Has one or more of your teachers

discussed bullying with your class discussed bullying with your class

this year?this year?




20042004 47.8% 47.8% 83.6%83.6% 41.4%41.4% 11.4%11.4%

20052005 67.5% 67.5% 91.0%91.0% 75.6%75.6% 27.6%27.6%


PARENT SURVEY RESPONSEPARENT SURVEY RESPONSE

Has a student bullied your child Has a student bullied your child

this year at school?this year at school?



ParentsParents 5 5 8 8 12 12

20042004 13.6% 13.6% 15.2%15.2% 15.3%15.3% 7.1%7.1%

20052005 14.6% 14.6% 15.1%15.1% 17.1%17.1% 6.8%6.8%



When a student bullied your child When a student bullied your child

this year at school, did you report this year at school, did you report

the incident to the school?the incident to the school?




20042004 60.1% 60.1% 61.7%61.7% 63.1%63.1% 44.6%44.6%

20052005 65.2% 65.2% 67.8%67.8% 63.7%63.7% 58.3%58.3%



When you reported bullying, did When you reported bullying, did

the school do something about it?the school do something about it?




20042004 49.0% 49.0% 52.2%52.2% 48.8%48.8%30.4%30.4%

20052005 49.1% 49.1% 54.5%54.5% 45.6%45.6%28.6%28.6%



Rules are applied the same for Rules are applied the same for

everyone at this school.everyone at this school.

Percent Percent Agreeing/Strongly AgreeingAgreeing/Strongly Agreeing



20022002 77.5% 77.5% 86.3%86.3% 70.0%70.0% 65.5%65.5%

20032003 72.7% 72.7% 81.0%81.0% 63.4%63.4% 64.0%64.0%

20042004 73.2% 73.2% 81.0%81.0% 66.2%66.2% 67.2%67.2%

20052005 72.2% 72.2% 82.5%82.5% 66.7%66.7% 56.4%56.4%



The principal at this school is The principal at this school is

available to parents when needed.available to parents when needed.




20022002 80.2% 80.2% 87.8%87.8% 73.6%73.6% 69.7%69.7%

20032003 76.8% 76.8% 83.3%83.3% 72.4%72.4% 67.0%67.0%

20042004 79.0% 79.0% 86.8%86.8% 73.8%73.8% 69.4%69.4%

20052005 78.4% 78.4% 87.2%87.2% 74.3%74.3% 63.9%63.9%



My child is safe at this school.My child is safe at this school.




20022002 92.3% 92.3% 96.4%96.4% 87.7%87.7% 88.5%88.5%

20032003 90.9% 90.9% 94.8%94.8% 88.4%88.4% 84.6%84.6%

20042004 92.7% 92.7% 96.7%96.7% 88.0%88.0% 90.9%90.9%

20052005 92.2% 92.2% 97.0%97.0% 88.0%88.0% 88.8%88.8%



It is easy to communicate with It is easy to communicate with

teachers at this school.teachers at this school.




20022002 81.8% 81.8% 91.3%91.3% 74.0%74.0% 67.9%67.9%

20032003 79.3% 79.3% 88.4%88.4% 75.6%75.6% 62.8%62.8%

20042004 83.1% 83.1% 90.6%90.6% 77.5%77.5% 76.1%76.1%

20052005 84.6% 84.6% 92.2%92.2% 79.5%79.5% 75.3%75.3%

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Presented for: The Leadership Summit on Mental Health By:Don Martin, Superintendent...

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