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

What?”

Regional School Counselor Conference 2014

ObjectivesParticipants 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

2

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

3

5

Links Between Mental Health and School Success

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

Academic Performance• 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 RatesSchool 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

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:

11

• Prevention• Early intervention • Treatment• Emphasizes shared

responsibility between schools and community providers

…IN BOTH GENERAL AND SPECIAL EDUCATION

Focuses on all students…

12

Builds on existing school programs, services, and strategies.

13

(Is consistent with and supported by WVDE policies 4373, etc.)

14

TIER 1 - UNIVERSAL PREVENTIONRECOMMENDATIONS1. Infrastructure2. Positive Behavior

Support3. Developmental

guidance4. Early identification5. School climate6. Connectedness

7. Family engagement8. Staff development9. School safety 10. Support for Transitions

15

Student Support Services

Social and Emotional Learning

Mental Health Services Act

Student Mental Health Initiative Safe Schools, Healthy Students

Peer-to-Peer Support

School climate

School connectedness

Coordinated school health program

Suicide Prevention

Strengths based

Risk and protective factors

Family support services

Cultural competence

MulticulturalismShared Agenda

School based

School linked

Special Education

NCLB

IDEA

Crisis management

Evidence based practice

Multi system approach

Response to InterventionPBIS

Systems of Care

School linked

Wrap around

Student Assistance Team

Where to Begin?

16

Planning Process1. Educate yourself 2. Gain support from administration

• Principal• District

3. Form core school leadership team (Administration, RESA Wellness Spec, school nurse, SAT, special ed…)

4. Form steering team MH Child Liaison, health, business, FRN, substance abuse, parents, youth….)• http://www.dhhr.wv.gov/bhhf/resources/Documents/Resources/PD

F%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

Planning Process4. Analyze needs and resources

• School data; SWOT analysis• School Improvement Plan• MH-PET: www.nasbhc.org/mhpet

5. Identify and negotiate with community MH provider(s)

6. Develop an implementation plan• Set vision, goals, objectives, timeframes

7. Memo of Understanding (MOU)• Hours, funding, staffing, liability

8. Monitor, re-assess, evaluate progress

Funding

19

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

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 ResourcesCenter for School Mental HealthU of Maryland: www.csmh.umaryland.edu

National Assembly on School Based Health Care: www.nasbhc.org

Compassionate Schoolswww.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

22

23

www.schoolmentalhealthwv.org

www.wvshtac.org

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

Stephanie Hayes, MAMarshall UniversityHuntington, West Virginia304-634-7769stephanie.hayes@marshall.edu

Ohio County SchoolsMadison Elementary

Expanded School Mental Health

Services

Tier 1 Academic and Behavioral Supports

Co-teaching PLC bi-weekly Teacher study/support groups Anchor (after school) Attendance care calls NetSmartz Music Together

Too Good for Drugs/Violence Second Step Keep a Clear Mind Family dinner nights Gold Star (PBS) D.A.R.E Lunch Buddy Program

26

Tier 2 Academic and Behavioral Supports

SAT SPL 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)

27

Tier 2&3School-Based Mental Health

CHOICES Program (since 2002)

Group, Individual & Family Therapy in coordination with Northwood Health Systems

A Center for HOPE & 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

Before… …After

We are proud of A Center for HOPE & Change

and the CHOICES Program

Questions?

Linda Anderson, Marshall University• landerson@marshall.edu

Dr. Barbara Brady, WVDE• bashcraft@access.k12.wv.usTiffany 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

33Thank you!