“So – You Are Interested in Getting
More Mental Health Services – Now
What?”
Regional School Counselor Conference 2014
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
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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
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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)
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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)
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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)
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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)
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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
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Focuses on all students…
…IN BOTH GENERAL AND SPECIAL
EDUCATION
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Builds on existing
school programs,
services,
and strategies.
(Is consistent with and supported by
WVDE policies 4373, etc.)
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TIER 1 - UNIVERSAL PREVENTION
RECOMMENDATIONS
1. Infrastructure
2. Positive Behavior
Support
3. Developmental
guidance
4. Early identification
5. School climate
6. Connectedness
7. Family engagement
8. Staff development
9. School safety
10. Support for Transitions
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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
Family support services
NCLB
Cultural competence
Multiculturalism
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
School connectedness
Coordinated school health program
Peer-to-Peer Support
Evidence based practice
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Planning Process
1. 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 Process
4. 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
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
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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/
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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
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West Virginia Resources
“WV Educators Speak” video
Tool Kits & Briefs
Website Links
ESMH Start-Up Guide
http://livewell.marshall.edu/mutac/wpcontent/uploads/2013/11/ESMH-Start-Up-Guide.pdf
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www.schoolmentalhealthwv.org
www.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
Ohio County Schools
Madison 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







Too Good for
Drugs/Violence
Second Step
Keep a Clear Mind
Family dinner
nights
Gold Star (PBS)
D.A.R.E
Lunch Buddy
Program
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Tier 2
Academic and Behavioral Supports





SAT
Tier pull-out
interventions
Extended day tutoring
Juvenile Mediation
Program
Extended Year



KOOL Kids Program
(middle school transition)
Weekend Snack Bag
Program
Group counselingBullfrogs & Butterflies
Afterschool Program
(Coping Cat)
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Tier 2&3
School-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
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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
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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.
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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
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Ohio County Schools
Madison Elementary School
We are proud of
A Center for HOPE & Change
Before…
and the CHOICES Program
…After
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!
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