Expanded School Mental Health in
West Virginia
Kidstrong Conference
June 14, 2012
Charleston, WV
Objectives
Participants will be able to:
1. Describe the three tiers of a comprehensive
school mental health model
2. List at least two examples of components in
each tier
3. Identify at least three resources for planning
and implementing a comprehensive model
4. Identify at least three strategies essential to
successful implementation
2
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
3
Milestones
Pre-2000
• WVDE Coordinated School
Health Model
• School based health
centers
• System of Care grant
• BBHHF funds SMH
• SSJHWF funds SBHCs
4
Milestones
2006
•WV Behavioral Health
Commission recommends
more school MH services
2007
•WVDE and BBHHF sign MOU
•ESMH steering team
organized
5
Milestones
2008-2009
• Designated as
subcommittee of WV
Behavioral Health
Commission
• Expanded School Mental
Health planning sites
funded (7)
6
Milestones
2010-2012
• ESMH implementation
sites funded
• ESMH model defined
• Policies and practices
incorporate ESMH
• RFA for 4 more planning
grants announced
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8
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 )
10
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
• Serves all students
• Emphasizes shared responsibility
between schools and community
providers
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A partnership between schools and community health
organizations…
Guided by youth and families.
Builds on existing
school programs,
services,
and strategies.
Focuses on all students…
…IN BOTH GENERAL AND SPECIAL
EDUCATION
Includes a full array of
programs, services, and
strategies
Diagram courtesy Louisiana Department of Education
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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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Expanded School Mental Health
Services
In
Rural 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.
During the first six-months of
implementation we provided
~
•
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.
This Summer~
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.
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 Schools
Madison Elementary School
We are proud of
A Center for HOPE & Change
Before…
and the CHOICES Program
…After
Tier 1 Academic and Behavioral
Universal/All
Supports
Students
•
•
•
•
•
•
•
•
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
Tier 2 Academic and Behavioral
At-risk students
Supports
SAT
SPL (RtI)
Tier 2 and 3 pull out
interventions
Extended day tutoring
Mentoring (SOS) with 5th
grade
Homework time at breakfast
Weekend Snack Bag
Program
Academic
Counseling/Conferences
Extended Year
Group counseling-A Center
for HOPE & Change
Juvenile Mediation
(truancy)
KOOL Kids Program
Tier 3 Academic and Behavioral
Supports
Intensive, Individual
 Individual therapy- A
Center for HOPE &
Change
 Referrals to outside
agencies (CPS, YSS,
mental health)
 CHOICES Groups
 Referrals to
HealthyCHILD (PK
mental health support
through HeadStart)
 CHOICES individual
therapy
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
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8/8/11
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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, MPH
Marshall University
Huntington, West Virginia
304-544-3917
landerson@marshall.edu
Resources, assistance, and training related to SBHCs, schoolbased behavioral and oral health programs.
Linda Anderson, MPH
Mental Health
304-544-3917
landerson@marshall.edu
Paula Fields, MSN, RN
Primary Health Care/SBHCs
304-846-9739
pfields4@yahoo.com
Richard Crespo, PhD
Director
304-691-1193
crespo@marshall.edu
Stephanie Hayes, MA
Mental Health Evaluation
304-634-7769
Stephanie.hayes@marshall.edu
Stephanie Montgomery
Data and Evaluation
304-634-1008
smontgom@marshall.edu
Bobbi Jo Muto, RDH, BS
Oral Health Coordinator
304-542-9592
bjmuto.steele@marshall.edu
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