Dallas Independent School District
Parkland Health and Hospital System
DALLAS
History
33 years (1969) of successful collaborations between the
medical community and Dallas Independent School District
providing school-based health care. (First in United States)
1993 Dallas Independent School District and Dallas MHMR
Center established first comprehensive school-based mental
health clinic. (First in United States)
1995 Dallas Independent School District, Parkland Health and
Hospital System, Youth and Family Centers and Dallas MHMR
Center join to coordinate and provide school-based services
through Youth and Family Centers.
1995 The Texas Legislature enacted state law, signed by
Governor George W. Bush, that authorized and funded Texas
School-Based Health Centers.
DALLAS
Mission Statement
To provide school-based physical health
care, mental health care, and other support
services to Dallas children and their families.
To reduce the barriers to academic success
so children can learn and teachers can teach.
To promote the wholeness of the family
and engage families in their children’s health
and education.
DALLAS
Guiding Principles
We Believe…
... that every child is a precious gift
...that for every child there is a nurturing family member
and a caring teacher
...that basic physical health and mental health services
must be available to all school communities and all
children
...in family-focused and prevention-oriented services
...that schools maintain a central role in the lives of
children, and that all facets of a child’s well-being
impact school performance
DALLAS
YFC Centers Model
• Child Centered
• School-Based
• Family Focused
• Multidisciplinary Team Approach
• Holistic Approach
• Integrated Service Delivery
DALLAS
Barriers to Learning
• Emotional issues
• Family stress
• Bullying and victimization
• Physical illness
• Witnessing violence
• Wounded communities
• Families in transition
• Poverty
• Nutrition needs
DALLAS
YFC Centers Program
• Geographically located sites serve all campuses
• Services linked to academic success of students
• All ages, all students, all schools
• Child-centered service plan for home and school
• Prevention, intervention and treatment
• Open year-round, five days a week, extended
hours until 8:00 p.m.
DALLAS
Staff
Dallas Independent School District
 Center manager
 Project liaison
 Child Psychiatrist
 Four to ten part-time staff comprised of school
psychologists, counselors, creative/recreative teachers,
social workers, school nurses and parent educators
Parkland Health and Hospital System
 Physician
 Nurse practitioner/physicians assistant
 Nursing and medical records staff
 Social worker
DALLAS
Services
Prevention
Physical Exams
Immunizations
Clinical Health Interviews
Sports Physicals
Nutrition Education
Teacher Training
Parent Education Classes
Health Education
Health Issues Management
School Child Study Team
Intervention
Classroom Health Education
Parent Workshops
Psychiatric Assessment
Health Fairs
Psychosocial Screening
Support Groups
Teacher Consultation
Family Involvement Activities
Home Visits
Mental Health Screening
School Consultation/Visits
Youth Development Activities
Therapeutic Recreation
Social Services
Psychological/Behavior Assessments
Treatment/Follow-up
Acute Care
Health Services
Chronic Disease Mgmt.
Pharmacy Services
Laboratory Services
Specialty Referrals
Classroom Behavior Plans
Family Therapy
Therapeutic Case Mgmt.
Individual Therapy
Group Therapy
Medication management
Multi-Family Therapy
DALLAS
School Success Indicators
 Attendance
 Grades
 Behavior
 Test Scores
 Satisfaction Surveys
DALLAS
Dallas School-Based Mental Health
Students Served
Student & Family Visits
25000
3500
3040
2699 2662
3000
20638
21171
20968
18786
20000
16088
2500
15000
2000
1500
1132
1201
10000
1000
5000
500
0
0
97-98 98-99 99-00 00-01 01 02
97-98 98-99 99-00 00-01 01 02
DALLAS
Absences and Discipline Referrals Improvement
2000-2001
Absences:
52.4% Improvement
Discipline referrals:
85.3% Improvement
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
before
services
after
services
Discipline
referrals
Absences
DALLAS
Satisfied Customers
Students:
97.4 % indicated that they were very satisfied with the services they received at the
Youth and Family Center.
The majority of the students indicated that they had not been sent to the principal’s office
or had to see the Youth Action Officer for misbehavior this school year.
Parents:
98.5 % indicated that they were very satisfied with the amount of time the center staff spend
with them and/or their child.
99.5 % indicated that they would be willing to return to the center for services.
95.1% indicated that they were satisfied with the progress made by their child or family
since coming to the centers.
School Staff:
77.8 % indicated that attendance had much improved or improved
91.3 % stated that behavior had much improved or improved
84.5 % indicated that the overall progress made by students served by the Centers had
much improved or improved
100% of principals indicated that the Youth and Family Centers provided quality services
to students and their families
DALLAS
Commendation
Carole Keeton Rylander
Texas Comptroller of
Public Accounts
Texas School Performance Review
Dallas Independent School District
COMMENDATION
June 2001
Exemplary Programs and Practices in the
Dallas Independent School District
DALLAS