School-Based Behavioral and Mental Health Supports and Services Department of Pupil Services Loudoun education alliance of parents October 12, 2016 Heather Applegate, Ph.D. Supervisor of Diagnostic and Prevention Services Licensed Clinical Psychologist

What is Mental Health? Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity. (Report from the Surgeon General on Mental Health) Mental health is “a state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (World Health Organization)

Scope of the Problem One in five (20%) children and adolescents will experience a significant mental health problem during their school years (US Department of Health and Human Services, 1999) Approximately 75% to 80% of children and youth in need of mental health services do not receive them because existing mental health services are inadequate (U.S. Department of Health and Human Services, 2001). Of those who do receive assistance, the vast majority (70% to 80%) receive mental health services in schools

Mission and Goal To educate the whole child by providing supports and services to meet the academic, social, emotional, behavioral and health needs of all students so they may enjoy a successful school experience. Remove barriers to learning

Three-Tiered Behavioral/Mental Health Model of Services and Supports Tier 3: Intensive Intervention (Few) Tier 2: Targeted Intervention (Some) Tier 1: Universal Prevention (All)

Pupil Services Student Support Team 9/15/2018 Pupil Services Student Support Team School Counselor School Psychologist School Social Worker Student Assistance Specialist Nurse/Clinic Specialist Special Education Supervisor Behavioral Specialist Behavioral Support Coordinator

School-Based Services and Supports Positive Behavioral Interventions & Supports Classroom Guidance Lessons Bullying/Violence Prevention Mandt Training Substance Use Depression Awareness/Suicide Prevention Behavioral Consultation Group and Individual Counseling Crisis Intervention Threat Assessment Restorative Practices

School-Based Services and Supports Positive Behavioral Interventions & Supports (PBIS): A framework for assisting school personnel in adopting and organizing evidence-based behavioral interventions into an integrated continuum that enhances academic and social behavior outcomes for all students. Classroom Guidance Lessons: Instruction provided at the elementary level to assist students in developing decision- making, communication and life skills, as well as character values. Bullying Prevention: Establishing school-wide expectation for common respect, teaching what that means, and ensuring that all students and faculty and staff members share in the responsibility of making schools respectful settings.

School-Based Services and Supports Mandt: Integrated approach to preventing, de-escalating, and if necessary, intervening when the behavior of an individual poses a threat of harm to themselves and/or others. Substance Use/Abuse: Specialized services provided for students who request individual or group support and/or services for students assigned disciplinary action related to substance use/abuse. Services in include assessment, family services, instruction and follow up. Depression Awareness/Suicide Prevention: Classroom presentations provided to ninth grade students on recognizing and responding to depression and suicidal behavior in themselves or friends.

School-Based Services and Supports Behavioral Consultation: An indirect, problem-solving service involving a collegial relationship between a specialist and teacher/parent to identify and analyze behavioral problems in children and to develop and evaluate behavioral- based interventions to improve the student’s behavior. Counseling: interactive process between a specialist and student (or group of students) to help build social-emotional skills, solve problems, and improve functioning.

School-Based Services and Supports Crisis Intervention: emergency psychological care aimed at assisting students in a crisis situation (e.g., student or staff death) to restore functioning and to minimize the potential for psychological trauma Threat Assessment: A problem-solving approach to evaluate the risk of violence posed by someone and to intervene and resolve the issues that underlie the threatening behavior Restorative Practices: A framework that includes the development of a whole school approach or specialized services to build on positive culture initiatives as well specialized services to teach problem solving and conflict resolution as an alternative to traditional discipline.

Mental Health Support Examples Behavior Social-Emotional Skills Bullying/Violence Intensive (Tier 3) Functional Behavioral Assessment Behavioral Intervention Plan Mandt Technical Restorative Practices Conferences Individual Counseling School Within a School Program Inter-Agency Collaboration (e.g., Wrap Around) Threat Assessment Safety Plan Individual counseling Targeted (Tier 2) Check In-Check Out Informal Behavioral Plans Mandt Relational Restorative Practices Circles Group Counseling Explicit instruction individual/small group Pupil Services Student Support Team Threat Assessment Universal (Tier 1) PBIS Restorative Language and Approaches within PBIS Classroom Guidance Lessons Stop-Walk-Talk Expect Respect

Mental Health Support Examples Suicide Substance Use Intensive (Tier 3) Referral & After Care Support Crisis Postvention Response Insight program (includes substance abuse assessment, family consultation, individual/group support) and referrals Targeted (Tier 2) Suicide Screening and Intervention Booster Sessions of Depression Awareness & Suicide Prevention Group and Individual Support Universal (Tier 1) Depression Awareness & Suicide Prevention presentations (Ninth Grade) Substance Abuse Prevention presentations in school; evening presentations for parents/families

How do I find help? The School Counselor is your primary source as a provider of service and to provide referrals as needed or requested. School Counselors are trained professionals, and assigned to every school building in the county. If the student’s individual counselor is not available, each school has an additional resource. In elementary, contact your school principal. In middle school, each school has a “lead” counselor. In high school, a Director of School Counseling is part of the administrative staff in each building. We are here to provide timely, professional and supportive services. Contact your school counselor any time you have questions or concerns.