Jennifer Barley, MSW School Social Worker Pulaski County Schools   Rebecca Cutter, LPC Program Manager School Based & Therapeutic Day Treatment New River Valley Community Services  Jennifer Polanco, LPC Virginia Tiered System of Supports and Project AWARE Division Coordinator Pulaski County Schools   J.Lynne Winebarger, LCSW School Based Supervisor New River Valley Community Services

Mental Health in our School Approximate 4,200 total Students 750 student received School Based Mental Health Support (2014-2015 grant year) 42 Community Services Providers operating out of our schools 63.3% of Community Based Mental Health Service referrals from the school resulted in services 83.5% of School Based Mental Health Service referrals from the school resulted in services Over 200 people trained in Youth Mental Health First Aid We are committed to training all school staff by 2020

Positive Trends Pride Survey % of PCHS students (grades 9-12) who report using alcohol in the past 30 days:  has decreased from 35.4% to 28.8 % since 2011 % of PCHS students (9-12) who report using tobacco in the past 30 days:  has decreased from 28.4% to 23.7% since 2011 % of PCHS students (9-12) who report smoking marijuana past 30 days:  has decreased from 24.1% to 20.2% since 2011

Student Assistance Program (SAP) This team is a broad-based, flexible approach of prevention services and interventions that work across all tiers with the goal to build resiliency in youth while empowering them for academic and emotional success. Strives to promote academic, social, and emotional well-being. Identify, refer, and engage students Individualized services are developed through tiered systems of support Free mental health services offered at high school and middle school levels Groups 4 individual sessions

Emotional Wellness: Tiered Approach School Community Tier 3/Tertiary Interventions 1-5% School Counselor individual sessions Therapeutic Day Treatment School Based Clinician/ Transitional CM Truancy Diversion Special Deliveries SAP Individual Sessions WRC Individual sessions Tier 3/Tertiary Interventions 1-5% Psychiatric Evaluation/Care In-Home Services Outpatient KPACT Parent Coach Strengthening Families School Based Clinician Tier 2/Secondary Interventions 5-15% School Counselor group sessions Truancy Team School Based Clinician School Mentor Anger Management group Social Skills group CAPS- Substance Abuse Tobacco cessation Tier 2/Secondary Interventions 5-15% Big Brother/Big Sister Beans & Rice/ACE after school programming RU counseling “Parenting through Separation and Divorce” “Parenting Young Children” Important points: Family engagement at all three tiers (ex. Universal: parent volunteers using school reinforcer; Secondary: pushing teams to think about more than just consent but helping parents/families understand and be engaged in the intervention; Tertiary: Families need to be active member on the team School population (race, free/reduced lunch, urban/rural, large/small buildings) Regardless of student population the percentage breakdowns remain the same. Any behavior that is impacting more than 20% of the student body is a universal issue. Universal team/all students, Secondary team/small groups/generic problem solving team/Tertiary team/formed for individual student Discuss importance of mental health, mental wellness Tier 1/Universal Interventions 80-90% Olweus Anti-Bullying “Too Good for Drugs” Morning meetings (Social Emotional) Women Resource Center (WRC): Healthy Relationship Tier 1/Universal Interventions 80-90% Tuesday Summer Market place Pulaski Proud Local Commissions marketing around healthy living 6

Core Team Team approach to helping students access necessary resources needed to be successful in both the school and community Team of individuals representing a variety of disciplines Example: administrative, teaching, school counselor, behavioral expert, special education staff, community supports, etc.  As a team, members will review a student’s school history Access current needs Make recommendations using school- based and/or community-based resources to help increase student success Working towards increased monitoring of outcomes around action plans

Collaboration Initiate the relationship by finding common ground System designed to have consistent continuous contact Provider meetings (school and division levels) Strive for seamless integration Common language