A Successful School and Behavioral Health Collaboration: S-Team Rebecca Roy, LCSW- Director of County Operations Alison Dobbs, LMHC- School Based Therapist and Team Lead Jason Chew- North Putnam High School Principal

A school based vision Vision Statement Through a broad-based community effort, students will overcome psychosocial barriers and build resiliency necessary to succeed in academic, family, and community settings.   Program Overview As the name implies, S-Team is based on the belief that success for students with behavioral health needs is optimized when the following program components are present:   Integrated Partnership: Through partnerships, inclusive and collaborative approach to care that actively engages family members, school personnel, health/behavioral health providers, and other involved entities. Whole Student Approach: The treatment team addresses all relevant life arenas: education, health, behavioral and emotional health, vocational/employment, and housing and other family needs. Clinical Best Practices Focused: The clinical service array consists of approaches and techniques that are based on the best available research evidence. A combination of individual and family based services. Accountability: Defined outcomes measures are employed to evaluate program effectiveness as it relates to the progress of students and the satisfaction levels of families, schools, and other involved individuals. Natural Settings: Cummins’ behavioral health professionals are housed within the schools and deliver almost all services in the school or in the home. History of the school based model- 1980’s discussed linked services, 2004 focused school based programming, 2014 implementation of the model

Children’s Needs for Mental Health Care are Largely Unmet A report by the Institute of Medicine revealed that between 14-20% of children and adolescents experience a mental, emotional, or behavioral disorder each year (National Academy of Sciences, 2009). Among youth ages 8-15 years old with a diagnosable mental disorder, only about half (50.6%) received treatment in the past year (per the National Health and Nutrition Examination Survey, Merikangas et al., 2010, as well as Green et al.,2013). Greenberg et al. (2003) found that as many as 70% of school-aged children with a diagnosable mental illness do not receive treatment Among adolescents with a mental disorder, approximately two thirds (63.8%) do not receive treatment, and half of adolescents with severly impairing mental disorders have never received mental health treatment (Merikangas et al., 2011). What are some barriers that you see that students are not getting the mental health treatment they need?

What do you think? What are some reasons you see that a collaboration between educators and behavioral health clinicians are needed?

Children’s Needs for Mental Health vision when needs are met! Bringing Together Schools and Families to Help Students Succeed Behavioral Health Staff Integrated into the School Referral Model and Outreach Assessment and Intervention Planning Clinical Evidence-based Practice Models Family Engagement Bridging the Gap during Breaks Crisis Services Cultural Competence Students in Transition Clinical Practice Oversight Ongoing Collaboration with School and Family Partners Professional Development and Systemic Collaboration Successful Outcomes and Discharge Spend a lot of time on this slid talking about how we do these things…

Behavioral Health Services and School Counselor Services School-wide behavior supports Individualized behavior plan Referral for behavioral and emotional health services Talk about the different role from school counselor. In addition to school processes.

We are in this together! Oversight of Overall Program Performance and Working Relationship School Corporation Administrators Chief Operating Officer and County/Program Directors Communication/Coordination related to Program Administration and Performance School Principles and Gatekeepers County/Program Directors and Team Leads Communication and Coordination Related to Individual Student Services Teachers, Counselors, and Other Building Personnel Therapists and Life Skills Specialists

What do you think? What are the necessary components for a successful collaboration between educators and behavioral health clinicians?

Preparatory Actions for a collaboration School leaders identify a need for behavioral health services Primary payer source is Medicaid for behavioral health services, the school does not pay for any of the services (although, we can do a separate contract for “contracted services” if the school corporation has a grant or other funding Assessment of free/reduced lunch is an indicator of a school that would be able to support a behavioral health program Behavioral Health leaders have the availability to hire and assign a dedicated provider within the school building Indiana currently has a shortage of behavioral health providers Usually this consists of a therapist and life skills specialist team

Initial Conversations Program overview Mutual needs and expectations establishment Readiness review Execution of agreement School accommodations Service delivery and office space Office and technological accommodations Availability of students Unique school requirements Spend a lot of time on this and answer questions

Common barriers/misconceptions about School Based programs My students need to be in the classroom and will get behind if they miss class The school will be financially responsible if we suggest or make a referral to this program How can a student go to therapy and then come back to the classroom to learn when you bring up emotional things in therapy?

What do you think? How will you start these conversations in your schools or behavioral health centers?

Ongoing program and outcomes! A day in the life, outcomes observed from the perspective of a: High School Principal School Based Licensed Mental Health Counselor

Questions???