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Knocking Down the Barriers Using 21st Century Practices to Address Mental and Behavioral Health in an Urban Learning Environment Good mental health is essential to a fulfilling, productive life. Yet mental health problems commonly occur at an early age—and unfortunately, many children do not receive the care they need. 1 2 Access to high quality prevention and intervention services varies greatly; the most marginalized children have an even smaller chance of receiving vital services. 3 4 The consequences of untreated mental health issues can compromise not only a child’s future but also the community’s vitality
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Session Outcome Understand how school districts can leverage community partnerships to create a community of practice around mental health access and supports. Walk away with knowledge of …
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Racine Unified School District
Community 7 Municipalities Urban Suburban Rural Demographics 65% Free and Reduced 17.4% Special Ed % Limited English
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Background – guiding coalition made up of board members, administrators and staff from all bargaining units came together to address and embolden the whole child moving from an academic trajectory to one that includes social emotional benchmarks and career and life skills in order to meet the needs of our students and our community.
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Our Story Recent study of 215 families revealed:
Wisconsin has the lowest rate of mental health service for children and youth Racine has one of the highest rates of occurrence Disproportionate suspension/expulsion and special education referrals/services Over 7,000 students in need of care receive Medicaid Recent study of 215 families revealed: 46% AODA problem 38% Domestic Violence 33% Incarcerated family member We are an urban community who, much like many of your communities, is working to address the many needs of students and families. According to a recent UW-Milwaukee study of Adverse Childhood Experiences, Racine has one of the highest rates of mental health occurrence in the state. Our students enter the classroom having experienced trauma, with increased rates of anxiety and hidden triggers…
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Systemic approach Enhance regular classroom strategies to improve instruction for students with mild to moderate behavior and learning problems Assist students and families as they negotiate the many school-related transitions Increase home involvement with schools Respond to, and where feasible, prevent crises Increase community involvement and support Facilitate student and family access to specialized services when necessary According to the UCLA School Mental Health project the following approaches, when done together, create a systemic approach that will break through the barriers that exist in an urban learning environment. We all know how layered just one of these approaches can be to create change. Our journey to accomplish this began by joining a community coalition…
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Power of partnerships Our goal as a community has been to disrupt the pathway set forth by adverse experiences in the home or community early in a child’s development in order to promote social emotional development. We joined a collaborative for childrens mental health to learn together and develop working agreements and a commitment to continue to serve together to solve our community crisis’.
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New Beginnings 2011 Research: Johnson Foundation 2016- 2017
2012 Collaborative for Children’s Mental Health Expansion of School Based Mental Health to 2 additional clinics Identification of Solutions RFP process? 2015 Implementation of 2 School Based Mental Health Clinics: New Beginnings
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Community Solutions Expanded School Mental Health Anti-Stigma Campaign
Mental Health Literacy 24/7 Crisis Line Advocacy Systems of Care Screening Tool Consultation Network Briefly explain the solutions purpose of each solutions team which was made up of a cross functional community team… Anti-stigma – how we message and talk about mental illness across the community Mental Health Literacy – training developed by our NAMI and Family Services partners to educate our elementary school staff 24/7 Crisis line – marketing of line to improve access for families Advocacy – How we work together to support and promote mental health awareness Systems of Care – Creating a link to providers and referrers as well as assisting families with a treatment plan, eliminating the difficulty in navigating the health care system for mental health care Screening tool – research and identification of a screening tool that would provide data for early intervention – Strengths and Difficulties tool rose to top, this is used currently in our two schools with clinics and at our partial hospitalization program to track student success. Consultation Network – Focus on building a community of practice within our communities service providers – strengthen pathways for families to receive services when insurance is a barrier to care For today, we’d like to highlight our successes with school based mental health.
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School Readiness Infrastructure Strong School Leadership Staff support
Shift in behavior response Strong communication Data Review Office Disciplinary Referrals/Out of School Suspensions Crisis Response – level and number Health Services Through the creation of a business model developed by the Collaborative Solutions Team for Expanded School Based Mental Health, we developed a school readiness plan to determine where to place these services
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School-based Mental Health in RUSD
Integrated model of mental health services Merging of school and health care systems Active participation C2MH team Mental Health Task Force CoIIN Team, University of Maryland Collaborative for Childrens Mental Health CoIIN - ADD Data
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School-based Mental Health in RUSD
Individual Therapy Family Therapy Supportive Consultation for Families and Teachers Professional Development for Staff on Mental/Behavioral Health Related Issues
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Continuum of Care Year Round Care - 12 months Referral process
School based Services Discharge Planning Summer and ongoing support Reference flow chart - referral to services Providing services throughout the summer Schools provide the access - we are expanding to support the transition to middle school… Transportation - services are locate on busline
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https://drive.google.com/open?id=0B65DesWMMoLcdENVZVA3dXhFZlU
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What are we seeing Number of students served - 133
Average number of sessions - 15 Average length of service - 5 months SDQ - Strengths and Difficulties Questionnaire CBCL - Child Behavior Checklist ADD Data Provide handout with details
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Clinic Results Office Disciplinary Teacher Efficacy
Referrals Out of School Suspensions Teacher Efficacy Instructional Minutes Family Engagement School Climate
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Challenges Creating common language and understandings
role definition: staffing, confidentiality, space referral process: Behavior vs Mental Health Time for professional development Balancing time for staff and students Structure of supports Funding Funding: Grant funding School district medicaid billing Increased funding through legislation
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What questions do you have?
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Resources Top of Mind: Children’s Mental Health in Racine, The Johnson Foundation at Wingspread. Ashley Staack, Revitalizing efforts to enhance equity of opportunity, Adverse Childhood Experiences (ACEs): Translating Evidence into Action. Central Racine County Health Department, 2017.
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