2. DALLAS Dallas Independent School District Parkland Health and Hospital System

3. 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.

4. 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.

5. 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

6. DALLAS Child Centered School-Based Family Focused Multidisciplinary Team Approach Holistic Approach Integrated Service Delivery YFC Centers Model

7. DALLAS Barriers to Learning Emotional issues Family stress Bullying and victimization Physical illness Witnessing violence Wounded communities Families in transition Poverty Nutrition needs

8. DALLAS 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. YFC Centers Program

9. 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

10. DALLAS Services Prevention InterventionTreatment/Follow-up Physical Exams Classroom Health EducationAcute Care Immunizations Parent WorkshopsHealth Services Clinical Health Interviews Psychiatric AssessmentChronic Disease Mgmt. Sports Physicals Health FairsPharmacy Services Nutrition Education Psychosocial ScreeningLaboratory Services Teacher Training Support GroupsSpecialty Referrals Parent Education Classes Teacher ConsultationClassroom Behavior Plans Health Education Family Involvement ActivitiesFamily Therapy Health Issues Management Home VisitsTherapeutic Case Mgmt. School Child Study Team Mental Health ScreeningIndividual Therapy School Consultation/VisitsGroup Therapy Youth Development ActivitiesMedication management Therapeutic RecreationMulti-Family Therapy Social Services Psychological/Behavior Assessments

11. DALLAS School Success Indicators  Attendance  Grades  Behavior  Test Scores  Satisfaction Surveys

12. DALLAS Dallas School-Based Mental Health Students ServedStudent & Family Visits

13. DALLAS Absences and Discipline Referrals Improvement 2000-2001 Absences:52.4% Improvement Discipline referrals:85.3% Improvement

14. 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

15. DALLAS Commendation Carole Keeton Rylander Texas Comptroller of Public Accounts Texas School Performance Review Dallas Independent School District June 2001 Exemplary Programs and Practices in the Dallas Independent School District COMMENDATION