1. Baton Rouge – Hurricane Response Health Care Centers in Schools Holley Galland MD MPH Sue Catchings, CHES

2. East Baton Rouge Parish School System 46,000 students – baseline 88 schools 6000 registered after Katrina 5000 have attended 2 new schools just for evacuees

3. Mental health services Safe and Drug Free Schools Program (I CARE) Run by educators Average time at a school = ½ to 1 day a week focus – prevention of substance abuse

4. School Counselors Hired through I CARE Supervised by school principal In elementary – do skills sessions Middle and high – scheduling Want to do more counseling

5. Special Children’s Services Assessment teams Social workers and psychologists Focus on children with special needs

6. Others: Child Welfare and Attendance Outside agencies – B&G club, Big Buddy

7. Health Care Centers in Schools/ CSH 8 school health centers each has full time social worker just work in one school school nurse program 36 nurses 20 school health assistants

8. Katrina Response: Show up at a shelter or field hospital Public Mental Health System Meetings Teams in shelters – assessment, programs, referral School meetings coordinated by I CARE Players: all of the above plus BR Crisis Intervention Issues: volunteers, assessment, curriculum, process, collaboration, school administration buy in

9. Products: intake forms for physical and mental health used by counselors and school nurses revised assessment tool from DISD follow up form CTSN 2 pager – in format revision psychological first aid packet for schools

10. Plan: assessment by whoever can at building level Follow up by counselors, mental health providers Coordination by I CARE and the collaborative

11. Baton Rouge Area Foundation – HCCS/CSH $100,000 for temporary MH workers We have 5 in the field using the DISD revised assessment This is by invitation from the principal Consents required Forms kept confidential – school nurse files available

12. Challenges/discussions General stress of everyone in Baton Rouge State budget cuts New collaborations Behavioral health consents Ongoing funding Getting decent data for follow up

13. Questions Just Katrina kids or all kids? Household crowding Poverty Jealousy How soon to do psych screen? How to get more resources/ share