1. “So – You Are Interested in Getting More Mental Health Services – Now What?” Regional School Counselor Conference 2014

2. Objectives Participants will be able to: Describe the three tiers of an expanded school mental health model (ESMH) Identify at least three resources for planning and implementing a comprehensive model Identify at least three strategies essential to successful implementation 2

3. Introductions Tiffany Pittman, WV DHHR, BHHF tiffany.j.pittman@wv.gov Jessica Laslo, School Counselor, Ohio County jlaslo@access.k12.wv.us Stephanie Hayes, Marshall University stephanie.hayes@marshall.edu 3

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6. Links Between Mental Health and School Success

7. Facts 5-9 % of children and teens have a serious emotional disturbance. (US Surgeon General’s Report, 1999) 20% of children and adolescents at any given time have a diagnosable mental disorder which interferes with their functioning.(US Surgeon General’s Report, 1999) 7

8. Facts 1-2 children in every classroom have a diagnosable mental health concern which hinders functioning. (President’s New Freedom Commission Report) Less than 50% of children and adolescents with a mental illness receive adequate (or any) services (Kataoka, Shang, Wells, 2002) 8

9. Academic Performance Is negatively affected by: – Alcohol, tobacco, and other drug use – Emotional problems – Health risk behaviors (e.g. obesity, sexual behavior, poor diet) – Low self-esteem, risky sexual behavior – Lack of access to health and mental health care – Poor home life Is positively affected by: – High levels of resiliency, developmental assets, and school connectedness (work of CASEL, Search Institute; and others) 9

10. Graduation Rates School Mental Health strategies can improve graduation rates by addressing factors that interfere with a student’s ability to succeed in school, such as: Exposure to violence Anxiety disorders Other unmet mental health needs (Black, et al, 2003, Woodward & Ferguson, 2001; and others) 10

11. Definition Expanded School Mental Health refers to programs that build on the core services typically provided by schools. It is a three-tiered framework that includes the full continuum of: 11 Prevention Early intervention Treatment Emphasizes shared responsibility between schools and community providers

12. …IN BOTH GENERAL AND SPECIAL EDUCATION Focuses on all students… 12

13. Builds on existing school programs, services, and strategies. 13 (Is consistent with and supported by WVDE policies 4373, etc.)

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15. TIER 1 - UNIVERSAL PREVENTION RECOMMENDATIONS 1.Infrastructure 2.Positive Behavior Support 3.Developmental guidance 4.Early identification 5.School climate 6.Connectedness 7.Family engagement 8.Staff development 9.School safety 10.Support for Transitions 15

16. Student Support Services Social and Emotional Learning Mental Health Services Act Student Mental Health Initiative Safe Schools, Healthy Students Peer-to-Peer Support School climate School connectedness Coordinated school health program Suicide Prevention Strengths based Risk and protective factors Family support services Cultural competence MulticulturalismShared Agenda School based School linked Special Education NCLB IDEA Crisis management Evidence based practice Multi system approach Response to Intervention PBIS Systems of Care School linked Wrap around Student Assistance Team Where to Begin? 16

17. Planning Process 1.Educate yourself 2.Gain support from administration Principal District 3.Form core school leadership team ( Administration, RESA Wellness Spec, school nurse, SAT, special ed…) 4.Form steering team MH Child Liaison, health, business, FRN, substance abuse, parents, youth….) http://www.dhhr.wv.gov/bhhf/resources/Documents/Resources/PD F%20Comprehensive%20CBHC%20Directory%20revised%205.4.2012.pdf http://www.dhhr.wv.gov/bhhf/resources/Documents/Resources/PD F%20Comprehensive%20CBHC%20Directory%20revised%205.4.2012.pdf Meet regularly Educate one another, review models Keep notes, develop an action plan, follow through Build RELATIONSHIPS

18. Planning Process 4.Analyze needs and resources School data; SWOT analysis School Improvement Plan MH-PET: www.nasbhc.org/mhpet www.nasbhc.org/mhpet 5.Identify and negotiate with community MH provider(s) 6.Develop an implementation plan Set vision, goals, objectives, timeframes 7.Memo of Understanding (MOU) Hours, funding, staffing, liability 8. Monitor, re-assess, evaluate progress

19. Funding 19 It doesn’t take a lot of money; just a few committed people Start small – focus on “low hanging fruit” A diversified funding base increases sustainability School System: Title 1, Safe and Supportive Schools, SIG, Innovation Zone BBHHF - Tiffany.J.Pittman@wv.govTiffany.J.Pittman@wv.gov Community Mental Health Third party insurance Community Health Centers Corporations/Businesses Hospitals County Commission Community Foundations- SSJHWF, regional Family Resource Network

20. Recommended Reading Realizing the Promise of the Whole-School Approach to Children’s Mental Health: A Practical Guide for Schools National Center for Mental Health Promotion and Youth Violence Prevention : http://promoteprevent.org/Publications/ 20

21. National Resources Center for School Mental Health U of Maryland: www.csmh.umaryland.eduwww.csmh.umaryland.edu National Assembly on School Based Health Care: www.nasbhc.orgwww.nasbhc.org Compassionate Schools www.k12.wa.us/CompassionateSchools 21

22. West Virginia Resources “WV Educators Speak” video Tool Kits & Briefs Website Links ESMH Start-Up Guide http://livewell.marshall.edu/mutac/wp- content/uploads/2013/11/ESMH-Start-Up-Guide.pdf http://livewell.marshall.edu/mutac/wp- content/uploads/2013/11/ESMH-Start-Up-Guide.pdf 22

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24. www.schoolmentalhealthwv.org www.wvshtac.org Linda Anderson, MPH Marshall University Huntington, West Virginia 304-544-3917 landerson@marshall.edu Stephanie Hayes, MA Marshall University Huntington, West Virginia 304-634-7769 stephanie.hayes@marshall.edu

25. Ohio County Schools Madison Elementary Expanded School Mental Health Services

26. Tier 1 Academic and Behavioral Supports Co-teaching PLC bi-weekly Teacher study/support groups Anchor (after school) Attendance care calls NetSmartz Music Together Too Good for Drugs/Violence Second Step Keep a Clear Mind Family dinner nights Gold Star (PBS) D.A.R.E Lunch Buddy Program 26

27. Tier 2 Academic and Behavioral Supports SAT SPL Tier pull-out interventions Extended day tutoring Juvenile Mediation Program Extended Year KOOL Kids Program (middle school transition) Weekend Snack Bag Program Group counseling- Bullfrogs & Butterflies Afterschool Program (Coping Cat) 27

28. Tier 2&3 School-Based Mental Health CHOICES Program (since 2002) Group, Individual & Family Therapy in coordination with Northwood Health Systems A Center for HOPE & Change (est. 2012) Individual and family counseling, Coordination with local agencies 28

29. Challenges and Barriers Scheduling time for students to be seen during the school day Having a regular, confidential space for children to receive services Staffing Family participation and commitment Keeping cases open through the summer 29

30. Impact on Students & Families Having the services at school during the school day reduces the barriers for children to get needed services and minimizes the disruption to their education. First year outcomes include improved attendance, increased social skills, decreased aggression, and improved relationships. In addition, Madison Elementary was named a 2012 WV Title 1 Distinguished School - one of 12 out of 329 Title 1 schools in West Virginia. 30

31. 2012-13 ESMH SERVICE HIGHLIGHTS FOR MADISON ELEMENTARY “For All” (Tier 1): 37 staff trained to become a Trauma-Informed School 30-35 Families attending Family Night Program Positive Behavior Support (250 students) “For Some” (Tier 2): 37 students receive mentoring, after-school group counseling and other academic/behavior supports “Kool Kids” significantly impacting 5th grade attendance rate “For a Few” (Tier 3): 22 students receive individual, group & family therapy through Northwood “Choices” program “Center for Hope & Change” offers supports after school and over the summer 31

32. Ohio County Schools Madison Elementary School Before… …After We are proud of A Center for HOPE & Change and the CHOICES Program

33. Questions? Linda Anderson, Marshall University landerson@marshall.edu Dr. Barbara Brady, WVDE bashcraft@access.k12.wv.us Tiffany Pittman, WV DHHR, BHHF tiffany.j.pittman@wv.gov Jessica Laslo, School Counselor, Ohio County jlaslo@access.k12.wv.us Stephanie Hayes, Marshall University stephanie.hayes@marshall.edu 33 Thank you!