Successful Partnerships Mental Health Systems APRIL 2017 CAPITAL REGION ESD 113, NORTH THURSTON PUBLIC SCHOOLS, PUBLIC HEALTH SEATTLE KING COUNTY, AND OSPI
Agenda Overview of school mental health services OSPI s Project Aware North Thurston s School Mental Health Model Panel Discussion: Mental & Behavioral health in schools Sara Ellsworth ESD 113 Leslie Van Leishout North Thurston Public Schools Teresa Wolfe, LMHC North Thurston Public Schools Sara Rigel Public Health Seattle & King County s School-Based Partnerships / Washington School Based Health Alliance 2
Objectives Develop awareness of school mental health partners, systems, and services Distinguish between universal/tier I, tier II, and tier III approaches to improving mental health in school settings Identify strengths and challenges of various school mental health services models Discover the variety of partners and levels of collaboration needed for school mental health 3
Around the Room Name Title and what you do Why this session? 4
Setting the Stage: School Mental Health MANDY PARADISE - OSPI PROJECT AWARE PROGRAM SUPERVISOR
Behavioral Health Mental Health + Substance Use Prevention Intervention Treatment Recovery support services 6
Why Mental Health in Schools? Students are experiencing significant mental health issues Students with mental health and substance use (co-occurring) issues are less likely to graduate Mental health supports in schools improves academic success Youth are not connecting with services available in the community MY PARTNER FOR LEARNING SOLUTIONS 7
Mental Health Impacts High School Graduation Nearly 50% of students age 14 and older with a mental illness drop out of high school 8
Students Experiencing Significant Mental Health Issues: 2016 Healthy Youth Survey Data DEPRESSION & ANXIETY SUICIDAL FEELINGS & ACTIONS 80% 25% 70% 60% 50% 40% 30% Depressive feelings Anxious 20% 15% 10% Considered suicide Made a plan Attempted 20% 10% 0% 8th 10th 12th Can't control worry 5% 0% 8th 10th 12th MY PARTNER FOR LEARNING SOLUTIONS 9
www.askhys.net 10
Mental Health & Graduation 2013 DSHS Report: Key Findings Youth with behavioral health needs were less likely to graduate from and more likely to drop out of high school than youth without behavioral health needs. Youth with cooccurring needs were the least likely to graduate on time (12%) and most-likely to drop out (80%). Graduation Rates by Category No Known Behavioral Health Need: 63% (56% on time, 7% late) Mental Health Only: 46% (36% on time, 10% late) Substance Abuse Only: 25% (19% on time, 6% late) Both Mental Health & Substance Abuse: 17% (12% on time, 5% late) MY PARTNER FOR LEARNING SOLUTIONS 11 FULL REPORT: https://www.dshs.wa.gov/sesa/rda/research-reports/behavioral-health-needs-and-school-success
What Can School Mental Health Do? Offer consistent, more equitable access. Outreach to internalizing youth Provide three tiers of service Engage a multidisciplinary team involving school staff, providers, families, and youth Adapted from Mental Health 101 for Non-Mental Health Providers - University of Maryland & Prince Georges County Public School System 12
Elementary School Secondary School 50% of all lifetime cases of mental illness begin by age 14 and 75% by age 24. 13
Early Identification is Vital The average delay between symptom onset and mental health interventions is 8-10 years 14
Who Contributes to School Mental Health Systems? Youth and families School employees ESD staff Community-based providers Variety of partnerships Adapted from School Mental Health: From Understanding to Action Feinberg & Cash 15
What is the Continuum of School Mental Health Services? Tier 3: Intensive intervention services Tier 2: Targeted prevention and intervention Tier 1: Universal prevention 16
UNIVERSAL SUPPORTS/Tier 1 Caring interpersonal relationships Social Emotional Learning Trauma-informed practices Behavioral health literacy for staff and students = substance use prevention and mental health promotion and education ALL students FOUNDATION: Integrating Behavioral Health Supports Adapted rom the Wisconsin s Mental Health Framework http://dpi.wi.gov/sspw/mental-health/trauma 17
TIER 2 Referral and case management Early identification and screening Effective individual and group interventions (example: Check In/ Check Out, intervention groups) Some students FOUNDATION: Integrating Behavioral Health Supports Adapted rom the Wisconsin s Mental Health Framework http://dpi.wi.gov/sspw/mental-health/trauma 18
TIER 3 Counseling & treatment services Support teams Deepened collaboration with youth, families, and community providers (example: WISe) Wraparound planning Referral to outside services A small number of students FOUNDATION: Integrating Behavioral Health Supports Adapted rom the Wisconsin s Mental Health Framework http://dpi.wi.gov/sspw/mental-health/trauma 19
Activity Support Mapping What supports, programs, practices, or systems are in place? How integrated are your mental health services with other school supports? A small number of students Some students All students Integrating Behavioral Health Supports 20
Positive school climate Mental and behavioral health supports 21
Coordinated Workforce systems trained for in identifying, supporting referring, mental and and addressing emotional mental wellness health 22
Partner Snapshots OVERVIEW OF VARIOUS SCHOOL MENTAL HEALTH APPROACHES
Strengthening School Mental Health Systems Leslie Van Leishout Director of Student Support North Thurston Public Schools PANEL Teresa Wolf, LMHC Children s Mental Health Specialist North Thurston Public Schools Sara Ellsworth, MA, LMHC, CDP Behavioral Health Clinical Services Manager - Capital Region ESD 113 Sara Rigel MPH, CHES Public Health Seattle & King County s School-Based Partnerships / Washington School Based Health Alliance 24
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Schools & Communities + ESD 189 Shelton School District + ESD 113 + ESD 112 27
School-based mental health services Substance abuse prevention and intervention Screening and referral systems Prevention education MTSS Framework and Positive Behavior Intervention Supports (PBIS) Mental health literacy in high schools* Youth Mental Health First Aid trainings* 28
Seattle & King County School Based Health Centers (SBHC) SBHC provide integrated comprehensive primary care and mental health services as part of the school building, supporting student to reach their highest potential and succeed in school. preventive, primary and acute healthcare reproductive health care mental health services health education and health promotion care coordination for drug/alcohol services dental care nutrition support clinical support for students managing chronic health conditions 29
Seattle & King County School Based Health Centers (SBHC) 25 clinics 6 medical provider sponsors 8, 817 unique users 40,481 total visits 22,623 medical 17,858 mental health 60-70% of funding comes from Families and Education Levy Sponsors contribute remaining funds from insurance revenue and other grants Anxiety, depression and reaction disorder are top diagnoses. 30
Seattle & King County School Based Health Centers (SBHC) incorporate best practices team-based decision making (school, student, family, providers) culturally appropriate and sensitive improve student wellness and functioning support the school community adapt to changing needs of the school prioritizes students with limited access to services, but available to all. No tiering needed. 31
HOW DO CLIENTS COMPARE TO STUDENTS? Academic Risk Measures 32
Effective School Mental Health Services Comprehensive Coordinated Integrated Accessible to students and families Adapted from School Mental Health: From Understanding to Action Feinberg & Cash 33
Strengthening School Mental Health Systems Leslie Van Leishout Director of Student Support North Thurston Public Schools PANEL Teresa Wolf, LMHC Children s Mental Health Specialist North Thurston Public Schools Sara Ellsworth, MA, LMHC, CDP Behavioral Health Clinical Services Manager - Capital Region ESD 113 Sara Rigel MPH, CHES Public Health Seattle & King County s School-Based Partnerships / Washington School Based Health Alliance 34
Resources Information adopted from: National Institute for Mental Health: www.nimh.nih.gov INVEST Report: https://www.dshs.wa.gov/sesa/rda/researchreports/behavioral-health-needs-and-school-success 2014 Healthy Youth Survey Data: http://www.askhys.net/ Mental Health Reporting: http://depts.washington.edu/mhreport/facts_suicide.php Suicide Awareness Voices of Education: www.save.org National Alliance on Mental Illness: http://www.nami.org/learn- More/Mental-Health-By-the-Numbers Mental Health and Academic Achievement NITT and SAMSHA http://files.ctctcdn.com/bde05f96001/111de547-1b78-4cc4-82eccba76b775309.pdf?ver=1464125957000 35
For more information Project AWARE OSPI website http://www.k12.wa.us/secondaryeducation/aware.aspx Mental Health Education and Trainings Mental Health and Schools OSPI website http://www.k12.wa.us/mentalhealthandschools/default.aspx Resources 36