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Community Connections: Cross-Sector Partnering to
Promote Student Health
Agenda
● Introductions● Overview of shared public health
approach● Story of the APS-Children’s partnership● Systems-Level Examples● Student-Level Examples● Discussion
Who Are We?
Kim Kaspar MSWAWARE Coordinator
Aurora Public Schools
Lisa Costello, PhDPsychologist
Children’s Hospital Colorado
Dena Joslyn-Custer MSW
Risk Response Coordinator
Aurora Public Schools
Pediatric Mental Health Institute
Common Framework
How did the relationship begin?
Aurora Public Schools
● +130 countries● +160 different languages ● 35.8% of our students are language learners
○ 78.4% speaking Spanish as their primary language● 70.4% of our students are receiving free and reduced
lunch benefits● 11.7% of our students are identified as having a
disability● 5.2 % of our students are identified as gifted learners● Our graduation rate is 64%● Our dropout rate is 3.4%
AWARE works with the youth-serving adults in APS to help them meet the social and emotional needs of students by:BUILDING DISTRICT-WIDE SYSTEMS & POLICY
WE WORK FOR KIDS BY WORKING WITH ADULTS
AWARE Referral System● Used by BH providers to connect
children/families to community-based BH services
● Going on year 5 of system
● Over 800 referrals for previous years- to date we have had over 650 referrals so far this year
○ Due to increase in TE from AuMHC & Health One
● Intended to destigmatize mental health and close the communication loop
AWARE Referral System
● Online Google Platform
● Feedback Loop
● MOU’s
● Constant Review & Refinement
● AWARE Referral System
○ Example Referral Case
○ Example Feedback Response
Memorandum of Understanding
● What each party agrees to do● HIPAA Compliance● Confidentiality ● Shared concerns & plans to address
them● Targeted outcomes● Example
Expanding the Partnership
● Giving/sharing information
● Connecting with school staff
● Building relationships through shared projects
○ Youth Action Board
○ Interprofessional training
○ Crisis Support
○ Coordination of Care
Questions
Systems-Level Example
● Starting Point○ Learning about each system
■ How to embed practices■ How to coordinate
SRA APS and Children’s ED
● Modification of School SRA○ Lead Clinician phone number○ Contacted Children’s Y/Other
● Communication Pre-Assessment● Discharge/Re-Entry to school● Area of Need
○ Post communication/discharge
SRA APS and Children’s EDExample of Partnership
◎ Example of Google Form Acute SRA ◎ Example of the PDF Acute SRA
◉ ASIST◉ Data Collection◉ Quarterly phone meetings
Questions
Student-Level Examples
Setting: Child Health Clinic
● Large urban primary care at Children’s Hospital Colorado
● ~13,000 unique patients annually with ~32,000 visits
● Patient population: 80-90% public insurance, culturally and linguistically diverse
● Equivalent of 9 full time pediatric primary care providers and many more medical learners
● Integrated behavioral health team
● History of screening for developmental concerns, perinatal mood concerns, and more recently began adolescent depression screening and family psychosocial screening
Relationship Shared Goal
How are we doing it?
Persistence
The best suicide prevention is comprehensive and collaborative. The more that people, organizations, and communities work together to support positive mental health, coping skills, resiliency, and openness around discussing suicide and mental health, the better the result for everyone, including young people.
~ Colorado Office of Suicide Prevention