Embed Size (px)
Citation preview
School Based Mental Health Services
Dr. Betsy Kindall Arkansas Department of Education
We know that…
-Healthy students are better learners
-You cannot teach a child who is not able to focus on schoolwork
-a child who succeeds in school is more likely
to enjoy lifelong health and mental health
NASBHC
“One in 5 young people between the ages of 9 and 17 experiences symptoms of mental
health problems, yet in any given year only about one-fifth of children and adolescents in
need of mental health services actually receive them.”
US Surgeon General Conference on Children’s Mental Health, 2000
-Around 20% of youth present with
emotional/behavioral disorder
-Around 10% present experience significant impairment
-Less than 50% receive adequate or any services
-Over 75% of youth who receive services, receive
them in schools
NASBHC, 2011
Why the school?
-Schools are the most natural setting (52 million us youth in 114,000 schools)
-Over 6 million adults work in these schools
--students and staff comprise 20% of the US
population
NASBHC; New Freedom Commission, 2007
SCHOOL ADVANTAGE
-students don’t miss an entire day of school -parents don’t miss work
--less threatening environment -students are in their own social context
-services are more timely -potential to impact the learning environment and
educational outcomes
SCHOOLS SIMPLY REMOVE BARRIERS TO CARE
NASBHC
There is a CLEAR connection between school mental health and educational outcomes.
NASBHC
What is SBMH: School based mental health is the provision of therapeutic interventions and preventions for students and families within the school setting
with the purpose of equipping children for academic and social success.
School Based Mental Health
-Involves partnership between schools and community health/mental health organizations, as guided by families
-Builds on EXISTING school programs, services, and
strategies
-Focuses on all students, general and special education
-Includes a full array of programs, services, and strategies…mental health education and promotion through
intensive intervention
-Formal partnership/collaboration exists
Weist & Paternite (2006)
National -School Based Health Alliance
-Center for School Mental Health Assistance
Arkansas -History of SBMH Network/ADE Special Education Unit
-ADE School Based Mental Health Manual
National Mandates
Individuals with Disabilities Education Act (IDEA)
Districts must provide any related services to students w/disabilities
Counseling services are related services when they are required to assist students with disabilities to benefit from special education
President’s New Freedom Commission on Mental Health –
Goal 4: Early Mental Health Screening, Assessment, and Referral to Services are Common Practice
4.2: Improve and Expand School Mental Health Programs
Three Modalities of Service in AR Schools:
1. Hire your own LMHP
2. Contract with an agency to provide
services
3. Mixed Method
Services Include:
Individual, Group, & Family Therapy Early Intervention & Student Support Programs
Parent Education Case Management Crisis Intervention
Professional Development Consultation
On-Site Services
Licensed LCSW/LPC Full time Service Delivery Office & inclusion in staff
Practitioners
-Case Managers (LMHPP) -Therapist (LMHP)
Counselors—LAC/LPC
Social Workers—LMSW/LCSW
SBMH Manual
-FTE Therapist per 500 students
-Active Caseload 20-30 students
-70% direct services/ 30% indirect services
(page 7-8 in manual)
How to get services for a student?
Referrals to the program begin with counselors, teachers, parents, or
individuals who feel like the student needs more intense services than the school
counselor can provide—INDIVIDUALIZED PLAN!
SCHOOL NURSES & SBMH
30% of students who visit the school nurse present with mental health concerns as their primary issue.
School nurses spend 31-38% of their time dealing
with mental health problems.
37% of school nurses have a case load of more than 10 students with mental health problems.
(Foster et al., 2005; Stephan, Wissow, & Pichler, 2010 ; Wilson et al., 2008)
BEHIND THE SCENES
Advisory Board Meetings Progress Meetings
Monitor, Modify, & Adjust Record Keeping: Educational & Mental Health
Confidentiality Data Collection
School Based Health Centers
Assessment Tools
-MHPET
-SMHQAQ (for practitioners)
http://www.sbh4all.org/site/c.ckLQKbOVLkK6E/b.7652147/k.9C89/SMH_Modul
es.htm
Questions
Dr. Betsy Kindall School Based Mental Health Advisor
870-429-9129 501-580-6827
