TM. A collaborative project by Catholic Charities – Archdiocese of New Orleans, Mercy Family Center, Daughter’s of Charity, The Office of Catholic Schools,

TMTM

A collaborative project by A collaborative project by

Catholic Charities – Catholic Charities – Archdiocese of New Orleans, Archdiocese of New Orleans,

Mercy Family Center, Mercy Family Center, Daughter’s of Charity, The Daughter’s of Charity, The Office of Catholic Schools, Office of Catholic Schools, The Algiers Charter Schools The Algiers Charter Schools Association and St. George’s Association and St. George’s

SchoolSchool

Department of Child & Family Clinical ServicesDepartment of Child & Family Clinical Services Focus on Home, School and Community through Focus on Home, School and Community through

counseling and case managementcounseling and case management Core Focus: Service to Children & FamiliesCore Focus: Service to Children & Families Integrated Service Teams:Integrated Service Teams:

– Therapeutic Home-Based Service TeamTherapeutic Home-Based Service Team– Family PreservationFamily Preservation– School Counseling TeamSchool Counseling Team– Foster Care & Independent Living Skills TeamFoster Care & Independent Living Skills Team

Catholic Charities – Catholic Charities – Archdiocese of New OrleansArchdiocese of New Orleans

Established in 1992 as a Sisters of Mercy Outreach Established in 1992 as a Sisters of Mercy Outreach MinistryMinistry

Managed by Sisters of Mercy Health SystemManaged by Sisters of Mercy Health System Provides outpatient psychological and psychiatry Provides outpatient psychological and psychiatry

services for children and adolescentsservices for children and adolescents Mandeville and Metairie officesMandeville and Metairie offices Electronic Medical Records SystemElectronic Medical Records System Non-profit, 501 (c) (3) organizationNon-profit, 501 (c) (3) organization

Mercy Family CenterMercy Family Center

Seton Resource Center for Seton Resource Center for Child DevelopmentChild Development

Member of Ascension HealthMember of Ascension Health Offers counseling services at four school-based Offers counseling services at four school-based

centers. centers. Follows the model of the Centers for Disease Follows the model of the Centers for Disease

Control and Prevention (CDC) for school-linked Control and Prevention (CDC) for school-linked health services. health services.

SRCCD provides prevention programs in over 20 SRCCD provides prevention programs in over 20 schools to prevent violence, bullying, drug use, schools to prevent violence, bullying, drug use, smoking, obesity, and poor nutritionsmoking, obesity, and poor nutrition

Fleur-de-lis:Fleur-de-lis:

Flower of lightFlower of light

Project Fleur-de-lisProject Fleur-de-lis™™

Project Fleur-de-lis™ is a faith-centered, Project Fleur-de-lis™ is a faith-centered, comprehensive mental health care program comprehensive mental health care program for New Orleans area students designed as for New Orleans area students designed as

an intermediate and long-term school-based an intermediate and long-term school-based mental health service model for children mental health service model for children

who have been exposed to traumatic events who have been exposed to traumatic events as a result of natural and man-made as a result of natural and man-made

disasters.disasters.

MissionMission

To empower students, teachers and To empower students, teachers and parents in the Greater New Orleans parents in the Greater New Orleans

area, to renew and restore in order to area, to renew and restore in order to inspire healing throughout our inspire healing throughout our

communitycommunity

GoalsGoals Provide early mental health interventionProvide early mental health intervention

Establish a mechanism for identification of and Establish a mechanism for identification of and services to children with counseling or mental services to children with counseling or mental health needshealth needs

Provide a wide range of and increased access to Provide a wide range of and increased access to high quality mental healthcare for children and high quality mental healthcare for children and families.families.

School ParticipationSchool Participation

45 participating schools45 participating schools

22,000 children under project’s umbrella of 22,000 children under project’s umbrella of carecare

Serving the Parishes of Orleans, Jefferson, Serving the Parishes of Orleans, Jefferson, St. Bernard, St. Tammany, Washington and St. Bernard, St. Tammany, Washington and PlaqueminesPlaquemines

Mission Mission AccomplishedAccomplished

Project Fleur-de-lisProject Fleur-de-lisTMTM is the is the largest school based mental largest school based mental

health program in the health program in the

Greater New Orleans AreaGreater New Orleans Area

Princeton University – Woodrow Wilson School of Public and International Affairs. (January 2007). Coping with Katrina: Mental health services in New Orleans.

Best Practice: Best Practice: Stepped Care Approach to Stepped Care Approach to Mental Health InterventionMental Health Intervention

Multi-tiered levels of careMulti-tiered levels of care Pro-active focus is on addressing symptoms Pro-active focus is on addressing symptoms

before they interfere with child’s educational or before they interfere with child’s educational or social emotional functioningsocial emotional functioning

Focus is upon working with child with Focus is upon working with child with emotional/behavioral issues in a “non-clinical” emotional/behavioral issues in a “non-clinical” intervention modelintervention model

Utilize evidence-based treatment models and Utilize evidence-based treatment models and identified “best practice” in the field of child identified “best practice” in the field of child traumatrauma

History & Timeline for History & Timeline for Project Fleur-de-lisProject Fleur-de-lisTMTM

August 2005August 2005

MondayMonday TuesdayTuesday WednesdayWednesday ThursdayThursday FridayFriday SaturdaySaturday SundaySunday

11 22 33 44 55 66 77

88 99 1010 1111 1212 1313 1414

1515 1616 1717 1818 1919 2020 2121

2222 2323 2424 2525 2626 2727 2828

2929 3030 3131

HurricaneHurricaneKatrinaKatrina

September 2005September 2005


11 22 33 44

55 66 77 88 99 1010 1111

1212 1313 1414 1515 1616 1717 1818

1919 2020 2121 2222 2323 2424 2525

2626 2727 2828 2929 3030

Hurricane Hurricane RitaRita

Doug Walker Doug Walker invited to meet invited to meet

with DOE with DOE regarding mental regarding mental health responsehealth response

Mercy Family Mercy Family Center submits Center submits

draft draft model/proposal model/proposal

to DOEto DOE

October 2005October 2005


11 22

33 44 55 66 77 88 99

1010 1111 1212 1313 1414 1515 1616

1717 1818 1919 2020 2121 2222 2323

2424

3131

2525 2626 2727 2828 2929 3030

Mercy Family Center Mercy Family Center holds first meeting holds first meeting

with Office of with Office of Catholic SchoolsCatholic Schools

Initial meeting Initial meeting with President of with President of

CCANOCCANO

Cathedral Academy OpensCathedral Academy Opens

Cathedral School Cathedral School Spring of 2006Spring of 2006

First school to reopen in New Orleans - October 17, 2005First school to reopen in New Orleans - October 17, 2005 Cathedral School in the French Quarter had an enrollment Cathedral School in the French Quarter had an enrollment

of 125 Pre-Katrina and 238 Post-Katrina. of 125 Pre-Katrina and 238 Post-Katrina. Only 12 Pre-Katrina students were in attendance the first Only 12 Pre-Katrina students were in attendance the first

day day School challenged by the combining two schools, School challenged by the combining two schools,

Cathedral and Cabrini which was destroyed by Katrina Cathedral and Cabrini which was destroyed by Katrina 99% African American99% African American Many children of parents who were police or fireman. Many children of parents who were police or fireman. Many families living on cruise ships docked at the portMany families living on cruise ships docked at the port The biggest theme reported by teacher and administration The biggest theme reported by teacher and administration

was "anger" which was the largest referring problem was "anger" which was the largest referring problem across all grades Prek-8th grade. across all grades Prek-8th grade.

November 2005November 2005


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2121 2222 2323 2424 2525 2626 2727

2828 2929 3030

Meeting with Meeting with Louisiana Public Louisiana Public Health Institute Health Institute

regarding funding regarding funding for Electronic for Electronic

Records SystemRecords System

December 2005December 2005


11 22 33 44

55 66 77 88 99 1010 1111

1212 1313 1414 1515 1616 1717 1818

1919 2020 2121 2222 2323 2424 2525

2626 2727 2828 2929 3030 3131

Formal proposal Formal proposal for Project for Project

Fleur-de-lisFleur-de-lisTMTM made to made to CCANOCCANO

January 2006January 2006MondayMonday TuesdayTuesday WednesdayWednesday ThursdayThursday FridayFriday SaturdaySaturday SundaySunday

11

22 33 44 55 66 77 88

99 1010 1111 1212 1313 1414 1515

1616 1717 1818 1919 2020 2121 2222

2323 2424 2525 2626 2727 2828 2929

3030 3131

CCANO and Mercy Family Center form counselor team and divide Archdiocesian schools among them for initial contact and needs

assessment

Because of the team’s success they are soon

referred as “THE AWESOME SIX”

Needs AssessmentNeeds Assessment

6 counselors divided among 73 schools to 6 counselors divided among 73 schools to collect datacollect data

Obtained information to determine school’s Obtained information to determine school’s interest in services and/or interventions, interest in services and/or interventions, need for a school counselor, % of need for a school counselor, % of devastation to school, families, & devastation to school, families, & community community

Staffing Challenges Staffing Challenges and Deploymentand Deployment

Getting licensed counselorsGetting licensed counselors

SupervisionSupervision

DocumentationDocumentation

Merging culturesMerging cultures

February 2006February 2006


11 22 33 44 55

66 77 88 99 1010 1111 1212

1313 1414 1515 1616 1717 1818 1919

2020 2121 2222 2323 2424 2525 2626

2727 2828

Begin Begin relationship relationship

with National with National Child Child

Traumatic Traumatic Stress Stress

NetworkNetwork

Initial introductions Initial introductions with Lisa Jaycox and with Lisa Jaycox and

the RAND the RAND CorporationCorporation

March 2006March 2006


11 22 33 44 55

66 77 88 99 1010 1111 1212

1313 1414 1515 1616 1717 1818 1919

2020 2121 2222 2323 2424 2525 2626

2727 2828 2929 3030 3131

Proposal to Proposal to LPHI for LPHI for

Funding to Funding to Support ERS Support ERS Development Development

and and ImplementationImplementation

Classroom Classroom Based Based

InterventionIntervention© © Training by Training by

Save the Save the ChildrenChildren

Classroom Based Intervention Classroom Based Intervention (CBI®)(CBI®)

Robert Macy, Ph.D.Robert Macy, Ph.D.

Boston Center for Trauma PsychologyBoston Center for Trauma Psychology

Trauma Informed, Trauma Informed,

Developmentally Specificity, Developmentally Specificity,

& Ethnocultural Specificity & Ethnocultural Specificity

Evidence Based Methodological FrameworkEvidence Based Methodological Framework

CBI®CBI®

The CBI® program is a continuum of servicesThe CBI® program is a continuum of services

that can be offered:that can be offered:Classroom, Classroom, CCamp, or amp, or CCommunity settingommunity settingFor children ages 5 to 12 year old For children ages 5 to 12 year old Children exposed to life threatening or Children exposed to life threatening or perceived life threatening event and who are perceived life threatening event and who are experiencing traumatic stress reactions. experiencing traumatic stress reactions.

CBI®CBI®

The CBI® program is a continuum of servicesThe CBI® program is a continuum of services

that can be offered:that can be offered:Classroom, Classroom, CCamp, or amp, or CCommunity settingommunity settingFor children ages 5 to 12 year old For children ages 5 to 12 year old Children exposed to life threatening or Children exposed to life threatening or perceived life threatening event and who are perceived life threatening event and who are experiencing traumatic stress reactions. experiencing traumatic stress reactions.

CBI®CBI®

Includes 9, one-hour sessions Includes 9, one-hour sessions Groups of 8 to 12 children implementing programs in Groups of 8 to 12 children implementing programs in entire schools simultaneously. entire schools simultaneously. The objective is to provide consistent, structured The objective is to provide consistent, structured expressive-behavioral activities that can “rebuild” a expressive-behavioral activities that can “rebuild” a sense of safety & control without focusing on the sense of safety & control without focusing on the traumatic incident detailstraumatic incident detailsResults have shown children experience significantly Results have shown children experience significantly reduced traumatic stress reactions, anxiety, fear and reduced traumatic stress reactions, anxiety, fear and depressed moods as they are guided through these depressed moods as they are guided through these therapeutic activities that focus upon play, learning and therapeutic activities that focus upon play, learning and creative problem solving. creative problem solving.

CBI®CBI®

Within the United States, CBI© is being utilized in Within the United States, CBI© is being utilized in Massachusetts, New Hampshire, Maine, New York, Massachusetts, New Hampshire, Maine, New York, New Jersey, Pennsylvania, South Dakota, Iowa, New Jersey, Pennsylvania, South Dakota, Iowa, Nebraska, Michigan, Louisiana and Mississippi. Nebraska, Michigan, Louisiana and Mississippi.

CBI© is being used abroad in Turkey, Jordan, CBI© is being used abroad in Turkey, Jordan, Gaza, West Bank, Nepal, Sri Lanka, Indonesia, Gaza, West Bank, Nepal, Sri Lanka, Indonesia, Afghanistan, Eritrea, Burundi, Sudan-Uganda, Afghanistan, Eritrea, Burundi, Sudan-Uganda, Bosnia and the Netherlands.Bosnia and the Netherlands.

PFDL™ PFDL™ Stepped Trauma Pathway (STP)Stepped Trauma Pathway (STP)

School-Wide InterventionSchool-Wide InterventionCBI©CBI©

Provided by trained school-based counselors Provided by trained school-based counselors and clinicians within PFDL™ collaborative and clinicians within PFDL™ collaborative

partner organizationspartner organizations

April 2006April 2006


11 22

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1717 1818 1919 2020 2121 2222 2323

2424 2525 2626 2727 2828 2929 3030

Seton Seton Resource Resource

Center joins Center joins PFDLPFDLTMTM

First Principal First Principal / Counselor / Counselor

Focus GroupFocus Group

May 2006May 2006


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88 99 1010 1111 1212 1313 1414

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2222 2323 2424 2525 2626 2727 2828

2929 3030 3131

Project Fleur-de-lisProject Fleur-de-lisTMTM counselors begin first counselors begin first

school-wide intervention school-wide intervention at Cathedral School in at Cathedral School in

the French Quarterthe French Quarter

Second Second Principal / Principal / Counselor Counselor

Focus GroupFocus Group

June 2006June 2006


11 22 33 44

55 66 77 88 99 1010 1111

1212 1313 1414 1515 1616 1717 1818

1919 2020 2121 2222 2323 2424 2525

2626 2727 2828 2929 3030

2006 2006 Hurricane Hurricane

Season Season BeginsBegins

Interventions Interventions Summer 2006Summer 2006

7 teams of PFDL counselors implemented 7 teams of PFDL counselors implemented CBICBI©© at 5 Summer Witness sites at 5 Summer Witness sites

CBICBI©© implemented with 784 children implemented with 784 children

July 2006July 2006MondayMonday TuesdayTuesday WednesdayWednesday ThursdayThursday FridayFriday SaturdaySaturday SundaySunday

11 22

33 44 55 66 77 88 99

1010 1111 1212 1313 1414 1515 1616

1717 1818 1919 2020 2121 2222 2323

2424 2525 2626 2727 2828 2929 3030

3131

Training: Training: Cognitive Cognitive Behavioral Behavioral

Intervention for Intervention for Trauma in Schools Trauma in Schools

(CBITS)(CBITS)

Cognitive-Behavioral Cognitive-Behavioral Intervention for Trauma in Schools Intervention for Trauma in Schools

(CBITS)(CBITS)

Lisa Jaycox, Ph.D.Lisa Jaycox, Ph.D.

RAND CorporationRAND Corporation

Identified as a Promising Practice by SAMSHAIdentified as a Promising Practice by SAMSHA

CBITS:CBITS:Target PopulationTarget Population

Aimed at relieving symptoms of Post Traumatic Stress Aimed at relieving symptoms of Post Traumatic Stress Disorder (PTSD), depression, and general anxiety Disorder (PTSD), depression, and general anxiety among children exposed to traumaamong children exposed to trauma

Used primarily with children grades 6 to 9, ages 10 to Used primarily with children grades 6 to 9, ages 10 to 1515

For children who have experienced events such as For children who have experienced events such as witnessing or being a victim of violence, being in a witnessing or being a victim of violence, being in a natural or man-made disaster, being in an accident, natural or man-made disaster, being in an accident, physically abused/injured, and who are suffering from physically abused/injured, and who are suffering from moderate to severe levels of PTSD symptomsmoderate to severe levels of PTSD symptoms

CBITS:CBITS:IntensityIntensity

Program consists of 10 group sessions (six to Program consists of 10 group sessions (six to eight children/group) of approximately one eight children/group) of approximately one hour in lengthhour in length

Conducted once a week in a school settingConducted once a week in a school setting

In addition to group sessions, children receive In addition to group sessions, children receive one to three individual sessions, two parent one to three individual sessions, two parent education sessions, and one teacher education education sessions, and one teacher education sessionsession





Classroom-Based InterventionClassroom-Based InterventionCBITS & One-on-One CounselingCBITS & One-on-One Counseling



August 2006August 2006


11 22 33 44 55 66

77 88 99 1010 1111 1212 1313

1414 1515 1616 1717 1818 1919 2020

2121 2222 2323 2424 2525 2626 2727

2828 2929 3030 3131

Training: Trauma Training: Trauma Focused – Cognitive Focused – Cognitive Behavioral Therapy Behavioral Therapy

TrainingTrainingNCTSN Learning NCTSN Learning

CollaborativeCollaborative

Electronic Records Electronic Records System becomes System becomes fully operationalfully operational

Trauma Focused-Cognitive Trauma Focused-Cognitive Behavioral Therapy (TF-CBT)Behavioral Therapy (TF-CBT)

Judith A. Cohen, M.D. Judith A. Cohen, M.D. Anthony Mannarino, Ph.D.Anthony Mannarino, Ph.D.

Center for Traumatic Stress in Children & AdolescentsCenter for Traumatic Stress in Children & AdolescentsAllegheny General Hospital, Pittsburgh, PAAllegheny General Hospital, Pittsburgh, PA

Esther Deblinger, M.D.Esther Deblinger, M.D.CARES InstituteCARES Institute

University of Medicine & Dentistry of New Jersey School of University of Medicine & Dentistry of New Jersey School of Osteopathic MedicineOsteopathic Medicine

Stratford , NJStratford , NJ

Identified as a Model Program by SAMHSA Identified as a Model Program by SAMHSA

Difficulties Addressed by Difficulties Addressed by TF-CBTTF-CBT

CRAFTSCRAFTS

CCognitive Problemsognitive Problems RRelationship Problemselationship Problems AAffective Problemsffective Problems FFamily Problemsamily Problems TTraumatic Behavior Problemsraumatic Behavior Problems SSomatic Problemsomatic Problems

TF-CBTTF-CBT

Improved PTSD, depression, anxiety, shame and Improved PTSD, depression, anxiety, shame and behavior problems compared to supportive treatmentsbehavior problems compared to supportive treatments

PTSD improved more with direct child treatmentPTSD improved more with direct child treatment

Improved parental distress, parental support, and Improved parental distress, parental support, and parental depression compared to supportive treatmentparental depression compared to supportive treatment








Community-Based InterventionCommunity-Based InterventionTF-CBTTF-CBT

Provided by trained Mercy Family Center clinicians, Provided by trained Mercy Family Center clinicians, collaborative partners, and community providerscollaborative partners, and community providers

Learning CollaborativesLearning Collaboratives

In February 2005, the National Center for In February 2005, the National Center for Child Traumatic Stress (NCCTS), through Child Traumatic Stress (NCCTS), through funding from the Substance Abuse and funding from the Substance Abuse and Mental Health Services Administration Mental Health Services Administration (SAMHSA), launched a Breakthrough Series (SAMHSA), launched a Breakthrough Series Collaborative (BSC) to further its overarching Collaborative (BSC) to further its overarching goal of improving the quality, effectiveness goal of improving the quality, effectiveness and dissemination of treatment services to and dissemination of treatment services to children and families affected by trauma. children and families affected by trauma.


This BSC focused on the adoption and This BSC focused on the adoption and implementation of a particular evidence-implementation of a particular evidence-based child trauma treatment, Trauma-based child trauma treatment, Trauma-Focused Cognitive Behavioral Therapy Focused Cognitive Behavioral Therapy (TF-CBT), and was specifically designed to (TF-CBT), and was specifically designed to enhance the speed and fidelity with which enhance the speed and fidelity with which this treatment could be implemented in this treatment could be implemented in community agencies. community agencies.


Project Fleur-de-lisProject Fleur-de-lis™ involved in two LCs ™ involved in two LCs since July 2006since July 2006

Project Fleur-de-lisProject Fleur-de-lis™ and school-based ™ and school-based counselors trained in CBITS and TF-CBTcounselors trained in CBITS and TF-CBT

September 2006September 2006


11 22 33

44 55 66 77 88 99 1010

1111 1212 1313 1414 1515 1616 1717

1818 1919 2020 2121 2222 2323 2424

2525 2626 2727 2828 2929 3030

First C3 weekly staff meeting

Financial ConsiderationsFinancial Considerations

Financial ConsiderationsFinancial ConsiderationsIn the Beginning…… In the Beginning……

December 2005 $100,000 Challenge Grant December 2005 $100,000 Challenge Grant funding for Mercy Care Fund (3funding for Mercy Care Fund (3rdrd tier tier services) secured from Sisters of Mercy services) secured from Sisters of Mercy MinistriesMinistries

$300,000 start-up funding committed by $300,000 start-up funding committed by CCANO CCANO

January 2006 Project Fleur-de-lisJanuary 2006 Project Fleur-de-lis™ ™ Resource Development Sub-committee is Resource Development Sub-committee is formedformed

Financial ConsiderationsFinancial Considerations Sowing the seeds….. Sowing the seeds…..

Branding EffortsBranding Efforts LogoLogo Color SchemeColor Scheme Tag Line: “Renewing Hope. Inspiring Healing.” Tag Line: “Renewing Hope. Inspiring Healing.”

Development of collateral materialsDevelopment of collateral materials BrochureBrochure Case StatementCase Statement WebsiteWebsite Sports PacksSports Packs Earrings & pendantsEarrings & pendants

ProspectsProspects IdentificationIdentification CultivationCultivation SolicitationSolicitation

Financial ConsiderationsFinancial Considerations Reaping the harvest….. Reaping the harvest…..

$129,650 grant for ERS secured from LPHI$129,650 grant for ERS secured from LPHI Research funding secured from Rand and Research funding secured from Rand and

Allegheny-Singer Research InstituteAllegheny-Singer Research Institute $60,000 grant secured from United Way$60,000 grant secured from United Way

Renewed in most recent funding cycleRenewed in most recent funding cycle $50,000 grant secured from LA Charities $50,000 grant secured from LA Charities

TrustTrustDedicated for 3Dedicated for 3rdrd tier services tier servicesRenewed for FY ’07-’08 Renewed for FY ’07-’08

Financial ConsiderationsFinancial Considerations Reaping the harvest…… Reaping the harvest……

$50,000 grant secured from Booth-Bricker $50,000 grant secured from Booth-Bricker FundFund$25,000 dedicated for 3$25,000 dedicated for 3rdrd tier services tier services

$50,000 grant secured from AmeriCares$50,000 grant secured from AmeriCares $25,000 secured from The Almar $25,000 secured from The Almar

FoundationFoundationDedicated for 3Dedicated for 3rdrd tier services tier services

Financial ConsiderationsFinancial Considerations Sharing the light…… Sharing the light……

$75,000 secured from Freeport-McMoRan $75,000 secured from Freeport-McMoRan FoundationFoundation Dedicated to the Algiers Charter Schools AssociationDedicated to the Algiers Charter Schools Association

$10,000 secured from The Brown Foundation$10,000 secured from The Brown Foundation Dedicated to the Algiers Charter Schools AssociationDedicated to the Algiers Charter Schools Association

$30,000 secured from Foundation for the Mid $30,000 secured from Foundation for the Mid SouthSouth Dedicated to expanded services in the Algiers Charter Dedicated to expanded services in the Algiers Charter

Schools Association and one additional private schoolSchools Association and one additional private school

Financial ConsiderationsFinancial Considerations Our light will continue to shine….. Our light will continue to shine…..

$1.2 million secured from CCUSA$1.2 million secured from CCUSA SAMHSA National Child Traumatic Stress Initiative SAMHSA National Child Traumatic Stress Initiative

Community Treatment and Services CenterCommunity Treatment and Services Center Grant request submitted Grant request submitted

Partnership with LA Youth Enhanced ServicesPartnership with LA Youth Enhanced Services Funding to hire Care Manager(s) to implement System Funding to hire Care Manager(s) to implement System

of Careof Care Program requests continueProgram requests continue

Additional Public/Charter SchoolsAdditional Public/Charter Schools Additional Private SchoolsAdditional Private Schools Additional Catholic schoolsAdditional Catholic schools

Map of Participating SchoolsMap of Participating Schools

..\..\All Users\Desktop\Google ..\..\All Users\Desktop\Google Earth.lnkEarth.lnk

Program Design & Program Design & Pathways of CarePathways of Care


School-Wide School-Wide Mental Health Mental Health InterventionIntervention

Classroom- Classroom- Based Mental Based Mental

Health Health InterventionIntervention

Community- Community- Based Mental Based Mental








partner organizations. partner organizations.



Adjunct Interventions Outside PFDL™ Adjunct Interventions Outside PFDL™ Stepped Trauma Pathway (STP)Stepped Trauma Pathway (STP)




Classroom-Based InterventionClassroom-Based Intervention

CBITS & One-on-One CounselingCBITS & One-on-One Counseling Provided by trained school-based counselors Provided by trained school-based counselors and clinicians within PFDL™ collaborative and clinicians within PFDL™ collaborative



Provided by trained Mercy Family Center clinicians, Provided by trained Mercy Family Center clinicians, collaborative partners, and community providerscollaborative partners, and community providersPrimary ProjectPrimary Project Journey of HopeJourney of Hope

Primary ProjectPrimary Project Journey of HopeJourney of Hope


Developed for young children who have trouble Developed for young children who have trouble adjusting to school and as a results, act out, become adjusting to school and as a results, act out, become aggressive or withdrawn, or have a hard time getting aggressive or withdrawn, or have a hard time getting along with peers or adults. A successful school-along with peers or adults. A successful school-based program for Kindergarten through third-grade based program for Kindergarten through third-grade children, to help detect and prevent social, children, to help detect and prevent social, emotional, and school-adjustment problems.emotional, and school-adjustment problems.

Primary ProjectPrimary Project

K to 3rd grade children are the focus K to 3rd grade children are the focus Early screening detects risk for school adjustment Early screening detects risk for school adjustment

difficulties difficulties Trained paraprofessionals, called child associates, Trained paraprofessionals, called child associates,

deliver services to children deliver services to children Mental health professionals supervise, train and Mental health professionals supervise, train and

consult with the paraprofessionals consult with the paraprofessionals Ongoing program evaluation Ongoing program evaluation Integration into the school environment Integration into the school environment


Primary Project began in 1957 in Rochester, New Primary Project began in 1957 in Rochester, New York as an innovative pilot program between the York as an innovative pilot program between the Rochester City School District and the University Rochester City School District and the University of Rochester. of Rochester.

It is in school districts across New York State, and It is in school districts across New York State, and also in California, Connecticut, Delaware, New also in California, Connecticut, Delaware, New Jersey, Texas, Hawaii, Illinois, Maine, Michigan Jersey, Texas, Hawaii, Illinois, Maine, Michigan and Washington.and Washington.


Primary Project served seventy-five children in 5 Primary Project served seventy-five children in 5 schools during first half of 2006-2007 school year.schools during first half of 2006-2007 school year.

At the same campuses, 574 children were screened At the same campuses, 574 children were screened for the second half of the school year; results are for the second half of the school year; results are pending. pending.

Primary ProjectPrimary Project Journey of HopeJourney of Hope


Effective and Supportive Learning Environments Effective and Supportive Learning Environments in Hurricane-Affected Areas: A Program for in Hurricane-Affected Areas: A Program for Support for Child Caregivers through SchoolsSupport for Child Caregivers through Schools

The The Journey of HopeJourney of Hope aims to strengthen aims to strengthen supportive and effective learning and living supportive and effective learning and living environments for children through psychosocial environments for children through psychosocial support to child caregivers, and the creation of support to child caregivers, and the creation of stable and cohesive school and living stable and cohesive school and living communities for children to learn and growcommunities for children to learn and grow

Journey of HopeJourney of Hope

Care to the CaregiversCare to the Caregivers

A one time 2 to 4 hour workshopA one time 2 to 4 hour workshop

27 JOH workshops held27 JOH workshops held

724 faculty and parents participated724 faculty and parents participated

PFDL™ PFDL™ Classroom – Community Classroom – Community

Consultation (CConsultation (C33))

School-Wide School-Wide Mental Health Mental Health InterventionIntervention

Classroom-Classroom-Based Mental Based Mental


Community- Community- Based Mental Based Mental


CC33

School-Wide IssuesSchool-Wide IssuesBrought to C3 by school counselors. School-wide issues and Brought to C3 by school counselors. School-wide issues and

concerns addressed by peer consultation and shared community concerns addressed by peer consultation and shared community resourcesresources

Classroom – Community Consultation (CClassroom – Community Consultation (C33))

Weekly consultation meetings with school-based counselors to Weekly consultation meetings with school-based counselors to discuss students that may be in need of third-tier community discuss students that may be in need of third-tier community

based services. Goal is to support counselor interventions with based services. Goal is to support counselor interventions with students in schools to avoid decrease in adaptive functioning. students in schools to avoid decrease in adaptive functioning. Rely on Electronic Records System maintained by counselors Rely on Electronic Records System maintained by counselors and PFDL™ staff to promote continuity of care and quality and PFDL™ staff to promote continuity of care and quality

improvement initiativesimprovement initiatives

Community Based InterventionsCommunity Based InterventionsPsychiatry, Psychology, Psycho-educational Psychiatry, Psychology, Psycho-educational

Assessments, Wrap-Around ServicesAssessments, Wrap-Around Services

Classroom – Community – Consultation Classroom – Community – Consultation (C(C33))

CC3 3 Referrals Into Referrals Into The CommunityThe Community

207 Referred out for services207 Referred out for services

142 Families chose free services at Mercy 142 Families chose free services at Mercy Family Center and Catholic CharitiesFamily Center and Catholic Charities

65 Families either sought care from other 65 Families either sought care from other community resources or did not seek community resources or did not seek treatmenttreatment

Electronic Record System Electronic Record System (ERS)(ERS)

Textalk MDTextalk MD Thanos Kontonassios – Alma Information Thanos Kontonassios – Alma Information

Systems, Inc.Systems, Inc. Textalk MD used at Mercy Family Center since Textalk MD used at Mercy Family Center since Modifications made to Textalk MD to allow for Modifications made to Textalk MD to allow for

school information and demographics related to school information and demographics related to stormstorm

Approximately 3600 student recordsApproximately 3600 student records Approximately 1500 counselor generated Approximately 1500 counselor generated

documentsdocuments

Enhance Current School Counseling Enhance Current School Counseling Through Consultation and Continuing Through Consultation and Continuing

EducationEducationCONSISTENCYCONSISTENCY:: Every mental health professional Every mental health professional

working with children in need of care possess the same working with children in need of care possess the same forms to complete when providing care. forms to complete when providing care. Documentation is accurate, with no misfiled, Documentation is accurate, with no misfiled, misplaced, or lost data. misplaced, or lost data.

EXPANDABLEEXPANDABLE:: The system can be expanded or reduced The system can be expanded or reduced depending on need.depending on need.

COMPREHENSIVECOMPREHENSIVE:: The system allows for batching of The system allows for batching of student records at both the school and district levels. student records at both the school and district levels.

Enhance Current School Counseling Enhance Current School Counseling Through Consultation and Continuing Through Consultation and Continuing

EducationEducation

UNIVERSALUNIVERSAL:: All mental health professionals and All mental health professionals and principals are able to review the same electronic school principals are able to review the same electronic school record in person or at a distance. This will allow for record in person or at a distance. This will allow for both face-to-face consultation with the mental health both face-to-face consultation with the mental health teams, and long-distance consultation via phone and the teams, and long-distance consultation via phone and the electronic records system. electronic records system.

HIPPA:HIPPA: Compliant and secure. Counselors and principals Compliant and secure. Counselors and principals have access to only their own school records.have access to only their own school records.

QUALITY IMPROVEMENT:QUALITY IMPROVEMENT: Searchable data base Searchable data base drives for QI, allowing administration to make decsions drives for QI, allowing administration to make decsions regarding adjustments in delivery of care based upon regarding adjustments in delivery of care based upon concrete evidence (data)concrete evidence (data)

Electronic Record System Electronic Record System (ERS)(ERS)

Basic student record includes 3 documents:Basic student record includes 3 documents:– Consent to treatConsent to treat– DemographicsDemographics– Hurricane Assessment Instrument (NCTSN)Hurricane Assessment Instrument (NCTSN)

ERSERS Hurricane Assessment InstrumentHurricane Assessment Instrument

– C:\Documents and Settings\dwalker\DocumentC:\Documents and Settings\dwalker\Documents\MFC - 1010 s\MFC - 1010 HurrHurr Assess Assess InstrumInstrum . .pdfpdf

ERSERS DemonstrationDemonstration

– C:\Documents and Settings\All Users\Desktop\C:\Documents and Settings\All Users\Desktop\TKAClient.lnkTKAClient.lnk

Project Fleur-de-lisProject Fleur-de-lis™ ™ Total ImpactTotal Impact

School-Wide programmingSchool-Wide programming Classroom-based programmingClassroom-based programming Community-based mental health servicesCommunity-based mental health services Individual/group counseling in schoolsIndividual/group counseling in schools Journey of HopeJourney of Hope Interventions provided via researchInterventions provided via research


724 Adults724 Adults

5,730 Children5,730 Children


5,730 Children5,730 Children26% of the 22,000 26% of the 22,000 Children Eligible Children Eligible

for Servicesfor Services

OutcomesOutcomes

Data from CData from C33

Data from ERSData from ERS

Data from researchData from research

Outcomes: Outcomes: CC33

Types of Community Referrals Types of Community Referrals by Month (200 total)by Month (200 total)

05

101520253035404550

S O N D J F M A M

CaseManagementPsychotherapy

Psychiatry

Assessment

0

10

20

30

40

50

60

70

80

90Distracted easily

Trouble concentrating

School grades dropping

Fidgety, unable to sit

Trouble with teacher

Less interested in school

Feels sad, unhappy

Does not listen to rules

Worries a lot

Is down on him or herself

Pediatric Symptom Checklist: Pediatric Symptom Checklist:

Top Ten SymptomsTop Ten Symptoms

0

2

4

6

8

10

12Marrerro 70072

Gretna 70056

New Orleans 70114

Metairie 70001

New Orleans 70126

New Orleans 70131

Metairie 70003

Westwego 70094

New Orleans 70127

Belle Chasse 70037

CC33 Referrals: Top Ten Zip Codes Referrals: Top Ten Zip Codes

Outcomes: Outcomes: ERSERS

70001 (11)

70003(10)

Outcomes: ROutcomes: Researchesearch

Outcomes: ROutcomes: Researchesearch

In cooperation with the Rand Corporation and the In cooperation with the Rand Corporation and the Center for Traumatic Stress in Children & Center for Traumatic Stress in Children & Adolescents - Allegheny General Hospital Adolescents - Allegheny General Hospital

195 children were screened from three project 195 children were screened from three project schools for inclusion into the study using the schools for inclusion into the study using the Child PTSD Symptom Scale (Foa, 2001). Child PTSD Symptom Scale (Foa, 2001).

Results from these screening instruments Results from these screening instruments demonstrated that 52 – 76% of children met demonstrated that 52 – 76% of children met criteria for being traumatized 17 months after criteria for being traumatized 17 months after Hurricane KatrinaHurricane Katrina

54%54%

76%76%52%52%





Classroom-Based InterventionClassroom-Based InterventionCBITSCBITS





Grief/l

oss:

Death

of re

lat...

Hurrica

ne (Dire

ct ex

posu...

Gener

al Tra

uma (

accid

ent..

.

Comm

unity V

iolen

ce

Secon

dary H

urrica

ne Tr..

.

Threat

of L

oss (

Sudden f

...

Domes

tic V

iolen

ce

Divorc

e

Sexual

Abuse

0

5

10

15

20

25

CBITS / TF-CBT Research:CBITS / TF-CBT Research:

Trauma Narratives (69 Students)Trauma Narratives (69 Students)

Future DirectionsFuture Directions

Adding schools by requestAdding schools by request Application to National Child Traumatic Stress Application to National Child Traumatic Stress

Network – Category III Center (SAHMSA)Network – Category III Center (SAHMSA) Addition of school psychologistAddition of school psychologist Addition of two case managersAddition of two case managers Telehealth communication systemTelehealth communication system Expand third-tier preferred provider listExpand third-tier preferred provider list Plan implementation of Stepped Trauma Pathway Plan implementation of Stepped Trauma Pathway

post future evacuationpost future evacuation

TM

www.Project-Fleur-de-lis.orgwww.Project-Fleur-de-lis.org