1. 13th Annual Conference Advancing School Mental Health CoP, Child Psychiatrists and School Based Mental Health Michael E. Faran, MD, PhD The views expressed in this abstract/manuscript are those of the author(s) and do not reflect the official policy or position of the Department of the Army, Department of Defense, or the U.S. Government.

2. 13th Annual Conference Advancing School Mental Health Outline Taking Mental Health, including Psychiatry, into the School Community – Communities of Practice The Challenges – Systemic Issues School Based Mental Health Recommendations

3. 13th Annual Conference Advancing School Mental Health How do we minimize the impact of trauma on children and families? How do we convince systems to work together to instill resilience and protect our children and families? What about children’s and families’ right to mental wellness? How do we protect this right?

4. 13th Annual Conference Advancing School Mental Health Communities of Practice Etienne Wegner and Jean Lave 1991 Began as a study of Apprenticeship and evolved into learning theory based on social relationships 3 characteristics: the domain, the community and the practice

5. 13th Annual Conference Advancing School Mental Health The domain: A community of practice has an identity defined by a shared domain of interest— Shared Agenda or Shared Priority. Membership therefore implies a commitment.

6. 13th Annual Conference Advancing School Mental Health The community: Members engage in joint activities, help each other, and share information Learn each other’s language, practice, capabilities, limitations It is all about Relationships

7. The practice: Members of a community of practice are practitioners Members come to the table and say what they can do to contribute to a solution 13th Annual Conference Advancing School Mental Health

8. Learning is in the relationships between people CoP = Advisory Group, Process Action Team, Work Group – Shared Agenda (Priority), coming together to address issue – Learn from each other, understand what each other brings to the table and each other’s language – Commitment, often blurring of boundaries

9. 13th Annual Conference Advancing School Mental Health A School Based Program… Addresses the specific needs of the community Promotes School Connectedness Promotes Social Emotional Learning Is able to meet challenges quickly Coordinates with existing school/community programs Enhances accessibility and capacity Provides clinically sound evidenced-based services

10. 13th Annual Conference Advancing School Mental Health The Challenges—Systems Issues “Stove-piping” Independent mental health services and agencies— turf battles Accounting systems for Child Psychiatrists National shortage of Child Psychiatrists

11. 13th Annual Conference Advancing School Mental Health Teacher Counselor Parent Principal School Liaison Psychologist Social Worker

12. Referrals Referrals from several sources All referrals through the Student Services Coordinator – Follow Department of Education policies – Expedited, consents signed, and then referral to the Triage team 13th Annual Conference Advancing School Mental Health

13. Teacher Counselor Principal SBBH Psychologist Social Worker Triage Team 13th Annual Conference Advancing School Mental Health

14. Program Outcomes (Continued) School Satisfaction Children spend less time out of the classroom No show rates for intakes are very low Enhances accessibility and capacity Decreases stigma Program is quickly able to respond to challenges

15. 13th Annual Conference Advancing School Mental Health

16. websites http://www.ideapartnership.org/ http://sharedwork.org/ http://csmh.umaryland.edu/ michael.faran@us.army.mil 13th Annual Conference Advancing School Mental Health

17. Questions?