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An Overview of California Mental Health Services in Schools Senate Mental Health Caucus May 21, 2014 County Superintendents Educational Services Association.

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Presentation on theme: "An Overview of California Mental Health Services in Schools Senate Mental Health Caucus May 21, 2014 County Superintendents Educational Services Association."— Presentation transcript:

1 An Overview of California Mental Health Services in Schools Senate Mental Health Caucus May 21, 2014 County Superintendents Educational Services Association Sacramento County Office of Education California Mental Health Directors Association California Mental Health Services Authority

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3 County offices of education 58 School districts 1,043 Schools 10,300 Teachers300,000 Students in grades K-12 6,221,000 Californias Public Education System

4 Mental Health Programs and Services in California Schools Services for Special Education Students Students with Individualized Education Plans (IEPs) Specified mental health needs 5-10% of population Formal, regulated processes and services to ensure student needs are met Services for the General Student Population Students who could benefit from basic supports, social/emotional instructional programs and positive school climate – 100% of population Students who need short-term or lower level supports and interventions that can be provided at school - 15 to 25% of population A variety of programs and services provided by districts and schools School-based Mental Health – a young and tenuously supported field

5 Current Programs and Practices in California Schools Evidence-based Prevention & Early Intervention Programs School Climate – Positive Behavioral Interventions and Supports (PBIS) and similar programs Bullying/Cyberbullying Prevention and Intervention Suicide Prevention and Supports Social-Emotional Skills Instruction Counseling Services Parent Education and Supports Related instruction and supports, including prevention/intervention of alcohol and other drugs; eating disorders; violence or aggressive behavior

6 Regional PreK-12 Student Mental Health Initiative Statewide Project of CalMHSA and CCSESA Statewide Infrastructure 11 CCSESA Regions covering all 58 California counties 11 Regional Lead County Offices of Education Collaboration with districts, schools and local mental health agencies Common goals and focus areas for all 11 regions Regional/county level activities to meet local needs Sacramento County Office of Education coordinates regional activities for the state

7 Fulfilling the Promise of School-Based Mental Health The Vision: Comprehensive System of School-Based Mental Health Programs and Services in each California school Aimed at providing evidence-based programs and services as early as possible to help prevent more critical needs in the future Include a continuum of programs and services from prevention and early identification to early identification and supports to referral to intensive services when needed Train teachers, staff and parents in early identification of mental health needs Include system navigators and practitioners to provide services and help students stay in school

8 CCSESAs Regional PreK-12 Student Mental Health Initiative Cross-System Collaboration 837 Consortium Meetings Annual Statewide Cross-System Collaboration Survey 12,907 Cross-System Participants Demonstrated improvement in collaboration Clearinghouse Activity 274 Resources- best practices 11,096 pages views per quarter 315 Registered Users total 3,470 Visits to the site per quarter School-Based Demonstration Programs 272 Programs in 11 Regions Directly involve 23,782 adults and 109,693 students Estimated reach to 2,415,107students – 40% of Californias students Education and Training 1,396 Trainings Topics Including: Bullying Prevention; Suicide Prevention; School Climate 49,542 Participants Youth Mental Health First Aid; Trauma-Informed Care; Parent Education 9,039 Training EvaluationsMental Health Awareness; PBIS; Eliminating Barriers to Learning Statewide Report: January 2013-March 2014

9 County Mental Health Departments Administer a broad continuum of services for individuals of all ages, including children and youth Key areas of school collaboration – Medi-Cal Specialty Mental Health Services (EPSDT mental health services) – Mental Health Services Act (Prop. 63)

10 EPSDT: A Broad Federal Medicaid Benefit Early & Periodic Screening, Diagnosis, and Treatment (EPSDT) for all Medicaid beneficiaries under age 21 Comprehensive screening and preventive health, dental, vision, and developmental services. Screenings offered through CAs Child Health & Disability Prevention Program (CHDP) Most diagnostic and treatment services are provided by Medi-Cal managed care plans Medi-Cal Managed Care plans and their contracted pediatricians are critical partners in identifying and screening for childrens mental health issues.

11 EPSDT Mental Health: Managed Care Plans Role Mental health benefits for mild/moderate conditions were expanded in Californias implementation of health reform For all Medi-Cal enrollees, including children, the managed care plans now offer: – Individual/group mental health evaluation and treatment (psychotherapy) – Psychological testing – Outpatient services to monitor drug therapy – Outpatient laboratory, drugs, supplies and supplements – Psychiatric consultation MOUs between Medi-Cal managed care plans and county mental health plans are key to collaboration and cross-referrals.

12 EPSDT Mental Health: Counties Role Medi-Cal enrollees who meet medical necessity criteria must access EPSDT specialty mental health services through their local county mental health plan. (See handout for description of eligibility, services) Collaboration with schools – Schools may refer children to the county – Mobile mental health, rehabilitative, and case management services may be provided on school sites by counties and subcontract providers

13 Prop. 63 Programs: Collaboration with Schools Education stakeholders participate in each countys planning for Prop. 63 implementation Outreach includes schools to help identify program participants A key goal of Prop. 63 programs is to improve childrens school attendance and academic performance, and reduce school failure/drop-out A few local examples: – Training school personnel on suicide prevention – Cognitive behavioral therapy on school site for children exposed to trauma – Law enforcement/school/county partnership to prevent school violence – Improving the school climate and anti-bullying programs

14 School-County Partnerships Reflect Local Needs Local needs, priorities, demographics, and historical relationships contribute to the partnerships between schools and counties throughout California – Referrals – School-based mental health services – Targeted populations – Special education students mental health services

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16 Innoculation Campaign 9-13yrs Websites FAQs for youth and parents Storytelling Information and resources School-Based Performances 31Counties Over 18,000 Youth reached Over 1,200 online views Personal Stories from Youth Activities Over 2,500 shoes made Evaluation 2,469 Shoes Made 50,130 web visits

17 The 2013 contest films have been viewed online 31,235 times and downloaded 434 times between April 2013 – April 2014

18 Contact Information Cheryl Raney Director, Prevention & Student Services Dept. Sacramento County Office of Education (916) Sandra S. Morales Assistant Executive Director County Superintendents Educational Services Association (916) More information online: Terence Rooney, Ph.D Behavioral Health Director Colusa County (530) Ann Collentine Program Director California Mental Health Services Authority (916) Stephanie Welch Senior Program Manager California Mental Health Services Authority (916) Kirsten Barlow Associate Director, Legislation & Public Policy California Mental Health Directors Association (916) , ext. 112


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