1. Collaboration Across Pediatric Health and School Mental Health Systems Nita Kumar, PhD, LMFT, LPCC Mental Health Consultant

2. What we know … ~Twenty Percent Source: U.S. Department of Health and Human Services. (1999) Mental Health: A Report of the Surgeon General. Rockville, MD.

3. Potential barriers to treatment:  Access to care  Limited collaboration  The treating provider  Compliance  Reimbursement  Stigma  Efficacy What we know …

4. At what cost?

5. What is available through school?  Student Support  Clinical Based Mental Health Programs:  School Based Mental Health (not integrated/funded)  School Based Mental Health (integrated and funded)  DHS School Linked Mental Health (integrated and funded). Source: Minnesota Department of Human Services. (2014, May 8). Thousands of children to benefit from $45M for school-linked mental health. Retrieved from: http://mn.gov/dhshttp://mn.gov/dhs

6. How do they work? School Ancillary Services Outpatient Services

7. Does it work?  Increase in reading and math test scores and GPA  Improved school attendance  Decreased school suspensions and office referrals  Improves school climate for all Source: University of Maryland School of Medicine (2003, July). The Impact of School Mental Health: Educational, Social, Emotional, Behavioral Outcomes. Retrieved from: http://csmh.umaryland.edu/Resources/Reports/index.html

8. Does it work?  Improved access and utilization  Reduced behavioral and emotional symptoms  Increased social competency Source: University of Maryland School of Medicine (2003, July). The Impact of School Mental Health: Educational, Social, Emotional, Behavioral Outcomes. Retrieved from: http://csmh.umaryland.edu/Resources/Reports/index.html

9. What can primary physicians do?  Continue or expand mental health screening  Improve the quality of referrals  Know the DHS school linked mental health programs in your area and program components  Reach out to school districts and school boards  Join children’s mental health collaboratives/ committees