Building Infrastructures: Supporting School-Based Mental Health Services

National Mandates Individuals with Disabilities Education Act (IDEA) 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

State Mandates OSEP REVIEW (1999 –2000) ADE, SEU cited for not meeting the needs of students with mental health counseling needs ADE, SEU cited for not meeting the needs of students with mental health counseling needs ADE, SEU responsible for over site for all services to ALL school aged children ADE, SEU responsible for over site for all services to ALL school aged children

State Response to Mandates Medicaid $$ Released to include Schools as Providers Medicaid $$ Released to include Schools as Providers ADE, SEU began working on state plan to address citations ADE, SEU began working on state plan to address citations 2001 – ADE and DBHS began framing process for sbmh service delivery; Enter into MOU 2001 – ADE and DBHS began framing process for sbmh service delivery; Enter into MOU LEAs, Co Ops become active in the development of SBMH Network LEAs, Co Ops become active in the development of SBMH Network

O UR M ANDATE Schools + Mental Health = Success The mission of schools is to educate all students. The mental health of a student underlines how successful he/she will be in school. Students with mental health problems that are not adequately addressed have higher failure rates.

Vision Statement School-Based Mental Health Partners promote quality, accountable and professional programs by sharing a commitment to working as a team to break through traditional barriers of service delivery in schools.

ADE School-Based Mental Health Network Program Principles Building School-Based Mental Health Programs with Partnerships that promote Quality, Professionalism and Accountability And are Success Oriented  Emphasis on early intervention  Full integration with community and it’s resources  Placing students and their families at the center of service decisions  Providing services that are culturally competent  A focus on promoting school attendance and academic success  Services and supports validated by research and evidence-based practices  The use of technology, including telecommunications

Partnership Goals  Partners Support the Academic and Mental Health of Students  Open Communication, Shared Agendas, Team Interventions  Recognize the Value Each Partner Brings to the Table  Share Responsibility for Program Components

Program Models  Partnerships with local community mental health providers – community mental health centers, independent practitioners, private non- profit, and for-profit providers  School Districts employ mental health providers as part of school/district staff  Co Ops work as coordinators for SBMHS  Combination

Program Assurances Student Supports, Classroom Consultations, Staffing, In-Services, Wrap Around Services Student Supports, Classroom Consultations, Staffing, In-Services, Wrap Around Services Integrated Services – mh and school act as a team Integrated Services – mh and school act as a team Pullout Interventions- evaluation, crisis services, diagnosis, individual, family group therapy, and day treatment Pullout Interventions- evaluation, crisis services, diagnosis, individual, family group therapy, and day treatment Comprehensive intake, referral and case management processes Comprehensive intake, referral and case management processes Access to services without regard to student/family Medicaid enrollment status Access to services without regard to student/family Medicaid enrollment status Appropriate linkages with community, regional, state and natural resources Appropriate linkages with community, regional, state and natural resources Participation in Title XIX, Medicaid, either through provider enrollment or purchased services contracts Participation in Title XIX, Medicaid, either through provider enrollment or purchased services contracts Maximum utilization of alternative funding streams, including third party payors, public targeted and competitive grants, and private foundation funds Maximum utilization of alternative funding streams, including third party payors, public targeted and competitive grants, and private foundation funds

Program Components Best Practice Model Fully integrated partnerships – mental health provider is part of the school team Fully integrated partnerships – mental health provider is part of the school team Each school has a dedicated full time therapist to serve ALL students Each school has a dedicated full time therapist to serve ALL students Therapist is integrated into school and its culture Therapist is integrated into school and its culture School Staff and Mental Health Provider work together to develop student treatment plans, education plans etc. School Staff and Mental Health Provider work together to develop student treatment plans, education plans etc. Schools and Providers share information and provide for this in the framework of their contracts, MOUs – HIPAA, FERPA guidelines Schools and Providers share information and provide for this in the framework of their contracts, MOUs – HIPAA, FERPA guidelines Interventions are EVIDENCE BASED Interventions are EVIDENCE BASED Data Collection Data Collection Outcome Measurements Outcome Measurements Funding is joint venture between provider, schools and community Funding is joint venture between provider, schools and community

Program Implementation Completion of SBMHS Applications (ADE and Medicaid)- includes technical assistance Completion of SBMHS Applications (ADE and Medicaid)- includes technical assistance Review of Application – Includes Site Visit Review of Application – Includes Site Visit Finalization of Agreements, MOUs, Contracts Finalization of Agreements, MOUs, Contracts Development of Processes, Forms, Policies Development of Processes, Forms, Policies In-service to both school and mh staff regarding processes – referrals, service delivery, team work In-service to both school and mh staff regarding processes – referrals, service delivery, team work Establish start date Establish start date

DBHS and Special Education combining efforts to achieve: QualityConsistency Positive Outcomes Accountability Collaboration is the Key

O.U.R. Educational Cooperative What is an Educational Cooperative? What is an Educational Cooperative? Process Process Teaming Teaming

Evaluations & Outcomes Internal and external evaluation methodology Internal and external evaluation methodology Network Evaluation Team Network Evaluation Team SARA Data Base SARA Data Base Satisfaction Surveys Satisfaction Surveys

Program Evaluation On-going process from planning to service delivery On-going process from planning to service delivery Site Visits pre and post program implementation Site Visits pre and post program implementation Site Visits mirror accreditation standards Site Visits mirror accreditation standards Monitor both educational and mental health outcomes Monitor both educational and mental health outcomes Quality Service Delivery Quality Service Delivery Partnership Partnership Accountability Accountability Student Improvements: attendance, grades, discipline, self-esteem, wellness, decrease in symptoms Student Improvements: attendance, grades, discipline, self-esteem, wellness, decrease in symptoms

ARKANSAS DEPARTMENT OF EDUCATION SCHOOL-BASED MENTAL HEALTH PROGRAMMING FISCAL YEAR Total Number of Network Districts: 47 Total Number of Network Districts: 47 Total Number of Covered Students: 112,950 Total Number of Covered Students: 112,950 Total Unduplicated Service Cases: 3,500 as reported on Total Unduplicated Service Cases: 3,500 as reported on the ADE Student Assessment and Referral Database (SARA) Anticipated Expenditures by Source: Department of Education $1,500,000 Department of Education $1,500,000 Local Cash/In-kind 250,000 Local Cash/In-kind 250,000 RSPMI Medicaid 7,500,000 RSPMI Medicaid 7,500,000 Private Insurance 50,000 Private Insurance 50,000 TOTAL $9,300,000 TOTAL $9,300,000

Contact Information Ruth Fissel, Betsy Moore, Monica Pruitt, Valorie Williams, LPE