New Hampshire Mental Health TA Project IDEA Partnership National Community of Practice on Collaborative School Behavioral Health Share Fair Presentation - September 24, 2008

State and Local Partners Local Schools –Teachers –Special Educators –Family Liaisons –Guidance Counselors –School Psychologists –Superintendents Community Mental Health Centers –Executive Directors –Children’s Directors –Family Liaisons Family Partners –Granite State Federation of Families –NH Parent Information Center –NAMI-NH State Associations and Organizations –NH Association of School Psychologists –NH Association of Special Education Administrators

Local and State Partners (cont.) NH DOE –Division of Instruction NH DHHS –Division of Community- Based Care Services Bureau of Behavioral Health –Division for Juvenile Justice Services –Division for Children Youth and Families Endowment for Health Granite State College Institute on Disability at University of NH NH Center for Effective Behavioral Interventions and Supports Strafford Learning Center

Mental Health and Schools Together-NH A Systems Approach to Improve Outcomes for All Youth School- Based Systems Positive Behavioral Interventions and Supports-NH Systems of Care Community Mental Health Centers Family Organizations Community Partners Regional Collaboratives Wraparound

The PBIS Triangle: A Continuum of Supports Link to Wraparound-NH Facilitation School-based Intensive Supports Coordinator Effective School-wide & General Education Classroom Systems Instructional & Behavior Management Practices Systematic Screening Positive Parent Engagement An Array of ‘Function-Based’ Group Interventions for Non-Responders to School-Wide Systems or Early Primary Intervention Individualized Function-Based Support Plans for School-Wide & Group Non-Responders School-based Intensive Supports Links to Case Centered Collaboratives & Community-Based Supports Mann & Muscott (2007) An Efficient Primary Intervention for Early Non-Responders to School-Wide and Classroom Prevention and Response Systems (e.g. scheduled feedback) Intensive Support Plans & Crisis Intervention Primary Preven- tion: ~80% Secondary Preven: tion: ~15% Tertiary Preven- tion: <5%

Family & Youth Systems School-Based Systems Community- Based Systems Intensive Systems of Behavior Support Muscott, Mann & Berk (2006) MAST-NH

SYSTEMS PRACTICES DATA Supporting Staff Behavior Supporting Decision Making Supporting Student Behavior PBIS Support Systems

Resource Mapping Mental Health Primer Systematic Screening Emergency Response Plans Life Space Crisis Intervention Intensive FBA & BSP Wraparound Referrals to Community Supports PRACTICES MAST NH: Mental Health and Schools Together Tertiary Practices

MAST NH: Mental Health and Schools Together Tertiary Systems Features Community- Based Referral Processes Intensive Supports Coordinator Staff Trained in Intensive Supports School-Based Referral Processes Crisis Response Team Emergency Response Team SYSTEMS Home-School-Mental Health Communication Protocols

WRAPAROUND through MAST-NH: Outcomes 50+ Wraparound Facilitators Trained 7 Trained On Illinois SIMEO (tools and system for data gathering, summarization, progress monitoring, fidelity of Implementation assessment) Identification of systems features for mentoring and peer support for Wrap Facilitators Strafford Learning Center grant through NH Endowment of Health to further MAST-NH work in Seacoast region

Systems Features: Referral to Community Mental Health Facilitated referral from schools Raising likelihood of successful intervention Prepare families for intake and MH supports: –Increase awareness of intake process –Prepared with essential information/ data –Awareness of available supports and services –Match need to available supports (strategic referral) –Increase understanding of what to expect from referral and subsequent supports (anticipated outcomes) –Establish expectations for on-going communications and Home-School-MH collaboration

Referral, Intake and Treatment Protocol for Mental Health Center of Greater Manchester School Facilitated or Supported Referral Level 1 Intake Appointment In-Office Treatment Only Level 2 Team: In-Office Treatment w/ minimal Case Management Level 3 Team: Mix of Community Based or Office-Based Treatment w/ options for Case Management Level 2,3, or 4 Intake Appointment: Intake Clinician completes intake assessment with parent & youth Approximately 1 to 2 hours Intake Clinician then presents case at Admissions Conference Admissions Conference: Internal meeting with coordinators, clinicians, psychologist and psychiatrist Determines referral to ‘Team’ that matches to level of care needed Assigned to Team’s for Clinician Assignment Level 4 Team: Family Intensive Treatment, Community-based Supports, Home or In-Office Therapy, Case Management Clinician Assignment: Each Team meets to review case and assign to clinician best matched to family Clinician and Family develop written Treatment Plan With goals and objectives and a review process Initial Contact: Call Received by MHCGM; Scheduling Specialist Takes General Information Within 24 hours an intake appointment is scheduled (to occur within ten days)* Tells parent what to bring/ when to arrive/ where to go/ who with *Emergency circumstances processed differently