1. Scot McKay, MD Denver Health and Hospital Authority Assistant Professor

2.  1987 – Denver Health received a grant to open the first School Based Health Center at Abraham Lincoln High School  As of 2015/16, there are 17 SBHCs throughout Denver Public Schools (DPS)  Every student enrolled in the DPS system has access to either their community school clinic or 3 district clinics.  Siblings of DPS students also eligible for services.  Collaborative effort within the community including Denver Health, Denver Public Schools, Mental Health Center of Denver, and Jewish Family Services. ◦ Kepner∘ Montbello ◦ Lake∘ South ◦ Rachel B Noel∘ West ◦ Bruce Randolph∘ JFK ◦ Kunsmiller ◦ MLK Jr ◦ Abraham Lincoln∘ Place Bridge ◦ North∘ Evie Dennis ◦ Thomas Jefferson∘ Manual ◦ Florence Crittenton

4.  Screening process for all appointments  Internal from school or feeder school  Internal from Denver Health  Outside agencies

5.  All students 6th grade and higher complete Adolescent Confidential Health History, regardless of reason for visit  53 questions regarding physical and mental health, family health history, psychosocial assessment, etc.  Provided confidentially, away from parents, to increase likelihood of honest responses  English and Spanish languages offered in all clinics  13 questions address possible Depression  ‘Yes’ response to depression questions indicates PHQ-9 follow-up

7. Mental Health Related Questions

8.  9 numerically scored questions & 4 yes/no questions  Score 0-4: PCP discretion, not entered in registry  Score 5-27: follow-up, entered in registry ◦ Score 5-9: re-assessed within one month, PCP discretion for additional services ◦ Score 10-19: entered in registry as Clinically Significant Depression, patient preference for medication/psychotherapy or both ◦ Score >20: entered in registry as Clinically Significant Depression, combination of psychotherapy and medication recommended

9.  Therapy alone  Medication management  Consultation with teachers, school social workers, and/or school psychologists ◦ General consultation ◦ IEP and 504 meetings ◦ Suicide Risk Assessments