1. School-Based Behavioral and Mental Health Supports and Services
Department of Pupil Services
Loudoun education alliance of parents
October 12, 2016
Heather Applegate, Ph.D.
Supervisor of Diagnostic and Prevention Services
Licensed Clinical Psychologist

2. What is Mental Health?
Mental health is a state of successful performance of mental function, resulting in productive activities, fulfilling relationships with other people, and the ability to adapt to change and to cope with adversity. (Report from the Surgeon General on Mental Health)
Mental health is “a state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (World Health Organization)

3. Scope of the Problem
One in five (20%) children and adolescents will experience a significant mental health problem during their school years (US Department of Health and Human Services, 1999)
Approximately 75% to 80% of children and youth in need of mental health services do not receive them because existing mental health services are inadequate (U.S. Department of Health and Human Services, 2001). Of those who do receive assistance, the vast majority (70% to 80%) receive mental health services in schools

4. Mission and Goal
To educate the whole child by providing supports and services to meet the academic, social, emotional, behavioral and health needs of all students so they may enjoy a successful school experience.
Remove barriers to learning

5. Three-Tiered Behavioral/Mental Health Model of Services and Supports
Tier 3: Intensive Intervention
(Few)
Tier 2: Targeted Intervention (Some)
Tier 1: Universal Prevention (All)

6. Pupil Services Student Support Team
9/15/2018
Pupil Services Student Support Team
School Counselor
School Psychologist
School Social Worker
Student Assistance Specialist
Nurse/Clinic Specialist
Special Education Supervisor
Behavioral Specialist
Behavioral Support Coordinator

7. School-Based Services and Supports
Positive Behavioral Interventions & Supports
Classroom Guidance Lessons
Bullying/Violence Prevention
Mandt Training
Substance Use
Depression Awareness/Suicide Prevention
Behavioral Consultation
Group and Individual Counseling
Crisis Intervention
Threat Assessment
Restorative Practices

8. School-Based Services and Supports
Positive Behavioral Interventions & Supports (PBIS): A framework for assisting school personnel in adopting and organizing evidence-based behavioral interventions into an integrated continuum that enhances academic and social behavior outcomes for all students.
Classroom Guidance Lessons: Instruction provided at the elementary level to assist students in developing decision- making, communication and life skills, as well as character values.
Bullying Prevention: Establishing school-wide expectation for common respect, teaching what that means, and ensuring that all students and faculty and staff members share in the responsibility of making schools respectful settings.

9. School-Based Services and Supports
Mandt: Integrated approach to preventing, de-escalating, and if necessary, intervening when the behavior of an individual poses a threat of harm to themselves and/or others.
Substance Use/Abuse: Specialized services provided for students who request individual or group support and/or services for students assigned disciplinary action related to substance use/abuse. Services in include assessment, family services, instruction and follow up.
Depression Awareness/Suicide Prevention: Classroom presentations provided to ninth grade students on recognizing and responding to depression and suicidal behavior in themselves or friends.

10. School-Based Services and Supports
Behavioral Consultation: An indirect, problem-solving service involving a collegial relationship between a specialist and teacher/parent to identify and analyze behavioral problems in children and to develop and evaluate behavioral- based interventions to improve the student’s behavior.
Counseling: interactive process between a specialist and student (or group of students) to help build social-emotional skills, solve problems, and improve functioning.

11. School-Based Services and Supports
Crisis Intervention: emergency psychological care aimed at assisting students in a crisis situation (e.g., student or staff death) to restore functioning and to minimize the potential for psychological trauma
Threat Assessment: A problem-solving approach to evaluate the risk of violence posed by someone and to intervene and resolve the issues that underlie the threatening behavior
Restorative Practices: A framework that includes the development of a whole school approach or specialized services to build on positive culture initiatives as well specialized services to teach problem solving and conflict resolution as an alternative to traditional discipline.

12. Mental Health Support Examples
Behavior
Social-Emotional Skills
Bullying/Violence
Intensive (Tier 3)
Functional Behavioral Assessment
Behavioral Intervention Plan
Mandt Technical
Restorative Practices Conferences
Individual Counseling
School Within a School Program
Inter-Agency Collaboration (e.g., Wrap Around)
Threat Assessment Safety Plan
Individual counseling
Targeted (Tier 2)
Check In-Check Out
Informal Behavioral Plans
Mandt Relational
Restorative Practices Circles
Group Counseling
Explicit instruction individual/small group
Pupil Services Student Support Team
Threat Assessment
Universal (Tier 1)
PBIS
Restorative Language and Approaches within PBIS
Classroom Guidance Lessons
Stop-Walk-Talk
Expect Respect

13. Mental Health Support Examples
Suicide
Substance Use
Intensive (Tier 3)
Referral & After Care Support
Crisis Postvention Response
Insight program (includes substance abuse assessment, family consultation, individual/group support) and referrals
Targeted (Tier 2)
Suicide Screening and Intervention
Booster Sessions of Depression Awareness & Suicide Prevention
Group and Individual Support
Universal (Tier 1)
Depression Awareness & Suicide Prevention presentations (Ninth Grade)
Substance Abuse Prevention presentations in school; evening presentations for parents/families

14. How do I find help?
The School Counselor is your primary source as a provider of service and to provide referrals as needed or requested.
School Counselors are trained professionals, and assigned to every school building in the county.
If the student’s individual counselor is not available, each school has an additional resource. In elementary, contact your school principal. In middle school, each school has a “lead” counselor. In high school, a Director of School Counseling is part of the administrative staff in each building.
We are here to provide timely, professional and supportive services. Contact your school counselor any time you have questions or concerns.