1. University Involvement in Mental Health—Education Partnerships: Benefits for All Julie S. Owens, Ph.D., Ohio University Carl E. Paternite, Ph.D., Miami University Lauren Richerson, M.S., Ohio University Melissa Maras, B.A., Miami University

2. Overview I.Overview of SBMH: models, services, advantages, challenges, needs II.How to initiate a mental health—education partnership: History of the creation of SBMH in Ohio III.Description of our programs IV.Examples of the benefits provided by mental health—education partnerships V.Common challenges to SBMH and recommendations for overcoming them

3. School-Based Mental Health Program/Service Variations Community MH providers working on site in school settings in partnership with school staff School MH professionals with clearly defined primary roles as mental health providers in school (counselor, S.W, psychologist) MH providers from school or community as part of on site school-based health centers, in partnership with primary care providers

4. Expanded School-Based Mental Health Programs and Services Involve partnership between schools and community health/mental health organizations, as guided by families Build on existing school programs/services Offer programs/services for all students, including those in general and special education Emphasize schools as locus of engagement for school-based, school-linked, and community- based work

5. Expanded School-Based Mental Health Full array of mental health care for youth in special and regular education Screening and assessment Treatment Case management Prevention (all levels) Mental health promotion Related Services Classroom observation Consultation Training with school staff, families, and community members School wide initiatives (e.g., media, outreach, climate)

6. Expanded SBMH Advantages Moves toward MH—Education systems integration, providing critical support to education, and enhancing access to youth for mental health care Expands and connects education and mental health knowledge bases and promotes interdisciplinary collaboration Assists in the development and delivery of a true system of care

7. Emerging Expanded SBMH Field is Presented with Many Challenges Lack of conceptual clarity about SBMH No good national mechanisms to track development Estimate of less than 10% of schools in U.S. offer expanded SBMH Practice-research disconnect Tenuous community and financial support “Silos” in community systems

8. Education/Training Needs In addition to parents and primary care providers, teachers are on the mental health “front line”. Yet, teachers/educators are very poorly trained in problem recognition and mental health promotion Significant need to enhance teacher/educator training based on analysis of issues confronted in the classroom/school Related significant need to enhance training of mental health professionals to prepare them to engage with educators and function effectively in/with schools

9. The Y.E.S.S. Program: Youth Experiencing Success in Schools Julie S. Owens, Ph.D Department of Psychology Ohio University Psychology and Social Work Clinic

10. Program Goals Improve academic and behavioral performance Enhance home-school collaboration Enhance consultation for teachers Improve inter-agency collaboration Conduct research to evaluate program effectiveness and barriers to care

11. Evidence-Based Services Individualized classroom intervention Daily report card with home-school links Behavioral contracts Individual/group parent support sessions Home privilege system for school performance Effective discipline skills Weekly teacher consultation Individual child therapy Consultation with other agencies In-House Clinician: 2 days/week

12. Center for School-Based Mental Health Services Miami University Department of Psychology http://www.units.muohio.edu/csbmhp/

13. Alternative Education Program Formative Evaluation and Consultation 2003 Qualitative Study Phase I and Phase II 11 Alternative Education Programs evaluated (Short-, Mixed-, and Long-term programs) 27 student and 25 parent interviews Themes, Recommendations, and Best- Practices identified http://www.units.muohio.edu/csbmhp/alternativeeducation.html

14. Head Start Programs: Observation and Consultation 2003-2004 Federally mandated biannual observation and consultation 59 Head Start Programs in Butler County, OH Development of Behavioral Health Observation Form Ongoing partnership

15. School-Based Psychology Interns Clinicians based in 5 schools Individual, family, and group therapy Teacher consultation Ongoing data collection

16. Ψ Benefits to Researchers Ψ Representative, heterogeneous samples Inclusion of at-risk children Advances the science Collaboration Multiple informants of treatment outcome Greater access to informants and child participants Examination of factors that may influence children’s treatment outcomes

17. 2004-2005 Fall Pre- Treatment Winter Mid- Treatment Spring Post- Treatment Symptoms Par; Tch Impairment Par; Tch Academic Performance Grades; Tch Parent Stress Parent Teacher Stress Teacher School Climate Teacher; Clinician Teacher; Clinician Teacher; Clinician Office referrals Records SatisfactionPar; Tch; Child

18. Example of Benefits to Research: Predictors of Treatment Outcome Child variables IQ Symptom severity Family variables Parenting style Parenting stress Parental involvement in treatment School variables Teacher optimism

19. Benefits to Pre-Service Professionals The providers of treatment Use of evidenced-based treatments Experience working on an inter-disciplinary team A captive and diverse audience

20. Benefits to Children and the School Community Improved service-delivery model Improved academic, behavioral, and social/emotional functioning Opportunities for mental health education Child advocate in the school Client satisfaction

21. Example of Benefits to Children and the School: 5 th Grade Student

22. Challenges Common to MH— Education Partnerships Developing and sustaining partnerships with schools Developing and sustaining partnerships with parents Time constraints Location, space, and turf

23. Addressing Challenges Creating and sustaining partnerships with schools Creating and sustaining partnerships with parents Working around time constraints Negotiating location, space, and turf Leads to Benefits for All!