1. Ohio County Schools Madison Elementary Expanded School Mental Health Services

2. Madison School Profile Located in inner city, Wheeling Island, Wheeling, WV PK-5 th ; about 290 students High percentage of single parent homes or grandparents raising children High rate of drug/alcohol abuse and incarceration of parents 89% of students have free/reduced

3. Tier 1 Academic and Behavioral Supports Co-teaching PLC bi-weekly Teacher study/support groups Anchor (after school) Attendance care calls Too Good for Drugs Second Step Keep a Clear Mind NetSmartz Family dinner nights Gold Star (PBS) D.A.R.E Lunch Buddy Program

4. Tier 2 Academic and Behavioral Supports SAT SPL (RtI) Tier pull-out interventions Extended day tutoring Homework time Juvenile Mediation Program Extended Year KOOL Kids Program (middle school transition) Save One Students (mentoring) Weekend Snack Bag Program Group counseling- Bullfrogs & Butterflies Afterschool Program

5. Tier 2&3 School- Based Mental Health CHOICES Program (since 2002) Group, Individual & Family Therapy in coordination with Northwood Health Systems A Center for HOPE & Change (est. 2012) Individual and family counseling; Afterschool psycho-educational groups and developmental guidance in summer school

6. Children Served Most are in grades K through 5 at the time of the initial referral Show a demonstrated pattern of Disruptive and aggressive behavior Disrespectful behavior toward others Failure to obey rules A violation of the rights of others Underachievement in their academic studies Emotional and mental health issues including depression, anxiety, ADHD, & complex traumas

7. Teacher, Parent and School Counselor collaborate to make referral Choices Staff holds intake with family Group, Individual, and home mental health services are provided Choices Staff, School Staff, and families collaborate regularly about progress of children Parent or School identifies needs of students With Choices Communication is Key is Key

8. Challenges and Barriers Medicaid redesign & reimbursement issues Lack of funding for un/under-insured children Medicaid requirements for a DSM diagnosis Scheduling time for students to be seen during the school day Staffing Family participation and commitment

9. School-Based Center has helped decrease barriers Students in the afterschool program can receive counseling Less of a social stigma because the program is from the school and not a mental health agency Parent permission is easier to obtain (students received services quicker) Gathering data for our own students is fairly simple

10. Positive Outcomes Improved attendance Increased compliance with medication Increased social skills Decreased impulsivity Decreased aggression in the classroom Decreased oppositional behavior both at home and in school Improved relationships with peers and siblings Improved self-esteem

11. Focus on Increasing Numbers of Children Identified for Tier 2 & 3 Services

12. School Counseling Program Highlights 2011-12 Completed 341 developmental guidance lessons in grades K-5 51 student self-referrals through the “counselor note” system; grades 3-5 398 individual counseling sessions with students in grades K-5

13. The issues interfering with our students learning Academic Social/ Relational Personal/ Emotional BehavioralHealth/Nutrition Percent of type of counseling received

14. Ohio County Schools Madison Elementary School Before… …After We are proud of A Center for HOPE & Change and the CHOICES Program

15. Contacts Jessica Laslo, M.Ed, NCC, LPC jlaslo@access.k12.wv.us 304-243-0367 Lynne Mañalac-Stanley, MSW, LICSW, ACSW, CTT Lynne.manalac.stanley@gmail.com 304-975-2504 Jennifer Malone, MSW, LGSW jmalone@corp.northwoodhealth.com 304-234-3500 x. 3236