expanded school mental health services in rural communities youth health service, inc. elkins, wv...
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Expanded School Mental Health Services
InRural Communities
Youth Health Service, Inc.Elkins, WV
(Randolph, Tucker, Pocahontas, Barbour, Upshur Counties)
The “We” Position
~ School said: “We need Tier 3 mental health services to get to our students.”
~ We said: “We have Tier 3 and a lot more services, but we can't get to your students.”
3-years later~ working together we are achieving good things for children and families thanks to the ESMH Program.
• 626 students –Tier 1 Services
• 15 students –Tier 2 Small Group early intervention services, and
• 77 students –Tier 3 services including weekly intensive mental health therapy, psychological and or psychiatric evaluation, case management, parent consultation and treatment planning
• Teacher consultation and feedback to school counselors and Student Assistant Teams.
During the first year of implementation we provided
~
Key Characteristics at Program Entry of Tier 3 Students
29% (n=77) or 1 in 3 youth had academic problem identified as a problem
35% (n=27) referred by school personnel
22%(n-17) referred by parent or family member
100% (n=77) had DSM-IV diagnosis
~ From Jan 1, 2012-September 30, 2012
12 students discharged 9 students completed services 3 did not complete(n=12)
~ At entry, 6 of the 12 students lived with their parents, and at case closure 9 of the 12 students lived with their parents.
~At entry 1 students was involved with Juvenile Court, at case closure no student was involved with the courts (n=12) .
Tier 3 Outcomes~
We will provide:
• Psycho-education and mental health treatment small-groups in local parks for our clients.
• Transportation to and from services three days per week.
• Individual therapy in community sites during the summer months.
This Summer~
Why do this?
Goal: To increase access to mental health services for children living in rural, isolated communities.
Expected Outcomes
1) School attendance, academic performance, and child/ adolescent social behavioral functioning improves.
2) Family involvement in a child’s academic success and mental health services improves.
Initial Problems ~
➲ High social stigma associated with MH services.
➲ 15% of all school-age students at one time will have a mental health problem.
➲ Teachers feel unprepared to screen children.
➲ School counselors identify but do not have time to provide treatment services.
➲ Good prevention services, but severely limited treatment services for children.
➲ No evidence-based treatment services.
Development up to present
~ Planning Process Complete
~ In two counties (Tucker and Pocahontas) - 5 schools
~Now working with Randolph, Upshur and Barbour County Schools to develop ESMH programs in these counties
STRATEGIES●Strategy 1- Develop Infrastructure, Collaboration Plan and
MOU
●Strategy 2 – Depending on the entry, (i.e., test the waters approach) when agency is ready and funding is available complete a 6 mo planning period for a comprehensive ESMH program
Strategy 3 - Improve quality through EBPs
Strategy 4 - Offer Telemental Health services supported by Electronic Medical Records,
Strategy 5 - Develop Centralized Scheduling, Policy Development
Original forecasts which turned out to be true
~Children & Parents will Benefit
Schools and Communities will Benefit
Collaborative Mental Health Organizations will Benefit
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