SchoolBased Mental Health at

1
School-Based Mental Health at

• Salem Elementary School
• Jamie Reinhardt, School Counselor
• Beth Kolb, School Psychologist
• February 15, 2007

2
Whose on our SBMH team?

• School Nurse
• Exceptional Childrens Teachers
• School Counselor
• Administrator
• School Psychologist

3
Highlights of SBMH Plan

• Survey Staff
• End of last school year
• Moved nurses and counselors offices closer
  together

4
Highlights of SBMH Plan

• Club Day
• Staff Meeting
• Shared survey results
• General Awareness and Confidentiality
  presentations
• Met school-based therapist, Dr. Britt

5
Highlights of School Plan

• Getting services started
• Generated list assigned team members to contact
  parents for consent
• At grade level- teachers generated list of who
  they thought needed mental health services
• SBMHT
• Screens list for those already connected to
  services
• If needed, discussed at parent conference and
  given consent (signed at conference)

6
Highlights of School Plan

• Getting Services Started
• Therapist met with Jamie and Jan
• Paperwork
• Office location

7
Highlights of School Plan

• Counselor and Nurse school newsletter
• SBMHT and BAT combined into Student Success Team
  (precursor for RTI)
• Flexible SST scheduling (meet weekly)

8
Highlights of School Plan

• Therapy feedback and data collection
• Survey staff on in-service interests for next
  school year
• LifeWorks gives Therapy feedback form
  (improvements and needs)

9
How has SBMH services improved life for our kids?

• More students getting consistent therapy
• 2 therapists
• 17 currently receiving services
• 21 have received services
• 41 referred (parent contact, other services, or
  no services)
• Easier to connect kids with this service

10
How has SBMH services improved life for our kids?

• Mental health services more utilized than in past
  due to convenience
• Parents not having to provide transportation
• Positive parental feedback
• Communication
• More teacher feedback from teachers with kids in
  SBMH services
• More communication between School Counselor and
  Therapist

11
Case Examples

• Male, Second grade
• Behavioral-emotional concerns (transitions,
  requiring constant supervision, immaturity,
  difficulty concentrating)
• Improvements noted by teacher and parent in all
  areas listed above
• Case management through BCPS
• Community support initiated through external
  provider
• Changed EC Services from DD-Atypical Behavior to
  OHI

12
Case Examples

• Male, Kindergarten
• Behavioral-emotional concerns (transitions, poor
  social skills, immature behaviors, following
  directions)
• Improvements noted by teacher in emotions
  (happier), easier to manage, following
  directions Continue to have concerns in managing
  social skills

13
Where do we go from here?

• More opportunities for family therapy
• Later hours and flexibility
• Integrating role of therapist into school
  environment (consultation)

14
Where do we go from here?

• One therapist/school
• To maximize communication
• Therapist schedules with teacher at ideal time
• Therapist communicating with school counselor
  regarding difficult to contact parents

15
How has Jamies job changed?

• Case manager
• Communicating between teacher and therapist
• Scheduling therapy during nonacademic times
• Faxing consent to Lifeworks
• Helping coordinate treatment team meetings

16
How has Jamies job changed?

• Paperwork and scheduling SST
• If parents not come to school, then Jamie sends
  LifeWorks paperwork home with student
• Jamie gives LifeWorks referral form to teachers
  to monitor improvement
• Notifies teacher of students scheduled time

17

• Summer hours- Dr. Britt offering school-based
  therapy or LifeWorks therapy, if parents provide
  transportation
• Medicaid transportation