2021-2022 Mental Health Application - (Insert District Name) Part I: Youth Mental Health Awareness Training Plan

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2021-2022 Mental Health Application - (Insert District Name) Part I: Youth Mental Health Awareness Training Plan
2021-2022 Mental Health Application
   Part I: Youth Mental Health Awareness Training Plan
     Part II: Mental Health Assistance Allocation Plan

            (Insert District Name)
       Miami-Dade County Public Schools
                 Deadline for submission to ShareFile
                    on or before August 1, 2021
2021-2022 Mental Health Application - (Insert District Name) Part I: Youth Mental Health Awareness Training Plan
2021-2022 Mental Health Application

Purpose

The purpose of the combined mental health application is to streamline and merge two programs into one application. The
Youth Mental Health Awareness Training (YMHAT) Plan and the Mental Health Assistance Allocation (MHAA) Plan are
to provide supplemental funding to districts so schools can establish, expand and/or improve mental health care,
awareness and training and offer a continuum of services. These allocations are appropriated annually to serve students
and families through resources designed to foster quality mental health. This application is separated into two primary
sections: Part I includes the YMHAT Plan and Part II includes the MHAAP

Part I. Youth Mental Health Awareness Training Plan
In accordance with section (s.) 1012.584, Florida Statutes (F.S.), the YMHAT allocation is to assist districts with
providing an evidence-based youth mental health awareness and assistance training program to help school personnel
identify and understand the signs of emotional disturbance, mental illness and substance use disorders, and provide such
personnel with the skills to help a person who is developing or experiencing an emotional disturbance, mental health or
substance use problem.

Part II. Mental Health Assistance Allocation Plan
In accordance with s. 1011.62(16), F.S., the MHAA Plan allocation is to assist districts in establishing or expanding
school-based mental health care; training educators and other school staff in detecting and responding to mental health
issues; and connecting children, youth and families who may experience behavioral health issues with appropriate
services.

Submission Process and Deadline

The application must be submitted to the Florida Department of Education (FDOE) ShareFile by
the deadline August 1, 2021.
There are two submission options for charter schools:
    • Option 1: District submission includes charter schools in both parts of the application.
    • Option 2: Charter school(s) submit a separate application from the district.

Part I. Youth Mental Health Awareness Training Plan

YMHAT Objective: provide an evidence-based youth mental health awareness and assistance training program to help
school personnel identify and understand the signs of emotional disturbance, mental illness and substance use disorders,
and provide such personnel with the skills to help a person who is developing or experiencing an emotional disturbance,
mental health or substance use problem.

Page 2 |   Miami-Dade County Public Schools
2021-2022 Mental Health Application

Part I. Youth Mental Health Awareness Training Plan and Projected Budget

Section A: YMHAT Training Plan

  1. What is the percentage of employees currently trained and certified in YMHAT?

  There are               30            % of employees trained and certified as of                              7/7/21                 (date)

  2. Explain the training goal(s) for the upcoming 2021-2022 school year.
 The training goal for the 2021-2022 school year is to increase the number of participants trained by 20% of the total number of
 M-DCPS personnel. Additionally, staff trained in YMHFA during the 2018-2019 school year will participate in the YMHFA online
 re-certification training.

  3. In addition, the annual goal for the 2021-2022 school year is to train:

            20%              % of employees as of              6/30/22                          (date)

  4. Explain the training goal(s) for the next 3-5 years.
 The training goal for the 2021-2024 school years is to increase the number of participants trained by 20%
 each year of the total number of M-DCPS personnel. All staff trained in YMHFA during the 2018-2023
 school years will participate in the YMHFA online re-certification training.

  5. What is the procedure for training new personnel to the district?

 Through the district’s internal communication system (Weekly Briefings), district and school leaders receive regular notifications to inform staff
 of upcoming trainings. In addition, these notifications are also sent directly to employees. Training information is also provided to school site
 administrators during monthly region principal and assistant principal meetings. Throughout the year, quarterly updates will be sent to region
 office administrators and principals to assist with follow up on staff that still need the training. Quarterly updates will also be sent to district
 departments on staff that still need the training.

  6. Explain how the district will utilize the following three YMHAT programs:

        •     Youth Mental Health First Aid (YMHFA)
 YMHFA Training Sessions will be proposed in the district’s professional development system. Trainings will be Blended/Virtual or
 In Person and offered on weekdays and Saturdays. YMHFA Instructor Training Teams work in collaboration to schedule training
 dates. Weekly Briefings will be sent to administrators and employees with attached flyers advertising the training schedule.

        •     YMHFA Recertification
 YMHFA Recertification is an on-line training that occurs three years after participants completed the initial training. For the 2021-2022, the district will schedule this
 training for participants who completed YMHFA training during the 2018-2019 school year. Administrators will receive Weekly Briefings to inform staff of upcoming
 recertification trainings with instructions on how to access the on-line training. Throughout the year, quarterly updates will be sent to region administration and principals
 regarding staff that still need the training. Quarterly updates will also be sent to district departments on staff that still need the training.

        •     Kognito At-Risk Modules (at all three levels: elementary, middle, high school)
 The district successfully utilized Kognito’s “At Risk for School Educators” module with over 30,000 participants completing the training, Additionally, the district is utilizing
 “Trauma Informed Practices for K-12 Schools” with over 11,000 participants completing the training to date and is continuing to offer this module through the summer.

Page 3 |          Miami-Dade County Public Schools
2021-2022 Mental Health Application

Section B: YHHAT Projected Budget

                                                                                                      Total Projected
                                Detailed Description, number of activities
           Categories                                                            Cost Per/Each          Budget by
                                          within each category
                                                                                                         Category
 1. Stipends                  75 YMHFA Saturday Sessions with an estimate of   $100.00 stipend for
                              2,250 participants                               each participant
     (Detailed # of
                                                                                                     $ 225,000.00
     personnel and stipend
     cost per person)

 2. Materials                 1. 100 Easel Pads                                1.$10 x 100=$1,000. $ 51,920.05
                                 100 Sets of Markers                             $ 9 x 100=$900
     (Detail # of units x        2,250 Duplication of YMHFA Tests                $7382.55
     individual unit cost,    2. 75 YMHFA In-Person: YMHFA Manuals             2. 2,250 participants
     plus shipping)                                                            x $18.95 =
                                                                               $42,637.50

 3. National Council          1. 75 YMHFA Virtual Saturday Sessions: Virtual   1. 2,250 participants $ 134,481.95
    (YMHFA) Training          Training Materials                               x $23.95=
    (Detailed description of                                                   $53,887.50
    each training activity to 2. YMHFA Recertification                         2. 2691 part. x
                                                                               $29.95= $80,594.45
    include # of personnel
    and individual training
    costs)

 4. Additional Kognito        N/A
    Modules (Provide the
    name of training
    module and cost)

                                                                   TOTAL 2021-2022 BUDGET: $ 411,402.00

 5. Additional narrative (optional):

Page 4 |    Miami-Dade County Public Schools
2021-2022 Mental Health Application

Part II. Mental Health Assistance Allocation Plan s. 1011.62 (16), F.S.

Section A: MHAA Plan Assurances

 The district assures…
           One hundred percent of state funds are used to expand school-based mental health care; train educators and
  ✔        other school staff in detecting and responding to mental health issues; and connect children, youth and families
           with appropriate behavioral health services.
           Mental health assistance allocation funds do not supplant other funding sources or increase salaries or provide
  ✔        staff bonuses or incentives.
           Maximizing the use of other sources of funding to provide school-based mental health services (e.g., Medicaid
  ✔        reimbursement, third-party payments and grants).
  ✔        Collaboration with FDOE to disseminate mental health information and resources to students and families
           The district website includes local contacts, information and resources for mental health services for students
  ✔        and families.
           Includes a system for tracking the number of students at high risk for mental health or co-occurring substance
  ✔        use disorders who received mental health screenings or assessments; the number of students referred to school-
           based mental health services providers; the number of students referred to community-based mental health
           services providers; the number of students who received school-based interventions, services or assistance; and
           the number of students who received community-based interventions, services or assistance.
 A school board policy or procedure has been established for…
  ✔        Students referred for a mental health screening assessed within 15 calendar days of referral.
           School-based mental health services initiated within 15 calendar days of identification and assessment.
  ✔
           Community-based mental health services initiated within 30 calendar days of referral coordinating mental
  ✔        health services with a student’s primary mental health care provider and other mental health providers involved
           in student care.
           Assisting a mental health services provider or a behavioral health provider as described in s. 1011.62, F.S.,
  ✔        respectively, or a school resource officer or school safety officer who has completed mental health crisis
           intervention training in attempting to verbally de-escalate a student’s crisis situation before initiating an
           involuntary examination pursuant to s. 394.463, F.S. Procedures include must include strategies to de-escalate
           a crisis situation for a student with a developmental disability as that term is defined in s. 393.063, F.S.

           The requirement that in a student crisis situation, the school or law enforcement personnel must make a
  ✔        reasonable attempt to contact a mental health professional who may initiate an involuntary
           examination pursuant to s. 394.463, F.S., unless the child poses an imminent danger to self or others before
           initiating an involuntary examination pursuant to s. 394.463, F.S. Such contact may be in person or using
           telehealth, as defined in s. 456.47, F.S. The mental health professional may be available to the school
           district either by contracts or interagency agreements with the managing entity, one or more local community
           behavioral health providers, or the local mobile response team, or be a direct or contracted school district
           employee.

Page 5 |     Miami-Dade County Public Schools
2021-2022 Mental Health Application

Section B: Planned Outcomes

 Identify one or two specific and measurable outcomes for your district’s plan to achieve through the 2021-2022
 evidence-based mental health program.
1. By identifying and referring students at risk with mental health challenges, school-based mental health providers and contracted
community agencies will provide and implement evidenced based strategies and programs to assist student in social-emotional and
academic engagement. The number of mental health sessions provided to students referred for services from September 2021 to
June 2022, will increase by 10% based on the 2020-2021 school year baseline.

Section C: District Program Implementation

Please include the following in this section:
    1. Evidence-Based Program (EBP) and Description
       Name and provide the essential elements of the EBP you will be implementing through a Multi-Tiered System of
       Supports (MTSS) using one or more of the preferred EBP/Practices found in Blue Menu of Evidence-Based
       Psychosocial Interventions for Youth and the SAMHSA Evidence-Based Practices Resource Center.

        Describe the key EBP components that will be implemented as well as any related activities, curricula,
        programs, services, policies and strategies.
        *If you will be using another EBP other than those provided above please explain using the same format
        listed.

    2. EBP Implementation

        This should include:

        •   Explain how your district will implement evidence-based mental health services for students to improve the
            early identification of social, emotional, behavioral problems or substance use disorders, as well as the
            likelihood of at-risk students developing social, emotional, behavioral problems, depression, anxiety
            disorders, suicidal tendencies and how these will assist students dealing with trauma and violence.
        •   Explain how the supports will deliver evidence-based mental health care assessment, diagnosis, intervention,
            treatment and recovery services to students with one or more mental health or co-occurring substance abuse
            diagnoses and to students at high risk of such diagnoses.

    3. Outcome Measures
       • Provide the outcome measures of your EBPs and how each aligns with your overall annual program goals in
          Section 2.

    4. Multi-tiered System of Support (MTSS)
       • Identify the tier(s) of the EBP being implemented.

Appendix Examples

Page 6 |    Miami-Dade County Public Schools
2021-2022 Mental Health Application

Table 1: District Program Implementation

                                                                                                                                 4.
               1.                                             2.                                           3.                   MTSS
       EBP and Description                            EBP Implementation                            Outcome Measures
                                                                                                                                1 2 3
  Teen Mental Health First Aid           Trained TMHFA professionals will assist with            Quality of first aid intentions ✔
  (TMHFA): Teen Mental Health            providing curriculum to high school students grade      to help peers, confidence in
  First Aid is supported by the          levels 10-12th. Trained staff will work with school     helping, stigmatizing
  National Council for Mental            site to coordinate whole grade level                    attitudes, recognition of
  Wellbeing and teaches high school      implementation. Students will receive three             anxiety disorder, number of
  students how to identify,              90-minute sessions. Students will complete exit         adults thought to be helpful,
  understand and respond to signs of     tickets. If necessary, students will be referred to a   help-seeking intentions,
  mental illnesses and substance use     school site based mental health professional for        quality of support provided
  disorders among their friends and      follow up services.                                     to a peer, quality of support
  peers. The training gives students                                                             received, and psychological
  the skills to have supportive                                                                  distress.
  conversations with their friends and
  get a responsible and trusted adult
  to take over as necessary.

  Youth Mental Health First Aid          Selected individuals from various departments in        Increase mental health       ✔
  (YMHFA): This training is              the District have attended a 3-day                      literacy, confidence in
  designed to teach adults who work      “Train-the-Trainer” training on the Mental Health       providing first aid, and a
  with youth - parents, caregivers,      First Aid course to receive in-depth instruction on     reduction in stigmatizing
  teachers, school staff, neighbors,     facilitating the curriculum. The instructors are        attitudes. As a result of
  and other caring citizens how to       paired and scheduled to provide this required           these trainings, there is an
  help children/adolescents who may      training to all school and district staff. These        increase in participants’
  be experiencing a mental health        trainings will be advertised through the “My            knowledge of signs,
  crisis.                                Learning Plan” portal in our District whereby           symptoms, and risk factors
                                         participants will be able to register and receive       of mental health problems;
                                         master plan points (MPP) for their participation.       an increase in participants’
                                         Weekly and Saturday trainings will occur with a         confidence to help someone
                                         maximum of 30 participants per training.                experiencing a mental health
                                                                                                 crisis; and an increase in
                                                                                                 overall mental wellness.

Page 7 |    Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                                                                                                             4.
               1.                                            2.                                           3.                MTSS
       EBP and Description                           EBP Implementation                            Outcome Measures
                                                                                                                           1 2 3
  Restorative Justice Practices:        The Restorative Justice Practices (RJP) framework       Students will learn and grow ✔ ✔ ✔
  Restorative practices in schools      is a 3-tiered model that places emphasis on             as we integrate the concepts
  provide a vehicle for creating        community building and making connections.              of Restorative Practices into
  positive school communities by        Miami-Dade County Public Schools places                 our Character Education,
  strengthening relationships and       emphasis on teaching students to reflect on how         Bullying Prevention, Social
  assisting stakeholders in working     they interact with others. Tier 1 is the foundation     Emotional Learning, and
  together to make decisions, resolve   for building positive relationships through shared      Progressive Discipline.
  problems, and engage in teaching      problem solving, positive behavior support and          Restorative Practices is not a
  and learning.                         through the establishment of school-wide norms          program. It is the
                                        and expectations. Tier 2 initiates the use of           implementation of a practice
                                        proactive restorative tools to repair and manage        by utilizing specific
                                        difficult behavior through restorative supports.        protocols designed to
                                        Tier 3 is where intensive intervention takes place      address wrongdoing as well
                                        to rebuild and repair relations through the use of      as those who may have been
                                        restorative circles.                                    directly impacted.
                                                                                                Restorative Practices create
                                                                                                connections with all
                                                                                                stakeholders and teaches
                                                                                                empathy, resilience, and
                                                                                                life-long conflict resolution.
                                                                                                Students are provided with o

  Mindfulness: Technique in which       Mindfulness Champions Initiative - Mindful Kids         Build a culture of            ✔ ✔ ✔
  one focuses on being intensely        Miami will provide ongoing mindfulness training         mindfulness in all K-12
  aware of what they are sensing and    to one designated Mindfulness Champion at every         schools. Teach school-site
  feeling in the moment without         K-12 school site. Participants will explore the         employees and students
  interpretation or judgment to relax   mental and physical impacts of stress and the           mindfulness practices so
  the body and mind and help reduce     research-based benefits of mindfulness practice for     mindful attitudes and
  stress.                               educators and students and will experience a            practices are integrated,
  M-DCPS has partnered with the         variety of mindfulness practices including mindful      positively impact individuals
  Miami Heat, Florida Blue and          eating, movement, communication, and focused            and the benefits multiply
  Mindful Kids Miami to launch the      attention practices. Practices for students will also   and are sustainable over
  “Mindfulness Champions                be demonstrated and discussed and each                  time. Enhance self-control,
  Initiative” in all K-12 schools.      Champion will draft an implementation plan for          improved concentration,
                                        their individual school based on lessons learned to     mental clarity and emotional
                                        bring mindfulness skills and activities to students     intelligence and the ability
                                        K-12 schools.                                           to relate to others and
                                        Implementation within the school sites will             oneself with kindness,
                                        include the incorporation of mindfulness- related       acceptance compassion.
                                        practices and activities throughout the school day.     Climate survey data will
                                                                                                support outcome measures.

Additional narrative may be added here

Page 8 |    Miami-Dade County Public Schools
2021-2022 Mental Health Application

Section D: Direct Employment

Table 2: MHAA Plan Direct Employment

                                                                Current Ratio as of           2021-2022 Proposed Ratio by
                        Position
                                                                 August 1, 2021                      June 30, 2022
 School Counselor                                           1 to 525 students                1 to 454 students

 School Social Worker                                       1 to 1,746 students              1 to 1,623 students

 School Psychologist                                        1 to 1,400 students              1 to 1,196 students

 Other Licensed Mental Health Provider                      1 to 2800 students                1 to 2,400 students

 Direct employment policy, roles and responsibilities                                   Description
 Explain how direct employment of school-based              All students in M-DCPS have access to a mental health professional
 mental health services providers (school psychologists,    as the district continues to expand the hiring of counselors, social
 school social workers, school counselors and other         workers, psychologists, and mental health coordinators to directly
 licensed mental health professionals) will reduce staff-   support student’s social, emotional and mental well-being.
 to-student ratios.
 Describe your district’s established policies and
                                                            M-DCPS facilitates professional development for administrators and
 procedures to increase the amount of time student
 services personnel spend providing direct mental health    school-based mental health professionals to become more efficient in
 services (e.g., review and revision of staffing            caseload management and increase knowledge in mental health
 allocations based on school or student mental health       practices. Staff placement is reviewed regularly to support needs.
 assistance needs.

 Describe the role of school based mental health            School-based mental health professionals support students and
 providers and community-based partners in the              families with social, emotional, and mental health needs to enhance
 implementation of your evidence based mental health        and maximize student success. Additionally, community providers
 program.                                                   are utilized as another layer of support on a referral basis.

List the contracts or interagency agreements with local behavioral health providers or Community Action Team
(CAT) services and specify the type of behavioral health services being provided on or off the school campus.

Table 3: MHAA Plan Contracts or Interagency Agreements and Services Provided

 Mental Health Provider:      Agency:                             Services Provided:                        Funding Source:
See Attachment "A"

Page 9 |   Miami-Dade County Public Schools
2021-2022 Mental Health Application

Section E: Planned Expenditures

Table 4: MHAA Planned Expenditures

 Allocation Expenditure Summary                                                                                 Total
 Unexpended Mental Health Assistance Allocation funds from previous fiscal years:                                $ 0.00
 School district expenditures for mental health services provided by staff who are employees of
                                                                                                            $ 8,297,300.00
 the school district:
 School district expenditures for mental health services provided by contract-based collaborative
                                                                                                            $ 1,200,000.00
 efforts or partnerships with community-based mental health program agencies or providers:
 Other expenditures (see below):                                                                             $ 3,968,547.00
 Total MHAA expenditures:                                                                                   $ 13,465,847.00

Other expenditures (specify details such as type, supplies, training and amount):

 Type: Narrative description with detailed cost                                                             Total Amount
1. Social emotional learning, mindfulness and mental health awareness programs, activities and strategies    $ 600,000.00
for students that promote well-being and connectedness, teach compassion and empathy and build a
positive school environment. The mental health programs will teach mental health awareness and provide
assistance including suicide prevention and the impacts of substance abuse.
2. Professional development/training opportunities, temporary instructor coverage, Saturday stipends         $ 200,000.00
and registration costs for related workshops, conferences, training and technical assistance and other
associated costs. Trainings in include Threat Assessment, Suicide At-Risk Assessment, Cognitive
Behavioral Therapy, Play Therapy and Solution-Focused Brief Therapy training for school-based staff.
These trainings are required for the implementation of evidence-based programs.
3. Resources and supplies that directly support school-based mental health professionals in working          $ 103,330.00
directly with students.
4. Total Other Expenditures
5. Charter School Proportionate Share                                                                       $ 3,065,217.00

 Total Other Expenditures:                                                                                  $ 3,968,547.00

Page 10 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

District Certification

                                     Miami-Dade County Public Schools
This application certifies that the __________________________     School Board approved the district’s Mental Health
Assistance Allocation Plan, which outlines the local program and planned expenditures to establish or expand school-
based mental health care consistent with the statutory requirements for the mental health assistance allocation in
accordance with section 1011.62(16), F.S.

 School (MSID) Number              Charter School Name
 (Uploaded to ShareFile)

Note: Charter schools not listed above will be included in the school district youth mental health awareness plan and
mental health assistance allocation plan. If you have more Charter schools to add, please list them on a separate sheet.

__________________________________
Signature of District Superintendent

Alberto M. Carvalho
__________________________________
Printed Name of District Superintendent

 7/14/21
__________________________________
Board Approval Date

Page 11 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

Charter School Certification

This application certifies that the __________________________ Charter School Governing Board approved the school’s
Mental Health Assistance Allocation Plan, which outlines the program and planned expenditures to establish or expand
school-based mental health care consistent with the statutory requirements for the mental health assistance allocation in
accordance with section 1011.62(16), F.S.

Charter School Administrator Signature: _________________________________________

Governing Board Approval Date:__________________________

Page 12 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                     APPENDIX

Page 13 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

Resources for Program Implementation

1. Evidence-Based Program and Description
   This is a three-module series about implementing evidence-based programs. The modules in this series are as follows:
   Module 1: Selecting Evidenced-Based Programs for School Settings, which covers using data to inform EBP
   selection, engaging stakeholders, assessing and building readiness, and reviewing and selecting EBPs; Module 2:
   Preparing to Implement Evidence-Based Programs in School Settings, which covers creating an implementation plan
   and team, understanding fidelity and adaptations, building staff and organizational competencies, and scheduling
   implementation; and Module 3: Implementing Evidenced-Based Programs in School Settings, which covers
   executing implementation, collecting data and monitoring progress, overcoming barriers and challenges, and planning
   for sustainability.

   Below is a series of interactive, self-paced learning modules on selecting, preparing for and implementing EBPs in
   school settings.

       •   Selecting Evidence-Based Programs for School Settings
       •   Preparing to Implement Evidence-Based Programs in School Settings
       •   Implementing Evidence-Based Programs in School Settings

   Since the publication of Module 1, SAMHSA has phased out the NREPP website. In April 2018, SAMHSA launched
   the Evidence-Based Practices Resource Center that aims to provide communities, clinicians, policy makers and others
   in the field with the information and tools they need to incorporate evidence-based practices into their communities or
   clinical settings.

       •   Selecting Evidence-Based Programs
       •   Evidence-Based Module Series

2. Assessment Resources
   The SHAPE System Screening and Assessment Library includes instruments appropriate for use in school mental
   health. Search for the screening or assessment tools that fit your school(s) by focus area (academic, school climate or
   social/emotional/behavioral), assessment purpose, student age, language, reporter and cost. The Center for School
   Mental Health team has carefully reviewed every measure to provide a brief summary of each with direct links to
   copies of the instrument and scoring information.

       •   School Mental Health Screening Playbook
       •   Desrochers, J., & Houck, G. (2013). Depression in Children and Adolescents: Guidelines for School Practice.
           Handout H: Mental Health Screening in Schools

Page 14 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

3. EBP/Practice Implementation for Co-Occurring Mental Health or Substance Use Diagnoses

   Co-Occurring Mental Health or Substance Use Diagnoses Treatment Considerations for Youth and Young Adults
   with Serious Emotional Disturbances and Serious Mental Illnesses and Co-Occurring Substance Use

   Blue Prints This interactive search enables you to identify Blueprints – certified interventions based on specific
   criteria – and browse through a wide range of interventions that match those criteria. Select only a few criteria of
   importance, as the number of interventions may be reduced by selecting multiple items ACROSS categories or
   increased by selecting multiple items WITHIN categories.

   Model and Model Plus programs are listed separately from promising programs. This is because only Model and
   Model Plus programs have demonstrated efficacy for changing outcomes over time and are recommended for large-
   scale implementation. Promising programs show promise of efficacy but require follow-up research before being
   recommended for large-scale adoption.

Table 5: District Program Implementation Examples

                                                                                                                     4.
                1.                                    2.                                    3.                     MTSS
        EBP and Description                   EBP Implementation                     Outcome Measures              1 2 3
 Example 1                                                                                                            X
 Bounce Back                            School Social Workers and Family Improve:
 Bounce Back based on                   Therapists will administer the        Post-traumatic stress symptoms
 the Cognitive Behavioral               sessions to students ages 5-11.       (parent and child reported),
 Intervention for Trauma in Schools     Students will learn to identify       anxiety symptoms (child
 (CBITS) is comprised of 10 one-        feelings, and their links to thoughts reported), emotional regulation
 hour group sessions, two to three      and actions, using published          (parent reported) and
 individual sessions and one to         storybooks to relate concepts and     emotional/behavioral problems
 three parent education sessions that   connect engagement activities and (parent reported).
 last over a three-month period.        create personal storybooks as an
                                        age-appropriate concrete trauma       In terms of risk and protective
 Group sessions are typically held
                                        narrative. Student participation      factors, improve on measures of
 during school hours and cover a
                                        will be encouraged with games and social adjustment (child
 range of topics such as relaxation
                                        activities specific to age groups     reported).
 training, cognitive restructuring,
                                        and with “courage cards” tailored
 social problem solving, positive
                                        to each student. Group sessions are
 activities, trauma-focused
                                        very structured and include agenda
 intervention strategies and
                                        setting; review of activity
 emotional regulation and coping
                                        assignments; introduction of new
 skills.
                                        topics through games, stories and
 These topics and methods derive        experiential activities; and
 from established successful            assigning activities for the next
 interventions for children with        group meeting. Group sessions are
 post-traumatic stress disorder         small, with only four to six
 (PTSD), including a gradual            students all in the same age range.
 approach of anxiety-provoking
 situations and a modified trauma       The School Social Worker and
 narratives approach.                   Family Therapist review the skills
                                        the children are learning in Bounce
                                        Back, with the student’s parent.

Page 15 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                                                                                                 4.
               1.                                   2.                                     3.                  MTSS
       EBP and Description                  EBP Implementation                      Outcome Measures           1 2 3
                                     Parents can support the children
                                     practicing the skills at home.
                                     The School Social Worker and
                                     Family Therapist will help each
                                     child develop a “My Story” trauma
                                     narrative. Near the end of the
                                     program, the School Social
                                     Worker and Family Therapist
                                     meets with the parent and child to
                                     share the child’s story.
                                     The Bounce Back program is a
                                     trauma-informed equitable
                                     program; appropriate for children
                                     and families of diverse ethnic and
                                     social backgrounds.

 Example 2
 Support for Students Exposed to      SSET is delivered in an easy-to-      Through the use of this            X X
 Trauma (SSET)                       use lesson plan format that is ideal   evidence-based program, middle
 A school-based group intervention   for educators. Teachers and            school students ages 10-14 will
 for students who have been          School Counselors will use SSET        learn to deal with real-life
 exposed to traumatic events and     as a non-clinical adaptation of the    problems and stressors and
 are suffering from symptoms of      CBITS Program.                         increase levels of peer and
 PTSD.                                                                      parent support
                                     Teachers and School Counselors
                                     will teach many cognitive and          To increase skill-building
                                     behavioral skills, such as social      techniques to reduce current
                                     problem solving, psychoeducation       problems with:
                                     and relaxation.
                                                                                •    anxiety or nervousness
                                     The program consists of 10 45-             •    withdrawal or isolation
                                     minute lessons designed to be              •    depressed mood
                                     delivered during one class period.         •    acting out in school
                                     These lessons focus on:                    •    impulsive or risky
                                                                                     behavior
                                        •   common reactions to
                                            trauma
                                        •   relaxation techniques
                                        •   coping strategies
                                        •   learning to approach
                                            difficult situations
                                        •   developing a trauma
                                            narrative
                                        •   problem solving

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2021-2022 Mental Health Application

                                                                                                                               4.
               1.                                            2.                                         3.                    MTSS
       EBP and Description                           EBP Implementation                          Outcome Measures
                                                                                                                              1 2 3
  Cognitive Behavior Therapy            Trained school-based mental health providers          Self-reported,                   ✔ ✔
  (CBT): a short-term therapy           (SBMHP) will use cognitive behavioral therapy         parent-reported and teacher
  technique that can assist students    techniques and strategies based on school             reported youth anxiety
  with new ways to behave by            counselor and/or administrator referral, grade        symptoms, impairment from
  changing their thought patterns.      level, and scheduling needs in individual or group    anxiety, depressive
  Using CBT can help students           settings to prevent or reduce depression and          symptoms, and clinical
  reduce stress, cope with              anxiety symptoms among school-aged children           severity will be assessed
  complicated relationships, deal       and adolescents. Length of treatment varies.          pre-treatment and every 6
  with grief, and face many other                                                             months after to monitor
  common life challenges.                                                                     progress and determine
                                                                                              continued treatment.

 Solution-Focused Brief Therapy         Trained SBMHPs will implement                         Scaling questions provide        ✔ ✔
 (SFBT): A therapeutic technique to     Solution-Focused Brief Therapy techniques and         students with the
 assist students to find solutions to   strategies based on school counselor and/or           opportunity to examine or
 problems that they may be facing.      administrator referral, grade level, and scheduling   evaluate progress toward
 Symptoms of stress, anxiety, and       needs using a variety of different modalities         identified goals. This
 depression may be reduced, and         including individual, group and teacher               process allows both the
 interpersonal relationships may be     consultations, focusing on student behavioral and     client and practitioner to
 improved.                              emotional issues, academic problems, and social       quantify client progress and
                                        skills. Length of session are brief and flexible.     to identify the next steps to
                                                                                              change by using a numeric
                                                                                              rating scale (usually ranging
                                                                                              from 0 or 1–10 with 0 or 1
                                                                                              as the lowest and 10 as the
                                                                                              highest)

Page 17 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                                                                                                                4.
               1.                                             2.                                         3.                    MTSS
       EBP and Description                            EBP Implementation                          Outcome Measures
                                                                                                                               1 2 3
 Dialectical Behavioral Therapy          Trained SBMHPs will implement DBT based on            Self-reported,                     ✔
 (DBT): A type of Cognitive              school counselor and/or administrator referral,       parent-reported and teacher
 Behavioral Therapy. This is a form      grade level, and will be scheduled in a variety of    reported self-mutilation
 of talk therapy that helps the          different modalities including individual, group      behaviors, self-mutilation
 student to identify and change          sessions, focusing on teaching emotion regulation     urges, suicidal ideation, and
 negative thinking patterns and to       skills to reduce problem behaviors among              suicidal urges will be
 change unhelpful behavior. There        adolescent population. Length of sessions are brief   assessed pre-treatment and
 is evidence that DBT can be useful      and flexible.                                         every 6 months after to
 in treating mood disorders, suicidal                                                          monitor progress and
 ideation, and for change in                                                                   determine continued
 behavioral patterns such as                                                                   treatment.
 self-harm and substance use.

  Play Therapy: Used with students       Trained SBMHPs will implement Play Therapy            Students will measure their      ✔ ✔
  who may not be able to process         based on school counselor and/or administrator        self in relation to
  their own emotions or articulate       referral, grade level, and scheduling needs, and      self-concept, locus of
  problems to parents or other adults.   will be scheduled in a variety of different           control, anxiety and other
                                         modalities including individual, group sessions.      measures of interpersonal
                                         Length of session are brief and flexible.             functioning to determine
                                                                                               progress; behavioral
                                                                                               measures including
                                                                                               behavioral checklists and
                                                                                               ratings of problem behaviors
                                                                                               will also be used; and
                                                                                               academic measures
                                                                                               including measures of
                                                                                               academic achievement and
                                                                                               functioning will be included
                                                                                               a well.

Page 18 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                                                                                                            4.
               1.                                           2.                                           3.                MTSS
       EBP and Description                          EBP Implementation                            Outcome Measures
                                                                                                                           1 2 3
  PREPaRE: A curriculum to             Skills learned will be implemented as crisis             Outcome measures include ✔ ✔ ✔
  improve and strengthen school        prevention and intervention. During crisis               improved school climate and
  safety and crisis management plans   response and recovery, school-based mental health        decreased student crisis
  and emergency response.              providers will be able to evaluate risk of               situations. It is expected
                                       psychological trauma and provide aid.                    that school and students’
                                                                                                level of functioning return to
                                                                                                previous levels after a crisis.

  Wraparound Services: Provides a      All SBMHPs and administrators will participate in        As a result of Wraparound     ✔ ✔ ✔
  comprehensive, holistic, youth and   a series of Wraparound Services professional             Services implementation, the
  family-driven way of responding      developments focused on wraparound principles            needs of the whole child will
  when students experience serious     and team planning. Wraparound district leadership        be addressed. Through
  mental health or behavioral          team will collaborate to identify district strengths     Wraparound, a
  challenges. Wraparound puts the      and needs and will participate in train the trainer to   comprehensive, holistic,
  student and family at the center.    training SBMHP’s across the district. Wraparound         youth and family driven
                                       implementation will help to improve services that        response will be provided to
                                       are being provided that address all students social,     students resulting in
                                       emotional, and mental health needs. Wraparound           decreased serious mental
                                       Services will be implemented to ensure services          health and behavioral
                                       are student centered and strength based.                 challenges as evidenced by
                                       Implementation will take place through student           mental health screener
                                       referrals, intake procedures, individual counseling      progress monitoring, and
                                       services, safety planning, progress monitoring and       student/family self-report.
                                       team planning.

Page 19 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                                                                                                                4.
               1.                                            2.                                         3.                     MTSS
       EBP and Description                           EBP Implementation                          Outcome Measures
                                                                                                                               1 2 3
  Suicide Risk Assessment               Trained SBMHP will use this tool in conducting        This measure is                   ✔ ✔
  Instrument:                           suicide assessments using a 5-step evaluation and     administered and initiated
  A standardized suicide screening      triage plan to identify risk factors and protective   with any self-reported,
  instrument appropriate for use with   factors, conduct a suicide inquiry, determine risk    parent-reported and teacher
  school-age populations. This          level and potential interventions, and document a     reported self-mutilation
  instrument was a combination of       treatment plan                                        behaviors, self-mutilation
  the Suicide Assessment Five-Step                                                            urges, suicidal ideation, and
  Evaluation and Triage (SAFE-T)                                                              suicidal urges. Level of risk
  Columbia-Suicide Severity Rating                                                            is assessed at the time of the
  Scale (C-SSRS)-Recent.                                                                      report to determine potential
                                                                                              intervention as well as after
                                                                                              intervention to determine
                                                                                              continued treatment.

 Revised Children’s Anxiety and         MHCs will provide this screener with students in      This measure is a 25-item,        ✔ ✔
 Depression Scale (RCADS): Youth        grades K-5 routinely, starting with pre-treatment     youth self-report
 self-report questionnaire with         and then every 6 months to track changes in the       questionnaire which yields a
 subscales including, separation        child’s symptom presentation over time. The           Total Anxiety Scale (sum of
 anxiety disorder, social phobia,       measures are, for the most part, self-report and      the 5 anxiety subscales) and
 generalized anxiety disorder, panic    self-administered, which facilitates student          a Total Internalizing Scale
 disorder, obsessive compulsive         engagement in their own assessment and care. The      (sum of all 6 subscales) This
 disorder, and low mood (major          questionnaire takes between five and ten minutes      measure is administered
 depressive disorder).                  to administer.                                        pre-treatment and every 6
                                                                                              months after to monitor
                                                                                              progress and determine
                                                                                              continued treatment.
                                                                                              Depending on the where the
                                                                                              score is in comparison to the
                                                                                              ‘clinical thresholds” for the
                                                                                              overall scores, MHC will
                                                                                              tailor their sessions and
                                                                                              interventions to meet
                                                                                              student’s continuing needs.

Page 20 | Miami-Dade County Public Schools
2021-2022 Mental Health Application

                                                                                                                              4.
               1.                                            2.                                        3.                    MTSS
       EBP and Description                           EBP Implementation                         Outcome Measures
                                                                                                                             1 2 3
  DSM-5 Level 1 Cross-Cutting           MHCs will provide this screener with students in     The measure consists of 25        ✔ ✔
  Symptom Measure: Is a self-rated      grades 6-12 routinely, starting with pre-treatment   questions that assess 12
  measure that assesses mental health   and then every 6 months to track changes in the      psychiatric domains,
  domains to be used with students      child’s symptom presentation over time. The          including depression, anger,
  11-17 years of age.                   measures are, for the most part, self-report and     irritability, mania, anxiety,
                                        self-administered, which facilitates student         somatic symptoms,
                                        engagement in their own assessment and care. The     inattention, suicidal
                                        questionnaire takes between five and ten minutes     ideation/attempt, psychosis,
                                        to administer.                                       sleep disturbance, repetitive
                                                                                             thoughts and behaviors, and
                                                                                             substance use. Each item
                                                                                             asks student to rate how
                                                                                             much (or how often) they
                                                                                             have been bothered by the
                                                                                             specific symptom during the
                                                                                             past 2 weeks. This measure
                                                                                             is administered
                                                                                             pre-treatment and every 6
                                                                                             months after to monitor
                                                                                             progress and determine
                                                                                             continued treatment. MHC

 Brain Power Wellness: Provides         Activities learned will be implemented with          Students will develop           ✔ ✔
 hands-on activities to promote         students during individual and group counseling.     strategies for emotional
 focus, mindfulness and emotional       Also, within classroom lessons as social emotional   regulation, focus, and
 wellness for students while            learning.                                            concentration. Activities
 promoting social emotional                                                                  will help students stay
 learning, neuroplasticity,                                                                  engaged with school while
 meditation, positive socialization,                                                         developing appropriate
 emotional regulation, and character                                                         social skills.
 development.

Page 21 | Miami-Dade County Public Schools
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