AdvancingWellnessandResiliencyinEducation

TexasEducationAgency

FortHoodEducationSummit

February7,2020

Copyright©TexasEducationAgency,2019.Allrightsreserved.

Presenters

2

Julie Wayman

School Mental and Behavioral Health Team Lead

Interagency Liaison

Copyright©TexasEducationAgency,2019.Allrightsreserved.

Agenda

3

▪ HistoryandBackground

▪ 86thLegislativeSessionUpdates:▪ SB11▪ HB18▪ HB906▪ HB19

▪ AWARETexasOverview

▪ SchoolMentalHealthIntroductoryPracticeGuideandToolkit

▪ Discussion,FeedbackandQuestions

Objectives

4

• Increaseawarenessaboutnewschoolmentalandbehavioralhealthandschoolsafetyrequirements.

• Fosterconnectionsthatstrengthenbestpracticesamongamongststakeholdersconcerningschoolmentalhealthandschoolsafety.

• Provideanopportunityforinputandinvolvementtosupportdevelopmentofpoliciesandresources.

Copyright©TexasEducationAgency,2019.Allrightsreserved.

Student Mental Health Statistics

5

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StudentMentalHealthStatistics

6

Wellness and Resilience – TEA Goal

“Resilience cannot exist without hope. It is the capacity to be hopeful that carries us through challenges, disappointments, loss, and traumatic stress.”

Dr. Bruce Perry, Child Trauma Academy

Whydoesthisworkmatter?

Copyright©TexasEducationAgency,2019.Allrightsreserved.

BackgroundandHistory

9

HHTaskForceonSchoolMentalHealthSupportsEstablished

October2017

SantaFeISDSchoolShootingOccurs

May2018

GovernorAbbotReleasesSchoolSafetyActionPlan

May2018

TEAHM&ARDivisionAnalyzes45SchoolMentalandBehavioralHealthBills

Jan-May2019

86thTexasLegislaturePassesHistoricSchoolSafetyandMental

HealthLegislation

May2019

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SchoolSafetyandSchoolMentalHealthBillsinthe86thLegislature

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• SenateBill11:OmnibusSchoolSafetybill

• HouseBill18:Strengthensdistrict-levelsupportsformentalhealth

• HouseBill906:Createsschoolmentalhealthtaskforce

• HouseBill19:PlacesanemployeefromtheLocalMentalHealthAuthorityateachESCregion,toprovidetrainingandresourcestoschooldistricts.

SenateBill11:Overview

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MentalHealth–TEARequiredActivities:

• StatewideMentalHealthResources-Toupdatelistofstatewideresourcesavailabletoschooldistrictstoaddressthementalhealthofstudents,incollaborationwitharangeofagenciesandcommunityproviders.(UpdateDueAugust2020)

• StatewidePlanforMentalHealthAccess-Todevelopastatewideplantoensureallstudentshaveaccesstoadequatementalhealthresources.(April2020)

SenateBill11:Overview

13

MentalHealth–TEARequiredActivities:

• SafetyResourcesRubric&RegionalInventoryofMentalHealthResources-Developarubric,incollaborationwitharangeofagencies,forusebyEducationServiceCenters(ESCs)inidentifyingresourcesrelatedtostudentmentalhealththatareavailabletoschoolsintheirrespectiveregions.(DistributedJan.2020)

• ESC’ssubmitrubricsbacktoTEA(Spring2020)

SenateBill11:Overview

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SafeandSupportiveSchoolsProgram–TEAactivities:

• Commissionertoproposeandadoptrulestoestablishasafeandsupportiveschoolprogramincorporatingresearch-basedbestpracticesforschoolsafety.(April2020,effectiveAug.2020)

SenateBill11:Overview

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SafeandSupportiveProgramandRulestoAddress:

1) physicalandpsychologicalsafety;2) amultiphase/multi-hazardapproachtoprevention,mitigation,preparedness,response,andrecoveryinacrisissituation;

3) asystemic/coordinatedandmultitieredsupportsystemthataddressesschoolclimate,thesocial/emotionaldomain,andbehavioral/mentalhealth;and

4) multidisciplinaryandmultiagencycollaborationtoassessrisksandthreatsinschoolsandprovideappropriateinterventions,includingrulesfortheestablishmentandoperationofteams.

SenateBill11:Overview

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ModelThreatAssessmentTeamsRequiresTxSCC,incoordinationwithTEA,todevelopmodelpoliciesandprocedurestoassistschooldistrictsinestablishingandtrainingonthreatassessmentteamstoidentifystudentswhomaybeatriskofharmingthemselvesorothersandprovidingappropriatesupportsandintervention.

Trauma-informedpractices–resourcesandrulemakingEachschooldistrictmustimplementapolicyintegratingtrauma-informedpracticesineachschoolenvironmentusingresourcesdevelopedbyTEA.(April2020,EffectiveAug.2020)

SenateBill11:Overview

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CurriculumChanges

• Healthcurriculum–Addsmentalhealthandsuicidepreventiontothehealthcurriculumstandards(TEKS)adoptedcreatedbySBOE.(TEKSSept2020)

• DigitalCitizenship–SBOE,byrule,mustrequireschooldistrictsincorporatedigitalcitizenshipinstructionintocurriculumstandards.(TEKSJune2021)

SenateBill11:Overview

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TexasChildMentalHealthCareConsortium

• $100milliontoIHEmedicalschoolstoaddressurgentmentalhealthchallengeswithchildrenandadolescents

• Workingonaplantostrengthenandexpandtelepsychiatry–telemedicineinschools.

• Consultingw/pediatriciansandprimarycareproviders,sotheyaremoreequippedtoaddressmentalhealthneeds.

• Relatedresearch,fellowshipsandcapacitybuildinginIHEs

SenateBill11:Overview

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SchoolPlanningandEducatorContinuingEducation

• DistrictImprovementPlanstoincludetraumainformedcarepolicies

• Addsrequiredinstructiontocontinuingeducationforteachersandprincipalstoincludehowgriefandtraumaaffectstudentlearningandbehavior

SenateBill11:Overview

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Multi-HazardEmergencyOperationsPlan• Clarifiesrequirementsrelatedtoprevention,mitigation,preparedness,responseandrecoveryasdefinedbytheTexasSchoolSafetyCenter(TxSSC)inconjunctionwithcommissioner,commissionerofhighered,OOG,andhomelandsecurity.

• AppointmentofConservatororBoardofManagersforLEAsnon-compliant

FacilityStandards• TEAtoestablishrulestoensurebuildingstandardsforinstructionalfacilitiestoprovidesecure/safeenvironmentforstudentsandschoolpersonnel.

SenateBill11/SenateBill500:Funding

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SchoolSafetyAllotment

• Providesannualallotmenttoimproveschoolsafetyandsecurity,includingsecuringschoolfacilities,providingsecurity,providingtrainingandplanning,andprovidingprogramsrelatedtosuicideprevention.($9.72perstudent)

SenateBill11/SenateBill500:Funding

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SchoolSafetyGrants• Requiresthecommissioner,fromfundsappropriatedforthatpurpose,toestablishandadministeragrant

programtoawardgrantstolocaleducationagenciestoimproveandmaintainstudentandschoolsafety.$100MprovidedinSB500forfacilitieshardening.(Grantsrangefrom$25K-$3million;Grantsavailableon10/24)

SchoolSafetyGrantRequirements• TEAwillawardgrantstolocaleducationeducations(LEAs)throughanapplicationprocess.LEAsmust

demonstratehowawardswillbeusedtofund:• Exteriordoorswithpushbars;• Metaldetectorsatschoolentrances;• Erectedvehiclebarriers;• Securitysystemsthatmonitorandrecordschoolentrances,exits,andhallways;• Campus-wideactiveshooteralarmsystemsthatareseparatefromfirealarms;• Two-wayradiosystems;• Perimetersecurityfencing;• Bullet-resistantglassorfilmforschoolentrances;and• Door-lockingsystems.

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StaffDevelopment,Rules,TrainingSchedule(HB18,SB11TEC21.451)Staffdevelopmentmustincludetrainingon:

• suicideprevention;

• recognizingsignsofmentalhealthconditionsandsubstanceabuse;

• strategiesforestablishingandmaintainingpositiverelationshipsamongstudents,includingconflictresolution;

• howmentalhealthconditions,includinggriefandtrauma,affectstudentlearningandbehaviorandhowevidence-based,grief-informed,andtrauma-informedstrategiessupporttheacademicsuccessofstudentsaffectedbygriefandtrauma;

• preventing,identifying,respondingto,andreportingincidentsofbullying.

Status:ProposeRulesApril2020,effectiveAugust2020for2020-2021SY

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HouseBill18:Overview

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▪ DistrictImprovementPlanstoincludestrategiesforPositiveBehaviorInterventionsandSupport,includinginterventionsthatintegrategrief-informedandtrauma-informedcare

▪ Postingonlineweathercampushasafull=timeprofessionalschoolcounselorornurse.

▪ Districtproceduresforsupportingstudentsinreturningtoschoolfromtreatmentorasuicideattempt

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HouseBill18:Overview

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▪ Requiresstatementindistricthandbookandonlinepostingofpoliciestopromotementalhealth,postingdistrictmentalhealthresourcesavailableoncampus,postingcontactinformationonaccessingnearestcommunityservicesprovidersandfortheLMHA

▪ TEAandHHSCtodevelopguidelinesonaccessingcommunitymentalhealthserviceswithLMHAs,othercommunityproviders,andthroughtheMedicaidProgram

▪ TEAtodevelopguidingprinciplesonthecoordinationofmentalhealthprogramsandbestpractices.

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HouseBill18:Overview

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▪ OntherecommendationoftheSchoolHealthAdvisoryCouncil(SHAC),orontheinitiativeoftheschoolboardorthegoverningbodyofanopenenrollmentcharterschool,schoolsmay:

▪ establishaschool-basedhealthcenteratoneormorecampuses

▪ servicesinacentermayincludetreatingmentalhealthconditionsandsubstanceabuse.

▪ TheSHACmayrecommendstrategiesforintegratingmentalhealthservicesasapartoftheCouncil’sduties

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HouseBill18:Overview

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▪ AdoptedaComprehensiveSchoolCounselingProgramthatconformswiththeTexasModelforSchoolCounselingProgramsbytheTexasCounselingAssociation(linkonTEAWebsite)

▪ TexasModelprovidesguidanceanddirectiontoassesscurrentSchoolCounselingPrograms

▪ FourComponentsofaComprehensiveSchoolCounselingProgram:

▪ GuidanceCurriculum▪ ResponsiveServices▪ IndividualPlanning▪ SystemSupport

▪ TenResponsibilitiesforschoolcounselorsarespecifiedinstatute,TEC33.006

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HouseBill19:Overview

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▪ PlacesaNon-PhysicianMentalHealthProfessionalfromtheLocalMentalHealthAuthority(LMHA)ineachEducationServiceCenter(ESC)asamentalhealthresourceforschools.

▪ InteragencyagreementrequiredbetweenESCsandLMHAs

▪ ProvidingtraininginMentalHealthFirstAidandtraumainformedpractices

▪ AnnualreportsubmittedtotheGovernor,LieutenantGovernor,Legislature,andCommissionerbyHHSC.

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HouseBill906:Overview

29

▪ RequiresTEAtocreateaSchoolMentalHealthTaskForce(through2025);

▪ Requiresadiversegroupofparticipants(schoolcounselor,LSSP,parents,schooladministrators,etc)

▪ Commissionertoappoint1leadand2supportingIHE’stoevaluateschoolmentalhealthservices,programsandtrainingfundedbythestate;

▪ CollectingdatafromschoolsandTEA;and

▪ Makingrecommendationsandsubmittingareporttothelegislature;(2020,2022,2024)

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AWARE Texas

Whydoesthisworkmatter?

31

AdvancingWellnessandResiliencyinEducation(AWARE)

32

Copyright©TexasEducationAgency,2018.Allrightsreserved.

AWARETexasOverview

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ProjectAWAREFastFacts

▪ 5-yearcompetitivegrantavailabletostateeducationagencies(SEAs):▪ toincreasementalhealthpromotionandearlyidentificationofneeds▪ toincreaseaccesstomentalhealthservicesinschoolandthrough

communitypartnerships▪ topilotevidence-basedpractices▪ toensureimmediateaccesstomentalhealthservicesincrisissituations▪ todevelopregionalandstatewideinfrastructureforschoolmentalhealth

▪ Funder:SubstanceAbuseandMentalHealthAdministration(SAMHSA)

▪ $8,000,000millionover5years

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AWARETexasOverview

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StateLevelPartners

▪ TEA–Full-TimeCoordinator

▪ HHSC–½timeCo-Coordinator

▪ Evaluation–TexasInstituteforExcellenceinMentalHealth

▪ UnifiedServicesforAllChildren(USAC)–AdvisoryCouncil

**AllPartners–StatewideInfrastructureDevelopment**

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AWARETexasOverview

35

RegionalandLocalEducationGrantees

HighNeedDistricts–HurricaneHarveyRecoveryNeedsAssessment

▪ EducationServiceCenters–CommunityProjectManagers2,3,4,5▪ RefugioISD▪ WoodsboroISD▪ PortAransasISD▪ BridgeCityISD▪ GooseCreekISD

**AllPartners–StatewideInfrastructureDevelopment**

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AWARETexasOverview

36

CommunityMentalHealthPartners

LocalMentalHealthAuthorities(LMHAs)–communitymentalhealthcenterswhichprovidebehavioralhealthservicestoallTexans.

▪ TheHarrisCenterforMentalHealthandIDD–GooseCreekISDinESC4

▪ BehavioralHealthCenterofNuecesCounty–PortAransasISDinESC3

▪ GulfBendCenter–RefugioISDandWoodsboroISDinESC2

▪ SpindletopCenter–BridgeCityISDinESC5

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Few Intensive Services

Targeted Mental Health Services

and Supports

Universal Prevention Best Practices and

Mental Health Awareness Activities

AWARE TEXAS Grant PartnersAdvancing Wellness and Resiliency in Education

Collaboratio

n & PLC

SAMHSA Grants

Evidence-Based Practices Direct M

H Serv

ices

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AWARETexasOverview

38

RegionalTeams,GoalsandImplementation

▪ Licensedmentalandbehavioralhealthspecialistsinschools

▪ PBIS/IntegratedSystemsFramework(ISF)forMentalHealthandComprehensiveSchoolMentalHealthSystems

▪ Schoolclimatesurveys▪ Traininginevidence-basedpractices(CBITS,CPS,PAXGoodBehaviorGame,YMHFA,TraumaandMindfulnessPractices,PsychologicalFirstAidforSchools,other)

Copyright©TexasEducationAgency,2018.Allrightsreserved.

AWARETexasOverview

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RegionalTeams,GoalsandImplementation

▪ ComprehensiveServiceDeliveryPlanforSMH(PlannedinanMTSS)

▪ Mentalhealthawarenesstraining▪ Screeningforearlyidentificationofmental/behavioralhealthneeds

▪ Prevention,mentalhealthinterventionsandsupports,treatmentprovidedschool-basedandcommunity-basedthroughreferralpathways

▪ School/Parent/CommunityPartnerships

Copyright©TexasEducationAgency,2018.Allrightsreserved.

AWARETexasOverview

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RegionalTeams,GoalsandImplementation

ServicesThroughPartneringwithLMHAs:

▪ Provideaccesstoindividualizedandspecializedclinicalcareforstudentsandtheirfamilies,(i.e.wraparoundservices).

▪ Accesstocrisisservicesisalwaysavailable.

▪ Collaboratew/theISDsandESCsthroughtheestablishmentofMOUsregardinglocationandtypeofservicestobeprovided(in-school,telehealth,etc).

Copyright©TexasEducationAgency,2018.Allrightsreserved.

AWARETexasOverview

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RegionalTeams,GoalsandImplementation

Ongoingpartnershipbuilding,example:▪ Anotherpotentialpartnershipisw/CommunityResourceCoordinatedGroups(CRCGs)–inter-agencygroupscomprisedoflocalpartnersandcommunitymembers.

▪ CRCGsdevelopindividualserviceplanstohelpchildren,youth,families,andadultswhoseneedscanonlybemetthroughservicesfrommultipleagenciesandprograms.

▪ Thereare4CRCGslocatedwithintheareaoftheAWAREISDs.

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https://www.pbis.org/resource-type/materials

PBISInterconnectedSystemsFrameworkPBIS,OSEPTechnicalAssistanceCenterandMHTTC

Fidelity:QualitySchoolMentalHealthDomains

Teaming

NeedsAssessment,ResourceMapping,

Planning

Screening

MentalHealthPromotionandPrevention

EarlyInterventionandTreatment

FundingandSustainability

Impact7QualitySelfAssessment

Domainswith43indicatorsforComprehensiveSchoolMental

Health

NationalCenterforSchoolMentalHealth:FREEFidelityTools

PerformanceStandards:7QualityDomainsand43PerformanceMeasuresforSelf-Assessment

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Mental and Behavioral Health Resources

45

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MentalandBehavioralHealthBestPracticeComponents

▪ MentalHealthPromotion▪ MentalHealthPreventionandEarlyIntervention▪ SuicidePrevention,InterventionandPostvention▪ SubstanceAbusePreventionandIntervention▪ GriefInformedandTraumaInformedPractices▪ SafeandSupportiveSchoolClimate▪ Buildingskillsrelatedtomanagingemotions,establishing,and

maintainingpositiverelationships,andresponsibledecisionmaking▪ PositiveBehaviorInterventionsandSupports▪ PositiveYouthDevelopment

TexasEducationCode§38.351

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MentalHealthBestPracticeResourcesandLaws

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State Laws:

TEC §38.351 – Annual Update of Best Practices

TEC §21.062 – Website Required

TEC §21.044 - Educator Preparation

TEC §21.054 - Continuing Education

TEC §11.252 – District Needs Assessment and Plan for Suicide Prevention

https://tea.texas.gov/About_TEA/Other_Services/Mental_Health/Mental_Health_and_Behavioral_Health/

Copyright©TexasEducationAgency,2019.Allrightsreserved. 48

ToolkitContents:❑ OverviewofSchoolMentalHealth

❑ NeedsAssessment

❑ ResourceMapping

❑ CampusServiceDeliveryPlanning

❑ ServiceCoordinationandMonitoring(SampleToolsforParentConsent,Referral,MOU,StudentServicePlan)

❑ Compendiums:SchoolClimateSurveys,ScreeningTools

❑ TexasStatutesandTips

❑ BestPracticeResources

❑ SpotlightsonTexasProgramsSupportingSchoolMentalHealth

❑ References

❑ Acknowledgements

Copyright©TexasEducationAgency,2019.Allrightsreserved. 49

EarlyIdentificationofMentalHealthNeeds

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35ScreenersIdentifiedbyExperts - InternalizingandExternalizingBehaviors

- DepressionandAnxiety

- Trauma- StrengthsandResilience- SuicideRisk

EarlyIdentificationofMentalHealthNeeds

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ExampleUniversalScreeningTool-AlignedwithPBISandSMH

CampusSchoolMentalHealthServicePlanTemplates

CampusServicePlan

TheCampusServicePlantemplateisusedtodocumentthecomprehensivementalhealthservicedeliveryplandevelopedforyourcampus.Itshouldincorporateinformationgatheredfromyourschoolmentalhealthneedsassessmentandeco-systemassetmappingprocess.Thisplanshouldbedevelopedbyarepresentativeleadershipteamthathastheauthoritytoensureimplementationofplannedactivities.TheCampusServicePlanshouldbereviewedregularlyandmodifiedasneededthroughouttheyear.TheCampusServicePlanincorporatesanInterconnectedSystemsFramework(ISF)thatintegratesPositiveBehavioralInterventionsandSupports(PBIS)andSchoolMentalHealth(SMH)interventionswithinaschool.ThisincludesplanningaroundaframeworkofMulti-TieredSystemofSupports(MTSS)tolinktheacademicandbehavioralhealthneedsofstudents.Plannedinterventionsshouldincreasewithintensitybasedonstudentneed.TheCampusServicePlanisbrokenintotwosections.TheCampusServicePlanTemplateisusedtocaptureplannedmentalhealthprograms,activitiesandinterventionsatahighlevel.TheSupplementalPlanningToolscanbeusedtocaptureadditionalinformationaboutplannedactivitiesasneeded.

CampusServicePlanTemplate

Usethisdocumenttocaptureallinterventionsplannedfortheyear.Includespecificinformationabouttheneedtobeaddressedwitheachintervention.Specificallyidentifywhowillfacilitateeachinterventionandthelocationeachinterventionwilltakeplace.Documentthespecifictimeframeeachinterventionwilloccurandthedurationoftheinterventionduringtheyear.Identifyanyresourcesneededtoprovideeachintervention.Modifythisplanasneeded.

SupplementalPlanningTools

DataCollectionPlan

Usethisdocumenttocapturethedatacollectionprocessforeachinterventionplannedfortheyear.Specificallydescribethereferralprocessandhowstudentsareidentifiedtoparticipateintheintervention.Identifythenumberofstudentstobeservedorthepercentageofthestudentbodytoparticipate.Specificallyidentifyanymeasurementtoolstobeusedduringtheintervention,thespecificschedulefortheiradministration,whoisresponsibleforadministeringthetoolsandanycommunicationnecessaryregardingdatacollection(e.g.,parentalconsent).

ProviderDetailPlan

Usethisdocumenttocapturespecificinformationaboutallserviceprovidersengagedfortheyear.Includespecificcontactinformationandaffiliation.Ensureallnecessaryagreementsanddatasharingconsiderationsareinplace.Identifyanyorientationortrainingneededforeachprovider(e.g.,schoolprotocols).

StudentRosterUsethisdocumenttocaptureinformationaboutthespecificstudentsreceivingservicesduringtheyearandspecificbaselineandprogressdatacollected(asappropriate).

CalendarTemplate Usethistemplatetomapwheneachinterventionisscheduledthroughouteachmonth.

CampusServicePlanTemplate

Program,TrainingorIntervention TierI,IIorIII

NeedAddressed/DesiredImpact

WhoFacilitates Location Schedule/Duration ResourcesNeeded

SupplementalPlanningTools:Calendar

MONTH:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

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Closing Discussion and Input

Copyright©TexasEducationAgency,2019.Allrightsreserved. 54

Closing Discussion and Input

1. What goals do you recommend for school mental health and wellness?:

For these groups: I. Students II. Staff III. Parents

2. What are the strengths of schools that can contribute to addressing mental health?

3. What are the gaps or barriers in schools for addressing mental health?

4. What are your recommendations for grief and trauma informed resources and training for schools?

5. What strategies would help schools to meet goals for providing school-based mental health?

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Presenter

55

Thank You!

Julie Wayman

Interagency Liaison and Manager | Mental and

Behavioral Health Coordination

Julie.wayman@tea.texa.gov