MENTAL HEALTH SERVICES IN SCHOOL HEALTH CENTERS IN NORTH CAROLINA - PowerPoint PPT Presentation

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MENTAL HEALTH SERVICES IN SCHOOL HEALTH CENTERS IN NORTH CAROLINA

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Title: MENTAL HEALTH SERVICES IN SCHOOL HEALTH CENTERS IN NORTH CAROLINA


1
MENTAL HEALTH SERVICESIN SCHOOL HEALTH
CENTERSIN NORTH CAROLINA
2
Brief Overview of State-Funded School Health
Centers in North Carolina
  • Managed by School Health Unit of NC Division of
    Public Health
  • Centers are partially supported by state funds
  • 28 School Health Centers in 15 counties are
    included in NC Division of Public Healths school
    health center program
  • 25 centers are school-based (most in middle and
    high schools) and 3 are school-linked
  • All have community-based advisory councils and
    strong collaborative support from community
    partners
  • Consultation/TA provided by state
    multi-disciplinary team

3
Types of School Health Centers
  • Comprehensive model
  • Preventive
  • Medical
  • Nutrition
  • Mental/behavioral health
  • Health education

4
Types of School Health Centers
  • Alternate Model
  • Offers Basic Health Services and at least one of
    the following services
  • Preventive
  • Medical
  • Nutrition
  • Mental Health
  • Includes health risk screening and referral for
    medical and mental/behavioral risks

5
School Health Center Sponsors
  • Local Health Departments
  • Hospitals
  • Federally funded Community Health Centers
  • 501 c 3 organizations

6
Benefits of Integrating Health and Mental Health
Care in School Setting
  • Holistic approach to adolescent healthscreening,
    assessment, treatment and /or referral for health
    and mental health issues
  • Non-threatening setting for addressing mental
    health concerns
  • On-site multi-disciplinary consultation available

7
Framework for Mental/Behavioral Health in School
Health Centers
  • NC Quality Assurance Standards
  • Scope of Services
  • Provider Qualifications
  • Documentation Requirements
  • Content areas for policies/procedures

8
Framework for Mental/Behavioral Health Services
  • Mental/Behavioral Health Performance Measures
  • ADD/ADHD
  • Inappropriate, violent or aggressive behavior
  • Social skills/relationships
  • Depression and/or anxiety
  • Tobacco
  • Alcohol/drugs

9
Mental/Behavioral Health Scope of Services
  • Prevention
  • Psychosocial Screening
  • Anticipatory Guidance
  • Intervention/Treatment (Basic)
  • Case Management
  • Problem Solving/Supportive Counseling
  • Situational Crisis Intervention
  • Consultation to school and school based personnel
  • Referral/follow-up

10
Behavioral / Mental Health Scope of Services
  • Intervention / Treatment (Advanced)
  • Crisis Intervention Involving Serious
    Mental/Emotional Issues
  • Short-Term Individual Psychotherapy
  • Short-Term Group Psychotherapy
  • Optional Services
  • Psycho-educational Groups
  • Psychological Testing
  • Substance Abuse Treatment

11
Mental Health Providers in School Health Centers
  • Provider qualifications for each level of service
    are specified in Standards
  • Must meet Medicaid and Health Choice requirements
    in order to bill
  • Amount of mental health provider time varies
    across centers from 4 hours per week to 72 hours
    per week

12
Mental Health Providers in School Health Centers
May Be
  • Employed by centers sponsor
  • Contractual (individual provider or private
    mental health agency)
  • In-kind contribution

13
Continuous Quality Improvement in School Health
Centers
  • NC Quality Assurance Standards
  • Mental Health Performance Measures
  • Chart Review
  • Center Multi-disciplinary Team Meetings
  • Bi-Annual Reports to State
  • Consultation/Technical Assistance from State
  • Credentialing/Re-credentialing

14
Technical Assistance for School Health Center
Behavioral/Mental Health Providers
  • Clinical Issues
  • CQI Process
  • Credentialing
  • Coding / Billing
  • Policies/Procedures
  • Orientation of New Staff
  • Information about Resources
  • Facilitation of Mental Health Work Group

15
Questions/Information
  • Contact
  • Beverly Hester
  • Beverly.hester_at_ncmail.net or 919-707-5604
  • Or
  • Dan Garson-Angert
  • Daniel.garson.angert_at_ncmail.net or
  • 919-707-5666
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