Mary s Center. School Based Mental Health Program
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1 Mary s Center School Based Mental Health Program
2 Mary s Center Our Mission: Building better futures through the delivery of health care, education, and social services by embracing our culturally diverse community and providing the highest quality care, regardless of ability to pay. Became a Federally Qualified Health Center in 2005 Provide Culturally and Linguistically Appropriate Services Serve nearly 50,000 socially and medically vulnerable individuals Historic focus on serving low-income immigrant families
3 Mary s Center s Social Change Model Saves Lives Stabilizes Families Creates Stronger Communities
4 Overview of Programs HEALTH Prenatal Pediatrics/Adolescents Adult Medicine Psychiatry Dental Community Health Education Chronic Disease Management Infectious Disease Management HIV Prevention & Primary Care Sonography SOCIAL SERVICES Case Management Behavioral Health School Based Mental Health Medication Assisted Treatment for Heroin-Opioid Abuse Senior Health and Wellness Home Visiting Insurance & Benefits Enrollment Assistance WIC Program EDUCATION Early Childhood Education English and Computer Classes for Adults Parenting Classes High School Diploma Child Care Credential Training Medical Assistant Training Child Care Licensing Technical Assistance Coaching Hub for Infant and Toddler Child Care Providers Adolescent Tutoring and College Preparation
5 Family Engages Mary s Center Health Education Social Services
6 School Based Mental Health Program Mission In collaboration with partnering schools, we strive to increase student, family, and school communities attainment of positive mental health and well-being. The SBMH Program supplements and enhances each school s wellness team by providing diagnostic assessments and behavioral health treatment to children within the school. Licensed, bilingual, and culturally competent mental health therapists provide on-site diagnostic, therapeutic, and community referral services as well as linkages to Primary Health Services.
7 SBMH Interventions SY Individual Therapy Play and Sand Tray Therapy Parent Child Interactional Therapy (PCIT) Child and Parent Psychotherapy (CPP) Theraplay Mindfulness and Meditation Interventions Cognitive Behavioral Therapy Trauma-focused Cognitive Behavioral Therapy (TF-CBT) Group Therapy Trauma and Chronic Stress High risk behaviors Adjustment to the US for newcomer immigrant students Anxiety and Depression Social Skills Parent coaching and family engagement Strengthening the family unit through family therapy Parenting workshops and coaching Information sharing events Parent engagement activities Mental Health Consultation Teacher training and consultation Crisis intervention Professional development 7
8 SBMH Therapeutic Groups SY Social Skills ADHD Management Healthy Friendships Impulse Control and Self-Regulation Self Esteem Transitioning to Middle School Adjustment/Reunification for Newly Arrived Immigrants Mindfulness/Self Expression Dance Therapy Expressive Arts Therapy
9 SBMH School Wellness Initiatives SY Stress Management and Wellness Practice for Teachers Regular office hour consultation Training on "ACES" (Adverse Childhood Events Scale) and its Impact on Brain Development Consultation to teachers in grade level team meetings Supported teachers to create "coping corners" in classrooms Contribution to school newsletter on mindful practices Regular distribution of tip sheets, flyers, and s to increase awareness of children's mental health Workshops on trauma informed classrooms Suicide prevention presentation in Health Class Substance Abuse Prevention Awareness Campaign On-site dental evaluations provided by Mary s Center dental bus
10 SBMH School Wellness Initiatives SY Supported implementation of PATHS a social and emotional learning curriculum Projects to support mental health awareness month Grief Counseling due to sudden loss of school community members Provided testimony in the City Council to support mental health initiatives that benefit children and families in schools. Led animal assisted therapy initiative: students, families, and staff interacted with a therapy canine, learned about animals and anxiety reduction Launched a Latino student advocacy group Alianza de Lideres Latinos Participation on the community advisory board for Georgia Avenue Family Collaborative Collaboration with Georgetown on trauma study in conjunction with Medstar School Based Health Center at Roosevelt HS
11 SBMH Parent Workshops SY Bullying and Cyberbullying Managing Screen Time and Videogames Social Emotional Learning in Children Financial Counseling Stress Management Positive Discipline Managing separation anxiety Middle School Transition Support Talking to your children about healthy sexual behavior
12 Mary s Center Linkage to Care SY SBMH staff connected families to the following services: Medical care Dental care Behavioral health Psychiatry Public benefits enrollment Domestic violence support English classes Workforce development Teen program Case management Fatherhood program
13 Community Linkage to Care SY SBMH staff connected families to community programs, including: Children's Law Center FAIR Girls Courtney's House DC PASS Martha's Table Kids In Need Defense (KIND) Neediest Kids Fund Advocates for Justice and Education Community Based Intervention (CBI) LAYC
14 SBMH Outcomes SY
15 From April 2017 April 2018, SBMH served: 1,040 clients through 15,977 clinical encounters across 18 public and public charter school sites in Wards 1, 4 and 5
16 SBMH Program Outcomes SBMH received approximately 650 new referrals SBMH staff conducted approximately 450 diagnostic assessments. The average time from referral to intake was 25 days. An average episode of care (intake to discharge) lasted approximately 6 months and included an average of 31 therapy sessions.
17 SBMH clients served by age group, yrs 5-10 yrs yrs yrs Over 18 16% 1% 25% 35% 23% n=1,040
18 Mary s Center SBMH Program Clients served, Household Language Preference Self-Reported Gender 3% 12% 34% 63% 88% English Spanish Male Female Other (Amharic, French, Vietnamese, Bangla, Portugese)
19 Mary's Center SBMH Program Encounters by modality, % 4% 7% 67% n=15,977 Individual therapy Family therapy Group therapy Community Support Services
20 Mary s Center SBMH Program Most common clinical diagnoses Adjustment Disorder ADHD Anxiety Conduct Disorder Developmental Delay Depression Substance Abuse Eating Disorder PTSD 10% 1% 1% 13% 2% 47% 6% 12% 8%
21 100 School Stakeholder Satisfaction SY % Satisfied or Very Satisfied with Mary Center SBMH s n=30
22 School Stakeholder Satisfaction SY The partnership has been the source of the increase in student and parent engagement this year. I wish you could be in every school. Special education teacher Our SBMH therapist is very approachable and has shown to be flexible with her schedule to best meet the needs of the students as well as adjust to the demands of a school schedule. Counselor Our SBMH therapist has become an integral part of our school wellness team. Principal
23 Client and Parent Satisfaction SY 100% As result of receiving Mary s Center SBMH services % agree or strongly agree 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Am feeling or doing better Get along better with family Have improved grades Feel more connected to my school Felt included in treatment planning Overall satisfaction n=24
24 Client and Parent Satisfaction SY My daughter can now communicate better and say what she feels It s really convenient, if my son is having a problem he can speak to the therapist in school I get information on what s going on with my daughter. The counselor communicates often
25 70% OHIO Scales for Youth SY % change at 6-month interval 60% 50% 40% 30% 20% 10% 0% Worker Scale Youth Scale Parent Scale n=127 n=69 n=39 Improved No Change Worsened
26 PHQ-9 Depression Screener 80% 70% 60% 50% 40% 30% 20% 10% 0% Category 1 Improved Stayed Same Got Worse n = 16
27 Thank you for your partnership! To learn more about Mary s Center, please visit our website: To learn more about the Mary s Center School Based Mental Health Program, please contact: Marisa Parrella, LICSW, LCSW-C Program Director School Based Mental Health Program mparrella@maryscenter.org (202)
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