Transcript NC Family Health Resource Line

MENTAL HEALTH
IN SCHOOL
HEALTH CENTERS
IN NORTH
CAROLINA
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
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28 School Health Centers in 15 counties are included in NC
Division of Public Health’s school health center program
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25 centers are school-based (most in middle and high schools) and 3
are school-linked
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All have community-based advisory councils and strong
collaborative support from community partners

Consultation/TA provided by state multi-disciplinary team
Types of School Health Centers
• Comprehensive model
– Preventive
– Medical
– Nutrition
– Mental/behavioral health
– Health education
Types of School Health Centers
• Alternate Model
– Offers Basic Health Services* and at least one of the
following services:
•
•
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•
Preventive
Medical
Nutrition
Mental Health
*Includes health risk screening and referral for medical and
mental/behavioral risks
School Health Center Sponsors
• Local Health Departments
• Hospitals
• Federally funded Community Health
Centers
• 501 c 3 organizations
Benefits of Integrating Health and Mental
Health Care in School Setting
• Holistic approach to adolescent health—
screening, 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
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
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
Mental/Behavioral Health Scope of
Services
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Prevention
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Psychosocial Screening
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Anticipatory Guidance
Intervention/Treatment (Basic)
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Case Management
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Problem Solving/Supportive Counseling
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Situational Crisis Intervention
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Consultation to school and school based personnel
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Referral/follow-up
Behavioral / Mental Health Scope of
Services
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Intervention / Treatment (Advanced)
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Crisis Intervention Involving Serious
Mental/Emotional Issues
Short-Term Individual Psychotherapy
Short-Term Group Psychotherapy
Optional Services
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Psycho-educational Groups
Psychological Testing
Substance Abuse Treatment
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
Mental Health Providers in School Health
Centers May Be
• Employed by center’s sponsor
• Contractual (individual provider or
private mental health agency)
• In-kind contribution (school, LME)
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
Technical Assistance for School Health
Center Behavioral/Mental Health Providers

Clinical Issues
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CQI Process
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Credentialing
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Coding / Billing
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Policies/Procedures
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Orientation of New Staff
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Information about Resources
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Facilitation of Mental Health Work
Group
Questions/Information
• Contact:
Beverly Hester
[email protected] or 919-707-5604
Or
Dan Garson-Angert
[email protected] or
919-707-5666