NC Family Health Resource Line
Download
Report
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
28 School Health Centers in 15 counties are included in NC
Division of Public Health’s 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
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:
•
•
•
•
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
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
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
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
CQI Process
Credentialing
Coding / Billing
Policies/Procedures
Orientation of New Staff
Information about Resources
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