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Baton Rouge – Hurricane Response Health Care Centers in Schools

Baton Rouge – Hurricane Response Health Care Centers in Schools. Holley Galland MD MPH Sue Catchings, CHES. East Baton Rouge Parish School System. 46,000 students – baseline 88 schools 6000 registered after Katrina 5000 have attended 2 new schools just for evacuees.

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Baton Rouge – Hurricane Response Health Care Centers in Schools

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  1. Baton Rouge – Hurricane Response Health Care Centers in Schools Holley Galland MD MPH Sue Catchings, CHES

  2. East Baton Rouge Parish School System • 46,000 students – baseline • 88 schools • 6000 registered after Katrina • 5000 have attended • 2 new schools just for evacuees

  3. Mental health services Safe and Drug Free Schools Program (I CARE) • Run by educators • Average time at a school = ½ to 1 day a week • focus – prevention of substance abuse

  4. School Counselors • Hired through I CARE • Supervised by school principal • In elementary – do skills sessions • Middle and high – scheduling • Want to do more counseling

  5. Special Children’s Services • Assessment teams • Social workers and psychologists • Focus on children with special needs

  6. Others: • Child Welfare and Attendance • Outside agencies – B&G club, Big Buddy

  7. Health Care Centers in Schools/CSH • 8 school health centers • each has full time social worker • just work in one school • school nurse program • 36 nurses • 20 school health assistants

  8. Katrina Response: • Show up at a shelter or field hospital • Public Mental Health System • Meetings • Teams in shelters – assessment, programs, referral • School meetings coordinated by I CARE • Players: all of the above plus BR Crisis Intervention • Issues: volunteers, assessment, curriculum, process, collaboration, school administration buy in

  9. Products: • intake forms for physical and mental health used by counselors and school nurses • revised assessment tool from DISD • follow up form • CTSN 2 pager – in format revision • psychological first aid packet for schools

  10. Plan: • assessment by whoever can at building level • Follow up by counselors, mental health providers • Coordination by I CARE and the collaborative

  11. Baton Rouge Area Foundation – HCCS/CSH • $100,000 for temporary MH workers • We have 5 in the field using the DISD revised assessment • This is by invitation from the principal • Consents required • Forms kept confidential – school nurse files available

  12. Challenges/discussions • General stress of everyone in Baton Rouge • State budget cuts • New collaborations • Behavioral health consents • Ongoing funding • Getting decent data for follow up

  13. Questions • Just Katrina kids or all kids? • Household crowding • Poverty • Jealousy • How soon to do psych screen? • How to get more resources/ share

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