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Presented for: The Leadership Summit on Mental Health By: Don Martin, Superintendent Winston-Salem/Forsyth County Schoo

Presented for: The Leadership Summit on Mental Health By: Don Martin, Superintendent Winston-Salem/Forsyth County Schools October 17, 2005. WINSTON-SALEM/FORSYTH COUNTY SCHOOLS. Student Enrollment—49,782 73 Schools - 40 Elementary - 14 Middle - 13 High Schools (includes four

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Presented for: The Leadership Summit on Mental Health By: Don Martin, Superintendent Winston-Salem/Forsyth County Schoo

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  1. Presented for: The Leadership Summit on Mental Health By: Don Martin, Superintendent Winston-Salem/Forsyth County Schools October 17, 2005

  2. WINSTON-SALEM/FORSYTH COUNTY SCHOOLS • Student Enrollment—49,782 • 73 Schools - 40 Elementary - 14 Middle - 13 High Schools (includes four small Gates high schools) - 6 Special Schools

  3. WINSTON-SALEM/FORSYTH COUNTY SCHOOLS • District Staffing to Improve Student Mental Health Ratio# Positions - Counselors 1: 375 (134) - Social Workers 1:1,476 ( 34) - Psychologists 1:2,008 ( 25) • School Health Alliance • Anti-Bullying Initiative

  4. SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY • Non-profit 501(c)(3) – funded by Wake Forest University Baptist Medical Center, Forsyth Medical Center, various, grants, WS/FC Schools • Founded 1999 • Mission: to improve the ability of students to learn by • Improving their health and safety • Coordinating and targeting resources of community health providers

  5. SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY OBJECTIVES • To develop and evaluate models of school-based health care promoting preventive strategies and improving access to health care and mental health services • To replicate and fund effective models

  6. SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY OBJECTIVES • To develop and fund programs that address those conditions most closely associated with school performance (initially behavior problems and asthma) • To focus on a preventive program for cardiovascular disease, a major cause of morbidity and mortality in Winston-Salem • To serve as School Health Advisory Council for WS/FCS

  7. SCHOOL HEALTH ALLIANCEBOARD OF DIRECTORS Wake Forest University Health Sciences Forsyth Early Childhood Development Forsyth County Department of Social Services The North Carolina Baptist Hospitals, Inc. Forsyth County Department of Public Health Winston-Salem/Forsyth County Schools Winston-Salem State University CenterPoint Human Services Forsyth Pediatric Associates Forsyth County Council of PTAs Medical Park Hospital Forsyth Medical Center Forsyth-Stokes-Davie County Medical Society

  8. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES • Licensed Clinical Social Workers (LCSW) • Three models • 1.5 FTE LCSW in comprehensive health center (Mineral Springs Elementary and Middle Schools)—parental consent required • 0.5 FTE (Ashley) and 1.0 FTE (Atkins) LCSW partnered with registered nurse—students all eligible unless parent declines • 1.0 FTE LCSW solo in high school (North Forsyth) for alternative and high risk students—offered to targeted students, voluntary

  9. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES • Social workers accept referrals from teachers and administrative staff; collaborate with other disciplines on SHA staff • With parents’/students’ consent, social workers work closely with teachers, monitoring effects of therapy, assisting teachers with behavioral management

  10. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES STRUCTURE • Contract between SHA and WS/FCS • Medical direction by pediatrician • Coordination with other SHA services by nurse practitioner/coordinator • Consultation with psychiatrist (on-site in two models; periodic case review in all models) • Billing arrangements in transition

  11. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES EVALUATION 2003-04 MEASURES Comparison of initial vs. latest… • Child and Adolescent Functional Assessment Scale (CAFAS) • Reading and math grades

  12. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES EVALUATION 2003-04 OUTCOMES For students with mental health conditions • Statistical improvement in CAFAS scores • Statistical improvement in math grades • Trend toward improvement in reading grades (did not reach statistical significance)

  13. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES OTHER ACTIVITIES • Community protocol for collecting and exchanging information between physicians and elementary schools • Common entry point for concerns: SAT at school • Schools collect Vanderbilt Scales (parent and teacher), achievement test results, cognitive screening test, current placement • Form for physician to complete and return to school

  14. SCHOOL HEALTH ALLIANCE SCHOOL-BASEDMENTAL HEALTH SERVICES OTHER ACTIVITIES • Liaison with Child and Family Advisory Committee of the Local Management Entity (LME) • Liaison with Forsyth Council for Children and Families • Contract with LME for administrative support of school-based services • LME Director serves on Board of SHA

  15. THE DISCIPLINE TASK FORCE • Formed and met during the 2003-04 school year. • Consisted of parents, teachers, counselors and administrators.

  16. THE DISCIPLINE TASK FORCE • Purpose - To study areas of needed improvement based on the 2003 Safety Survey results. - To identify effective discipline models and programs that would address areas of concern.

  17. THE DISCIPLINE TASK FORCE • Concentrated on two areas: - Bullying - School Climate

  18. THE DISCIPLINE TASK FORCEDEFINITION OF BULLYING The term “bully” means the repeated and deliberate verbal and physical abuse of a student by one or more students. This aggressive behavior is unwelcome, unprovoked and intended to do emotional harm. It generally occurs in a context where there is a real or perceived imbalance of power, physical or social, between the bully and the victim.

  19. THE DISCIPLINE TASK FORCETYPES OF PROHIBITED BULLYING BEHAVIORS • Physical bullying includes the repeated and deliberate making of obscene gestures, pushing, shoving, hair pulling, and any other unwelcomed physical contact intended to create an intimidating and hostile environment.

  20. THE DISCIPLINE TASK FORCETYPES OF PROHIBITED BULLYING BEHAVIORS • Verbal bullying includes such acts as: (1) hurtful name-calling, teasing, or intimidating; (2) defaming or spreading false rumors about another person to cause them to be disliked, humiliated or disrespected by their peers; (3) persuading, encouraging or leading other students to exclude or socially isolate the victim in order to cause emotional harm;

  21. THE DISCIPLINE TASK FORCETYPES OF PROHIBITED BULLYING BEHAVIORS • (4) extorting money, property or services from another student; and/or (5) making derogatory, demeaning or hostile comments about another student’s race, disability, ethnicity, or gender.

  22. THE DISCIPLINE TASK FORCERECOMMENDATIONS DISTRICT • At the beginning of each school year, increase efforts to inform parents and students of policy and administrative regulation related to bullying.

  23. THE DISCIPLINE TASK FORCERECOMMENDATIONS DISTRICT • Provide information about bullying to use with parents and community groups - to increase awareness - to share prevention strategies. - to ask for support and involvement.

  24. THE DISCIPLINE TASK FORCERECOMMENDATIONS DISTRICT 3. Provide professional development related to bullying for all employees.

  25. THE DISCIPLINE TASK FORCERECOMMENDATIONS DISTRICT 4.Complete cultural competency training for all employees by the end of the 2006-07 school year.

  26. THE DISCIPLINE TASK FORCERECOMMENDATIONS DISTRICT 5.Improve the monitoring of student behavior on school buses by purchasing a camera per school for school administrators to place rotationally on buses as needed.

  27. THE DISCIPLINE TASK FORCERECOMMENDATIONS DISTRICT • Involve students in bullying prevention efforts: - a district-wide poster contest - an essay contest

  28. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level • Ask that each school staff have a school wide discipline plan that includes rules and consequences that address bullying.

  29. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level 2. Communicate the school-wide discipline plan in multiple ways.

  30. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level 3.Encourage student clubs, such as Students Against Violence Everywhere (SAVE), Student Council, and other organizations to emphasize bullying prevention.

  31. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level 4. Analyze and share school data Utilize the data to make revisions in the school’s safety plan as needed. Involve students at the upper elementary, middle and high school levels in this process.

  32. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level • Emphasize and model the need to build strong relationships - staff - students and staff - staff and parents - staff and the school community.

  33. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level 6. Integrate character education into content areas by using the WS/FCS Character Development Plan and the WS/FCS Character Education Supplement.

  34. THE DISCIPLINE TASK FORCERECOMMENDATIONS School-Level 7. Review the Life Management Skills course at the high school level for possible revision to include bullying prevention and intervention strategies.

  35. THE DISCIPLINE TASK FORCERECOMMENDATIONS Community 1.Share information about the district’s character education program with the faith-based community

  36. THE DISCIPLINE TASK FORCERECOMMENDATIONS Community 2. Develop a list of speakers from the district who will do presentations on bullying to businesses and community groups.

  37. THE DISCIPLINE TASK FORCESTUDENT SURVEY RESPONSE Has a student bullied you this year at school? Percent Answering Yes All Grade Grade Grade Students 5 8 12 2004 15.5% 21.8% 14.8% 8.6% 2005 12.2% 16.0% 13.2% 5.8%

  38. THE DISCIPLINE TASK FORCESTUDENT SURVEY RESPONSE When a student bullied you this year at school, did you tell an adult at the school? Percent Answering Yes All Grade Grade Grade Students 5 8 12 2004 58.2% 69.1% 47.7% 46.4% 2005 55.4% 63.2% 49.6% 45.6%

  39. THE DISCIPLINE TASK FORCESTUDENT SURVEY RESPONSE When you reported bullying to an adult, did the adult do something about it? Percent Answering Yes All Grade Grade Grade Students 5 8 12 2004 48.0% 53.7% 39.7% 40.2% 2005 54.7% 60.6% 49.2% 43.5%

  40. THE DISCIPLINE TASK FORCESTUDENT SURVEY RESPONSE Has one or more of your teachers discussed bullying with your class this year? Percent Answering Yes All Grade Grade Grade Students 5 8 12 2004 47.8% 83.6% 41.4% 11.4% 2005 67.5% 91.0% 75.6% 27.6%

  41. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE Has a student bullied your child this year at school? Percent Answering Yes All Grade Grade Grade Parents 5 8 12 2004 13.6% 15.2% 15.3% 7.1% 2005 14.6% 15.1% 17.1% 6.8%

  42. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE When a student bullied your child this year at school, did you report the incident to the school? Percent Answering Yes All Grade Grade Grade Parents 5 8 12 2004 60.1% 61.7% 63.1% 44.6% 2005 65.2% 67.8% 63.7% 58.3%

  43. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE When you reported bullying, did the school do something about it? Percent Answering Yes All Grade Grade Grade Parents 5 8 12 2004 49.0% 52.2% 48.8% 30.4% 2005 49.1% 54.5% 45.6% 28.6%

  44. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE Rules are applied the same for everyone at this school. Percent Agreeing/Strongly Agreeing All Grade Grade Grade Parents 5 8 12 2002 77.5% 86.3% 70.0% 65.5% 2003 72.7% 81.0% 63.4% 64.0% 2004 73.2% 81.0% 66.2% 67.2% 2005 72.2% 82.5% 66.7% 56.4%

  45. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE The principal at this school is available to parents when needed. Percent Agreeing/Strongly Agreeing All Grade Grade Grade Parents 5 8 12 2002 80.2% 87.8% 73.6% 69.7% 2003 76.8% 83.3% 72.4% 67.0% 2004 79.0% 86.8% 73.8% 69.4% 2005 78.4% 87.2% 74.3% 63.9%

  46. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE My child is safe at this school. Percent Agreeing/Strongly Agreeing All Grade Grade Grade Parents 5 8 12 2002 92.3% 96.4% 87.7% 88.5% 2003 90.9% 94.8% 88.4% 84.6% 2004 92.7% 96.7% 88.0% 90.9% 2005 92.2% 97.0% 88.0% 88.8%

  47. THE DISCIPLINE TASK FORCEPARENT SURVEY RESPONSE It is easy to communicate with teachers at this school. Percent Agreeing/Strongly Agreeing All Grade Grade Grade Parents 5 8 12 2002 81.8% 91.3% 74.0% 67.9% 2003 79.3% 88.4% 75.6% 62.8% 2004 83.1% 90.6% 77.5% 76.1% 2005 84.6% 92.2% 79.5% 75.3%

  48. QUESTIONS

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