Community Connections: Cross-Sector Partnering to

Promote Student Health

Agenda

● Introductions● Overview of shared public health

approach● Story of the APS-Children’s partnership● Systems-Level Examples● Student-Level Examples● Discussion

Who Are We?

Kim Kaspar MSWAWARE Coordinator

Aurora Public Schools

Lisa Costello, PhDPsychologist

Children’s Hospital Colorado

Dena Joslyn-Custer MSW

Risk Response Coordinator

Aurora Public Schools

Pediatric Mental Health Institute

Common Framework

http://www.youtube.com/watch?v=AtBYryLAveE

How did the relationship begin?

Aurora Public Schools

● +130 countries● +160 different languages ● 35.8% of our students are language learners

○ 78.4% speaking Spanish as their primary language● 70.4% of our students are receiving free and reduced

lunch benefits● 11.7% of our students are identified as having a

disability● 5.2 % of our students are identified as gifted learners● Our graduation rate is 64%● Our dropout rate is 3.4%

AWARE works with the youth-serving adults in APS to help them meet the social and emotional needs of students by:BUILDING DISTRICT-WIDE SYSTEMS & POLICY

WE WORK FOR KIDS BY WORKING WITH ADULTS

AWARE Referral System● Used by BH providers to connect

children/families to community-based BH services

● Going on year 5 of system

● Over 800 referrals for previous years- to date we have had over 650 referrals so far this year

○ Due to increase in TE from AuMHC & Health One

● Intended to destigmatize mental health and close the communication loop

AWARE Referral System

● Online Google Platform

● Feedback Loop

● MOU’s

● Constant Review & Refinement

● AWARE Referral System

○ Example Referral Case

○ Example Feedback Response

Memorandum of Understanding

● What each party agrees to do● HIPAA Compliance● Confidentiality ● Shared concerns & plans to address

them● Targeted outcomes● Example

Expanding the Partnership

● Giving/sharing information

● Connecting with school staff

● Building relationships through shared projects

○ Youth Action Board

○ Interprofessional training

○ Crisis Support

○ Coordination of Care

Questions

Systems-Level Example

● Starting Point○ Learning about each system

■ How to embed practices■ How to coordinate

SRA APS and Children’s ED

● Modification of School SRA○ Lead Clinician phone number○ Contacted Children’s Y/Other

● Communication Pre-Assessment● Discharge/Re-Entry to school● Area of Need

○ Post communication/discharge

SRA APS and Children’s EDExample of Partnership

◎ Example of Google Form Acute SRA ◎ Example of the PDF Acute SRA

◉ ASIST◉ Data Collection◉ Quarterly phone meetings

Questions

Student-Level Examples

Setting: Child Health Clinic

● Large urban primary care at Children’s Hospital Colorado

● ~13,000 unique patients annually with ~32,000 visits

● Patient population: 80-90% public insurance, culturally and linguistically diverse

● Equivalent of 9 full time pediatric primary care providers and many more medical learners

● Integrated behavioral health team

● History of screening for developmental concerns, perinatal mood concerns, and more recently began adolescent depression screening and family psychosocial screening

Relationship Shared Goal

How are we doing it?

Persistence

The best suicide prevention is comprehensive and collaborative. The more that people, organizations, and communities work together to support positive mental health, coping skills, resiliency, and openness around discussing suicide and mental health, the better the result for everyone, including young people.

~ Colorado Office of Suicide Prevention

A Story

http://aurorastory.org/