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New Levels of Work Together for School-Wide PBIS and School Mental Health. Mark D. Weist, Ph.D. Center for School Mental Health University of Maryland 10.8.09.

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New Levels of Work Together for School-Wide PBIS and School Mental Health

Mark D. Weist, Ph.D.

Center for School Mental Health

University of Maryland


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Center for School Mental Health* Mental HealthUniversity of Maryland School of Medicine*Supported by the Maternal and Child Health Bureau of HRSA and numerous Maryland agencies

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“Expanded” School Mental Health Mental Health

  • Full continuum of effective mental health promotion and intervention for students in general and special education

  • Reflecting a “shared agenda” involving school-family-community system partnerships

  • Collaborating community professionals (not outsiders) augment the work of school-employed staff

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Fundamental Three-Part Rationale Mental Health

  • Schools are under-resourced for mental health promotion and intervention

  • Connections between people and traditional community mental health centers are difficult

  • By coming together in the most universal natural setting for youth, there are advantages for both systems, and synergies enhance opportunities to achieve valued outcomes

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A Vision for School Mental Health Mental Health

Strong stakeholder involvement and a shared family-school-community system agenda

Full continuum of effective supports and services for all students in general and special education

The right staff with the right training, supervision, coaching and support

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Vision (cont.) Mental Health

Emphasis on quality assessment and improvement and evidence-based practice

Strong focus on achieving valued outcomes

Outcome findings feed back into program improvement and into policy and advocacy agendas

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Access Advantages Mental Health

  • Reduced initial stigma of services

  • Reduced burden of initial help seeking

  • Increased likelihood of early problem identification

  • Reduced stigma for ongoing service use

  • Reduced burden of ongoing service use

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Promotion/Prevention Advantages Mental Health

  • Increased ability for environmental enhancement and universal prevention

  • Enhanced ability for prevention

  • Increased support to educational staff

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Service Implementation Advantages Mental Health

  • Increased interdisciplinary collaboration

  • Increased involvement of diverse stakeholders

  • More efficient (and less costly) services

  • Enhanced ability for assessment and intervention in multiple settings, enhanced maintenance/generalization

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P-16 Educational Pipeline Mental Health(from Dawn Anderson-Butcher)

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Research Supported Interventions Mental Health

  • SAMHSA’s National Registry of Effective Programs and Practices


  • Roughly 50 of 137 research supported interventions can be implemented in schools

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Research Supported Mental HealthInterventions Involve

  • Strong training

  • Fidelity monitoring

  • Ongoing technical assistance and coaching

  • Administrative support

  • Incentives

  • Intangibles

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Practice in the trenches Mental Health

  • Involves NONE of these supports

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Central Theme of CSMH Mental Health

  • Bridging research and practice in school mental health to enhance the implementation of high quality, evidence-based programs leading to improvements in outcomes valued by families and schools

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Four Themes in Quality Services Mental Health

  • Systematic Quality Assessment and Improvement

  • Family Engagement and Empowerment

  • Modular, Evidence-Based Skill Training

  • Implementation Support

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A National Community of Practice Mental Health

  • CSMH and IDEA Partnership ( providing support

  • 30 professional organizations and 12 states

  • 12 practice groups

  • Providing mutual support, opportunities for dialogue and collaboration

  • Advancing multiscale learning systems

  • Sign up at

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Hawaii Mental Health


New Hampshire

North Carolina



New Mexico



South Carolina

South Dakota


Twelve States

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Twelve Practice Groups Mental Health

  • Learning the Language

  • Social, Emotional, and Mental Health in Schools

  • Education and Systems of Care

  • SMH and Positive Behavior Supports

  • SMH and Juvenile Justice

  • SMH for Youth with Disabilities

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Twelve Practice Groups (cont.) Mental Health

  • Family-School-Community Partnerships

  • Youth Involvement and Leadership

  • SMH and Child Welfare

  • Quality and Evidence-Based Practice

  • SMH for Military Families

  • Psychiatry and Schools

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From... Mental Health

  • Discussion to…

  • Dialogue to…

  • Collaboration to…

  • Action to…

  • Policy Change

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1996 Baltimore Mental Health

1997 New Orleans

1998 Virginia Beach

1999 Denver

2000 Atlanta

2002 Philadelphia

2003 Portland, OR

2004 Dallas*

2005 Cleveland

2006 Baltimore

2007 Orlando

2008 Phoenix

* Launch of National Community

CSMH Annual Conferences

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Next Conference Mental Health

14thAnnual Conference on Advancing School Mental Health. Minneapolis, November 1-4

Sunday evening – Community Share Fare

Monday – Community Meetings/Intensive Training

Tuesday, Wednesday – Conference Program

See, or call 410-706-0980

Www schoolmentalhealth org l.jpg Mental Health

  • Website developed and maintained by the CSMH with funding from the Baltimore City Health Department and Maryland Departments of Education and Mental Health

  • User-friendly school mental health information and resources for caregivers, teachers, clinicians, and youth

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Two New Journals Mental Health

  • Advances in School Mental Health Promotion

    • The Clifford Beers Foundation and the University of Maryland


  • School Mental Health


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Advances in School Mental HealthMental Health Promotion

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Contact Information Mental Health

  • Center for School Mental Health, Department of Psychiatry University of Maryland 737 W. Lombard Street, 4th Floor Baltimore, MD 21201 PH: 410-706-0980 FX: 410-706-0984 mweist@psych.umaryland.edu