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LTC 301-2018 Nurse Enhancement Initiative Behavorial Health ServMIAMIBEACH OFFICE OF THE CITY MANAGER NO. LTC # 301-2018 LETTER TO COMMISSION TO: Mayor Dan Gelber and Members of tree City C mission FROM: Jimmy L. Morales, City Manager C ` DATE: May 25, 2018 SUBJECT: Nurse Enhancement Initiative Behavioral Health Services Aggregate Summary Report Please find attached aggregate summary report for the municipal funded Nurse Enhancement Initiative for Behavioral Health/Mental Health youth support services from August 21, 2017 through April 30, 2018 for North Beach Elementary, South Pointe Elementary, Fienberg Fisher K-8 Center, Biscayne Elementary, Treasure Island Elementary, Ruth K. Broad Bay Harbor K-8 Center, Nautilus Middle School, and Miami Beach Senior High School. For the 2016-17 school years, the initiative was enhanced to include behavioral health services (mental health services) to three (3) schools in the feeder pattern and was further expanded in the 2017-18 school year to an additional five (5) Miami Beach public schools. Overall, 1,416 youth have received support services in the 2017-18 school year from the city funded Licensed Clinical Social Worker (Social Worker) in all Miami Beach feeder public schools for 3,296 psychosocial issues. The chart below shows the utilization of students by school and number of psychosocial services provided to date: Behavioral Health Services Summary Report 8/21/17 - 4/30/18 # of Psychosocial School p # of Students II Services Provided = ;Treasure Island Elementary School South Pointe Elementary School 'North Beach Elementary School Biscayne Elementary School Ruth K. Broad K-8 Center Fienberg-Fisher K-8 Center 52 293 115 126 111 84 197 1 439 428 124 277 381 Nautilus Middle School 474 1150 Miami Beach Senior High School 177 284 Total 1416 3296 The enhanced behavioral services include on-site access to a licensed clinical social worker to provide services including, but not limited to, the following: • Psychosocial interventions • Academic Issues • Attention Issues • AggressionNiolence • Anger Management • Anxiety • Attention Issues • Disruptive Behavior • Depression • Stress Management • Family Issues • Peer Issues Below is the Social Worker schedule providing days of service for each feeder public school: Social Worker The Monday Tuesday Wednesday Thursday Friday Nora Curia LMHC Borinquen Mental Health Borinquen Mental Health Ruth K. Broad K-8 Miami Beach Senior High Miami Beach Senior High School Gabriel Lamas MSW NUami Beach Senior High School Fienberg K-8 Center Mani Beach Senior High South Point Elementary Fienberg Fisher K-8 Center Tamar Oppenheimer LCSW Nautilus Mddle School North Beach Elementary Treasure Island Elementary Nautilus Mddle School Biscayne Elementary School Each elementary school receives support through this initiative one (1) day per week, Fienberg Fisher K-8 and Nautilus Middle two (2) days per week, and Miami Beach Senior High School four (4) days per week. For the 2018-19 school year, each elementary and middle/K-8 center will receive one (1) additional day of service. Please contact me with any questions. Updates will be provided as information becomes available. Attachments KGB/L C: Executive Staff Dr. Leslie Rosenfeld, Chief Learning Development Officer HEER Aggregate Summary Report Encounters From: 8/21/2017 through 4/30/2018 Run Date: 5/23/2018 1:09:07 PM Social Worker Visit Social Worker Services Adaptive Behavior Assessment with Parent Class Observation Counseling - Crisis Counseling - Family Counseling - Group Counseling - Post Crisis Counseling - Studentllndividual Depression Screening Depression Screening Follow -Up Home Visit Attempted - Complete IEP/Staffing Team Meeting Psychosocial/Behavioral Assessment School Support Team Meeting Social History - In Development Student Initial Background Screening Student Services Team Meeting Truancy Study Team Meeting 16 12 14 132 126 13 1033 21 0 18 1 2 13 4 0 to Total 1416 Psychosocial Problem Total Academic Issues AggressionNiolence Alcohol Usage Anger Management Anxiety Attendance/Truancy Attention Issues Bereavement Issues Bullying/ H a rra s s m e nt Chronic Medical Problems Crisis Intervention Dating Issues Depression Disruptive Behavior Domestic Violence Eating Disorder Economic Issues/Basic Needs Family Issues Growth & Development Healthy Lifestyle Page 1 of 5 Run Date: 5/23/2018 1:09:07 PM 254 83 b 256 YS3 84 421 33 47 9 6 3 236 159 16 7 14 361 252 49 R:HEERR Aggregate Summary Report Encounters From: 8/21/2017 through 4/30/2018 Run Date: 5/23/2018 1:09:07 PM Z Health Choice Network Homelessness 1 Housing Issues 6 Identity Issues 3 Legal Issues 2 Neglect 18 Oppositional Defiant Behavior 36 Peer Issues 234 Personal Hygiene 8 Physical Abuse 8 Safety 73 Self Esteem 153 Sexual Abuse 2 Sexual Activity/Teen Pregnancy 3 Sleep Disorder 8 Somatic 6 Stress Management 232 Substance Abuse 2 Suicidal Ideation 7 Tobacco 1 Total 3296 Page 2 of 5 Run Date: 5/23/2018 1:09:07 PM fHEER Aggregate Summary Report Encounters From: 8/21/2017 through 4/30/2018 Run Date: 5/23/2018 1:09:07 PM Health Choice Network Outcome Disposition Total Ambulance/911/Emergency Called 1 Retumed to Class 1276 Sent Home 63 Transported to ER 2 Total 1342 Referred To Total Abuse Registry 2 Altemative Programs 5 Crisis Stabilization 2 Dental Care 0 Domestic Violence 0 Extracurricular Activities 1 Guidance Counselor 83 Healthy Start 0 Homeless Assistance 0 Insurance Enrollment MDCPS Region/District Office Medical Provider Mental Health Counseling New Medical Provider No Referral Needed School Administration School Nurse School Police School Psychologist School Speech Pathologist Social Work Services Substance Abuse Counseling TRUST Specialist Vision Total Page 3 of 5 Run Date: 5/23/2018 1:09:07 PM 2 01 31 45 7 851 14 3 1 6 0 332 1 3 0 1361 fQHEER Aggregate Summary Report Encounters From: 8/21/2017 through 4/30/2018 Run Date: 5/23/2018 1:09:07 PM l4i1 Health Choice Networic Non -Visit Activities SW Activities Adaptive Behavior Assessment - Scoring Behavior Assessments Consult with Extemal Mental Health Consult with MD/Other Provider Consult with Parent/Caregiver Consult with School Staff Home Visit Attempted -Complete Home Visit Attempted -Incomplete Kidcare Application Other Public Assistance SW -Parent Letter SW -Social History SW -Student Services Intervention Plan SW -Truancy Screening Truancy Packet Completion Total 3 0 12 6 234 25i 0 5 0 29 0 0 6 0 0 0 Total 552 Other Activities Adaptive Behavior Assessment - Scoring Behavior Assessments Care Plan FTTY Care Plan Reassessment Consult with External Mental Health Consult with MD/Other Provider Consult with Parent/Caregiver Consult with School Staff ESE Staffing/Screening Home Visit Attempted -Complete Home Visit Attempted -Incomplete Immunization Follow -Up Kidcare Application Other Public Assistance Record Review SW -Parent Letter SW -Social History SW -Student Services Intervention Plan SW -Truancy Screening Truancy Packet Completion Total 0 a 0I 0 0 0 0 0 0 0 0 01 0I 0 0 0 0 0 0 0 0 Total 0 Page 4 of 5 Run Date: 5/23/2018 1:09:07 PM 3'HEER Aggregate Summary Report Encounters From: 8/21/2017 through 4/30/2018 Run Date: 5/23/2018 1:09:07 PM Health Choice Networic Routine Medication Visit Activities Other Activities Medication Dose Administered - OTC Medication Dose Administered - Rx Medication Prescribed/Admin-OTC Medication Prescribed/Admin-Rx Total ARNP RN LPN MA SW Other Total 0 3 4 0 0 0 7 0 336 283 0 0 0 619 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 339 287 0' 0 6 626 Page 5 of 5 Run Date: 5/23/2018 1:09:07 PM BEHAVIORAL HEALTH SERVICES FINDING PEACE OF MIND The City of Miami Beach, through our Education Compact with Miami -Dade Public Schools is offering behavioral/mental health support and community referral services for all Miami Beach public school children through The Children's Trust and Borinquen Medical Center. SERVICES A Licensed Clinical Social Worker (LCSW) provides the following behavioral/mental health services at each school: • Cognitive -Behavioral Therapy • Family (Group) Therapy • Systematic Therapy • Play Therapy • Home Visit • Participate Teacher/Parent Conference 1 in 3 Children suffer developmental or behavioral disabilities that limit their health and school performance. tt- Behavioral health issues can affect a student's performance, increase truancy, school dropout rates, and difficulties in learning. If you are interested in learning more about these services, please contact your child's school LCSW, counselor or nurse. To request this material in alternate format, sign language interpreter (five-day notice required}, information on access for persons with disabilities, and/or any accommodation to review any document or participate in any city -sponsored proceedings, call 305.604.2489 arid select 1 for English or 2 for Spanish, then option 6; TTY users may call via 71 1 (Florida Relay Service).. MIAMIBEACH SERVICIOS DE SALUD MENTAL ENCONTRANDO TRANQUILIDAD La Ciudad de Miami Beach, a traves de nuestro Pacto de Educacion con las Escuelas Publicas del Condado de Miami -Dade, est© ofreciendo apoyo para la salud mental/conductual y servicios de referencias para todos los nii os en las escuelas publicas en Miami Beach a traves de The Children's Trust y Borinquen Medical Center. SERVICIOS Un trabajador social de clinics Iicenciado (LCSW) provee los siguientes servicios de salud mental/conductual en cada escuela: • Terapia cognitiva-conductual • Terapia sistemc tica • Participar en conferencia de maestro/padre • Visita a domicilio • Terapia de familia (grupo) • Terapia de juego 1 in 3 Ninos sufren discapacidades de desarrollo o mentales que limitan su salud y su rendimiento escolar. Problemas de salud mental pueden afectar el rendimiento del estudiante, aumentar ausentismo, porcentaje de abandono escolar, y dificultades en aprendizaje. To request this material in alternate format, sign language interpreter (fvecoy notice required), information on access for - persons with disabilities, and/or any accommodation to review any document or participate in any city -sponsored proceedings, call 305.604.2482 and select 1 for English or 2 for Spanish, then option 6, TTY users may call via 71 1 (Florida Relay Service). 44P-. Si usted esta interesado en conocer mas sobre estos servicios, por favor contacte al LCSW, consejero, o enfermero designado a la escuela de su hijo. MIAMIBEACH