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LTC 294-2019 Nurse Enhancement Initiative Behavioral Health Services Aggregate Summary ReportMIAMIB ACH OFFICE OF THE CITY MANAGER NO. LTC# 294-2019 LETTER TO COMMISSION TO: Mayor Dan Gelber and Members o FRe:>M: Jimmy L . Morales, City Manager DATE : May 16, 2019 SUBJECT : Nurse Enhancement Initiative Behavioral Health Services Aggregate Summary Report Key Metrics: • #of students served in 2018-19: 2,105 • Average percent increase from prior year: 49% • #of psychosocial services provided in 2018-19: 5,426 • Average increase from prior year: 65% Please find attached aggregate summary report for the municipal funded Nurse Enhancement Initiative for Behavioral Health/Menta l Health youth support services from August 2018 through April 2019 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 f ive (5) Miami Beach public schools. Overall, 2,105 youth have received support services in the 2018-19 school year from the Licensed Clinical Social Worker (Social Worker) in all Miami Beach feeder public schools for 5,426 psychosocial issues an increase of 49% and 65%, respectively . The chart below shows the utilization of students by school and number of psychosocial services provided to date: Behavioral Health Services Summary Repon 8 /21/2018 • 4/30/2019 •or •ot • of Student. • of Student. Paychosoa-1 Pay~ School 2011-18 2018-11 "lo Change Servlc" Services "lo Change Provided ....__ . 2017-18 201&-1!1 . Treasure Island Elementary School 52 174 235% 293 362 24% South Pointe Elementary School 115 303 163% 197 465 136% North Beach Elementary School 126 254 102% 439 398 -9 % Biscayne Elementary School 111 176 59% 428 868 103% Ruth K. Broad K·S Center 84 85 1 % 124 196 58% F lenberg Fisher K·S Center 2 77 2 1 6 -2 2 % 381 4 82 27% Nautilus Middl e School 474 582 2 3 % 1 1 50 19 34 68% Miami Beach Seni or Hig h School 177 315 78% 284 721 154% Total 1,416 i 2 ,105 49"/o 3 ,296 5,426 65"/o The enhanced behavioral services include on-site access to a licensed clinical social worker to provide services including, but not limited to, the following: 0 Academic Issues 0 Attention Issues 0 Anger Management 0 Anxiety 0 Attention Issues 0 Disruptive Behavior 0 Depression 0 Stress Management 0 Family Issues 0 Growth Development Below is the Social Worker schedule providing days of service for each feeder public school: Social Worker Title Monday Tuesday Wednesday Thursday Friday SW.5(Veronica Delgado) MSW Miami Beach Senior High Rult1 K Broad K-8 Miami Beach Senior High Rult1 K Broad K-8 BMC SW1(Gabriel Lamas) MSW Renberg Rsher K-8 Center Miami Beach Se nio r High Fienberg K-8 Center Miami Beach Senior High Renberg Fisher K-8 Center SW2(Tamar Oppe nh eimer) LCSW Nautilus Middle School Biscayne Elementary Nautilus Middle School Nautilus IJid!le School Biscayne Elementary SW3(J ame Patrick Moore) MSW Soult1 Pointe Ele mentary Treasure Is land Elementary Soult1 Po inte Elementary North Beach Elementary North Beach Elementary Each school receives support through this initiative for the indicated number of days per week during the 2018-19 school year: Treasure Island Elementary one (1) day per week, North Beach Elementary two (2) days per week, Biscayne Elementary two (2) days per week , Ruth K. Broad K-8 Center two (2) days per week, South Pointe Elementary two (2) days per week, Fienberg Fisher K-8 Center three (3) days per week, Nautilus Middle School three (3) days per week, and Miami Beach Senior High School four (4) days per week . Please contact me with any questions . Updates will be provided as information becomes available . ~hments MT/KGB/L C: Executive Staff Dr. Leslie Rosenfeld, Chief Learning Development Officer Adaptive Behavior Assessment with Parent Class Observation Counseling -Crisis Counseling -Family Counseling -Group -------- Cou nseling -Post Crisis Counseling-Student/Individual Depression Screening Depression Screening Follow-Up Home Visit Attempted -Complete IEP/Staffing Team Meeting Mental Health Screening Prevention Program-Family Prevention Program -Group Prevention Program -Student/Individual Psychosocial /Behavioral Assessment Sc hool Support Team Meeting Social History-In Development Student Initial Background Screening Student Services Team Meeting Truancy Study Team Meeting Total Academic Issues AggressionNiolence Alcohol Usage Anger Management An xiety Attendance/T r uancy Attention Issues Bereavement Issues Bullying /Harrassment Chronic Medical Problems Crisis Intervention Dating Issues Depression Disruptive Behavior Page 1 of 3 Aggregate Summary Report Encounters from 8/21/2018 through 4/30/2019 Social Worker Visit Social Worker Services Psychosocial Problem Total 31 185 24 153 ~ 28 ~ 48 --- 1512 5 15 3 0 0 0 3 56 9 15 15 2105 Total 430 ---- 60 ...---- 413 465 71 370 60 89 21 16 23 300 2 58 Run Date: 5/9/2019 10:38 :07 AM Domestic Violence Eating Disorder Economic Issues/Basic Needs Family Issues Growth & Development Healthy Lifestyle Homelessness Housing Issues Identity Issues Legal Issues Neglect Oppositional Defiant Behavior Peer Issues Personal Hygiene Physical Abuse Safety Self Esteem Sexual Abuse Sexual ActivityfTeen Pregnancy Sleep Disorder Somatic Stress Management Substance Abuse Suicidal Ideation Tobacco Total Ambulance/911/Emergency Called Returned to Class Sent Home Transported to ER Total Abuse Registry Alternative Programs Crisis Stabilization Dental Care Domestic Violence Extracurricular Activities Page2 of 3 Aggregate Summary Report Encounters from 8/21/2018 through 4/30/2019 Outcome Disposition Referred To 31 2 58 517 508 149 5 2 3 12 37 51 360 13 14 101 191 12 3 2 7 730 15 24 2 5426 Total 2 1742 21 0 1765 Total 8 6 5 0 0 5 Run Date: 5/9/2019 10:38:07 AM Guidance Counselor Healthy Start Homeless Assistance Insurance Enrollment MD CPS 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 Adaptive Behavior Assessment -Scoring Behavior Assessments Consult with External 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 Page 3 of 3 Aggregate Summary Report Encounters from 8/21/2018 through 4/30/2019 Non-Visit Activ ities SW Activities 150 8 3 0 0 8 27 0 1510 28 3 8 3 0 13 -0 2 1788 Total ---- 0 ,.-- 24 9 215 369 0 4 0 36 0 15 0 0 675 Run Date: 5/9/2019 10 :38 :07 AM