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Columbia TEEN SCREEN Project


What You Should Know about the Mental Health Screening, Referral, and Education Program in the Plattsburgh City School District and the Chazy Central Rural School District

Purpose The goal of the Mental Health Screening, Referral, and Education Program has been to establish a project for mental health screenings (Columbia University TeenScreen Program) in the Plattsburgh City School District (PCSD) for 8th graders, 10th graders, and at-risk 9-18 year olds in order to identify and help depressed and suicidal youth and their parents access mental health services and to provide mental health education to students, parents, school staff, and the community.  We will begin thr same process in the Chazy District in the Fall of 2008.

Overview:  A collaborative planning committee met to initiate and eventually institutionalize a mental health screening, referral, and education program in the District.  Columbia University’s TeenScreen Program (an adolescent mental health and suicide-screening initiative) was selected which is active in 43 states and supported by 34 national organizations, including the American Academy of Child and Adolescent Psychiatry, American Federation of Teachers, and the President's New Freedom Commission on Mental Health.  Screenings are always voluntary.

The TeenScreen Program provides the free training and tools for the mental health screenings used in the Plattsburgh City Schools.  The National Alliance for the Mentally Ill of Champlain Valley provides the Project Coordinator/Educator in each school.  Each year, the program invites parents of the students to grant permission to have their adolescent screened for depression.  Students who screen positive for depression will then have an hour-long clinical interview with a licensed professional.  Those who screen positive after the longer clinical interview will be referred for mental health services in our community. The Project Coordinator/Educator meets with the adolescent and his/her family within 24 hours of the clinical interview to help them determine what choices they have for mental health treatment within our community. The Project Coordinator/Educator directly refers adolescents and families to local services and links them to “interim” services if they are placed on wait lists.  In addition to the screening program, the Project Coordinator/Educator provides mental health education in the schools and in the community.

For more information, click on any of the topics which interest you:

Columbia TeenScreen Program Description and Principles:

A.      The Columbia University TeenScreen Program is an adolescent mental health and suicide-screening initiative active in 43 states and supported by 34 national organizations, including the American Academy of Child and Adolescent Psychiatry, American Federation of Teachers, and the President's New Freedom Commission on Mental Health.

B.       The New York State Office of Mental Health recommends the use of the Columbia University TeenScreen Program as part of the state’s newly released suicide prevention plan.

C.       The goal of the Columbia University TeenScreen Program is to ensure that all parents are offered the opportunity for their teens to receive a voluntary mental health check-up.  The program’s primary objective is to help young people and their parents through the early identification of mental health problems, such as depression. Parents of youth found to be at possible risk are notified and helped with identifying and connecting to local mental health services where they can obtain further evaluation.

D.      Following are the most important principles that all local TeenScreen programs must reflect in their screening plans and practices—all of which are emphasized in the TeenScreen site development process and training protocols.

1.        Screening must always be voluntary.

a.      Parental consent must be obtained in order for youth to participate. 

b.      TeenScreen recommends the use of active consent as a best practice.

c.      Youth must always give their assent for participation.

d.      Screening participants must be given the right to refuse to answer any questions they don’t want to answer.

2.        Approval to conduct a screening project must be obtained from appropriate organizational leadership (in this case, the school district).

3.        All screening staff and volunteers must be qualified and trained.

4.        Confidentiality must be protected.

5.        Youth identified through the screening as needing further evaluation must be linked to appropriate mental health services.

6.        Parents of identified youth must be informed of the screening results and referral recommendations, and provided assistance with securing an appointment with a qualified mental health professional for further evaluation.

E.       The TeenScreen Program currently offers its tools, training, and consultation at no cost—once a site is approved for the program. During training, TeenScreen national personnel assist in determining which screening tool best fits the program goals.  Screening tools are Columbia Health Screen (CHS), Columbia Depression Scale (CDS), and Diagnostic Predictive Scales (DPS).

F.        More information can be obtained at:  www.teenscreen.org

Your Role as a School Faculty/Staff Member:

You should become familiar with the Mental Health Screening, Referral, and Education Program and with the Principles of the Columbia TeenScreen Program.  Be prepared to direct parents and students to school staff who can answer more detailed questions and concerns about these programs. 

Your Role as a Parent:

You should become familiar with the Mental Health Screening, Referral, and Education Program and with the Principles of the Columbia TeenScreen Program.  IF you are a parent of an 8th or 10th grader, you have received the Parent Information Letter and Consent Form in the mail.  If you have questions, please don’t hesitate to call NAMI: CV at 561-2685.

Yearly Timelines for Plattsburgh:

A.     Each year, 8th Graders will be screened in the Spring as well as students between 11 and 18 years of age who are referred for a screening because they have been identified as “at-risk” by school personnel.

1.      Parent letter is sent in mid-January.  Presentations are made to PTAs and community groups.  Educational presentations are made in classrooms.

2.      A staggered screening schedule is set for 10 weeks from February through the end of April.  Approximately 10 students are screened, assessed, and referred each week.  

B.    Each year, 10th Graders will be screened in the Fall as well as students who are referred for a screening:

1.   Parent letter is sent in mid-September.  Presentations are made in the community and in classrooms.

2.   A staggered screening schedule is set for 10 weeks from October to mid-December.  Ten students are screened, assessed, and referred each week.  

Project Goals:

During the school year, we will:

0       Screen students in the targeted grades.

0       Conduct a one-hour clinical interview for students who are likely to screen positive for depression.

0       Provide 24-hour follow-up and short-term case management services to students and their parents who need information about depression and immediate referrals for mental health services.

0       Follow-up with students and their parents at 3-month intervals for at least one year.

0       Distribute the tri-county information directory that contains mental health information, resources, and referral guidelines.

0       Provide consultations to school staff on ways to include mental health education in the curriculum.

0       Hold community presentations for parents on children’s mental health issues and concerns.

0       Through a variety of mediums, educate the community about teen depression, the TeenScreen Program, mental health education in the schools, and mental health resources and agencies in the community.

0       Secure funding to institutionalize depression screening and mental health education in local school districts.

Parent Letter:

Dear Parent,

Did you know that depression and anxiety affect as many as one out of five teens today and that 17% of U.S. high school students report serious thoughts of suicide? Unfortunately, most teens with these problems never get identified. At our school, we think this is an important issue and that no student should have to suffer in silence when help is readily available. As a result, we are now partnering with the Columbia University TeenScreen Program to make free and voluntary emotional health screening available to our student body. I am proud to be working in this way to safeguard the health and welfare of our students and hope that you will take advantage of this confidential service for your child. Please read the information below carefully and then sign the attached Parent Consent Form to indicate whether you want your child to participate. Your child cannot participate unless you return the signed consent form. 

What is TeenScreen?

TeenScreen is a health screening program developed by Columbia University to identify teens who may suffer from depression or other emotional problems and to help their parents connect teens in need with professional health resources in the community.

How does the program work?

Mary Anne Cox, LCSW, is the Columbia TeenScreen Coordinator in Plattsburgh while Ilene Leshinsky is the Coordinator in Chazy. It will take place during school hours in a private setting at the school.  Your child will not be screened without your permission. There are three steps to the screening procedure:

Step One: Students complete a 10-minute questionnaire about general health, depression, anxiety and use of drugs and alcohol.

Step Two: If your teen’s answers reveal a potential problem or if he/she asks for help, he/she will then meet with a trained health professional in private to determine if further evaluation is recommended. Students whose answers show that they probably do not need help will meet briefly with other program staff to answer any questions they may have about the program.

Step Three: You will be notified by program staff only if your teen meets with a health professional and the professional recommends further evaluation for your child. If this is the case, program staff will share the overall results with you and discuss ways to get help.

Our school provides this screening at no cost, but does not provide any further evaluation or treatment services.  It is up to you to decide if you want to obtain any additional services for your child.

In addition to the attached Parent Consent Form, there is a sheet with some common questions and answers about TeenScreen.  Please review this information and complete and return the Parent Consent Form.

Please do not hesitate to call 561-2685 if you have any questions. Also, additional information about the TeenScreen Program is available at www.teenscreen.org.

Sincerely,

Your Principal

Parent Consent Form:

Please return this form by mail or have your child deliver it to:

Guidance Office at School 

I have read and understand the description of the TeenScreen Program offered at Plattsburgh High School during this academic year.

___ I would like my child to participate in the TeenScreen Program

___ I do not want my child to participate in the TeenScreen Program

Parent/Legal Guardian’s Name (Print): ______________________________

Student’s Name (Print): _____________________________________ Grade: ________

Parent/Legal Guardian’s Signature: ____________________________       

Date: ____________ 

If your child will be participating, please provide the following information so we can contact you, if necessary:

Address: ______________________________________________________________

               ______________________________________________________________

Home Phone:  _________________________  

Work/Cell Phone: ______________________

Email address: ________________________________________________

Best times to reach you:  ________________________________________

Frequently Asked Questions about Teen Screen

Are TeenScreen results confidential?

In order to protect your child’s privacy, his/her screening results and related files will not be stored with his/her academic records.  Teachers will not be involved in the screening procedure.  If program staff believe that your child is in some danger, or is a danger to others, they will take action and notify appropriate personnel and/or necessary authorities.

What if I provide consent, but my child doesn’t want to participate?

Because we believe screening should be totally voluntary, your child may refuse to participate or refuse to answer any questions during the screening.  We will notify you by letter if your child chooses not to participate or is absent on the day of the screening.

Does TeenScreen recommend treatment?

The TeenScreen program and staff do not make any treatment recommendations. All possible treatment decisions are made by families in close consultation with a health professional after the completion of the TeenScreen Program.  Treatment recommendations are beyond the scope of the TeenScreen Program.

How accurate is the screening questionnaire?

The screening questionnaire was developed by Columbia University and research has concluded that it is effective in identifying youth with possible emotional problems. However, the questionnaire results are not a medical diagnosis.  Medical diagnoses are beyond the scope of the TeenScreen Program.

Can I see the questionnaire?

Yes. If you wish to review the TeenScreen screening questionnaire, the assent form your child will be asked to sign prior to his/her participation in the program, or any instructional materials related to the screening, please submit a request to Mary Anne Cox at the NAMI:CV office, 561-2685, and you will be notified of the time and place where you may review these materials.

Where does TeenScreen get its support?

The program is supported by foundations and local communities.  It is operated as a non-profit public service and accepts individual donations to help provide free screening services to local communities.  The program receives no funding from pharmaceutical companies.

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