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The International
Child and Youth
Care Network
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RE-EDUCATION Community Mental Health — in an alternative school, in the public schools, and in the kitchen! Cindy Long, John Page, Beth Hail, Tifffany Davis, and Len Mitchell
Weems Academy: An alternative school
Weems Academy is a private, therapeutic alternative school in Clarksville, Tennessee, that serves 75 boys and girls, ages 5 to 19, in four Tennessee counties and Fort Campbell, Kentucky. Weems students enter the academy as referrals from the local school system through the Individual Education Plan (IEP) processor, as residents in one of Centerstone’s two residential group homes referred because their behaviors interfere with their ability to be maintained in public school regular or behavioral classes. Many of these students exhibit aggressiveness, poor coping skills, truancy problems, depression, anxiety, or poor impulse control. The goal of the staff at Weems is to help the students acquire the knowledge and skills they need to contribute as responsible citizens. Staff work closely with families to increase their effective communication in order to deal positively with their children’s behaviors. Students participate in daily pro-social skills training groups, vocational training opportunities, and a daily character education class. Highly individualized educational plans are designed for each student. Community involvement is strongly encouraged through school-sponsored community service projects. These projects start on campus and then move out to the community as the students demonstrate self-control and responsible behaviors. Staff Training, and Ongoing Evaluation Although there is a therapist, all members of this team are trained to work with clinically sound interventions to facilitate students’ behavioral improvement. We believe that all good teaching and all good interventions are therapeutic; successful living is healing. All staff members are trained in the Crisis Prevention Institute’s (CPI) Nonviolent Crisis Intervention’ program, as well as Life Space Crisis Intervention (LSCI). Each month, every staff member attends and participates in inservice training sessions dealing with relevant subjects, such as documentation, DSM-IV (Diagnostic and Statistical Manual) diagnosis, LSCI refreshers, IEP writing and programming, first aid, and communication. Satisfaction surveys are completed each month by parents, students, and staff members. Surveys are also sent to contracting agencies twice a year. In addition, the school tracks key indicators of student progress such as attendance, grades, achievement scores, incident reports, and behavior and academic goal accomplishment. The staff meets every morning to evaluate the school’s progress, share problems, and celebrate successes, both large and small. Programming for Successful Living Clubs Pets Community Service Peer Mediation Family Enrichment The clubs, the peer mediation, pet training,
and the strong emphasis on improving academics relate directly to developing a
sense of competence in the students. The staff understand that there should be
some joy in each day, and they attempt to provide a variety of fun and
challenging experiences in their daily classes and clubs. Many of the students
have not had an opportunity to have hobbies and interact with adults in a loving
and trusting fashion. Students become involved in many rituals and ceremonies.
Staff members understand that many of the families do not have the time to sit
and eat with each other. Family Enrichment Night is an attempt to help the
families establish some family rituals centered around sharing dinner and
playing games together. Peer mediators help their peers realize that they can
learn to have self-control. All staff members are trained in the principles of
Re-ED and find that these wonderful principles provide them with creative,
exciting ways to help Weems students realize their potential and gain the
confidence they will need to be successful adults. School-Based Mental Health Services Centerstone provides school-based mental health services in both public and private schools in middle Tennessee, currently serving 35 schools with 45 case managers for 1,200 boys and girls, ages 8 to 18. Teachers and guidance counselors refer students with a wide variety of problems, including withdrawal and isolation, excessive anxiety truancy or running away from home, aggressiveness with peers and teachers, destruction of property, poor impulse control, and the inability to develop self-enhancing and! or self-sustaining behaviors. Case managers work with students, teachers, families, courts, extended family members, and others in the child’s ecology to help each student gain control over problematic behaviors, learn positive behaviors in response to negative feelings, and improve their relationships with others. In addition, case managers help teachers gain a more effective understanding of positive ways to work with the student and family, as well as help parents to increase their understanding of their child’s behavioral strengths and weaknesses, and increase their skills in addressing behavior problems. There are clear advantages in providing this type of service in the school setting. First the student is more willing to accept help from someone at the school than from someone at the mental health center because of the stigma associated with receiving mental health services. Our review of service data indicates a dismal 50% no-show rate for clinical appointments at the center, in spite of the average 90% client satisfaction ratings given our clinical workers. Second, the parents are also more willing to receive the services at school than at home or at the clinic. Case managers tell us the best way to get the parents into school for a family appointment is often to attempt scheduling a home visit as an alternative. It is as important for the family to receive support and guidance as it is for the child to receive this help. Staff and Training Staff receive specific training on a wide range of topics needed to help children and adolescents with significant emotional and behavioral problems. From Life Space Interviews to crisis intervention and prevention, staff learn how to interact with clients to teach self-control and pro-social competencies. Direct and purposeful training makes them aware of the principles of Re-ED. In every aspect of their work, each staff member has flexibility and choices about how to interact with clients and family members. When given a philosophical basis in which to carry out their duties, staff become able to demonstrate the spirit of Re-ED concepts. For example, they understand that in order to develop trust with students, they must develop positive relationships. In addition, staff emphasize teaching functional skills to students rather than providing psychotherapy. By helping students to learn more effective problem-solving skills, we demonstrate that “intelligence can be taught,” “competence does make a difference,” and “self-control can be learned.” Skill-Building Groups in the Classrooms Often the group members who exhibit aggressive and antisocial behavior leave the group meetings and are able to turn to a peer and ask, “How are you feeling today?” and “Why are you feeling that way?” This way of greeting is a skill they acquire in group and one that they may not even observe in their own home environment. This daily “check-in” ritual, ascertaining how each one is doing, also encompasses the Re-ED principle that feelings should be nurtured. The weekly continuity of a structured group time together builds trust between students and group leaders, helping build community within the classroom. The point system encourages students to monitor their own behaviors and to develop self-control. Evaluating themselves in front of peers helps the student be accountable to the group. Life is to be lived now Responsive Evaluation To see if all of the parties agreed regarding the child’s progress, we compared the overall ratings given by the parents, teachers, and clients. We were pleased to find they tended to agree with each other As indicated in the table below, the percentiles show the overall rating given by each of the groups:
Overall, it appears that students are making
progress with the support and guidance they receive from their school-based case
manager or therapist. A Community Kitchen: Teaching Job Skills
The Wallace Academy Community Kitchen was developed to address two needs: preparing troubled teens for jobs and feeding the hungry in Nashville. The project was based on funding from Phillip Morris Companies, Inc., through Foodchain’s Community Kitchens, with matching support from Centerstone Community Mental Health Centers, Inc., the program’s parent organization. It is a prepared food / job-training program that teaches culinary skills to Wallace Academy students while providing meals to Nashville citizens in need of help. The program completed its first year of operation, having produced 5,156 pounds of food with 10,271 meals distributed to 16 recipient community agencies. At the current rate, the program is projected to feed 60,213 hungry people this year through close collaboration with Nashville’s Table and Second Harvest Food Bank. We recently learned from a national Community Kitchens Conference that ours is the only project of its kind in the United States, one worth replicating. The project also is closely connected to the community through a strong and diverse advisory council and is fully endorsed by the Metropolitan Health Department. Operating within Centerstone’s commitment to creating and sustaining behavioral health services that champion individuals, families, and communities, the Wallace Academy Community Kitchen program helps students, ages 16 to 19, re-adjust to society in order to lead a self-sustaining life. This is being accomplished by providing students with valuable vocational training, life skills, and job placement through the delivery of a chef training program and a student-operated grille. The Wallace Academy Community kitchen program collaborates with local food rescue operations to address the needs of the hungry, needy, and homeless populations through the operation of a community kitchen. The program also involves the community through establishing partnerships with key organizations that have shared missions and interests. The program’s manager testified last year before a bipartisan Senate! congressional hearing on hunger held in Washington, DC. Through this meeting, the project was designated as a model to be implemented in school systems across the nation. With collaboration between America’s Second Harvest, DC Central Kitchen, Sodhexo Marriott, and the American Schools Food Service Association, the key elements of Wallace Academy’s Community Kitchen project will be made available in schools nationwide. Program Staff As Wallace Academy principal and grant write; Dr. Sidney Levy originally conceived of beginning a chef training program at the Wallace Academy in collaboration with other local professionals. His extensive experience in health care administration, special education, and vocational program design and delivery facilitated securing program support. Coincidentally, Dr Levy served on the faculty of Vanderbilt University’s Peabody College with Dr Nicholas Hobbs. Assistant chef/trainer Willie Jemison has 20 years of successful experience in the restaurant business and holds a degree in culinary arts. He has made several valuable contributions to our operation and has become an integral part of the Wallace Academy Community Kitchen. Food service supervisor Sherrie Baker has 15 years of successful experience in food service and 7 years experience working with special education students. She holds a key role in the program. Line chef Jason Anderson is the first Wallace Academy student to achieve full-time employment with our agency. Mr. Anderson recently graduated from high school and completed the 14-week chef training program and an 8-week culinary arts internship. He demonstrates a strong desire to help students to succeed and to enhance his community. Re-Inventing Re-ED in the Community Kitchen Trust between the child and adult is
essential. Competence can be considerably enhanced. Communities are important. The discoveries we have made in designing this program are surprisingly simple. Maintaining our focus on these elegant simplicities and continuing to integrate the basic principles of Re-ED will be a great challenge. We must maintain and enhance our commitment to student empowerment. We must allow them responsibility for the decisions and experiences of their lives. We can only continue to provide opportunities and model success for them. It must be part of everything that we do. References
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