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Download Mental Health Care in Denver Health School Based Health Clinics
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Scot McKay, MD Denver Health and Hospital Authority Assistant Professor 1987 – Denver Health received a grant to open the first School Based Health Center at Abraham Lincoln High School As of 2015/16, there are 17 SBHCs throughout Denver Public Schools (DPS) Every student enrolled in the DPS system has access to either their community school clinic or 3 district clinics. Siblings of DPS students also eligible for services. Collaborative effort within the community including Denver Health, Denver Public Schools, Mental Health Center of Denver, and Jewish Family Services. ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ ◦ Kepner Lake Rachel B Noel Bruce Randolph Kunsmiller MLK Jr Abraham Lincoln North Thomas Jefferson Florence Crittenton ∘ ∘ ∘ ∘ Montbello South West JFK ∘ Place Bridge ∘ Evie Dennis ∘ Manual Screening process for all appointments Internal from school or feeder school Internal from Denver Health Outside agencies All students 6th grade and higher complete Adolescent Confidential Health History, regardless of reason for visit 53 questions regarding physical and mental health, family health history, psychosocial assessment, etc. Provided confidentially, away from parents, to increase likelihood of honest responses English and Spanish languages offered in all clinics 13 questions address possible Depression ‘Yes’ response to depression questions indicates PHQ-9 follow-up Mental Health Related Questions 9 numerically scored questions & 4 yes/no questions Score 0-4: PCP discretion, not entered in registry Score 5-27: follow-up, entered in registry ◦ Score 5-9: re-assessed within one month, PCP discretion for additional services ◦ Score 10-19: entered in registry as Clinically Significant Depression, patient preference for medication/psychotherapy or both ◦ Score >20: entered in registry as Clinically Significant Depression, combination of psychotherapy and medication recommended Therapy alone Medication management Consultation with teachers, school social workers, and/or school psychologists ◦ General consultation ◦ IEP and 504 meetings ◦ Suicide Risk Assessments
