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Palo Alto Unified School District Henry M. Gunn High School 780 Arastradero Rd Palo Alto, CA 94306
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PG. 8 FEATURES
THEORACLE Henry M. Gunn High School
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Friday, May 19, 2017
Volume 54, Issue 8
780 Arastradero Road, Palo Alto, CA 94306
Children’s Health Council Launches Intensive Outreach Program
Aleks Tycz Centerfold Editor
Jeffrey Yao
Kaya van der Horst Forum Editor The Children’s Health Council (CHC) launched its first Intensive Outpatient Program (IOP) on May 8, marking a pivotal point in expanding local teen mental health services. The program will address the needs of high school teens ages 14 to 18 who show signs of significant anxiety, depression or suicidal thoughts. According to CHC Head of Adolescent Mental Health services and adolescent psychiatrist Dr. Lynette Hsu, the IOP will offer a higher level of care, suitable as a middle ground treatment for patients transitioning to different levels of care. Patients going from more intense levels of care such as residential treatment or hospitalization will have an easier transition to regular outpatient work. The IOP also helps adolescents whose symptoms have not greatly improved from weekly outpatient care. “Patients may be having difficulty getting better or having their symptoms significantly reduced with just regular outpatient care, so the IOP is great if they need a step up [in the] level of care,” Hsu said. The IOP will accommodate up to eight teens at a time and be offered on a rolling basis. According to Hsu, this intimate, small-group setting effectively fosters stronger relationships between patients and their mental health providers. The program will run for 12 weeks, four times a week from 3 to 6:15 p.m., enabling teens to keep their daily routines as normal as possible. While it is not mandatory for patients to disclose their participation in the program with their respective schools, the strenuous time commitment may result in scheduling conflicts. However, mental health providers are sworn to confidentiality by law and will only share information
PAUSD selects new counseling provider
with the permission of the patients. This is where communication plays a key role in the success of overall improvement, according to Hsu. “We would encourage communication with schools because people get better when they receive support from more than one area in their life,” she said. “School is such a big part in a teenager’s life and it’s a lot of time to be in a program, so the school could make accommodations to make it more accessible for teenagers to be in such an intensive program.” Another unique feature to CHC’s IOP is its basis on Dialectal Behavior Therapy (DBT), a therapy designed to be particularly effective among individuals struggling with behaviors that interfere with their normal activities and life pursuits. Unlike other forms of therapy, DBT is very support-oriented, placing a heavy emphasis on collaboration and learning how to regulate emotions. Its multiple components incorporate individual, group and multifamily therapy. “There is a feel-safe learning component, which is typically taught in a group, an individual therapy component and a parent-skill component,” Hsu said. “Because we’re talking about teenagers, parents and family are very important.” CHC psychologist Dr. Anna Parnes described how a typical day in the program starts off with a check-in and snacks. “The first part of the day is more experiential and about practicing mindfulness by doing mindfulness movement and mindfulness art,” she said. Considering that patients are coming directly from school, expressive forms of art such as dance and poetry give patients the opportunity to stay grounded. The latter part of the day transitions to a skills training group where patients learn coping and problem solving skills. IOP—p.2
After a 20-year relationship with the nonprofit Adolescent Counseling Services (ACS), Palo Alto Unified School District (PAUSD) decided to cut ties with the middle and high school counseling provider in April. ACS currently provides counseling to students in PAUSD’s five middle and high schools. Through the use of licensed therapists and supervised interns, the nonprofit offers services to an estimated 650 to 800 individual students. Following two previous budget increase proposals, ACS recently requested an additional $50,000 in funding for their programs. In light of recent district budget shortfalls, this additional funding would be a significant increase to the $100,000 the district currently pays to the provider. In response to this change in cost, the district elected to release a Request for Proposal (RFP) for counseling services. The RFP brought in proposals which included possible care plans and budgets from several potential new providers. Principle Dr. Denise Herrmann cited the change in cost as the reasoning behind the RFP. “There are aspects of school-based funding that require us to do an RFP,” Herrmann said. “Costs have historically fluctuated around 10 [thousand] to 20 thousand [dollars] and therefore did not garner the need for an RFP.” Superintendent Dr. Max McGee described the decision to release an RFP as a standard and necessary business practice. “The ACS proposal came in significantly more than it had been in the past and we had not had a review of their services for a long time,” he said. “After so many years it makes sense to go out and test the market.” Following the RFP, the district received no proposal from ACS; the non-profit decided not to respond to the RFP. “Our goal as an organization has always been to provide quality long-term treatment, and recently the schools have seen a large volume of students seeking short-term services,” ACS School and Community Based Services Director Christine Tam said. “While a short-term-oriented provider does make sense in some ways, the release of the RFP drove us to reevaluate our priorities and our organization’s growth. We wanted to recommit to our long-term, family-involved treatment method, and because of that, decided against entering the RFP.” According to the district, the decision to switch providers did not pertain with short versus longterm care treatment. “We made the decision based on cost and the services you get for the money. It was also helpful that the same group providing care to our primary schools would now work in our secondary schools,” McGee said. “This will be a school- based model, and for longer-term care we will need to refer students to where their needs are best met.” ACS and the new counseling provider, nonprofit Counseling and Support Services for Youth (CASSY), plan to work closely to provide the smoothest transition for students previously receiving ACS services. COUNSELING—p.3