Tuesday, May 2, 2023

Welcome
8:30am-9:00am

WELCOME, CELEBRATIONS, & CONFERENCE OVERVIEW

Presenter: Washington School-Based Health Alliance

Keynote
9:00am-10:00am

FOSTERING RESILIENCE, WELLNESS, AND RACIAL JUSTICE IN SCHOOLS AND SCHOOL-BASED HEALTH CARE

Presenter: Martha Merchant, Psy.D., HEARTS, University of California San Francisco

Session Description: This Keynote will describe the HEARTS principles of trauma-informed systems, explicitly examine the way bias and societal oppressions (e.g., racism) can be experienced as trauma, and provide strategies at both the individual and the systems level.

Learning Objectives: Participants will be able to:
1. Describe at least four of the six HEARTS principles for trauma-informed care:
a. Understanding Trauma & Stress
b. Cultural Humility & Equity
c. Safety & Predictability
d. Compassion & Dependability
e. Collaboration & Empowerment
f. Resilience & Social Emotional Wellness
2. Explain two strategies for mitigating burnout and vicarious trauma.
3. Plan one change in individual practice to become more trauma-informed.

Breakout Sessions
10:10am-11:25am

FOSTERING RESILIENCE, WELLNESS, AND RACIAL JUSTICE IN SCHOOLS AND SCHOOL-BASED HEALTH CARE, PART II: FOSTERING CULTURAL HUMILITY & EQUITY

Presenter: Martha Merchant, Psy.D., HEARTS, University of California San Francisco

Session description: This breakout session will take a deeper dive into the HEARTS principle, Cultural Humility & Equity, as it relates to the other five principles. In the session there will be opportunities for reflection and planning at the individual level and at the systems level.

Learning Objectives: Participants will be able to:
1. Explain at least three ways societal oppressions (e.g. racism) are trauma-inducing.
2. Select two strategies for decreasing implicit bias at the individual level.
3. Analyze one system-level policy or procedure and describe a shift or change that would make it more trauma-informed.

SBHC CLINIC COORDINATOR TOOLKIT: PRACTICAL STRATEGIES & GUIDANCE TO ENHANCE SBHC COORDINATION, UTILIZATION & EFFICACY

Presenter: Janni Sun, School Services Administrator, International Community Health Services (ICHS)

Session Description: Those in school-based health center (SBHC) clinic coordination roles are the backbone of every well-oiled SBHC, but it can be really challenging to handle all the moving parts of a SBHC. Clinic coordinators navigate the intricacies of collaboration with the school, families, and students while managing daily operations, schedules, supply orders, SBHC-sponsored events and campaigns, and everything in between. This session will provide an overview of a draft Clinic Coordinator Toolkit developed with coordinators from around Washington state, share the practical strategies and guidance offered within the toolkit, and engage the audience in an interactive activity. This session is geared towards new SBHCs looking to develop their clinic coordinator position as well as long-standing SBHC teams looking to support clinic efficiency and staff retention.

Learning Objectives: Participants will be able to:
1. Describe the SBHC Clinic Coordination role and understand how the role enhances SBHC access, coordination, utilization, and efficacy.
2. Describe the purpose and usefulness of the SBHC Clinic Coordinator Toolkit to the ongoing operations of a SBHC.
3. Identify practical strategies and tools they can share with current or future SBHC program leadership and clinic coordinators.

SUPPORTING GENDER-DIVERSE YOUTH IN SCHOOL-BASED HEALTH CARE

Presenters:
—Gina Sucato, MD, MPH, FSAHM
—Aviva Rubin, ARNP

Session Description: Research and studies show that gender-diverse youth having access to affirming health care reduces risks of trauma, deteriorating mental health, suicidality, violence, homelessness, and other critical health risks. School-based health services and school-based health centers (SBHCs) play a crucial role in providing access to safe, supportive, age-appropriate, and affirming health care for youth. In this session, the presenters will speak to the continuum of care and support SBHCs can provide to gender-diverse students, while balancing the complexities of age-appropriate conversations with youth, family/parent engagement, developing program policies/procedures/workflows, consent, collaboration with school partners, referrals, and other considerations.

Learning Objectives. Participants will be able to:
1. Define and describe the continuum of affirming health care and services for gender-diverse youth.
2. Summarize national data and emerging science around the importance of affirming health care on health outcomes for gender-diverse youth.
3. Describe the range of approaches and services that can be considered in school-based health settings to improve access to affirming health care and to improve health outcomes for gender-diverse youth and their families.

Breakout Sessions
11:35am-12:50pm

SBHC OUTREACH:  KEEP IT SIMPLE, MAKE AN IMPACT

Presenter: Tammy Alexander, M.Ed., Vice President of State Relations, National School-Based Health Alliance

Session description: During this session, participants will explore the following questions about school-based health center (SBHC) outreach: 1) why bother?, 2) how do you do outreach with limited time and resources?, and 3) what are examples of successful outreach efforts? Participants are encouraged to bring their challenges, share their successes, and determine an outreach priority for their SBHC. Note: Outreach is critical to reaching specific populations who may not be utilizing a school-based health center (SBHC) and have limited to no access to care elsewhere. Participants will hear strategies for how to overcome barriers and share experiences from the field using targeted outreach for harder-to-reach populations.

Learning Objectives: Participants will be able to:
1. Understand why intentional outreach is vital to the success of their SBHC.
2. Identify target audiences for outreach.
3. Understand messaging to target audiences.
4. Receive sample goals and a worksheet for developing SBHC outreach strategies.

PARTNERING WITH YOUTH IN SBHCs 

Presenters:  Youth working with SBHCs across Washington

Session description: The purpose of school-based health centers (SBHCs) is to provide care and support students where they already spend much of their time–at school. Many SBHCs find it meaningful to collaborate and partner with youth in the beginning stages of planning, and throughout the lifespan of SBHC operations. Outreach and engagement of youth is critical to building trust and rapport that is necessary for optimal access and utilization of services. Hearing from youth about their health needs directly informs decisions, policies, and the direction of SBHC services. In this session, you will learn from youth who are actively involved with their SBHC through student heath councils, advisory committees, peer health advocacy, and/or health education. Additionally, you will learn about the unique and shared experiences of youth around outreach, engagement, community needs, and trends in youth-SBHC partnership and collaboration.

Learning Objectives: Participants will be able to:
1. Learn how youth needs and youth voice can inform SBHC services and functioning.
2. Learn how SBHC staff collaborate and partner with youth that are engaged in health promotion, peer education, and/or youth-adult partnership and advising.
3. Deepen understanding of the visions and challenges of diverse SBHCs, and how partnership with youth can vary within different school communities.

POLICY PANEL 

Moderator: Erin Wick, Executive Director for Integrated Student Support and Prevention, Intervention, and Treatment Services, Educational Service District 113 (ESD 113)

Video message from:
—Senator Patty Murray

Panelists:
—Congresswoman Kim Schrier, MD
—Representative Monica Stonier
—Senator Annette Cleveland

Session Description: Legislators will share their perspectives on progress made in policy and funding support of school-based health care in the past few years at the federal and state levels, as well as the challenges and opportunities ahead.

Wednesday, May 3, 2023

Morning Plenary
9:00am-10:00am

SCHOOL LEADERSHIP PANEL 

Moderator:  Jay Fathi, MD, Plan President & CEO, Molina Healthcare

Panelists:
—Angelica Alvarez, School Board Member, Highline Public Schools, Burien
—John Boyd, Superintendent, Evergreen Public Schools, Vancouver
—Chris Gardea, Assistant Superintendent, Walla Walla Public Schools, Walla Walla
—Mary Sewright, Superintendent, Mount Baker School District, Deming
—Jenny Slagle, School Board Member, Spokane Public Schools, Spokane

Session description: School district leaders will share what health care needs they see among their students and school communities, why and how they are partnering with healthcare agencies to help address those needs, and how they see school-based health centers supporting school climate, educational outcomes, and equity.

Breakout Sessions
10:10am-11:25am

BEHAVIORAL HEALTH DURING A TIME OF HIGH NEED & WORKFORCE SHORTAGES: PRACTICAL SYSTEMS APPROACHES FOR EQUITABLE & COORDINATED CARE IN SCHOOL-BASED HEALTH CENTERS 

Presenters:
—Jodie Buntain-Ricklefs, MSW/MPH, Assistant Director, UW SMART Center
—Kelly Whitaker, PhD, Research Consultant, UW SMART Center
—Rachel Gordon, School Based Mental Health Clinical Manager, Neighborcare Health

Session Description: Acknowledging the current increasing demand for youth mental health services in hand with gaps in the number of needed clinical staff serving youth, this session will cover practical and equitable approaches to the delivery of behavioral health services in the school-based health center (SBHC) setting. We will provide an overview of SBHC services and discuss strategies and tools for effective and coordinated service delivery. This session will also cover content on supporting school-based teams and approaches to meeting increasing demands.

Learning Objectives: Participants will be able to:
1. Learn about behavioral health services in SBHCs.
2. Learn about strategies to increase equity and access to youth in SBHCs.
3. Learn about approaches to improve the implementation of mental health services in SBHCs.
4. Learn about results from a recent pilot student on a briefer approach to mental health care in a school setting.

CONSENT & CONFIDENTIALITY IN SCHOOL-BASED HEALTH CARE 

Presenters:
—Nick Canavas, MPH, School-Based Health Program Manager, Neighborcare Health 
—Sara Rigel, MPH, School-Based Partnerships, Public Health—Seattle & King County 

Session Description: How do schools and school-based health centers (SBHCs) work together to serve students while navigating Washington state and federal laws around consent and confidentiality?  This session will provide an overview of Washington state minor consent laws, HIPAA vs. FERPA in school-based health care, and how schools and SBHCs manage these issues contractually and in day-to-day practice.  Presenters will provide examples of how SBHC integration with the school, and policy and practice around information-sharing between partners, advance equity for students who need care the most.   

Learning Objectives. Participants will be able to:
1. Gain an understanding of how HIPAA, FERPA, and Washington state consent laws apply in the context of school-based health care.
2. Understand how information-sharing between SBHCs and school partners happens and how it can improve student referrals, coordination of care, program monitoring and evaluation, program improvement, and data to justify SBHC support and funding.
3. Learn how policies and practices for consent, release of information, and protecting student privacy are implemented in school-based health care.
4. Be able to describe how integration, collaboration, and information-sharing between partners can improve access to care for students who need health services the most.

ADOLESCENTS & REPRODUCTIVE HEALTH JUSTICE: ADVANCING EQUITY IN ACCESS AND QUALITY OF CARE

Presenter:  Kenisha Campbell, MD

Session Description: Join this session to learn about the frameworks that have shaped reproductive access in the U.S. Understand the historical and political context of reproductive justice and how it impacts reproductive access and care delivery. Recognize the role of intersectionality and social determinants of health in health disparities in adolescents. Learn strategies to provide reproductive healthcare to adolescents utilizing a reproductive justice-centered approach.

Learning Objectives. Participants will be able to:
1. Identify the three central frameworks of reproductive decision-making.
2. Define reproductive justice in health care delivery.
3. Review the history of reproductive justice in the U.S.
4. Describe reproductive health in adolescents in the U.S.
5. Explore principles of reproductive justice-centered reproductive health counseling for adolescents.

Breakout Sessions
11:35am-12:50pm 

SELF-CARE: IT’S A GROUP EFFORT  

Presenters:
—Jill Patnode, MSW, Thriving Schools Director, Kaiser Permanente
—Jackie Vizarre, CWWPM, Workforce Health Consultant, Kaiser Permanente
—Lisa McDonald, School-Based Health Centers Program Manager, Kaiser Permanente

Session description: Healthy staff are our most valuable resource for creating safe and supportive learning environments. This workshop will explore why individual and collective wellbeing are challenging and necessary skills. Participants will be introduced to the components of wellbeing and explore using the SELF-CARE acronym and Thriving Schools Staff Wellbeing Assessment as a way to strengthen the long-term wellbeing of staff.

Learning Objectives. Participants will be able to:
1. Describe how stress can be toxic and ACES (Adverse Childhood Experiences) impact the whole school, including staff well-being.
2. Access a framework and tools to strengthen staff well-being and resiliency in school settings.
3. Practice at least three SELF-CARE resources and/or activities.

PREVENTIVE CARE AS A GATEWAY TO EQUITABLE CARE 

Presenter: Michelle Mitchell, MSW, Program Manager, Washington School-Based Health Alliance

Panel moderator: Alexis Bates, MA, MSW, Adolescent Health Consultant, Washington State Department of Health

Panelists:
—Peter Asante, MD, Community Health of Central Washington, Yakima
—Norma Hernandez, Executive Director, The Health Center, Walla Walla
—Komal Shah, MD, Lummi Tribal Health Center, Lummi Nation
—Jessica Hudson, DDM, Lummi Tribal Health Center, Lummi Nation

Session Description: School-based health centers (SBHCs) provide comprehensive and integrated healthcare services to young people where they already spend much of their time–at school. They provide services that are youth-friendly, age-appropriate, and culturally-responsive, and provide equitable access to historically marginalized youth, families, and communities. SBHCs are integral to the healthcare continuum for young people and their families, particularly for those who may have limited access to care and services elsewhere. This session will provide a brief overview of SBHCs, their role in the healthcare continuum, and their power in improving health equity. A panel of SBHC providers and leaders will share their stories, experiences, and answer questions on the importance of providing preventive care in SBHCs as a gateway to equitable care in their communities.

Learning Objectives. Participants will be able to:
1. Understand the foundations of a SBHC model of care and the range of services that SBHCs provide, including preventive care.
2. Describe how access to preventive care in SBHCs can lead to increased access to health care in the community, utilization of health care long-term, and agency among youth to self-advocate and navigate the healthcare system.
3. Describe how access to preventive care in SBHCs advances equity in health, education, and opportunity for children and youth.

HYBRID, TELEHEALTH & MOBILE MODELS OF CARE TO SERVE DIVERSE SCHOOL COMMUNITIES: INNOVATIONS & LEARNING IN WASHINGTON

Presenters:
Mobile model:
—Rebecca Larsen, MSW, Family Navigator, Port Angeles School District
—Carlos Osorio, Outreach & Navigation Manager, North Olympic Healthcare Network
Telehealth model:
—Charisse Pope, MA, MBA, LMHC, Better Health Together
Hybrid model:
—Alyssa Pyke, MPA, Student Support Manager, Educational Service District 113
—Stephen Edwards, DDM, Elma Family Dental

Session description: Every community is unique, and the way that school-based health care is delivered in each community will look different as a result. Whatever the model of care, local collaborations to provide school-based health services share the same goals of supporting children and youth in their health, education, and lifelong wellness.   In this session, three communities will share how they are providing school-based health services through telehealth, mobile, and hybrid models of care.  Each will describe the health needs identified in their school community, how they chose the model of care to pilot, and their successes, challenges, and lessons learned so far. 

Learning Objectives. Participants will be able to:
1. Identify communities being served through the implementation of hybrid, telehealth, and mobile models of school-based health care; each community’s diverse health care needs; and the services being provided in each community.
2. Describe the successes, challenges, lessons learned, and long-term visions of each project.
3. Learn how each model and project is centering and/or improving health and educational equity.
4. Hear where there are opportunities for growth and advocacy to sustain and expand innovative models of school-based health care.

Youth Panel
1:00pm-2:00pm

YOUTH PANEL

Moderator:  Magdalene Tran, Health Educator, Public Health—Seattle & King County

Youth panelists: Youth representing diverse communities across Washington

Session description: Youth will share their perspective on how school-based health care and services are responding to the diverse needs of students. Learn how school-based health care and services are improving (or have the potential to improve) a youth’s relationship with their own health and the health of their school community.