Programmatic Monthly Report
The purpose of this report is to track the qualitative activities and overall progress of each LEA pilot site. The information will be collected and summarized annually in the Annual Performance Report.
Name
*
First Name
Last Name
Organization
*
Please Select
Carson City
State Public Charter Authority
Washoe
OSP
LEA
Carson City
State Public Charter Authority
Washoe
Month
*
Please Select
January
February
March
April
May
June
July
August
September
October
November
December
Year
*
Date
-
Month
-
Day
Year
Date
I. Project Identification and Key Contacts
Describe staffing or role changes, names of individuals that hold the roles and if there was a change, when did it occur? What have been your efforts toward sustaining key staff positions?
Back
Next
Save
II. Project Status: Key Activities Implemented and Partners
Tier 1: Increase Awareness of Mental Health Issues Among School-Aged Youth
Objective 1A: Implementing Programming
1A. Describe the strategies you used to provide evidence-based, culturally competent social and emotional learning strategies to promote prosocial behaviors and resilience in school-age youth. Please include the names of evidence-based strategies that were used by schools.
1A.1. How many schools implemented evidence-based, culturally competent SEL strategies?
Objective 1B: Outreach and Training for Youth and Families
1B. Describe your approach to conduct outreach with school-age youth and their families to heighten awareness and identification of mental health issues, promote positive mental health, and support school- and community-based screening and early intervention. Describe the trainings that you provided to students and families in mental health promotion.
1B.1. How many emails were sent to families about mental health this month?
1B.2. How many social media posts were made about mental health this month?
1B.3.a. How many students participated in mental health promotion trainings this month?
1.B.3.b. How many family members participated in mental health promotion trainings this month?
Objective 1C: Engage Youth and Families in Program Planning and Implementation
1C. Describe your approach to conducting outreach and engagement with school-age youth, their families, and community providers/stakeholders to increase involvement in planning and implementation of school and community programs and services for school-age youth.
1C.1. How many families were contacted about program planning this month?
1C.2.a. How many program planning meetings were conducted this month?
1C.2.b. How many students or family members participated on teams or otherwise attended program planning meetings this month?
Objective 1D: Deliver Programs to Increase Mental Health Literacy
1D. Describe the evidence-based trainings that were provided to students, staff, and families in suicide prevention.
How many evidence-based suicide prevention trainings were conducted with school staff?
1D.1. How many school staff participated in these trainings this month?
How many students participated in these trainings this month?
How many family members participated in these trainings this month?
Back
Next
Save
Tier 2: Train Staff to Detect and Respond to Mental Health Issues
Objective 2A: Deliver Tier 2 Services
2A. Describe the approaches that you used to meet the needs of students with evidence-based, developmentally appropriate, and culturally competent school-based Tier 2 services and supports for students who may be exhibiting signs of stress and/or trauma. Please provide descriptions of specific trainings that were conducted in evidence-based services and practices (e.g., SEL, MTSS, risk assessments).
2A.1. How many school staff participated in trainings in evidence-based practices and services to address students’ SEL and behavioral needs this month? These trainings may cover topics such as SEL, MTSS, and risk assessments.
2A.2. How many new students received Tier 2 supports this month?
Objective 2B: Implement Mental Health Screening
2B. Describe your approach to training school-based professionals to implement mental health screening to detect early signs of mental health issues, identify strengths in school-age youth, and refer school-age youth with mental health needs to supports.
Tier 2 Goal B: Provide training for school personnel and other adults who interact with school-age youth to detect and respond to mental health issues.
2B.1. How many students were screened this month?
2B.2. How many referrals to school-based Tier 2 services were made this month?
Back
Next
Save
Tier 3 Goal: Connect School-Aged Youth to Needed Services
Objective 3A: Deliver Tier 3 Services
3A. What approaches did you use to respond to the needs of youth who may be exhibiting behavioral/psychological signs of a severity indicating the need for clinical intervention? Describe your entry and exit requirements for Tier 3 services, if developed.
How many referrals to community-based services were made this month?
3A.1. How many students were referred to Tier 3 services this month (in-school or outside of school)?
3A.2. How many new students received school-based Tier 3 services (in-school or outside of school)?
How many new students received Tier 3 services outside of the school?
Objective 3B: Establish Community Partnerships
3B. What progress did you make towards developing community and school partnerships for protocols and procedures for students in crisis or with SED/SMI? Please provide names of organizations that you developed partnerships and a description of the role that they will play in implementing the grant.
3B.1. With how many organizations did you enter into formal written inter-organizational agreements this month?
3B.2. How many shared transition plans did you establish this month?
3B.3. How many shared crisis stabilization plans did you establish this month?
Back
Next
Save
Systems Goal 4: Develop State and Local Infrastructure to Expand and Sustain Integrated Multi-Tiered System of Support
4A. What progress did you make toward achieving proficiency in providing universal, targeted, and individual supports in an MTSS framework with fidelity?
Did you participate in any District Leadership Team meetings this month?
Yes
No
4A.1. How many District Leadership Team meetings did you participate in?
4B. What progress did you make toward developing an infrastructure that will sustain and expand mental health and behavioral health services and supports for school-age youth when federal funding ends by billing Medicaid for eligible services?
4B.1. How many school-based staff participated in trainings related to bhworks this month?
4B.2. How many district-based staff participated in trainings related to bhworks this month?
Back
Next
Save
III. Disparities Impact Strategy
Strategies to Support LGBT Youth
What trainings or other strategies did you implement to reduce disparities/health inequities for LGBT youth?
How many staff participated in trainings targeted at reducing disparities/health inequities for LGBT youth?
Strategies to Address Racial Disparities
What trainings or other strategies did you implement to reduce disparities/health inequities for students of color? Please describe the ways that you integrated the CLAS Standards to be more culturally and linguistically responsive to the ethnic/racial populations.
Students of color include: youth who are non-white Hispanic, American Indian/Alaskan Native, African American/Black, Asian, or Multiracial
How many staff participated in trainings targeted at reducing disparities/health inequities for youth who are non-white Hispanic/Latino youth, American Indian/Alaskan Native, African American/Black, Asian, or Multiracial?
Please provide the number of students who were referred to and who received Tier 2 and 3 services this month by racial group?
Referred to Tier 2 or 3 Services
Received Tier 2 or 3 Services
White
Non-white Hispanic/Latino
American Indian/ Alaskan Native
Black / African American
Multiracial
Asian
Back
Next
Save
IV. Challenges, changes, and activities planned
Please provide any examples of: Challenges and Barriers at the Local Level
Please provide any examples of: Changes or Adaptations to Logic Model
Please provide any examples of: Activities Planned for Next Quarter
Save
Submit
Should be Empty: