2005 S Health - Chapel Hill-Carrboro City Schools for Behavioral Counseling Services

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~. -~,Y ~ , ~~ ~~~~ ~L CHAPEL HILL-CARRBORO CITY SCHOOLS MENTAL HEALTH CLINICAL SERVICES AGREEMENT WITH ORANGE COUNTY HEALTH DEPARTMENT THIS AGREEMENT, made and entered into the 1st day of September, 2005, by and between the Chapel Hill-Carrboro City Schools, hereinafter referred to as "CHCCS" and the Orange County Health Department, hereinafter referred to as "OCHD" that is part of the County of Orange. WITNESSETH WHEREAS, OCHD, through its Child and Adolescent Psychosocial Counseling Services, is willing to provide consultation related to child and adolescent Mental Health to CHCCS personnel and to provide direct clinical services related to Mental Health to enrolled students in CHCCS, and is willing to collaborate on programs aimed at the promotion of mental health and the prevention of substance abuse and chemical dependency, AND WHEREAS, CHCCS desires to have such services in their school system, NOW, THEREFORE, in consideration of the above and the mutual covenants and conditions hereinafter set forth, CHCCS and OCHD agree as follows: Services to be Provided OCHD agrees to assist CHCCS in the identification of students with psychosocial issues that interfere with academic performance and to provide systematic intervention to such students. OCHD agrees to provide consultation to CHCCS staff with the services of a Mental Health (MH) counselor who will participate on site-based Student Support Teams (SST) and provide clinical treatment services to students enrolled in three CHCCS middle schools (McDougle, Smith and Phillips) and their families in accordance with state and federal laws and CHCCS and OCHD policies. Treatment services include group and individual counseling, mentoring, and consultation. In addition, selected 5~' grade students with psychosocial issues from feeder elementary schools may be served by the OCHD MH counselor to ease potential middle school transition issues. OCHD agrees to report activities, including the number of services rendered, to the CHCCS Health Services Coordinator monthly and agrees to serve on district-wide committees as appropriate. OCHD shall provide supporting documentation and/or data to the CHCCS Health Services Coordinator to assist with written program evaluation at the end of the school year. 2. Payments and Documentation CHCCS agrees to reimburse OCHD for clinical Mental Health services provided to middle school students at a rate of $25 per hour for 20 hours per week for 30 weeks of the 2005-2006 school year ending June 10, 2006. The contracted amount for Mental Health services equals $15,000. In addition, CHCCS will compensate OCHD in the amount of $1800 (12% of contracted amount) for administrative overhead. The full value of the contract is $16,800. OCHD will invoice CHCCS monthly. School based therapy Students identified by the schools' SSTs would be eligible to be seen by the MH counselor up to five times. These services may include early identification of violence and illegal drug use, counseling about violence and substance abuse, conflict resolution, and mentoring. If additional counseling therapy is deemed necessary and beneficial to the student, the OCHD MH counselor will contact the parent/guardian(s) regarding ongoing treatment. Community options will be offered, but a parent with a child covered by Medicaid may elect to continue counseling services with the OCHD counselor in the school setting. Medicaid billing for ongoing services will be the responsibility of OCHD. Should the student need long term or intense therapeutic mental health services, their parent guardian(s) would be referred to a provider of their choice. 2