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In a new Gothamist article, Dr. Ruth Gerson, The Foundling’s Senior Vice President for Mental Health Services, discusses the ongoing trauma that young students are facing as a result of the pandemic. One year in, young people continue to find it difficult to cope with the disruption, isolation, and stress that school shutdowns have brought on. “It can be very hard to have the psychological distance from it to try to unpack it and really do evidence-based trauma treatment,” she says.

Read more at Gothamist

MedPage Today’s new op-ed focuses on the impacts of the COVID-19 pandemic on two high-risk populations served by The Foundling – people with developmental disabilities and those in foster care.  Written by two members of The Foundling’s leadership team – Dr. Joe Saccoccio, our Chief Medical Officer, and Sashoi Grant, our Vice President of Nursing – the article details the lessons learned in providing medical care to these communities, from the importance of educating on safety measures to maintaining a focus on mental health.

Read the op-ed below:

 

Op-Ed: Forgotten Populations and COVID — Learning the right lessons
by Joe Saccoccio, MD, MPH, and Sashoi Grant

 

At The New York Foundling — one of New York’s longest-serving non-profit organizations — we know all too well how COVID has upended countless lives across the city. The communities and populations we support, totaling 30,000 each year, have been hit particularly hard — from people with developmental disabilities to children and families in crisis.

We now know that COVID-19 is three times more likely to have fatal outcomes among people with intellectual and developmental disabilities than the general population. And the data tells us that most children in foster care have higher instances of medical and mental health diagnoses than children who are not in foster care — from asthma, to obesity, to long-term illnesses like diabetes — all putting them at higher risk for contracting the coronavirus without intervention. The communities in our care at The Foundling have faced immense challenges this year and are some of the most at-risk heading into the next few months.

While we may be entering a second wave and a dark winter, we do know what could be in store. We’ve been intentional about revisiting the most challenging moments of the first wave in New York, and reflecting on lessons learned. Medical care is a critical part of the history and legacy of The New York Foundling. And today, we continue to support hundreds of thousands of our neighbors — and during COVID, our work has not changed.

New York has learned some of the toughest lessons from the pandemic and stands to be more prepared as we head into a difficult holiday season. Gov. Andrew Cuomo himself addressed the current surge, saying, “We lived this nightmare. We learned from this nightmare. And we’re going to correct for the lessons we learned.”

With more than 37,000 COVID-related deaths in New York and over 200,000 new cases a day across the country, what have we learned, and how can we correct it?

Lesson #1: Continue to educate on and adapt to new safety measures. As the state proceeds with its plan to emphasize mask-wearing, enforce social distancing, and prevent overflow at hospitals, we must do our part to educate and support people with developmental disabilities, children in foster care, and children and families receiving preventative services.

And it’s not just why, but how we educate people that is so important heading into the winter. It’s important to find the right way to explain and demonstrate how severe the virus is, why social distancing is important. And with many people, especially those with developmental disabilities, unable to tolerate mask-wearing and other standard precautions, we must get creative to find new ways to keep ourselves and our clients safe. Staff at The Foundling have worked tirelessly throughout the year to find alternative safety measures for those who struggle to comply with the status quo, and will continue to do so.

Lesson #2: We need to prioritize mental health and emotional wellbeing, alongside physical health. In 2020, we learned that many of the people living in Foundling-run homes and residences for people with developmental disabilities faced difficulties understanding isolation. In instances of a positive case of COVID in a group home, there were times when the individual didn’t understand what was going on with their body, were unable to advocate for themselves, and when isolated, didn’t fully recognize why they couldn’t see their friends or loved ones. Supporting these individuals takes a tremendous investment from our staff in not just the physical, but also the emotional and mental wellbeing of our residents – in these difficult times, safety goes beyond physical health.

Lesson #3: We learned a valuable lesson on staying connected. Take, for example, families and children in the child welfare system, who we know are at a higher risk for contracting the coronavirus without intervention.

Compounding to these factors are the strict “shelter in place” orders — which not only affect the children who have been placed into safe, stable, supportive, and loving homes, but also have a devastating effect on children receiving preventive services, and children who live in under-resourced communities and neighborhoods across New York City.

Children in foster care and in preventive services already have heightened rates of anxiety and depression, and the winter cold, combined with a lack of one on one connection, only serves to intensify those issues moving forward – both from a public health and mental health perspective.

This winter will look very different from years past. Yet while we reflect on how much things have changed this winter, this is also a time to examine what we’ve learned. Let’s work together to find new ways to support each other so that we can all stay safe and healthy into the New Year.

Joe Saccoccio, MD, MPH, FAAP, is senior vice president for medical services, and Sashoi Grant is vice president for nursing, developmental disabilities, at The New York Foundling.

Read more at MedPage Today

 

NYF Huggie Rectangle

THE NEW YORK FOUNDLING ANNOUNCES TWO NEW ADDITIONS TO LEADERSHIP TEAM

New York, NY (December 15, 2020) – The New York Foundling is pleased to announce the appointment of two new members to its leadership team: Dr. Ruth Gerson will be the new Senior Vice President for Mental Health Services and Shannon Ghramm-Smith will serve as Senior Vice President of the Child Welfare and Behavioral Health Division.

Dr. Gerson joined The New York Foundling in February, 2020. As Senior Vice President for Mental Health Services, she will oversee the psychiatric and mental health services for children and teenagers in foster care and for youth and families receiving services in The Foundling’s Home for Integrated Behavioral Health in East Harlem. Dr. Gerson also teaches at the NYU School of Medicine, where she is a Clinical Associate Professor in the Department of Child and Adolescent Psychiatry. She is nationally recognized as an expert in child psychiatric emergencies and in trauma-informed crisis services for youth, and is the co-editor of two books, Beyond PTSD: Helping and Healing Teens Exposed to Trauma, and Helping Kids in Crisis: Managing Psychiatric Emergencies in Children and Adolescents.

As Senior Vice President of our Child Welfare and Behavioral Health Division, Shannon will lead five major programmatic areas at The Foundling: Foster Care Services, Family Preventive Programs, Juvenile & Criminal Justice Programs, Education and School Based Programs, and Behavioral Health Programs. Shannon has strong roots in implementation science, evidence-based interventions, and streamlining programs to drive successful collaboration and strong client services. Prior to this role, Shannon served as Vice President of Behavioral Health Programs and Care Management at The Foundling, and lead all behavioral health programming as well as The New York Foundling’s care management program, which serves hundreds of clients across New York City each year.

“We are thrilled to welcome Shannon Ghramm-Smith and Dr. Ruth Gerson to their respective new roles. Shannon has been with The Founding for close to 10 years and will join our leadership team with the insight that comes from being a therapist, supervisor, and having held other important positions across our organization for nearly a decade. Dr. Gerson, who joined our team more recently, will continue to contribute her knowledge and expertise gleaned from over 10 years of clinical experience in pediatric psychiatry. Both of these incredible leaders will continue to be valuable in ensuring The Foundling understands how we can best support our clients and our entire workforce during these challenging times,” said Bill Baccaglini, President and CEO of The New York Foundling. 

The New York Foundling is built on a 150-year-old promise to New York’s many communities, that all children, adults, and families can have the opportunity to reach their full potential. The Foundling is proud to continue the critical work of removing obstacles to wellbeing for people across New York through evidence-based approaches to health and mental health.

About The New York Foundling

At The New York Foundling, we trust in the potential of people, and we deliberately invest in proven practices. From bold beginnings in 1869, our New York based nonprofit has supported a quarter million of our neighbors on their own paths to stability, strength, and independence. The New York Foundling’s internationally recognized set of social services are both proven and practical. We help children and families navigate through and beyond foster care. We help families struggling with conflict and poverty to grow stronger. We help individuals with developmental disabilities live their best lives.  And we help children and families access quality health and mental health services core to building lifelong resilience and wellbeing.

For more information about The New York Foundling, please visit www.nyfoundling.org.

In the New York Times’ recent feature – which explores the effects of pandemic-induced isolation on the mental health of teenagers – Nandini Ahuja, a therapist in our School Based Mental Heath program, shares some of the coping strategies she has shared in her work.

Read more at New York Times

The Foundling’s President and CEO, Bill Baccaglini, spoke at City and State’s Virtual Healthy New York Summit. The virtual conference, which focused on COVID-19’s impact on New York healthcare policies, brought together decisionmakers and experts from all sectors to identify challenges posed by the pandemic and propose solutions to improve health outcomes for New Yorkers.

Appearing on the event’s “Addressing Health and New York’s Most Vulnerable Populations” panel, Bill Baccaglini addressed the impacts of COVID-19 on the communities we serve. “We can’t go back to business as usual… we learned that tech can be our friend here if we use it wisely. This is not an either or, this is an integration. The mental health issues emanating from this pandemic in disinvested communities will be with us for years to come.” He also advocated for the continued use of tele-health, which has seen positive results in the past few months. “I think if we stick to the traditional clinic-based approach, we’re going to miss something big,” he stated.

Watch the full video below (the panel featuring Bill Baccaglini starts at 1:58:45):

Learn more about the Virtual Healthy New York Summit at City & State here.

School Mental Health

The New School’s Center for New York City Affairs reports on the lack of mental health resources available to New York City students this school year, including insight from our CEO, Bill Baccaglini.

“As kids finally resume classes – remotely this week and in classrooms next – they will find that many social workers and other mental health care providers have disappeared from school budgets.

“We’re turning off the spigot to kids with serious needs,” says Bill Baccaglini, the executive director of the nonprofit New York Foundling, which runs mental health programs in 22 public elementary, middle, and high schools, mostly in Upper Manhattan and the Bronx.”

Read more at Center for New York City Affairs

Medical Temperature Checks

For over 150 years, The New York Foundling has worked in partnership with our neighbors to ensure that everyone can meet their full potential when facing challenging situations. This hasn’t changed, and our staff continue to provide life-changing and meaningful support in light of the COVID-19 pandemic. This series shares how The Foundling’s many programs are responding to the needs of their community.

In the final post for our blog series, “Our Work Continues”, we share how The Foundling’s medical clinics adapted their efforts and work to deliver essential health services to youth in foster care over the past five months. With clinics located in the Bronx, Brooklyn, Queens, and Staten Island, The Foundling provides free medical services to all young people in Foundling foster care programs, as well as children in other agencies city-wide. Using a personalized, multi-faceted, and wide-reaching support model, The Foundling’s medical staff work as a team to improve the health and wellbeing of children each and every day.

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Across The Foundling’s four medical clinics, 38 medical staff care for nearly 700 children in foster care at any given time and track about 3,000 visits to the clinic each year. “We do the same kind of work a regular pediatrician’s office does,” says Kendra Morgan, a Nurse Practitioner, “but our clinics are designed specifically for helping children in foster care.”

Like pediatrician’s offices across the country, The Foundling’s clinics have remained open throughout the COVID-19 pandemic, but with safety measures in place to protect both staff and our patients. “We schedule telehealth appointments when possible, but many still need to be seen in person—particularly infants and children due for vaccinations,” explains Bonni Krauss, a Registered Nurse.

“Many children across the country are falling behind on their vaccinations because of COVID-19,” elaborates Margaret Dewar, Assistant Vice President of Medical Services. “But not our kids. Not if we can help it.”

Every family member coming into the clinic is screened before they come through the door and given a face mask if they aren’t wearing one already. Additionally, staff coordinate transportation if needed, so families can travel to and from their appointments safely.

“Managing fears and educating families about COVID-19 has been a large part of the work we’ve been doing since March,” says Margaret. “We sent letters and made phone calls whenever we received new information about the virus.”

Staff who work across The Foundling’s medical clinics attend weekly webinars and receive updates on New York’s guidelines as they evolve.  They also make themselves available to families for consultations on nights and weekends.  “We have after hours staff covering the phones 24/7, and we also give families our work cell phone numbers, too. We want our families to know that we are there for them to answer COVID-19-related questions,” Bonni says.

Both Kendra and Bonni agree that the increased communication between staff and the families has brought them closer together and is resulting in more positive outcomes. One patient, who found out she was pregnant during this challenging time, wasn’t really engaged with her prenatal care at first. “But Bonni was persistent in scheduling all her appointments, coordinating all her rides, and talking her through her fears surrounding being a new mother during COVID-19,” Kendra continues. “In the end, the patient went from not being engaged to being very engaged in her pregnancy, because she had Bonni to plan with and confide in. She knew she wasn’t alone.”

The health services staff has relied heavily on each other over the past five months. “Everyone was willing to help each other out and cover shifts across clinics,” says Margaret. For example, “one of our psychiatrists is also a trained pediatrician. She offered to fill in should the need arise.”

“We had a few patients test positive for COVID-19, but thankfully a lot less than we expected,” Margaret continues. “It was tough. We had to grapple with test shortages, PPE shortages, and adhere to the State’s frequently changing guidelines. The great collaboration we needed to happen in a time of uncertainty did happen. I am very proud of our team.”

Healthy Families Staten Island

For over 150 years, The New York Foundling has worked in partnership with our neighbors to ensure that everyone can meet their full potential when facing challenging situations. This hasn’t changed, and our staff continue to provide life-changing and meaningful support in light of the COVID-19 pandemic. This series shares how The Foundling’s many programs are responding to the needs of their community.

The Staten Island Community Partnership, an initiative of the Administration for Children’s Services (ACS) operated by The Foundling, works hand-in-hand with residents, community groups, service providers, and local government to encourage and develop new approaches to solving issues facing children, including child abuse and neglect. The partnership aims to weave a safety net for families with family-centered and community-based services that provide impactful and educational opportunities. Together with those closest to the challenges at hand, the partnership engages community members to understand their strengths and needs and create sustainable solutions that produce positive change.

Similarly, Healthy Families Staten Island is a free, home visiting program designed to help new and expectant parents meet the challenges of parenting and ensure the healthy development of their children. The program is designed to help prevent child abuse and neglect by promoting positive parenting skills and parent-child interaction. Participants are also connected to community resources that help to strengthen their families.

Throughout COVID-19, our dedicated staff have continued to provide meaningful engagement and support to residents of Staten Island.


The Foundling has been serving the community of Staten Island for decades. The Foundling’s Staten Island Community Partnership (SICPP) and Healthy Families Staten Island program (HFSI) are two programs that work closely together to support the North Shore Staten Island community. Together they aim to reduce the number of children and families involved in the child welfare and juvenile justice systems through preventative measures and support.

“We’re basically the glue that bands together a network of community-based organizations, and the core of what we do is finding and solving local issues.” Christopher noted, “We have ambassadors who are our eyes, ears, and feet within the community, who are trained to identify potential trouble spots. Some we’ve identified in the past include things like teen vaping, gang action, and understanding sexual consent. We’ll then either design interventions to address those issues or refer individuals to existing programs or The New York Foundling for help.”

Due to social distancing and stay at home orders, it has been more challenging than ever to monitor people’s well-being. “Most of what we know is through word of mouth,” says Valarie Taveras, The Foundling’s Assistant Vice President overseeing both SICPP and HFSI.

“With everything shutdown, one of the issues we’ve seen in teenagers is they are getting bored,” Christopher said. “All the usual summer activities, extracurriculars, and job opportunities that were available to them before aren’t around now to keep them busy and out of trouble. So, we’ve had to get creative about virtualizing our events to keep community members in touch and engaged.”

For example, SICPP now partners with other organizations to host game-oriented virtual academies where teens can meet and interact through supplemental educational activities online. By the end of June, SICPP will be distributing 200 board games to families to help pass time during the summer months.

“We have an annual Fatherhood Fun Day event coming up that’s been completely virtualized,” Christopher says, noting the event will include a DJ and other entertainment for dads to participate in virtually with their families. Various organizations will be present to explain their work and services.

Throughout May and June, SICPP has also been supporting the North Shore with a grocery distribution program. Every week, the Partnership orders a large delivery of meat, fruits, vegetables, and other essential foods to organize and distribute. “So far we have given out 50 bags out each time, and expect to distribute even more in the weeks to come,” Christopher says.

“I’d like to give a special shout out to Khristian Taveras, another Foundling employee,” Valerie added, “He has consistently received the dry and frozen goods since the initiative’s inception. Without his help, the effort would have been delayed.”

Similarly, SICPP’s Laundry Initiative, “Washing away COVID,” has generated nearly 500 emails and registrations of interest. In partnership with Clean Rite Laundry Centers, 375 laundry cards worth $40 each will be distributed amongst the community. SICP is also piloting a program with ACS and Lyft that will supply $30 in rideshare credits for transportation and MetroCards, and taking on an “assistance grant” initiative to provide direct relief.

While SICPP works with all age groups, HFSI specifically helps soon-to-be and new mothers prepare for motherhood. Through intensive home visits, now conducted virtually, HFSI provides mothers with the coaching, tools, and skills they will need as a parent. The program starts prenatal, or at the latest when the child is three months old, and ends when the child is 4-5 years old.

“Many of the mothers we see are transient or here alone in the country,” Valarie explains, “They don’t necessarily have access to family support, information, and resources about having and raising a child. Motherhood is scary and nerve-wracking as it is, and then you add those factors. So, we are here to help them.”

“I was nervous at first about the transition to virtual home visits, but it was seamless,” Valerie continues, “We’ve had to adapt some of our events to fit a virtual format, but overall, not being in an office has been the only real difference.”

Such virtualized events include regular playgroups and HFSI’s annual baby shower. For the latter, packets full of traditional baby shower games and gifts were distributed to the mothers ahead of the event. Since the annual baby shower typically serves attendees food, HFSI also provided Target gift cards so they wouldn’t miss out on the perk.

“Even though all our events are virtual now, the Staten Island community is still excited to participate and stay connected.”


To learn more about how The New York Foundling is responding to the COVID-19 pandemic in New York, visit our emergency response page. Stay tuned for more stories from the frontlines as we continue to support our neighbors on paths to stability and strength.

Ben Arubuola

Healthcare workers are – and have always been – essential to the work we do at The Foundling. From 1880 to 2005, we operated a pediatric hospital, and from 1927 to 1973, our Nurse Training School taught nurses to care for infants and children. Now, we operate four medical clinics for children in our programs, have a nursing team to care for those in our Head Start and Early Head Start programs in Puerto Rico, and provide medical care to those residing in our supportive residences for people with developmental disabilities. The Foundling aims to support our neighbors in reaching their full potential – and our nursing staff ensure that the children, adults, and families we serve are in the best physical shape possible.

Since February, the role of nurses and our entire medical team has become even more prominent at The Foundling. Working on the frontlines, our compassionate and caring staff are currently facing the COVID-19 crisis with strength and resilience. In honor of National Nurses Month – which usually spans a week – we wanted to give our nurses the opportunity to share their experiences in their own words.


What does being a nurse at The Foundling mean to you?

 

Ben Arubuola

Ben Arubuola

Registered Nurse, Developmental Disabilities Division

“Nursing is not just a job. A patient in my care must be able to trust me. More so, it also means treating my patients and colleagues with respect, kindness, dignity and compassion.

Being a nurse at The New York Foundling during this challenging period is an avenue for me to foster positive difference in the lives of those we serve and their families.”

 

Nannette Wharton

Nannette Wharton

Registered Nurse, Developmental Disabilities Division

“Being a nurse at The Foundling means having compassion and patience, empathy and sensitivity. It means being there for others, at all hours of the day, and all hours of the night.

During COVID19, we are on the frontlines caring for our patients day in and day out, and implementing strategies to prevent us and others from risk. Nurses are a vital link between the patient and the rest of the health care team.”

 

Maribel

Maribel Cardona

Nurse, San Juan, Puerto Rico

“Por qué me apasiona servir, ayudar a los demás y saber las necesidades de las personas especialmente de los niños. La enfermera es un todo así que somos un poco de trabajadoras sociales también, un poco psicólogas, un poco nutricionistas y un poco maestras. Lo más que me gusta de mi trabajo es ver como las enfermeras evolucionan de diferentes maneras, sirviendo como yo de diferentes recursos. Me encantan los niños lo genuinos que son.”

I am passionate about serving, helping others and knowing the needs of people, especially children. The nurse is a whole so we are a little bit of a social worker, a little bit of a psychologist, a little bit of nutritionist and a little bit of teacher. What I like most about my work is seeing how nurses evolve in different ways, serving as I do with different resources. I love how genuine children are.

 

Delores Lawrence

Delores Lawrence

Assistant VP of Nursing, Developmental Disabilities Division

“Working with the Foundling has enabled me to utilize my nursing skills which includes showing compassion, listening to both verbal and nonverbal expressions, to acknowledgeable each person’s beliefs, and building relationships.

We are now in the middle of a global crisis where we all are learning new routines. I am willing to work long hours and provide help where help is needed most. With the help and support I receive; I feel the sacrifice is worth it.”

 

Rashunda Ross

Rashunda Ross

Assistant Nursing Supervisor, Developmental Disabilities Division

“Being a Nurse at The Foundling is an acquired identity in which we are committed to excellence. We are compassionate, ethical and selfless.

We are healthcare advocates for those we serve; we are a part of The Foundling’s heart.“

 

Jessenia Molina

Jessenia Molina

Health Coordinator, Puerto Rico

“En NYF, trabajamos con amor. Desde mis inicios en la organización tengo el compromiso tanto con las familias servidas, personal, como el garantizar la salud y seguridad de nuestros centros. Me apasiona ayudar, servir, ser un ente de apoyo, educar sobre la promoción y prevención de la salud.

La pandemia no nos ha detenido. Nos hemos reinventado utilizando la tecnología a nuestro favor para lograr continuar ofreciendo un servicio de excelencia y calidad e identificando recursos en la comunidad para poder ayudar a las familias y empleados.”

At The New York Foundling, we work with love. From my beginnings in the organization, I have been committed to serving families, staff, and guaranteeing the health and safety of our centers. I am passionate about helping, serving, being a support entity, and educating about health promotion and prevention.

The pandemic has not stopped us. We have reinvented ourselves using technology in our favor to continue offering excellent and quality services, and identifying resources in the community to help families and employees.

 

Sashoi

Sashoi Grant

Vice President of Nursing

“Being a nurse at The Foundling means you are a part of a diverse family. As the caregiver of the family, we have to ensure that medical, physical and emotional needs are met. Being a part of The Foundling is rewarding, because you get to be a part of the lives of some amazing individuals and you get to work alongside dedicated and caring colleagues.

Nursing is a work of heart and art, and as we face the COVID pandemic, we have been challenged to be more creative and innovative with our delivery of care. We have a great team of nurses at The Foundling who rose to the occasion and have been working tirelessly to ensure that our individuals are cared for. They have selflessly did whatever was necessary to successfully overcome some difficult situations. Our Foundling nurses are truly superheroes.”


Happy National Nurses Month to our wonderful nurses!

To learn more about how The New York Foundling is responding to the COVID-19 pandemic, visit our emergency response page. Stay tuned for more stories from the frontlines as we continue to support our neighbors on paths to stability and strength.

For over 150 years, The New York Foundling has worked in partnership with our neighbors to ensure that everyone can meet their full potential when facing challenging situations. This hasn’t changed, and our staff continue to provide life-changing and meaningful support in light of the COVID-19 pandemic. This series shares how The Foundling’s many programs are responding to the needs of their community.


The Foundling’s School Based Mental Health Services team embeds staff within partnered New York City public schools to identify and address the individual mental health needs of students. Trained staff work with the school to develop and monitor intervention plans for in-school counseling as well as provide referrals out to community-based services.

The program works to educate families about emotional wellness while identifying children and teenagers in need of mental health services. In each partner school, staff aim to promote engagement with families, establish physical environments that encourage participation in services when needed, create processes that facilitate prompt referral, and incorporate evidence-based treatment practices.

Launched in 2014, the School Based Mental Health Services program is based on a growing body of evidence showing that an integrated focus on academics, health and mental health services, social services, expanded learning opportunities, positive youth development, and family and community supports are critical to improving student achievement. Schools that utilize this approach are often referred to as community schools.

In the face of COVID-19, our dedicated clinicians and support staff are adapting, so they can provide the same level of services to young people, their families, and the school community.

School Based Mental HealthAs of April, the School Based Mental Health Services team has provided Telehealth treatment to 212 students and families, 277 therapeutic sessions, and helped schools respond to six community member mental health crises. Unsurprisingly, these statistics are on par with our impact when schools are in session, demonstrating the team’s adaptability as well as the essential nature of the program.

Last year, the School Based Mental Health Services program served approximately 1,000 kids across its 30 partnering elementary, middle, and high schools. “We are in every New York City neighborhood except Brooklyn, which we hope to expand into,” notes Assistant Vice President Elizabeth Tremblay.

Assistant Vice President Bonnie Loughner, who oversees the program alongside Elizabeth, adds: “We are there to help the greater school community meet their students’ social-emotional and academic needs. If any kids are starting to rise to the level of depressed or anxious, we’re there to teach them skills to work through their symptoms.”

Should a crisis situation arise, the School Based Mental Health Services team is ready. When the pandemic began, Elizabeth and Bonnie sat down with their team to assess how their crisis response might change. “We’re following the same procedures as before, but instead of it being in-person, it’s all done via Telehealth now,” Bonnie explains.

“It has been exciting to see the clinicians and youth adapt to telehealth,” Stephanie Riley, a program supervisor, expresses, “the staff have been so open and creative in trying new engagement strategies such as scavenger hunts and incorporating them into therapy.”

Crisis cases typically involve self-harm or suicidal thoughts. In those situations, the program’s staff are the school community’s first responders. “Pre-COVID-19, the student would be brought to our assigned rooms at the school for a full, in-person assessment,” Elizabeth says, “But the advantage of having to do that assessment by video now is that we actually get to see the student’s home. That allows us to work with the family and create an even better safety plan—one that’s tailored to the student’s specific home situation in that moment.”

But mental health doesn’t just exist in the therapy room or on video conferences. The program also works closely with the PTA and school staff to bring mental health resources and awareness to the broader school community, including workshops for students, parents, and teachers. Workshops focus on topics like mental health stigma, behavior management in the classroom, identifying suicidal ideation, and anxiety management techniques. “All our workshops are done virtually now,” Bonnie says, “We’ve also pre-recorded staff trainings for teachers to use.”

Before COVID-19, the program staff would also conduct classroom observations and work with teachers to incorporate social-emotional learning into the classroom. Though this is now difficult, staff have had many teachers contact the program to manage their own stress and to learn how to better support students during this time.

Despite the many challenges posed by the pandemic, recently, the team launched a new partnership with The Foundling’s charter school, Haven Academy. The new initiative will bring the evidence-based model, Incredible Years, to Haven Academy scholars. Used in other elementary schools served by the School Based Mental Health team, Incredible Years is designed for 4 to 6 year-old children, and uses puppets and roleplaying to teach academic and social-emotional skills like sharing and persistence.

“We’re using video vignettes and roleplaying scenarios via videoconference,” Bonnie explains, describing the evidence-based therapeutic interventions they provide. A version designed for parents has similar content, but it teaches the parents how to apply those lessons with their 6 to 12 year-old children at home. Both groups last approximately 16 to 18 weeks, encouraging families to create healthy households where mental health concerns are destigmatized.

“Overall, we’ve seen increased school engagement,” Bonnie says, “School staff and administrators were harder to track down before, but now that everyone is working from home, a lot of schools are having weekly meetings with us. Pre-COVID-19, those meetings were only taking place once, maybe twice a month. It makes me really hopeful for the future that we are setting new expectations for more regular meetings and communications.”


To learn more about how The New York Foundling is responding to the COVID-19 pandemic in New York, visit our emergency response page. Stay tuned for more stories from the frontlines as we continue to support our neighbors on paths to stability and strength.

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