Substance Use Prevention Plan


NORFOLK COUNTY

AGRICULTURAL

HIGH SCHOOL




Substance Use Prevention,

Deterrence and

Intervention Plan










TABLE OF CONTENTS




  1. Leadership…………………………………………………………………………1



  1. Professional Development………………………………………………………2



  1. Access to Resources and Services………………………………………………3



  1. Academic and Non-Academic Strategies…………………………………...…3



  1. Policies and Protocols…………………………………………………………….5



  1. Collaboration with Families………………………………………..……………5



  1. Appendix…………………………………………………………………...……….6

  • Appendix A:  Protocol for Implementation

  • Appendix B:  Narcan Policy

  • Appendix C:  Memorandum of Understanding with Walpole Police






















LEADERSHIP


Leadership at all levels will play a critical role in developing and implementing the Substance Use Prevention, Deterrence and Intervention Plan in addition to other whole school initiatives and community efforts to educate students about substance abuse and to help prevent addiction.  Leaders have a primary role in educating students about alcohol, tobacco and other drugs in relation to their overall well-being (physical, social, emotional, intellectual, occupational, environmental and spiritual), with an emphasis on non-usage by the school age student. Leadership should be defined by the district or school, depending on existing roles and responsibilities and locally identified priorities for this initiative.  In adopting or updating policies, the school committee will work in conjunction with district and school leaders in developing clearly defined goals to prevent and address substance use and abuse among youth. This leadership should result in strong links between identified local needs and prevention program/system designs. Leadership is responsible for setting priorities and for staying up-to-date with current research on ways to prevent and effectively respond to substance use.  It is also the responsibility of leaders to involve representatives from the greater school and local community in developing and implementing the Plan. Comprehensive substance use prevention programs involve the use of multiple strategies that include education and training; social competency skill development; social norms with expectations for behavior; policies, procedures and protocols; and problem identification and referral services. District and school administrators play a key role in implementing and overseeing these programs.


The Substance Prevention Deterrence and Intervention Plan along with the supporting policies will be reviewed annually and updated as needed.  The Committee will review data to determine the effectiveness of curriculum and activities and professional development and training. The committee will also serve as the clearinghouse of information about professional development opportunities and resources for school staff, students, and parents.


NCAHS, in accordance with the MA Interscholastic Athletic Association (MIAA), recognizes the use of chemicals as a significant health problem for adolescents, resulting in negative effects on a behavior, learning, and development.  NCAHS in order to participate in MIAA athletics, is required to adopt the MIAA Chemical Health Policy as a minimum standard for its athletes.


These policies are an integral part of the school’s comprehensive efforts to prevent substance use and serve as a deterrent to enable students to achieve their personal and academic potential and become successful citizens in our increasingly diverse society.


It is a violation of this policy for any administrator, teacher or other employee, or any student to engage in or condone the use of illegal drugs, including alcohol and any tobacco product or failure to report or otherwise take reasonable corrective measures when they become aware of any incident.


It is the responsibility of every employee to recognize acts of use, consumption, possession, buying/selling, or giving of any beverage containing alcohol; any tobacco product (including NA or near beer, e-cigarettes, VAP pens and all similar devices); marijuana; steroids; or any controlled substance on school grounds and at any school event and take every action necessary to ensure that the applicable policies and procedures of this school district re implemented.  In an effort to respond to a potential opioid overdose the district has a policy for responding. (See Appendix)


Further, all reasonable efforts shall be made to maintain the confidentiality and protect the privacy of all parties, but proper enforcement of this policy may require disclosure of any or all information received to appropriate administration staff.


The Principal/Designee, guidance, and nurse shall be responsible for assisting employees and students seeking guidance and support in treatment with substance use and addressing matters relating to substance use treatment.  This policy is not designed or intended to limit the school’s authority to take disciplinary action or take remedial action when such substance use occurs out of school, but carries over into school.


PROFESSIONAL DEVELOPMENT


Staff Training of the Plan:  Training will be provided for all staff, including but not limited to, educators, administrators, counselors, school nurse, cafeteria workers, maintenance staff, custodians, bus drivers, and athletic coaches.


The training will include early warning signs and behaviors that indicate a student maybe experiencing substance use problems, and should be aware of building base referral systems and other protocols to follow.  Staff that are qualified and identified to administer a verbal screening tool to screen students for risk or related problems will be trained. Those staff what will be responsible for implementing substance use prevention curricula will be provided with specific training and professional development and effective strategies for preventing substance use.

Ongoing Professional Development: The goal of professional development is to establish a common understanding of tools necessary for staff to recognize warning signs and behaviors that might indicate possible substance use.  Professional development will build the skills of staff members to prevent, identify, and respond to substance use.


Professional development will also address ways to prevent and respond to substance use for students with disabilities that must be considered when developing students’ Individualized Education Plans (IEPs).


Written Notice to Staff:  The school or district will provide all staff with an annual written notice of the Plan by publishing informations in the school employee handbook and the code of conduct.





ACCESS TO RESOURCES AND SERVICES


School staff can play a key role in identifying and referring students with substance use related problems and working with their families.  Educators, nurses, and school counseling personnel will work in collaboration with substance use counseling professionals and mental health specialists to meet the needs of those students most at risk..  School counseling personnel have access to information and strategies necessary to facilitate referrals to community services for the wide variety of mental health problems that students experience, including substance use.  A resource list will be available for the network of services available through the agencies in the area.


Collaboration among schools and community behavioral health providers can address student-specific issues, including interventions such as small group, individual supports, and school re-entry plans.  These efforts can support school staff including consultation on general as well as student-specific challenges and plans for school and community provider responses when necessary.


Personnel immediately available to assist or refer students with substance use or related problems are as follows:

  • School nurse

  • Screening, Brief, Interventions, Referral Treatment (SBIRT) team members

  • Guidance Counselors

  • School Psychologist

  • Principal


Resources will be made available and may include, but are not limited to, the following:

  • Publications

  • Books

  • Helpful and viable websites

  • Resources from MDPH


School communications, school hand books and websites will be used to keep parents/guardians informed of the system-wide strategies that are implemented to assist all students.


NCAHS has a protocol for referring students and families to outside services.  Each Guidance, School Psychologist and the nurse communicate and collaborate several times a year to update and evaluate protocols and the list of community agencies.


ACADEMIC AND NON-ACADEMIC STRATEGIES


In accordance with state and federal law, NCAHS should provide age-appropriate, developmentally appropriate, evidence-based alcohol, tobacco, and drug education and prevention programs in grades 5-12.  The overarching goals of the NCAHS health education programs are for students to be able to:

  • Make decisions to maintain or enhance health

  • Analyze multiple influences on their attitudes and behaviors

  • Advocate for themselves and others

  • Effectively communicate in order to maintain or enhance health


Currently, NCAHS offers health education in grades 9 and 10.  The health education classes use a skills based approach that is aligned with the Massachusetts State Frameworks to teach fundamental life skills and wellness concepts.


Within the health curriculum, the alcohol, tobacco and drug education and prevention programs should address the legal, social, and health consequences of using alcohol, tobacco and other drugs.  They should include special instructions as to the effects of alcohol, tobacco, or other drugs upon the human system; the emotional, psychological and social dangers of such use with the emphasis on non-use by school age children and the illegal aspects of such use.  The program should also include information about effective techniques and skill development for delaying and abstaining from using alcohol, tobacco, or other drugs as well as effective techniques and skill development for resisting peer pressure to use alcohol, tobacco, or other drugs.


School Psychologist, guidance counselors, nurses and other outside mental health professionals should be working directly with young people who are identified as being at risk.  At least one adult in the school will be designated as the point of contact and support for students who are considered to be at risk.


Substance use preventions curricula will be informed by current research.  Initiatives will also teach students about the student-related sections of the Substance Use Prevention Deterrence and Intervention Plan at the beginning of the school year.


The following approaches are integral to establishing a safe and supportive school environment.  These underscore the importance of our substance use intervention and prevention and prevention initiatives:

  • setting clear expectations for students and establishing school and classroom routines;

  • creating safe school and classroom environments for all students, including for students with disabilities, lesbian, gay, bisexual, transgender, and homeless students;

  • using appropriate and positive responses and reinforcement, even when students require discipline;

  • encouraging adults to develop positive relationships with students;

  • modeling, teaching, and rewarding pro-social, healthy, and respectful behaviors;

  • using positive approaches to behavioral health, including collaborative problem-solving, conflict resolution training, and teamwork that aid in social and emotional development;

  • using the internet safely;

  • supporting students’ interest and participation in non-academic and extracurricular activities, particularly in their areas of strength.




POLICIES AND PROTOCOLS


NCAHS has policies prohibiting substance use, on school grounds, and at any school-sponsored or school -related activity, function, or program whether on or off school grounds.  The policies include discipline and enforcement provisions, intervention provisions, and treatment opportunities for students and staff. Students should be informed of the consequences for violating the policies.  School staff discusses the policies annually with students.


Policies related to the use of verbal screening tools to screen pupils for substance use disorders will be well- defined and publicized, including opt-out provisions.


Policies should include guidelines for working with at-risk students, communication with students, staff, parents/guardians, and confidentiality.  Included are procedures for re-integrating students who have been absent and/or in recovery.


At the beginning of each school year, the school will provide the school community, including but not limited to educators, administrators, school nurse, cafeteria workers, maintenance staff, custodians, bus drivers, athletic coaches, students, parents/guardians with written notices of its policies for substance use.


The Principal or designee will implement appropriate strategies for protecting from substance use or retaliations of a student/staff who has reported a student/staff that provides information during an investigations, or a student/staff that has reliable information about a reported at of substance use.


COLLABORATION WITH FAMILIES


Families are essential partners in schools’ efforts to prevent substance use.  Parental input, particularly from parents of students with substance related-problems, help identify and prioritize the needs of the school community.  Ways in which NCAHS collaborates and communicates with families may include, but are not limited to the following:

  • Individual and group meetings with parents and guardians to engage parental support and to reinforce the substance use curricula and the importance of school-community-home collaborations in weaving together the resources for comprehensive, multifaceted approaches to preventing substance use and abuse;

  • Providing parents/guardians with information regarding the school’s substance use prevention and abuse education policies is critical;

  • Posting the policy on the school’s website and in student handbooks, which contains information on school’s policies, procedures and protocols.  This information will also be made available through the Parent Network;






APPENDIX A


NORFOLK COUNTY AGRICULTURAL HIGH SCHOOL

POLICY REGARDING SUBSTANCE ABUSE PREVENTION AND EDUCATION


Purpose:  The purpose of this policy is to ensure the proper management and implementation of the SBIRT screening program, keep all students healthy and provide appropriate prevention, intervention and referrals as determined necessary.


Goal:  The goal of the SBIRT Screening Program is to provide education for prevention and early intervention of substance use to middle and high school students through use of the CRAFFT II screening tool and to keep students mentally and physically healthy.  Students found to be currently using substances or at risk to use substances will be referred for a brief intervention y a guidance counselor or school nurse and receive follow up counseling and referred for evaluation and treatment as needed. Students who are not identified as using substances will have their healthy choices reinforced by positive feedback.


Management of the SBIRT Screening Program:  NCAHS nurse, guidance counselors, and all those participating in the program must attend an initial training session given by the Department of Public, Health prior to implementing the screening process.  A yearly refresher training course will be required. Upon successful completion of the training session the identified staff will be able to effectively screen students for substance use and/or risk or substance use using the CRAFFT-II screening tool.


Screeners will include:  School nurse, guidance counselors, wellness teachers, and other identified SBIRT trained staff and the Program Coordinators for NCAHS.  Each Screener and those participating in the program will be responsible for:

  • Maintaining student confidentiality;

  • Reporting participation numbers and results to the Program Coordinator as needed for reports to be submitted to the Department of Public Health

















APPENDIX B


NORFOLK COUNTY AGRICULTURAL HIGH SCHOOL

MEDICATION PROTOCOL NALOXONE

Purpose:

·   Naloxone is an opioid antagonist that is used to reverse the effects of opioids.

·   Current research has determined that Naloxone administration has been found to prevent death from opioid overdose, as well as reduce disability and injury from opioid overdoses.

·   The only contraindication is a known hypersensitivity, which is rare.

·   The rapid administration of Naloxone may be life-saving in patients with an overdose due to opioid use. (Doe-Simpkins, Walley, Epstein, & Moyer, 2009)


Policy:

Under this standing order, trained registered school nurses may administer Nasal Naloxone to a person in the school and on school grounds in the event of respiratory depression, unresponsiveness, or respiratory or cardiac arrest when an overdose from opioid is suspected.

Drug: Naloxone (Narcan)

Dose: 2mg initial dose for individuals’ ≥20 kg or ≥5 years of age

· Naxolone HCl 1mg/ml, in pre-filled 2ml Luer-Lock needleless syringe via intranasal atomizer.

Route: Intranasal only

Half-Life: 30-80 minutes

Storage: 59° to 86° F, away from direct sunlight

Indication: Registered nurses may administer Naloxone to a person in the event of respiratory depression, unresponsiveness, or respiratory or cardiac arrest when an overdose from opioid is suspected of a student, staff member, or visitor. Person is unresponsive, decreased respiratory rate or not breathing, low blood pressure, and there is no response to sternal rub.


PROCEDURE

  1. Activate EMS: Call 911. Nurse or designee will call 911 to activate emergency medical service response.

 2. Assessment:

·     Level of consciousness

o   The nurse determines that the person presents with a decrease in level of consciousness as evidenced by:

§  difficult to arouse (responds to physical stimuli but does not communicate or follow commands, may move spontaneously)

§  unable to arouse (minimal or no response to noxious stimuli, does not communicate or follow commands)

·    Respiratory status

o   The nurse determines that the person presents with a depression of respiratory status as evidenced by;

§  decrease in respiration rate

§  if available, interpretation of pulse oximetry measurement

·    Trained School Nurse determines the need for Naloxone administration


3. Administration of Intranasal Naloxone:

·    Exclusion criteria includes; nasal trauma, epistaxis

·    Assemble Naloxone vial and intranasal atomizer:

o   Pop off two yellow caps from the delivery syringe and one red cap from the Naloxone vial

o   Screw the Naloxone vial gently into the delivery syringe.

o   Screw the mucosal atomizer device onto the top of the syringe.

·    Spray half (1mg) of the Naloxone in one nostril and the other half (1mg) in the other nostril for a total of 2 mg.

·    Continue rescue breathing or BCLS as needed. If breathing on own place in recovery position until awake.

·   If no response, an additional second 2 mg dose may be administered after 3-5 minutes

·   Transport to nearest hospital via EMS

Possible Side Effects:

   Acute withdrawal symptoms which may include change in mood, increased sweating, nervousness, agitation, restlessness, tremor, hyperventilation, nausea, vomiting, diarrhea, abdominal cramping, muscle or bone pain, tearing of eyes, rhinorrhea, craving of opioid, rash, hives, itching, swelling of face, lips, or tongue, dizziness, rapid heartbeat, headache, flushing, sudden chest pain.

Nursing Considerations:

·   Withdrawal can be unpleasant.

·   Person may resume breathing but not have full arousal

·   Person may need continued rescue breathing and support until EMS arrives



Documentation:

·   Record encounter in student’s nursing record.

·   If employee or visitor record on incident report

·   Documentation must include patient presentation, route (intranasal), and dose that was administered as well as the patient’s response to the Naloxone administration.

School Physician signature: ________________________   Date: _________________

Reference

Doe-Simkins, M., Walley, A., Epstein, A. & Moyer, Peter. (2009). Saved by the nose:

Bystander-administered intranasal naloxone hydrochloride for opioid overdose. American Journal of Public Health, 99 (5), 788-791.































APPENDIX C

MEMORANDUM OF UNDERSTANDING

BETWEEN

THE NORFOLK COUNTY AGRICULTURAL HIGH SCHOOL

AND

THE WALPOLE POLICE DEPARTMENT

INTRODUCTION

This Memorandum of Understanding (MOU) between the Norfolk County Agricultural High School (NCAHS) and Walpole Police Department (WPD) is intended to establish a unified strategy to provide a safe and secure environment for students, faculty, and the entire school community in the Town of Walpole.  The Superintendent of Schools and the Chief of Police are committed to working in partnership for the benefit of all students, staff and the Town of Walpole.

DESIGNATED SCHOOL AND POLICE DEPARTMENT LIAISONS

In order to facilitate effective communication between school administrators and police personnel, individuals holding the following positions are designated as liaisons:

NCAHS liaisons shall include the school’s Principal and Assistant Principals (or other contact designated by the Principal).  The WPD Liaisons shall include the School Resource Officer (SRO), the Detective Sergeant, or the Deputy Chief of Police. The Chief of Police and Superintendent of Schools are the Lead Liaisons and when there is any question as to how to interpret this MOU or whether a sharing of information is necessary, they must be consulted.

For non-criminal matters, school liaisons may contact the SRO directly.  For potential criminal matters, school liaisons shall contact the WPD Detective Sergeant for appropriate assignment.   

MANDATORY REPORTABLE INCIDENTS (NCAHS TO WPD)

The following incidents are Mandatory Reportable Incidents, and as such, must be communicated between NCAHS and WPD Liaisons whenever they occur 1) on or within 1000 feet of school property, 2) at a school-sponsored event, or 3) in a school-owned or contracted vehicle.      

·         Any serious act of violence and/or possession of a firearm, or dangerous weapon as defined in MGL. C. 269 S. 10, or any other physical object capable of causing concern, alarm, harm, or disruption to the general welfare of the school community;

·         Any incident in which any individual is reasonably suspected of, or determined to be, in possession of, selling, or distributing alcoholic beverages, inhalants, synthetic drugs, or controlled substances as defined in MGL. Ch. 94c; and/or any incident where there is reasonable suspicion to believe an individual(s) is under the influence of any of the above substances.

·         All sex offenses and/or sexual assaults; instances of serious accosting or hazing, annoying or serious harassment of persons on the basis of, but not limited to, race, sex, national origin, religion, handicap or sexual orientation.

·         Any incident involving domestic abuse, dating violence, serious harassment or violations of existing 209a or 258e orders.

·         Any incident involving an actual or suspected hate crime or violation of civil rights.

·         Any incident or threat of fire setting or involving incendiary devices or explosives.

·         Any incident involving actual or suspected abuse and/or neglect of a child (MGL c. 119, Sec. 51A).

·         Any missing person.

·         Any reports of suicidal ideation or threats to harm to oneself.

·         Any student placed on suspension, exclusion or expulsion resulting from the list above and the reason for such punishment.

·         Any Child Requiring Assistance (CRA) formerly known as Children in Need of Services (Chins) as defined under MGL. Ch. 119, Sec 21.

DISCRETIONARY REPORTABLE INCIDENTS (NCAHS TO WPD)  

An NCAHS Liaison may report to a WPD Liaison any potentially illegal conduct on the part of a student occurring on school property or at any school-related event to the WPD Liaison.   Examples include unlawful trespassing, tagging, or any other illicit activity. Further, an NCAHS Liaison may report any conduct which could affect the safety of the schools, its students and/or staff, to a WPD Liaison. Also, any allegations of bullying may be reported by NCAHS to the WPD if the investigating Principal has a reasonable basis to believe (after consultation with the SRO) that criminal charges could be pursued.  

MANDATORY REPORTABLE INCIDENTS (WPD TO NCAHS)

WPD liaisons shall inform NCAHS liaisons of the following Mandatory Reportable Incidents:

·         Subject to applicable statutes and regulations governing confidentiality, the WPD will notify NCAHS of the arrest of any student of the WPS.

·         Information regarding a criminal complaint application against any student will be shared.

·         The WPD Liaison shall make every effort to consult with the NCAHS Liaison regarding the appropriate conditions of pretrial recognizance during the pendency of a juvenile case and consult with the NCAHS Liaison regarding the disposition recommendation of such cases.  In addition, the WPD Liaison shall report any felony delinquency complaint or adjudication to the appropriate NCAHS Liaison.

To ensure maximum sharing of information, the WPD shall encourage the Probation Department of the District Court to report the filing of such complaints to the NCAHS Liaison.

In addition, The WPD Liaison shall report to the NCAHS Liaison any non-criminal activity involving Norfolk County Agricultural High Schools if 1) the activity poses a potential threat to the safety or general wellbeing of the student, other students, or staff, 2) the court has issued a restraining order or harassment order involving a student or staff member as plaintiff or defendant, 3) the activity involves actual or possible truancy or Child Requiring Assistance (CRA), or 4) the making of such report would facilitate supportive intervention by school personnel on behalf of a student.

SRO

The police officer assigned as the SRO shall work a Monday – Friday daytime schedule.  While the SRO works on a full-time basis on WPS-related matters, he/she is under the control and supervision of the police department and the Chief of Police.  The SRO must maintain up-to-date training on all school/law enforcement issues, such as student arrests, searches, seizures, drug use prevention strategies, and safety plans related to acts of violence.  At the request of NCAHS, the SRO must be available to speak to groups of staff or students on school safety and security issues.

The SRO must maintain a good working relationship with all NCAHS officials, particularly the Liaisons listed above.  The SRO will maintain a written school activity log which identifies all matters he/she is currently working on, with the current status of each matter.  At least once every two weeks, the SRO will submit this activity log to the WPD’s Detective Sergeant, who will forward it to the Superintendent of Schools.  In addition, all criminal matters will be tracked in the WPD’s case management system.

The SRO is an authorized school official, and as such, is entitled to receive confidential student information – on an as-needed basis as determined by the Superintendent of Schools, or designee.  Any need to share such student information with the SRO or any other WPD Liaison must be communicated to, and approved by, the Superintendent of Schools. The SRO shall not receive or access any student information without the consent of the Superintendent of Schools.  It is imperative that any such information be kept strictly confidential and that it is used only for the legitimate purpose intended.

The parties agree to continue to work together to develop a comprehensive list of duties performed by the SRO.

TRAINING AND ONGOING DEVELOPMENT

NCAHS and WPD are responsible for providing training to their personnel in order to implement this policy and ensure its effectiveness.  The parties further agree to work with representatives of the Norfolk County District Attorney’s Office to discuss topics relevant to school safety, including but not limited to, identification of proactive strategies to reduce criminal activity in the WPS.

DURATION

This MOU shall be effective September 1, 2015, and shall supersede all previous MOUs between the parties.  The MOU shall remain in effect until either party amends or rescinds it, in writing.

____________________                                                     ______________________

Suzanne Green, M. Ed                                                     Deputy Chief John Carmichael

Superintendent-Director                                                      Walpole Police Department Norfolk County Agricultural High School                                         










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