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2017-09-27JM BOS-SC Packet - Released
JOINT SELECTMEN AND SCHOOL COMMITTEE MEETING Wednesday, September 27, 2017 Community Center- Room 237 7:00 PM AGENDA ITEMS FOR INDIVIDUAL CONSIDERATION 1. Discussion Regard Community Mental Health Needs and Services (2 hours) 7:00 p.m. ADJOURN 1. Anticipated Adjournment 9:00 P.M. The next regular meeting of the Board of Selectmen will be Monday, October 2 at 7 p.m. in the Selectmen's Meeting Room of the Town Office Building, 1625 Massachusetts Avenue. Hearing Assistance Device.v Available on Reque.vt �� �� � All agenda time and the order of items arm approximate and subject to change. Recorded by LexMedia AGENDA ITEM SUMMARY LEXINGTON JOINT BOARD OF SELECTMEN AND SCHOOL COMMITTEE MEETING AGENDA ITEM TITLE: Discussion Regard Community Mental Health Needs and Services (2 hours) PRESENTER: ITEM NUMBER: Wendy Rundle, Facilitator I.1 SUMMARY: Board of Selectmen and School Committee discussion regarding mental health needs in the community and mental health services currently provided by the municipal and school departments. Municipal and school staff and the Human Services Committee will be in attendance as a resource. SUGGESTED MOTION: NA FOLLOW-UP: To be determined based on the discussion. DATE AND APPROXIMATE TIME ON AGENDA: 9/27/2017 7:00 p.m. ATTACHMENTS: Description Type D 20114 vi4 gr.00a g$oport on,Student Stress Rackrgn Matorinl D yl[n Lam sorvice",Lx:nP rtnnu;nr:t Rosponrse to Sch.00z 1FParport on,Student Stress 1 acknrgr Mlstorrinnl D `kannrtlr Risk R:Aiavior Survey PI ,ORUr tiffll Jura ORUr tiffll D yfig h Sch.00z `canrtlh.Risk IkAiavior Survey gxancnrtivo vwrm unary Jura ,ORUr tiffll D Mlid to kic,Jh.ac,l Y)uth.Risk gk laviar Survey g x�cnrtivo viumane:ry. Jura ,ORUr tiffll D V hinnims Sorw rces IXa pt Overview M Sorvico Rackrgn Ma orinl D Hunym Sorvices, IX�putnunt stati�;tiud Data Rackup Matorinl D Y)uth Sory ices,Cbuned Ouutgo Rackup Matorinl Executive Summary Recommendations for Reducing Stress, Building Resiliency and Improving Services for Our Youth Submitted by the Ad Hoc Committee for Youth At Risk to the Lexington School Committee Lexington, MA November 2014 I. FRAMING THE ISSUE 1. Stress is taking its toll on Lexington's youth According to the 2013 Youth Risky Behavior Survey: • 55 LHS students recently tried to commit suicide (at least once) in the past 12 months • 247 (15% of those surveyed) seriously considered suicide—the highest level in a decade • Harassment at school and through social media was the strongest predictor of suicide ideation • 60% reported "extreme" or "a lot" of stress due to classes • 83% of students felt the atmosphere of the school encouraged academic competition 2. The key is to reduce unnecessary stress while maintaining academic standards and a healthy balance for youth • Not all stress is bad. The stress from challenging oneself just the right amount is a good and necessary kind of stress. But too much stress is physically and emotionally unhealthy and can lead to risky behavior. • Some stress is simply unnecessary—and parents, teachers and students can do something about it. Sources of unnecessary stress include academic, extracurricular, peer, family, and social pressure. • If students are not subjected to too much stress, particularly unnecessary stress, they will learn more, perform better, and be healthier. • Reducing stress for students will not compromise academic standards or student achievement. Rather, having less stress can actually improve students' academic performance and success. • Efforts to reduce student stress should also include efforts to reduce teacher/staff stress. Less stressed teachers are more effective teachers and they can model stress reduction behaviors for their students. 3. This is a community issue that requires leadership • It's not just about the schools—This is a community problem requiring a community response that involves parents, students, town and the community, as well as schools. • There must be more visible leadership and more effective organization within both the Lexington Public Schools and the Town Government to address stress and youth at risk. And there should be more coordination between the Town and LPS. • Schools are doing a lot to serve youth with emotional issues, but Town services for youth are seriously under-resourced relative to comparable communities. • While efforts in the schools require district-wide leadership and organization, effective solutions also require a "bottoms up" approach with heavy teacher and staff involvement. • More effective communications to the community is needed from LPS and the Town. z 4. Enhancing social-emotional intelligence and building resiliency leads to higher quality education and better performance • If the emotional intelligence of students is enhanced, through programs such as those based on Social Emotional Learning, they will be more successful. S. It is critical to improve identification of youth at risk and provide support services for them and their families • When youth and their families are experiencing problems, they should have access to quality services. 6. Changing the culture and climate for youth requires building awareness and engaging in community discussion and education • Coming together can make a difference. Other communities have successfully brought town services, schools, parents, and community groups together to address stress, e.g. Newton, Needham, Bedford, and Winchester. The Full Report of the Ad Hoc Committee for Youth At Risk can be found at the Lexington School Committee website http://lps.lexin onma.or . 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SUMMARY OF RECOMMENDATIONS 1. Leadership and Organization a) Designate senior leaders in both the Lexington Public Schools and town government to manage programs to reduce stress, build resiliency, and provide services for youth at risk. b) Establish collaborative working groups within the LPS system and between the schools and town government, as well as a town-wide working group comprised of Community leaders, to develop a coordinated approach. Town Government Response Hire or designate a Director of Youth Services The Youth and Family Services Social Worker within the Department of Human Services is an existing position responsible for overseeing and coordinating services for youth Create a Committee for Lexington Youth, co- The Youth Services Council is an existing chaired by the Director of Youth Services and interdepartmental and community committee designated LPS lead administrator and with 15 members and 3-4 student members. comprised of youth, school, town and The members collaborate to plan and community leaders, to promote and develop promote a variety of educational programs programs aimed at building resiliency, for youth and parents reducing stress, and providing counseling and support services to youth at risk Hire counseling staff or contract with a The Human Services Department Youth and community counseling agency to assist the Family Social Worker (LICSW) and Director Director in providing counseling and support (RN, MA) are existing positions that provide services, staffing the Youth Center, and no cost counseling and consultation services. developing community education programming for youth and parents 2. Help students and youth build resiliency, enhance social-emotional intelligence, manage stress, create balance in their lives, and improve overall wellness. Town Government Response Establish a Youth Center(possibly at the This is a policy decision with budgetary Lexington Community Center) operated by implications the youth themselves and a Youth Center Board comprised of adults and youth to provide administration and support for the Youth Center Provide free or low-cost access to stress The Recreation and Community Programs relieving activities such as yoga, recreation Department provides youth recreation and art, through the Town, the Community programming throughout the year. In 2014, Center, the Youth Center and other sites 7,310 youth participated in recreation programming. Provide on-line listings of both town- The coordination of resource information on sponsored and outside resources in the the web is an ongoing goal. Plans are community for stress management, health underway to redesign the Town website, and and wellness the HSD will also redesign the Youth and Family pages. The HSD maintains an updated community resource guide that is available in print or on the Town website Work with community and business leaders This goal needs to be clarified on purpose to engage youth in community service and the intended outcomes programs including interning and mentoring programs 3. Examine ways to reduce sources of unnecessary and unhealthy stress for students and youth, including academic, extracurricular, social, peer, family, societal, or internal pressures. Town Government Response Create a comprehensive town website for The School Health Advisory Council (SHAG) youth services that includes information adapted a website for Lexington's use which and resources for reducing stress and is available at: III„„gip 1.ir „111ir�gri,i „irg building resiliency Work with community groups to institute Such an initiative could be planned and town-wide campaigns, such as managing implemented through LPS, Youth Services digital media exposure ("unplugged Council and SHAC. week"), good sleep hygiene, meeting-free and homework-free days, to reduce stress and promote in-person social interaction Offer more information on health and The Human Services Department wellness topics, (e.g. alcohol and other maintains an updated community drugs, sleep, social media) through the resource guide for residents (including website, social media and written material youth and family resources) that is available on the Town website, at Cary Library and at Town Offices. Partner with the LPS to coordinate Ongoing initiative community-wide programs on bullying, Please see attached overview of community dating violence, internet safety, alcohol and programs and collaborations other drug use 4. Identify youth at risk, provide support services, and improve coordination of services and referrals between schools, town, and community. Town Government Response Plan and implement a community-wide The Human Services Department youth suicide prevention program developed collaborates with the LPS on multiple by a task force of adults and youth projects and initiatives, and as advised by the representing the schools and community Youth Services Council Develop and implement a town protocol for We agree that there should be a coordinated suicide prevention and in response to a youth Town response that involves the Human suicide Services Department in collaboration with the Youth Services Council, LICA, SHAC, Police & Fire Departments. Provide free, accessible individual and family The Human Services Department full time counseling and support services to youth and Youth and Family Social Worker (LICSW) and families through a contracted community Director (RN, MA) provide no cost counseling counseling agency or Town youth services and consultation services that include: Crisis staff intervention, counseling, limited case management, needs assessment, information and referral, family stabilization and support, parent coaching and school consultation services. Provide counseling and support groups for The Youth and Family Services Social Worker at-risk youth involved in alcohol and other provides counseling and support services to drug abuse, harassment, bullying, dating Lexington youth and families. Human violence, including those referred by police, Services and Recreation & Community schools, clergy and others Program staff members will collaborate with the LPS and the community to plan programming for at risk youth at the Community Center Provide outreach programs to at-risk youth, The HSD Youth Services Program Coordinator including peer leadership programs at the developed and facilitated a successful after Youth Center, designed to reach out to at-risk school pilot program for middle school youth youth and enhance self esteem during the 2013-2014 school year. Data and feedback from this program will be used to design similar programming in the 2015-2016 school year in collaboration with the HSD and Recreation & Community Programs Departments Designate a town coordinator or a contracted The LPS Guidance and Counseling staff community youth counseling agency to be collaborate with the Town of Lexington by the community resource for school personnel making referrals directly to the Human to make referrals for at-risk students Services Department Provide an on-line directory of free and low The Human Services Department maintains cost mental health services and private the "Forum for Youth Network Listing"—an mental health providers in the community annotated, updated internet accessible data base of counselors and therapists in the Lexington area. Develop programs through a youth run This recommendation needs additional website and social media to reach out to at- clarity risk and disconnected youth and to provide information to prevent suicide, dating violence, harassment Work with the schools and community to This recommendation needs additional provide prevention programs, such as the clarity Child Assault Prevention Program (CAPP), to younger children and parents 5. Community Education and Changing the Culture a) Build awareness and ongoing discussion through parent and community education activities b) Work together to change the culture and climate in schools, at home, and in the community in ways that help reduce stress and build resiliency Town Government Response Continue good work towards developing This is ongoing. Cary Library offers strong positive relationships between the youth and programming for youth, and the Youth police, fire and library which are seen as a Librarian is a member of the Youth Services resource for youth at risk Council. Lexington Police maintain a strong collaboration in the LPS and with the Human Services Department through the Family Services Detectives and School Resource Officer. Throughout the year, Town Departments collaborate on youth and family friendly activities such as the Summer Fun Fest Increase visibility of Town services and Ongoing initiative efforts to serve youth at risk Offer more non-competitive recreational Youth Program coordinates a large variety of sports and activities drop in activities, programs, groups and special events available at the Community Center Publicize public events and forums as well as Events and forums are widely publicized on resources and services available to youth the LPS list serve, Town list serve and in local print media. Efforts to improve communication of activities and services is ongoing Create a Teen Youth Summer Internship for This recommendation requires further teens to volunteer to work with Youth clarification Services staff and assist in planning of community forums Increase support for coaches and recreation The 2014-2015 CHNA-15 Mental Health First staff in their efforts to build positive Aid grant seeks to address some of these relationships with at-risk youth and relieve issues by offering training to the community unhealthy stress in general among teens to teach basic skills to respond to sign of mental illness and substance abuse Establish partnerships with businesses and This recommendation needs additional companies for job shadowing, internships clarity and mentoring 6. Reach Out to find Networking Opportunities and other Resources Town Government Response Hire a grant writer to solicit funding from Human Services staff members have SAMHSA, Massachusetts Department of successfully collaborated with the LPS and Public Health, CNHA 15, Foundation for Health Department to secure CHNA 15 grant Metrowest, and others funding for a number of significant projects Review efforts in other towns to learn how to This review was done when the Human best structure services, communication, and Services Department was reorganized in engagement with the community 2007. HSD staff members participate in the conferences and workshops provided by the Massachusetts Municipal Association (Local Area Human Services Councils) 7. 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S 2 2 � o/ / ƒ ) L2 , . .E CO \ / / � / 33 � ° E / % / / 2o3 � , . t \ \ u / % . \ � @o ± ` CO / £ R @ / \ / / / S ® 2 / t a / _ § ƒ Q ^ co CD R R 2 CDq CD u v v � E =3 E E � a�o;> ,... •C N a� ( � a > u 4) (A b-0 u � L. q) �0 > M co 0 M ,.... bap .J "� •� t"U N N L'Z cu o � C1 +-J O L . `4-J 0 Ln cu c� > 5. � -0 � o, 0� co " a " a-C two. _T_ C w o s.: + C ._ 0— C: •= � co Wl L— >-,% W cd cu ._ —.- bap Q,1 •c 3 s C:_ M co,. W) .> N N X cd c�. o \ cd u •ct , ,, •— 0 0 0 u ° cl 00 oN •— L W r_0 w °� co 0 L E , q) " cl 0 .? v 4.i ,�► .. . - a� L L 'Li Ct it - E br0 40— —0 -- 4 N 'q� cc3 ti � O 0 ' _ A cd c co N N Q p .Z 00 • 0 0 0 Q mrm IVO 00 (d 4J mc V ME 00 0-144 '', TM , (A I > mc :: to 2017 Lexington High School Youth Risk Behavior Survey Executive Summary August 18, 2017 Survey Background and Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lexington High School(LHS)administered the Youth Risk Behavior Survey(YRBS)in February of 2017. The survey,which included more than 200 questions, covered a series of topics associated with youth health behavior, including substance use, automobile safety,bullying and violence, sexual behavior,suicidal ideation and symptoms of depression, and academic stress.Full item-level survey results for these and other topics can be accessed at this web address: http://Lexington-hs-yrbs-2017.rothenbach-research.com/ The YRBS was developed by the United States Centers for Disease Control and Prevention(CDC)to monitor health behaviors among middle school and high school students. The questionnaire used by LHS is based on the official CDC questionnaire,but with an extensive set of revisions targeted at the specific needs of the LHS student population. The majority of questions in the 2017 survey are identical to those used in 2015,which supports the ability to assess how behaviors and attitudes change over time.Also,many of the questions are identical to those used by the national YRBS and statewide YRBS.At points in this report these comparative data are used to provide an interpretive context.Full results from the national YRBS and statewide YRBS can be found here: https://www.cdc.gov/healthyyouth/data/yrbs/results.htm The survey was administered in the classroom. Each teacher received an appropriate number of survey booklets. The questionnaire was short enough to allow the survey to be completed in one class period. Students were asked to complete the survey but were also told that participation is voluntary.Furthermore, students were told that they could skip any question that they were not comfortable answering.Appropriate procedures were implemented for obtaining permission from parents for student participation. After survey booklet scanning and data cleaning,the survey yielded a final sample size of 1,708 participants out of the full student population of 2,208,for a participation rate of 77.4%.For a large school, and given the voluntary nature of the survey, student absences,specific classrooms that were unable to participate, and record attrition due to data cleaning, 77.4%represents a solid level of participation. The sample was almost equally balanced between male and female students. White,not-Hispanic students constituted the largest race/ethnic subsample(47.5%),followed by Asian or Pacific Islander(30.3%), Southeast Asian American(7.9%), and multiracial(7.9%). This demographic breakdown,which is similar to the statistics for the full student population, supports the representativeness of the sample. Student perceptions and reported experiences collected through the YRBS can provide valuable insights. However, this should be paired with other data whenever possible to strengthen the inferences and conclusions ultimately drawn. Survey data should not be used alone to draw causal inferences about policy,practice,or individuals. Key Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Alcohol is the most commonly used substance among Lexington High School(LHS)students.Across all four grades, 65.4%reported lifetime use and 25.5%reported past-30-day use. 2. About one in ten(10.7%)LHS students reported one or more occasions of binge drinking(five or more drinks in a row)in the past 30 days. 3. Current cigarette use(one or more occasions in the past 30 days) among LHS students is low(2.6%). Lifetime cigarette use among LHS students has declined more than six percentage points since 2013.Also noteworthy, cigarette use rates among LHS students are substantially lower compared to the national and statewide YRBS. 4. About one in ten(11.5%)LHS students reported marijuana use in the past 30 days.While programming efforts to reduce this rate of use continue to be important,it should be noted that the rate of lifetime marijuana use has declined nearly five percentage points since 2013.Also, like cigarette use,marijuana use rates in LHS are substantially lower compared to the national and statewide survey results. 5. Like many school districts, automobile use is a focal point for risky behavior among LHS students,with 11.7% reporting riding with a drinking driver in the past 30 days.Among drivers,5.8%reported drinking and driving in the past 30 days and 28.5%reported texting and driving. 6. Survey questions addressing bullying and violence provide several key data points,including rates for being bullied on campus(12.1%),being electronically bullied(10.3%), experiencing hazing(7.7%), and involvement in verbal or physical dating violence(5.5%). 7. More than one out of four LHS students(27.1%)reported two or more weeks in the past year of not doing their usual activities because they felt sad or hopeless. The rate for female students(34.4%)is about twice as high as the rate for males(17.9%). 8. Nearly one out of five LHS students(17.2%)reported seriously considering suicide in the past year,a rate that is 2.2 percentage points higher than in 2015. 9. 12.9%of LHS students reported that they have had sexual intercourse, a rate dramatically lower than those reported at the national and statewide levels. 10. More LHS students reported having engaged in oral sex(19.4%)than sexual intercourse(12.9%). 11. Sending or receiving sexual content electronically is fairly prevalent among LHS students,with 32.4%having sent or received sexual messages and 28.1%having sent or received sexual pictures. 12. Academic life is a major source of pressure for LHS students, with"extreme stress" or"a lot of stress"reported for homework by 56.4%, for classes by 52.6%, and for planning for life after high school by 62.9%. 13. Interestingly,while students don't feel extreme pressure from teachers to get good grades, only 3.9%strongly agree that teachers are aware of their stress levels. 14. While academic stress remains a major challenge for the LHS community, students do report the use of positive stress management strategies,including listening to music(63.2%), exercising(42.4%), and talking to other people (51.0%). © 2017 Lexington Youth Risk Behavior Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Survey Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Use Cigarettes Alcohol Lifetime Prevalence. Of the LHS students surveyed in 2017, 8.5%have smoked cigarettes on at least one Lifetime Prevalence. Of the students surveyed in LHS in occasion in their lifetimes. Lifetime prevalence rates for 2017, 65.4%have tried drinking alcohol. Lifetime cigarette use range from a low of 2.6%for 91h graders to prevalence rates for alcohol use range from a low of a high of 15.9%for 12`h graders. 8.9%of male students 46.0%for 91h graders to a high of 79.9%for 12`h graders. and 6.7%of female students reported lifetime use. 64.3%of male students and 65.8%of female students reported lifetime use. Comparison Data.As Graph 2 shows,LHS students are reporting lower levels of cigarette use,with lifetime rates Comparison Data.As Graph 1 shows,the lifetime dropping from 15%in 2013 to 8.5%in 2017.Lifetime alcohol prevalence rate of 65.4%is similar to the rates cigarette rates from the 2015 national and statewide LHS students reported in 2013 (67%) and 2015 (63%). YRBS(32.3%and 27.8%,respectively)are more than Results from the 2015 national and statewide YRBS twice as high as in Lexington. show rates of 63.2%and 61.3%,respectively. Past-30-Day Prevalence. 2.6%of LHS students reported Past-30-Dav Prevalence. 25.5%of LHS students smoking cigarettes in the past 30 days,with grade-level reported the use of alcohol in the past 30 days,with results ranging from a low of 1.6%for 101h graders to a grade-level results ranging from a low of 8.7%for 9rh high of 4.1%for 12rh graders.2.2%of male students and graders to a high of 39.3%for 12`h graders. 22.1%of 2.1%of female students reported past-30-day use. male students and 28.2%of female students reported past-30-day use. Electronic Nicotine Delivery Binge Drinking.Findings on binge drinking(defined as Device (ENDD) consuming five or more drinks in a row within the past Past-30-Dav Prevalence.Among LHS students, 6.6% 30 days)are likely to be among the most important data reported the use of an ENDD in the past 30 days,with related to alcohol use. 10.7%of LHS students reported grade-level results ranging from a low of 2.4%for 6rh binge drinking,with grade-level results ranging from a graders to a high of 10.8%for 11 th graders. 7.1%of male low of 3.3%for 9rh graders to a high of 18.3%for 12`h students and 5.0%of female students reported past-30- graders. 9.1% of male students and 11.2%of female day ENDD use. students reported binge drinking. Passing Out/Blacking Out. 2.1%of LHS students reported drinking until they passed out,with grade-level results ranging from a low of 0.6% 100% for 91h graders to a high of 4.1%for 12`h graders. 80% 67.0 .... 63.0 65.4 63.2 61.3.... .... Drinking Location.LHS students were most likely to report having 40% used alcohol at home with their parents(16.3%), at a friend's house 20% with no adults present(14.0%), or at a party(13.6%) 0% Lexington Lexington Lexington National Mass 2013 2015 2017 2015 2015 2017 Lexington High School Youth Risk Behavior Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • a low of 1.9%for 91h graders to a high of 3.6%for 11 th graders. 60% Prescription Anxiety/Sleep Medication.Among LHS students, 2.6%have used prescription 40% anxiety/sleep medication,without a 32.3 doctor's authorization, on at least one 27.8 occasion in their lifetimes. Lifetime 20% ............i, prevalence rates range from a low of 11.0 1.8%for 10'h graders to a high of 3.3%for 11 th graders. - EM M 0% Lexington Lexington Lexington National Mass Prescription Stimulants.Among 2013 2015 2017 2015 2015 LHS students,4.2%have used prescription stimulants,without a doctor's authorization, on at least one occasion in their lifetimes. Lifetime Marijuana prevalence rates range from a low of 2.1%for 101h Lifetime Prevalence.Among LHS Students, 18.4%have graders to a high of 7.5%for 12`h graders. used marijuana on at least one occasion in their lifetimes. Other Li Lifetime prevalence rates range from a low of 3.1%for Lifetime Prevalence Rates. LHS students reported 9rh graders to a high of 3 2.1%for 12`h graders. 19.8%of relatively low lifetime rates of use for other categories of male students and 16.3%of female students reported substance abuse. These range from a high of 3.4/o for lifetime marijuana use. inappropriate use of over-the-counter drugs to a low of 1.3/a for heroin. Comparison Data.As Graph 3 shows,LHS students are reporting lower levels of marijuana use,with lifetime Automobile Safety rates dropping from 23%in 2013 to 18.4%in 2017. o Lifetime marijuana rates from the 2015 national and Alcohol and Driving.Among all LHS students, 11.7/o statewide YRBS(38.6%and 40.9°/0,respectively) are reported riding in a car with a drinking driver within the about twice as high as in Lexington. past 30 days.Among LHS drivers,5.8%reported driving and drinking within the past 30 days. Past-30-Day Prevalence. 11.5%of LHS students reported using marijuana in the past 30 days,with grade- Texting and Driving.Among LHS drivers,more than one level results ranging from a low of 1.8%for 9rh graders to out of four(28.5%)reported texting or emailing while a high of 17.9%for 12`h graders. 12.0%of male students wing within the past 30 days. and 10.0% of female students reported past-30-day marijuana use. Location of Use. LHS students were most likely to report having used marijuana at a friend's house with no 60% adults present(9.1%), at a park, beach, or other recreational area 40.9 (6.4%),or at a party(6.4%). 40% 38 G Other Drugs 20% 23.0 21.0 18.4 Prescription Pain Relievers.Among LHS students,3.0%have used prescription pain relievers,without a 0% doctor's authorization, on at least Lexington Lexington Lexington National Mass one occasion in their lifetimes. 2013 2015 2017 2015 2015 Lifetime prevalence rates range from © 2017 Lexington High School Youth Risk Behavior Survey • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • hazing,which the survey defines as _ being told to do something uncomfortable or humiliating for a 60% team or social group. 41.5 39.3 Fighting.Physical fighting was 40% reported by 16.1% of LHS students, 28.5 and fighting on school property was 20.8 reported by 3.6%. Both measures 20% 11.7.... 18.2 peak in the 10`h grade and taper off 5.8 7.8 9.4 as students age. Male students are substantially more likely than female 0% students to report having been in a Riding with a Driving Driving While fight(20.1%versus 10.3%). Drinking Driver After Drinking Texting ®Lexington 2017 •National 2015 El Mass 2015 Dating Violence.Involvement in verbal or physical violence as part of a dating relationship was reported by Comparison Data.As Graph 4 shows, on key automobile 5.5%of LHS students.Notably,while the other safety measures,LHS students report lower levels of harassment measures remain stable or start to decrease as dangerous behavior than their national and statewide students age,dating violence increases ranging from counterparts.In particular,LHS students are less likely to 3.0%among 91h graders to 8.3%among12`hgraders. ride with a drinking driver(11.7%versus 20.8%and Female students(6.8%)are more than ice as likely as 18.2%),drive after drinking(5.8%versus 7.8%and male students(3.2%)to report dating violence. 9.4%), and drive while texting(28.5%versus 41.5%and 39.3%). Depression and Suicide Bullying and Violence Ideation Threats and Bullying.Among LHS students, 14.1% Feeling Sad or Hopeless.Among LHS students,27.1% reported being threatened at school in the past year, reported feeling sad or hopeless for two weeks or more 12.1%being bullied at school, and 10.3%being p g p during the past year,with grade-level results ranging electronically bullied through texting and social media. from a low of 21.8%for 9rh graders to a high of 31.4% There is no clear pattern across grade levels, except that for 1 lth graders. Gender differences for this measure are 12 graders are less likely to report each of the three substantial,with 17.9%of male students reporting conditions.For gender groups,however,distinct feeling sad or hopeless compared to 34.4%of female differences were observed. Male students are more likely students. to report being threatened at school(16.5%versus 10.7% for female students), and female students are more likely to report both being bullied on school property(13.0%versus 9.8% for male students)and being electronically bullied(11.9%versus 60% 7.5%for male students). Comparison Data.As Graph 5 40% shows, LHS students are less likely than their national and statewide 20.2 counterparts to report that they've 20% 15.6 15.5 been bullied on school property 12.1 10.3 13.0 (12.1%versus 20.2%and 15.6%) or electronically bullied(10.3%versus 0% 15.5%and 13.0%). Bullied on Electronically School Property Bullied Hazing. 7.7%of LHS students ®Lexington 2017 •National 2015 El Mass 2015 reported having been the victim of 2017 Lexington High School Youth Risk Behavior Survey • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 5.4%as not sure, and 3.5%as none ME of the above. 60% Sexual Intercourse.Among LHS students, 12.9%reported that they have had sexual intercourse,with 40% grade-level results ranging from a low of 4.1%for 91h graders to a high 0 0 15. 14.9 15 17 2 17 7 of 27.7%for 121h graders. 13.1%of . 0 20/° male students and 11.7/o of female students reported that they have had E F-11 sexual intercourse. - MM EM E ' 0% Lexington Lexington Lexington National Mass Comparison Data.As Graph 7 2013 2015 2017 2015 2015 shows,the percentage of LHS students reporting that they have had sexual intercourse has remained o fairly constant between 2013 and Self-Injury. 12.5/o of LHS students reported participating 2017. Comparisons to the national and statewide surveys, in self-injurious behaviors, such as cutting,burning, or however, show dramatic differences.In 2017,LHS bruising.There is no clear pattern of grade-level � students reported a sexual intercourse rate of 12.9°/0, differences,but the rate for female students(16.4/o)is to 2015 national and statewide rates of 41.2% nearly three times higher than the rate for male students and compared 0. (6.5%). o Oral Sex.Among LHS students, 19.4%reported that they Suicide.Among LHS students, 17.2/o reported have had oral sex,with grade-level results ranging from a considering suicide, 10.4%made a suicide plan, and low of 5.1%for 91h graders to a high of 35.0%for 121h 4.0/o attempted suicide.As with depression,female graders.20.5%of male students and 17.6% of female students are about twice as likely to report suicide students reported that they have had oral sex. ideation as male students: (1)considered suicide(12.1/o of males versus 20.8% of females), (2)planned suicide Condom Use.Among sexually active LHS students, (6.2%of males versus 12.8%of females), and(3) 67.9%reported that they used a condom the last time attempted suicide(2.6%of males versus 4.6%of they had sexual intercourse. 69.2%of male students and females). Less than 1.0/o of students reported an injury 71.6%of female students reported condom use. from a suicide attempt. Birth Control Method. Condoms and birth control pills Comparison Data.As Graph 6 shows,while most of the were the two most common methods of birth control, problem behavior and attitude measures in the survey with 48.6%and 31.2%of sexually active students, show improvements over the last four years,LHS students are slightly more likely to report suicidal ideation in 2017.For example,reports of seriously • • • • considering suicide during the past 60% 12 months increased from about 15%in 2013 and 2015 to 17.2%in 41.2 2017. This rate nearly matches the 40% 36.4.... .... results from the 2015 national YRBS,but is higher than the 14.9% rate in the statewide survey. 20% °°.°°„ 0 13.0 Sexual Behavior 0% - m EM Sexual Orientation.Among LHS Lexington Lexington Lexington National Mass students, 82.8%described 2013 2015 2017 2015 2015 themselves as heterosexual,5.9%as bisexual,2.3%as gay or lesbian, 2017 Lexington High School Youth Risk Behavior Survey • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Comparison Data. While LHS - - students reported high levels of academic stress,the rates for 2017 100% represent modest reductions from 2013 and 2015.As Graph 8 shows, 75% high stress declined 4.6 percentage 61,0 65,3 2 2 points for homework,4.7 percentage 59.0 56.4 55.6 57.3 52.6 points for classes, and 2.4 50% percentage points for planning for life after high school,from their 25% previous highs. 0% Stress across the Student Homework Classes Life after population. The intensity of High School academic stress is unevenly •Lexington 2013 ®Lexington 2015 Lexington 2017 distributed across the student population.Across grade levels, stress levels increase as student respectively,reporting use the last time they had sex. ° move from 91h through 11 th grade,before receding among Withdrawal was used by 21.4/"and no method by 4.0/". 12rh graders.Female students also report substantially higher stress levels.For example, "extreme stress" or"a Substance Use and Sex.Among sexually active LHS lot of stress" for homework was reported by 64.4°/"of students,26.5/"reported that they used alcohol or drugs female students com pared to 47.8°/"of male students. the last time they had sexual intercourse. 22.6%of male p students and 23.7%of female students reported Teachers and Academic Stress. Only 12.4%of students substance use during sex. strongly agree that they feel pressure from teachers to get good grades. Most students are more likely to report Sexual Messages.Nearly one out of three LHS students academic pressure from the atmosphere at LHS 48.6°/" (32.4°/")has sent or received sexual messages or the atmosphere in the town of Lexington(41.4°/"). ) electronically,with grade-level results ranging from a However while teachers might not be a major source of low of 20.6%for 9rh graders to a high of 38.6%for 12`h o g 0 o pressure, only 3.9/"of students strongly agree that graders.30.6/"of male students and 33.1/"of female teachers are aware of student stress levels. students reported sending or receiving messages. Stress Management. While 44.8%of LHS students say Sexual Pictures. 28.1°/"of LHS students have sent or they manage stress by ignoring it and 7.8°/"use alcohol received sexual pictures electronically,with grade-level or drugs to manage it several positive stress management results ranging from a low of 15.7°/"for 9rh graders to a strategies are commonly practiced,including listening to high of 37.1°/"for 11 graders.This behavior was music(63.2°/"), exercising(42.4°/"), and talking to other reported at the same rate by male and female students. people(51.0°/"). Sexual Harassment. 5.9%of LHS students reported that someone has had sexual contact with them against their will.Female students were substantially more likely to report harassment(8.5%)than male students(2.4%). Academic Stress Sources of'Stress. LHS students reported the highest levels of stress in academic areas,with"extreme stress" or"a lot of stress"reported for homework by 56.4%,for classes by 52.6%, and for planning for life after high school by 62.9%.Family problems,in contrast, are only this stressful for 26.9%of students. More than half of students(50.6%)say that attending school at Lexington has "dramatically increased"their level of stress. 2017 Lexington High School Youth Risk Behavior Survey 2017 Lexington Middle School Youth Risk Behavior Survey Executive Summary August 18, 2017 Survey Background and Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Clarke and Diamond middle schools administered the Youth Risk Behavior Survey(YRBS)to all 7th and 81h graders in April of 2017. The survey,which included more than 80 questions, covered a series of topics associated with youth health behavior,including substance use, automobile safety,bullying and violence, sexual behavior, suicidal ideation and symptoms of depression, and academic stress.Full item-level survey results for these and other topics can be accessed at the web address below: https://goo.gl/dCgwLz A version of the YRBS is also administered to high school students in Lexington. These results are referenced at points in this report. Full item-level results for this survey can be found at the web address below: http://Iexington-hs-yrbs-2017.rothenbach-research.com/ The YRBS was developed by the United States Centers for Disease Control and Prevention(CDC) to monitor health behaviors among middle school and high school students. The questionnaires used by Lexington are based on the official CDC questionnaire,but with an extensive set of revisions targeted at the specific needs of the student population. The majority of questions in the 2017 survey are identical to those used in 2015,which supports the ability to assess how behaviors and attitudes change over time. However,the availability of other comparative datasets at the middle school level is unfortunately limited at this time. National CDC YRBS summary data is unavailable for middle school students. Most states,including Massachusetts,do not conduct YRBS in middle school. In Lexington,the middle school survey was administered online to students during the school day. Students were asked to complete the survey but were also told that participation is voluntary.Furthermore, students were told that they could skip any question that they were not comfortable answering.Appropriate procedures were implemented for obtaining permission from parents for student participation. After data cleaning,the survey yielded a final sample size of 1,049 participants in grades 7 through 8, equivalent to a 92%response rate. The sample was almost equally balanced between male and female students. White,not-Hispanic students constituted the largest race/ethnic subsample(49%),followed by Asian or Pacific Islander(22.9%), Southeast Asian American(11.7%), and multiracial(8.3%). This demographic breakdown,which is similar to the statistics for the full student population, supports the representativeness of the sample.Full demographic data, including comparison to district demographics, can be accessed at the web address listed above. It is important to note that student perceptions and reported experiences collected through the YRBS can provide valuable insights. However,this should be paired with other data whenever possible to strengthen the inferences and conclusions ultimately drawn. Survey data should not be used alone to draw causal inferences about policy,practice, or individuals. Key Findings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. Alcohol is the most commonly used substance among Lexington middle school students. Of the students surveyed in 2017,31.8%have tried drinking alcohol. This is a decrease from 2015 (39.7%). 2. Cigarette smoking among middle school students(at least one occasion in their lifetimes)remains low at 1.2%. Use of an Electronic Nicotine Delivery Device(ENDD)is also low,with only 1.8%reporting the use of an ENDD in the past 30 days. 3. Marijuana and other drug use among middle school students also remain low. 0.6%have used marijuana on at least one occasion in their lifetimes. Less than 0.5%of middle school students reported past-30-day marijuana use. Similar to results reported in 2015, approximately 2.0%of students reported using other drugs(e.g., cocaine, sniffing glue, steroids, over-the-counter medications or prescription medications that were not taken according to a doctor's instructions). 4. Reported incidences of bullying at school and electronically have both decreased since 2015. In 2017,29.9%of middle school students reported being bullied on campus(compared to 31.3%in 2015)and 15.0%reported being electronically bullied(compared to 20.1%in 2015). 5. Rates of reported self-injurious behavior have increased since 2015. 8.6%of middle school students reported engaging in self-injurious behaviors, such as cutting or burning(compared to 7.1%in 2015). 6. Levels of reported suicide ideation have also increased since 2015. Among middle school students, 15.4%reported considering suicide, 9.1%made a suicide plan, and 2.6%attempted suicide. These are increases from 2015 when 13.2%reported considering suicide, 7.8%made a suicide plan, and 1.2%attempted suicide. 7. Homework continues to be a source of stress for middle school students. Middle school students most frequently reported the highest levels of stress for homework,with 39%identifying this as a source of"extreme" or"a lot" of stress. This is similar to levels reported in 2015. Other notable sources of stress include classes(24.7%)and family problems(27.7%). © 2017 Lexington Middle School Youth Risk Behavior Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Survey Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Substance Use Electronic Nicotine Delivery Device Alcohol (ENDD) Lifetime Prevalence. Of the students surveyed in 2017, Past-30-Day Prevalence.Among middle school students, 31.8%have tried drinking alcohol(compared to 39.7%in 1.8%reported the use of an ENDD in the past 30 days 2015).A greater proportion of 8rh grade students(40.2%) (compared to 6.6%among LHS students). Rates were the reported trying alcohol compared to those in 7th grade same across grade levels(1.8%for both 7th and 8rh (24.2%)(See Graph 1). Rates also differ slightly by graders). 1.9%of male students and 1.4%of female gender. 34.4%of male and 28.3%of female students students reported past-30-day ENDD use. reported lifetime use. Past-30-Day Prevalence. 3.6%of middle school students Marijuana reported drinking one or more drinks in the last 30 days. Lifetime Prevalence. Middle school students continue to Grade-level results range from 2.9%for 7rh graders to report low levels of marijuana use,with lifetime rates 4.3%for 8rh graders. 4.4%of male students and 2.2%of dropping from 1.0%in 2015 to 0.6%in 2017. female students reported past-30-day use. Past-30-Day Prevalence. Less than 0.5%of middle school Cigarettes students reported past-30-day marijuana use Lifetime Prevalence. Lifetime prevalence rates have Other Drugs decreased from the already-low rates of cigarette use Lifetime Prevalence. Similar to results reported in 2015, reported in 2015 (2.2%). Of the middle school students approximately 2.0%of students reported using other drugs surveyed in 2017, only 1.2%have smoked cigarettes on at (e.g., cocaine, sniffing glue, steroids, over-the-counter least one occasion in their lifetimes.Rates of smoking are medications or prescription medications that were not also dropping among LHS students,with lifetime rates taken according to a doctor's instructions). dropping from 15.0%in 2013 to 8.5%in 2017. Lifetime prevalence rates for cigarette use range from Automobile Safety 0.7%for 7th graders to 1.8%for 8th graders. 0.8%of male students and 1.4%of female students reported lifetime use. Sae .Among middle school students, 94.4%wear a seat belt"most of the time" or"always." 11.4%reported riding Past-30-Day Prevalence. Less than 0.5%of middle school in a car with a drinking driver on at least one occasion in students reported smoking cigarettes in the past 30 days. their lifetimes. This is similar to the rate reported for LHS students(11.7%). MIMMM 100% 80/0 66.7 60% 40.2 46.0 40% 24.2 20% 0% Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 2017 2017 2017 2017 2017 2017 2017 Lexington Middle School Youth Risk Behavior Survey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Self-Injury .nSuicide Ideation 60% ..................................................................................................................................................................................................................................................... Self-'Iniurv. 8.6%of middle school students reported engaging in self-injurious behaviors, such °40/° .....1...................................................................................................................................................................................................................29 9 as cutting or burning. This is slightly higher than 3 .0 results from 2015 (See Graph 3). Rates of reported 20% 20.1 1.5.... self-injury are slightly higher among 81h graders (9.1%versus 8.0%among 7th graders). The rate for female students(10.6%)is about twice as high than 0% the rate for male students(5.4%). Bullied on School Property Electronically Bullied ®2015 �2017 Suicide.Among middle school students, 15.4% reported considering suicide, 9.1%made a suicide plan, and 2.6%attempted suicide.These are increases from 2015 when 13.2%reported considering suicide, 7.8% Bullying and Violence made a suicide plan, and 1.2%attempted suicide. Bullving at School.Among middle school students,29.9% As observed in YRBS data collected from LHS students, reported being bullied on school property ona t least one female students reported higher levels of suicide ideation occasion in their lifetimes(compared to 31.3/°in 2°015). than their male counterparts: (1)considered suicide(13.2% Rates were slightly higher among 8 graders(31.0/° )armed suicide ° rh of males versus 16.4%of females),(2)p versus 28.9/°among 7 graders). Male students are also (7 1% of males versus 9.6%of females),and(3)attempted more likely to report being bullied at school(32.2%versus suicide(1.9%of males versus 2.2%of females). 27.1%for female students). ° of middle school students 2.1%of middle school students reported an injury from a Electronic Bullving. 15.0/° suicide attempt.Among students who reported having reported being electronically bullied through texting and seriously considered suicide,36.3%have told an adult social media(compared to 10.3/° among high school (compared to 29.4%in 2015). students). This is a decrease from 2015,when 20.1% of students reported being electronically bullied(See Graph 2). Again,rates were higher among 8rh graders(17.7% versus 12.7%among 7th graders). Unlike bullying on school property,female students are more likely to report being electronically bullied(17.9%versus 11.7%for male students). Fighting.Physical fighting was reported by - 15.3%of middle school students.Male students are substantially more likely to 60/° report having been in a fight(24.3%versus 5.7%among female students).Among those students who reported having been in a 40% physical right,most(91.0%or 1.2 of the total sample)did not report being hurt and needing treatment from a doctor or nurse. 20/° 7.0 8.6 1.1 2.1 0% Engaged in Self Injury Attempted Suicide ®2015 132017 2017 Lexington Middle School Youth Risk Behavior Survey • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • Sexual Behavior AcademicStress Sexual Orientation.Among middle school students,68.1% described themselves as heterosexual, 5.0%as bisexual, Sources of Stress. Middle school students most frequently 0.5%as gay or lesbian, 12.9%as not sure, and 13.6%as reported the highest levels of stress for homework,with none of the above. 39.0%identifying this as a source of"extreme" or"a lot" of stress. This result is similar to 2015. 24.7%reported Sexual Intercourse. Similar to results from 2015, less than the same for classes(compared with 23.0%in 2015) (See 1.0%of Lexington students reported ever having sexual Graph 4). 27.7%reported that family problems cause intercourse. them"extreme" or"a lot" of stress. Sexual Messages. 8.1%of middle school students have Stress across the Student Population.The intensity of sent or received sexual messages electronically(compared academic stress is unevenly distributed across the student to 13.2%in 2015). Grade-level results ranged from 5.3% population.Across grade levels, stress levels related to for 7th graders to 11.3%for 8rh graders.Female students homework increase as student move from 7th(36.7%)to 8rh were slightly more likely to report having sent or received grade(41.7%). The same trend is observed for classes sexual messages electronically(8.2%)than male students (21.7%for 7rh graders and 28.2%for 8rh graders). This (7 8%) trend continues into high school from 91h through 11`h grade,before receding among 12`h graders.Female Sexual Pictures. 6.5%of middle school students reported students also reported substantially higher stress levels.For having sent or received sexual pictures electronically example, "extreme stress" or"a lot of stress"due to (compared to 8.0%in 2015). Grade-level results ranged homework was reported by 5 1.1%of female students from 5.0%for 7th graders to 8.3%for 8rh graders. Male compared to 27.3%of male students. Again,this same students were slightly more likely to report having sent or pattern is also observed at the high school level. received sexual pictures electronically(6.8%)than female students(5.8%). Sexual Harassment. 1.6%of middle school • - • • • • students reported that someone has had sexual contact with them against their will(compared to g ( P 60/o 2.2%in 2015).Female students were slightly more likely to report harassment(1.6%)than 39 39 0 male students(1.2/°). 40/o 23.4 24.7 20% ..... O% IM Classes Homework ®2015 132017 2017 Lexington Middle School Youth Risk Behavior Survey • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • `aU5 Mop? o� 1775 v m a " > 4 �W APRIL I9' �EXINC11 Human Services Department Town of Lexington Overview of Clinical & Counseling Services The Human Services Department works with families (youth, adults, seniors) experiencing a wide range of challenges. The individual case work with these families involves assessment and response to emergency, crisis or immediate safety concerns, connection to resources and referrals, short term counseling and stabilization, support groups, case management and facilitating a seamless transition to long term therapeutic supports as needed. Staff are available to meet with residents at the Community Center, home, school or in the community. The department works closely with staff from Lexington Police, Fire, Health and School Department who make referrals and collaborate on a variety of prevention programming and special projects. Staff: Charlotte Rodgers, RN, MA, CCM Director of Human Services Melissa Interess, LICSW Assistant Director of Human/Senior Services Philip Doyle, MSW Interim Youth and Family Social Worker Hemali Patel, LSW Senior Services Coordinator Alicia Grunes, RN, BSN Senior Outreach Services Trends in Service: • Significant increase in calls and walk in visits to the Human Services Department following relocation to the Community Center • Significant increase in calls to Youth and Family services in the last quarter of 2017 (April —June,)— seeking support and referral to long term therapists • Increase need for crisis response to complex cases • Increase need for prevention services and programming • Significant increase in use of email for correspondence with social worker • Need for 1:1 guidance with referrals and insurance issues Programming and Events: In addition to direct services, the Human Staff participates in prevention and special programming—most in collaboration with Town and School Departments and the community: • Opioid Presentation—Dr. Kevin Hill, MD September, 2016 • "If Only" Film and Panel discussion April 6, 2017 • Community Narcan Training—June 5, 2017 and (scheduled)November 13, 2017 • Panel presentation with Riverside Trauma Center and LYFS, Inc. 39 Marrett Road Lexington, Massachusetts 02421 781-698-4840 • Mental Health First Aid—in collaboration with Lexington Public Health • Mass Youth Opioid Summit • Grief Workshop for Parents • Monthly Parent Support Group at Community Center • Middle School Girls Group at Community Center • Holiday Outreach Programs—providing confidential assistance for families in need of food, plated meals and gift cards • Learn Lexpress event for Middle School Youth at Community Center • Member, Steering Committee Lexington Coalition Youth Initiative • Homeless outreach and services • Lexington Parent Academy—presenter and planning • School Health Advisory Committee (SHAC) member • SBIRT trainer with Lexington Public Schools at LHS • Underage Drinking and Substance Use Task Force member • Family Game Nights in collaboration with Lexington Recreation and Community Programs • Halloween Special events— Community Center, Library .a II�1�\�1111�0��0���1���1�\�11�1�\�� �� IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII \\\\1111111\\111110�1\11�1\�1�\1�\ IIIIIIIIIIIIIIIII � rca ��� LAI In IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII \\\\1\\\\\\\\\\\\00\01\0\\\\\\\\\\\\\\\\\\\\\\\\0\00000\0\\\\ ;na vi rq �:� \\\�1\�\�\��10000�0�0�1�0 ILL > , Ln w> s �1 K... 1n,,,, 111ti1`� IIIIIII e'6 C. M rq rqG'.:JG'.:J IS) Gm3 IS Gm3 IS) rq rq ri ON L11 � l0 ri O l0 ON O O � N i11 O Ol � c-I l0 N r-I N N tDori l0 O 00 m ri O 00 orli O[V �t O ri M O 0 0 ri �t N ri N N N ri O 00 I� ri O LD O O O O N O 0) ri ri M N ri N +J +J aj u .i ai N +J N +J Ln N � N to cr- 7 cr- 7 U co EN Li O aJ U 7 v i �Yaj U W m > 00 N )v > Co N s E v v — c E v v S 0 2 w Ln S 0 2 2 `aU5 Mop? o� 1775 v m a " > 4 �W APRIL I9' �EXINC11 Human Services Department Youth Services Council Description: The Youth Services Council's overall mission is to: • Identify unmet needs for mental health, substance abuse, risky behaviors and related services among Lexington youth • Improve the availability of such services to all Lexington youth • Facilitate coordination and collaboration among service providers in Lexington • Communicate recommendations (program, goals or budget needs)to the Human Services Committee and the Human Services Director • The Human Services Director will report findings to the Town Manager • The Human Services Committee will report findings to the Board of Selectmen Members: The Youth Services Council is a community and interdepartmental working group with representatives from: • Board of Selectmen • Human Services Department • Recreation Department and Community Programs Department • Cary Memorial Library • School Prevention, School Health and Wellness, School Guidance Departments • School Committee • PTSA/PTO Leadership • Police Department(School Resource Officer) • Fire Department • Community Representative • 5 Student Representatives Staff Support and Facilitation: Youth and Family Services Social Worker, Human Services Department Director and/or other staff as assigned Meetings/Contact info: Monthly -For more information contact Kristie Demirev LICSW at kdemire,v lie n g ✓„ 1475 Massachusetts Avenue Lexington, Massachusetts 02420 781-861-0194 Current Members (not updated for FY 2016): Norman Cohen Board of Selectmen Charlotte Rodgers Human Services Department Director Kristie Demirev Human Services Department Sheila Butts Community Center Director Thomas Romano Recreation and Community Programs Jennifer Forgit Cary Memorial Library, Teen Librarian Julie Fenn School Prevention Jennifer Wolfrum School Health and Wellness Val Viscosi School Guidance Department Manjua Karamcheti School Guidance Department Jessie Steigerwald School Committee Bettina McGimsey PTAS/PTO Leadership Jen Vogelszang PTSA/PTO Leadership Peg Gibson PTSA/PTO Leadership Sharon Kendall PTSA/PTO Leadership Jillian Dimmock PTSA/PTO Leadership Jeff Chaisson Lexington Police Department Tim Johnson Lexington Fire Department Dan Palant Community Representative + 5 Youth Members (names withheld)