Beyond the Basics

School EMS referrals, on the rise, catch City Council's attention

Sonya Turner knew her daughter struggled in school, both socially and academically. But when an assistant principal called one afternoon last October  to say that her daughter, Cashmiere, had turned suicidal and needed to be sent to the Emergency Room for psychiatric evaluation, Turner said she didn’t believe it.

When she visited the school that afternoon to follow up, she was told she would not be allowed to speak with Cashmiere until she met with school administrators. Turner refused and angrily confronted school officials until she had to be restrained school safety officers.

“I was livid, I was cursing, I was very irate,” Parker said. “If anyone should have been admitted to a psychiatric ward it should have been me, not my child,”

In the end, school officials sent Cashmiere to the ER anyway. She is one of hundreds of students who each year are forcibly referred to emergency medical services by principals who believe that they could be dangerous to themselves or others.

Those numbers are on the rise, education department officials told City Council members at a hearing on mental health services in schools today. During the 2010-2011 school year, principals and assistant principals sent students to the E.R. 947 times, a 12 percent spike from the previous school year.

“We have work to do because that number is not going in the right direction,” said Deputy Chancellor Kathleen Grimm said in her testimony.

Mental health professionals who work with students told the council that the increase signals a deterioration of the system’s ability to deal with students who require mental health care services. Budget cuts and a disorganized patchwork of multi-level mental healthcare providers have made it increasingly difficult to appropriately serve the thousands of students who received mental health diagnoses each year.

The practice of referring students to the hospital is the most extreme kind of intervention for mentally and emotionally disturbed students in New York City public schools. Special education and mental health advocates say it is not only expensive and traumatizing, but, in many of the cases, they are also often unnecessary.

A survey of doctors and psychologists found that as few as 3 percent of students who were sent to the Emergency Room were actually admitted to the hospital. In most cases, including Turner’s, the students are discharged within hours and sent home.

Turner said her daughter, the oldest girl in her seventh grade, was bullied and had grown frustrated by her academic status. But she was not suicidal, Turner said, and a psychologist at the hospital quickly agreed.

“She was safe to be back in school the next day,” said Turner, the only parent to testify at the hearing. Several parents in the past month who has spoken publicly about cases when their children were similarly sent to the E.R. as punishment for disruptive behavior. One parent said her her 10-year-old son was repeatedly taken to the E.R. for angry outbursts, and two families are suing a charter school after it placed kindergarten-age students on “psychiatric suspension.”

“We have seen that schools are too frequently referring students to EMS where school discipline is the issue, not medical or mental health treatment,” said Keren Farkas, an attorney at New York Lawyers for the Public Interest, which works with people with disabilities.

Nelson Mar, an attorney for Legal Services NYC – Bronx, said that there were plenty of solutions to the shortfall of mental health services. He called for the DOE to immediately create policy designed to minimize the use of EMS as an intervention practice. But he said more data was necessary. The DOE has so far declined to release disaggregated demographic information about students sent to a hospital emergency room and the reasoning behind it.

“Only with data can policy makers be able to quantify the depth of the practice and craft appropriate public policy to address it,” Mar said in testimony.

first steps

Superintendent León secures leadership team, navigates evolving relationship with board

PHOTO: Patrick Wall
Superintendent Roger León at Tuesday's school board meeting.

As Newark’s new superintendent prepares for the coming academic year, the school board approved the final members of his leadership team Tuesday and began piecing together a roadmap to guide his work.

The board confirmed three assistant superintendents chosen by Superintendent Roger León: Jose Fuentes, the principal of First Avenue School in the North Ward; Sandra Rodriguez, a Hoboken principal who previously oversaw Newark Public Schools’ early childhood office; and Mario Santos, principal of East Side High School in the East Ward. They join three other assistant superintendents León selected for his team, along with a deputy superintendent, chief of staff, and several other officials.

The three assistant superintendents confirmed Tuesday had first come before the board in June, but at that time none of them secured enough votes to be approved. During last month’s meeting, the board assented to several of León’s leadership picks and to his decision to remove many people from the district’s central office, but it also blocked him from ousting several people.

This week, Board Chair Josephine Garcia declined to comment on the board’s reversal, and León did not respond to a request for comment.

What is clear is that the board and León are still navigating their relationship.

In February, the board regained local control of the district 22 years after the state seized control of the district due to poor performance and mismanagement. The return to local control put the board back in charge of setting district policy and hiring the superintendent, who previously answered only to the state. Still, the superintendent, not the board, is responsible for overseeing the district’s day-to-day operations.

During a board discussion Tuesday, Garcia hinted at that delicate balance of power.

“Now that we’re board members, we want to make sure that, of course, yes, we’re going to have input and implementation,” but that they don’t overstep their authority, she said.

Under state rules, the board is expected to develop district goals and policies, which the superintendent is responsible for acting on. But León — a former principal who spent the past decade serving as an assistant superintendent — has his own vision for the district, which he hopes to convince the board to support, he said in a recent interview on NJTV.

“It’s my responsibility as the new superintendent of schools to compel them to assist the district moving in the direction that I see as appropriate,” he said.

Another matter still being ironed out by the board and superintendent is communication.

León did not notify the full board before moving to force out 31 district officials and administrators, which upset some members. And he told charter school leaders in a closed-door meeting that he plans to keep intact the single enrollment system for district and charter schools — a controversial policy the board is still reviewing.

The district has yet to make a formal announcement about the staff shake-up, including the appointment of León’s new leadership team. And when the board voted on the new assistant superintendents Tuesday, it used only the appointed officials’ initials — not their full names. However, board member Leah Owens stated the officials’ full names when casting her vote.

The full names, titles and salaries of public employees are a matter of public record under state law.

Earlier, board member Yambeli Gomez had proposed improved communication as a goal for the board.

“Not only communication within the board and with the superintendent,” she said, “but also communication with the public in a way that’s more organized.”

The board spent much of Tuesday’s meeting brainstorming priorities for the district.

Members offered a grab bag of ideas, which were written on poster paper. Under the heading “student achievement,” they listed literacy, absenteeism, civics courses, vocational programs, and teacher quality, among other topics. Under other “focus areas,” members suggested classroom materials, parent involvement, and the arts.

Before the school year begins in September, León is tasked with shaping the ideas on that poster paper into specific goals and an action plan.

After the meeting, education activist Wilhelmina Holder said she hopes the board will focus its attention on a few key priorities.

“There was too much of a laundry list,” she said.

early dismissals

Top Newark school officials ousted in leadership shake-up as new superintendent prepares to take over

PHOTO: Patrick Wall
Incoming Newark Public Schools Superintendent Roger León

Several top Newark school officials were given the option Friday to resign or face termination, in what appeared to be an early move by incoming Superintendent Roger León to overhaul the district’s leadership.

The shake-up includes top officials such as the chief academic officer and the head of the district’s controversial enrollment system, as well as lower-level administrators — 31 people in total, according to documents and district employees briefed on the overhaul. Most of the officials were hired or promoted by the previous two state-appointed superintendents, Cami Anderson and Christopher Cerf, a sign that León wants to steer the district in a new direction now that it has returned to local control.

The officials were given the option to resign by Tuesday and accept buyouts or face the prospect of being fired by the school board at its meeting that evening. The buyouts offer a financial incentive to those who resign voluntarily on top of any severance included in their contracts. In exchange for accepting the buyouts, the officials must sign confidentiality agreements and waive their right to sue the district.

Earlier this week, León submitted a list of his choices to replace the ousted cabinet-level officials, which the board must approve at its Tuesday meeting. It’s not clear whether he has people lined up to fill the less-senior positions.

It’s customary for incoming superintendents to appoint new cabinet members and reorganize the district’s leadership structure, which usually entails replacing some personnel. However, many staffers were caught off guard by Friday’s dismissals since León has given little indication of how he plans to restructure the central office — and he does not officially take the reins of the district until July 1.

A district spokeswoman and the school board chair did not immediately respond to emails on Friday about the shake-up.

Some staffers speculated Friday that the buyout offers were a way for León to replace the district’s leadership without securing the school board’s approval because, unlike with terminations, the board does not need to sign off on resignations. However, it’s possible the board may have to okay any buyout payments. And it could also be the case that the buyouts were primarily intended to help shield the district from legal challenges to the dismissals.

León was not present when the staffers learned Friday afternoon that they were being let go, the employees said. Instead, the interim superintendent, Robert Gregory, and other top officials broke the news, which left some stunned personnel crying and packing their belongings into boxes. They received official separation letters by email later that day.

The people being ousted include Chief Academic Officer Brad Haggerty and Gabrielle Ramos-Solomon, who oversees enrollment. Also included are top officials in the curriculum, early childhood, and finance divisions, among others, according to a list obtained by Chalkbeat.

In addition to the 31 being pushed out, several assistant superintendents are being demoted but will remain in the district, according to the district employees.

There was concern among some officials Friday about whether the turnover would disrupt planning for the coming school year.

“I don’t know how we’re going to open smoothly with cuts this deep,” one of the employees said. “Little to no communication was provided to the teams about what these cuts mean for the many employees who remain in their roles and need leadership guidance and direction Monday morning.”