Expanded School Mental Health

Through a variety of state and local administrative arrangements, Expanded School Mental Health (ESMH) programs have been developed in nearly 119 Baltimore City schools over the past decade. These programs augment existing services provided by the school and help to ensure that a comprehensive range of services (assessment, prevention, case management, treatment) are available to youth in regular education.

Hope Health Systems’ Expanded School Based Program strives every year to be the best clinical Program serving Public and Charter Schools in Baltimore City, Baltimore County and Charles County. Our goal, for each school that we service, is to strive for excellence in service, promote academic success, establish and develop students’ personal assets and capabilities; and, provide high quality services that will incorporate evidence-based practices and practice-based evidence interventions, continuum of care, authentic parent/family engagement, meaningful youth involvement, culturally and linguistically competent service provisions, training, consultation services, and, data-driven planning, evaluation, and quality improvement. For additional information please call 410.265.8737.

Scope of Practice for School Mental Health Programs

  1. Mental Health Screening: A mental health screening is conducted with the parent and or guardian of the individual by a mental health professional. The face-to-face screening assesses the individual’s strengths, available resources, and treatment needs.
  2. Psychiatric Assessment and Diagnosis: A psychiatric diagnosis is formulated and includes a description of the presenting problem, any relevant history, mental status examination and rationale for diagnosis.
  3. Individual Treatment Plan (ITP): A treatment plan is developed in collaboration with the individual and parent and or guardian. ITP includes the individual’s diagnosis, presenting problems, needs, strengths, treatment expectations and responsibilities. Long term and short term goals are determined in measurable terms. Target dates are also provided for each individual goal. Criteria for successful completion of treatment and reasons for continuing treatment are outlined. Lastly, the client will be provided with a crisis response plan as well as updates on progress of their objectives.
  4. Continuing Evaluation and Treatment: A contact note is completed after each visit describing the service delivered. Each month a progress summary note is completed that describes progress towards ITP goals and any changes in an individual’s status. If needed, changes in treatment goals and services will be determined.
  5. Referral Services: Appropriate recommendations for referral are provided if applicable.
  6. Medication Services: If indicated, medication services, i.e. prescription, monitoring, and education regarding medication are provided.
  7. Crisis Services: Crisis services are made available during schools hours. If a HHS staff member is not on site, there will be a HHS staff member on call. An appropriate crisis plan will be developed and documented in the medical records.
  8. In School Services: HHS staff will provide training of clinical services and clinical intervention relating to children with mental health needs to school teachers and staffs. Consultation regarding clinical interventions, classroom observation, and classroom feedback will be provided.
  9. Discharge Planning/ After Care services: A discharge plan is prepared when the treatment team i.e. Therapist, Psychiatrist and Treatment Coordinator, determines that discharge is appropriate. The plan is developed in collaboration with the client and parent/guardian and assesses individual’s current clinical status, services needs and progress on agreed goals.

To find out if your school has an Expanded School Mental Health Program:

Contact your local CSA (Core Service Agency):

Baltimore City CSA is Behavioral Health Systems Baltimore: One North Charles Street, Suite 1300, Baltimore, MD 21201. Phone: 410-637-1900, Fax: 410-637-1911

Baltimore County CSA is Baltimore County Bureau of Behavioral Health: 6401 York Road, 3rd Floor, Baltimore, Maryland 21212. Phone: 410-887-3828

Charles County CSA is Charles County Department of Health10480 Theodore Green Blvd., White Plains, Maryland 20695. Phone: 301-609-5757 Fax: 301-609-5749

Baltimore County School Sites:

  • Arbutus Middle
  • Edmondson Heights Elementary
  • Hillcrest Elementary
  • Powhatan Elementary
  • Relay Elementary
  • Southwest Academy
  • Woodlawn Middle
  • Woodmoor Elementary
  • Winfield Elementary
  • Windsor Mill Middle

Baltimore City School Sites:

  • Abbottston Elem
  • Arlington Elem/Middle
  • Baltimore City College
  • Baltimore International Academy
  • Baltimore IT Academy
  • Beechfield Elem/Middle
  • Cecil Elementary
  • City Neighbors Hamilton
  • City Neighbors High
  • Coldstream Park Elem/Middle
  • Collington Square Elem/Middle
  • Creative City Public Charter
  • Dallas Nicholas Elementary
  • Fort Worthington Elementary
  • Friendship Academy
  • Furley Elementary
  • Garrett Heights Elem/Middle
  • Glenmount Elem/Middle
  • Govans Elementary
  • Green Street Academy
  • Guilford Elem/Middle
  • Hamilton Elem/Middle
  • Harford Heights Elementary
  • Heritage High School
  • Kipp Elem/Middle
  • Leith Walk Elementary
  • Margaret Brent Elem/Middle
  • Maritime Industries Academy
  • Monarch Academy
  • Moravia Park Elem/Middle
  • Northeast Middle
  • Reginald F. Lewis High
  • Sam FB Morse Elementary
  • Sinclair Lane Elementary
  • Stadium School
  • Walter P. Carter Elem/Middle
  • Waverly Elem/Middle
  • WEB Dubois High
  • Windsor Hills Elem/Middle
  • Woodhome Elem/Middle

Charles County School Sites:

  • Benjamin Stoddert Middle
  • General Smallwood Middle
  • John Hanson Middle
  • Mattawoman Middle
  • Matthew Henson Middle
  • Milton M. Somers Middle
  • Piccowaxen Middle
  • Robert D. Stethem Educational Center
  • Theodore G. Davis Middle


Woodlawn Office

6707 Whitestone Rd
Suite 106
Baltimore, MD 21207
Phone 1: 410.944.HOPE
Phone 2: 410.265.8737
Fax: 410.265.1258
Email: info@hopehealthsystems.com


Greenspring Office

2605 Banister Rd
Baltimore, MD 21215
Phone: 410.878.0236 
Fax: 410.567.0399


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