When considering the well-being of students, schools are increasingly recognizing the profound impact of external factors on a child’s learning and behavior. Experiences outside the classroom, especially traumatic events, can significantly affect a student’s mental health and academic performance. This awareness has led to the rise of trauma-informed approaches in education, and among them, the Handle with Care program stands out as a proactive and community-focused solution. But How Many Schools Have The Handle With Care Program, and what is the extent of its reach across the nation?
While pinpointing an exact number of schools currently utilizing Handle with Care is challenging due to its community-driven and decentralized nature, its adoption is steadily growing. Estimates suggest that approximately 60% of states have implemented Handle with Care in at least one district, indicating a significant and expanding footprint across the United States. This reflects a growing recognition of the program’s effectiveness and the pressing need to address student trauma proactively.
This article delves into the prevalence of Handle with Care, exploring its significance, implementation, and the increasing number of schools embracing this vital framework to support students impacted by trauma.
The Critical Need: Addressing Student Trauma in Schools
The mental health of students has become a paramount concern, particularly heightened by recent global events and ongoing societal challenges. Educators are witnessing firsthand the increasing need for mental health support within school environments. A report from the National Center for Education Statistics highlighted this urgency, stating that “70% of public schools reported an increase in the percentage of their students seeking mental health services at school since the start of the COVID-19 pandemic.” Furthermore, 76% of schools reported a rise in staff concerns regarding students exhibiting symptoms of depression, anxiety, and trauma.
These statistics underscore the prevalence of Adverse Childhood Experiences (ACEs) among students. The Centers for Disease Control and Prevention (CDC) defines ACEs as “potentially traumatic events that occur in childhood (0-17 years).” These experiences include:
- Violence, abuse, or neglect
- Witnessing violence at home or in the community
- Family member suicide or attempts
- Household substance abuse, mental health issues, instability due to parental separation, or incarceration of household members.
The CDC emphasizes that ACEs are widespread, with “61% of adults surveyed across 25 states reporting that they had experienced at least one type of ACE before age 18.” Crucially, these experiences are linked to “lasting, negative effects on health, well-being, as well as life opportunities such as education and job potential.” Research has demonstrated a clear correlation between ACEs and developmental disorders, with one study finding that “children exposed to four or more ACEs had higher odds of ADHD and moderate to severe ADHD than children exposed to fewer than four ACEs.” Other studies reinforce the link between ACE exposure and behavioral issues, poor physical health outcomes, and increased risks of depression, anxiety, aggression, suicide risk, and substance abuse.
Handle with Care: A Proactive Approach
In response to the growing recognition of student trauma and its impact, the Handle with Care program offers a proactive and preventative framework for schools. Handle with Care is a simple yet powerful communication protocol designed to bridge the gap between law enforcement and schools. When law enforcement officers encounter a child at a scene, whether a domestic disturbance, a car accident, or another potentially traumatic event, they send a confidential notification to the child’s school. This notification contains only the child’s name and the phrase “HANDLE WITH CARE.” No details of the incident are shared, maintaining the child’s privacy while alerting the school to the potential need for support.
Upon receiving a Handle with Care notification, the school is empowered to implement trauma-sensitive practices. This might involve:
- Informing teachers: Discreetly alerting the student’s teachers that they have received a Handle with Care notification.
- Increased awareness: Teachers are then aware that the student may be experiencing emotional distress and can approach the student with extra sensitivity and understanding.
- Providing support: School staff, including counselors and nurses, can be prepared to offer additional support if the student exhibits signs of needing it, such as fatigue, distraction, or changes in behavior.
- Trauma-informed classroom strategies: Schools can implement broader trauma-sensitive strategies within classrooms to create a supportive and understanding environment for all students, especially those who may be silently struggling.
The core principle of Handle with Care is early intervention and support. By being alerted to potential trauma, schools can proactively create a safety net for students, mitigating the potential negative impacts of ACEs on their academic and emotional well-being.
The Origins of Handle with Care: A Community-Driven Initiative
The Handle with Care model originated from a collaborative effort to address the needs of children exposed to trauma. Its roots can be traced back to the Trauma and Learning Policy Initiative (TLPI), a partnership between Harvard Law School and Massachusetts Advocates for Children (MAC). TLPI’s work focused on creating trauma-sensitive schools and published the influential manual, Helping Traumatized Children Learn.
Building upon this foundation, the West Virginia Center for Children’s Justice developed the Handle with Care communication protocol. Mary C. Snow West Side Elementary School in Charleston, West Virginia, became the pilot school for the program. This school faced significant challenges, serving a high percentage of low-income families in a community grappling with drug issues and crime. Handle with Care was implemented to address the impact of these community-level traumas on students.
The program’s success in West Virginia and other pilot locations spurred its expansion. Data from Brockton Public Schools, an early adopter, demonstrated impressive results, including an 80% decrease in suspendable issues and a 43% decrease in office referrals in pilot schools. These positive outcomes highlighted the potential of Handle with Care to create safer and more supportive school environments.
Currently, Handle with Care is not a mandated federal or state program, contributing to the variability in adoption numbers. However, its grassroots nature and community-driven approach are key strengths. Implementation often begins at the local level, with districts, law enforcement agencies, and child protective services collaborating to establish the program within their communities. This localized approach allows for customization and adaptation to meet the specific needs and resources of each community.
Benefits Beyond the Individual: Impact on School and Community
The benefits of Handle with Care extend beyond individual student support, positively influencing the overall school environment and the wider community.
- Improved School Climate: By proactively addressing student trauma, Handle with Care contributes to a more supportive and understanding school culture. This can lead to reduced behavioral issues, improved student-teacher relationships, and a more positive learning atmosphere for all students.
- Reduced Post-vention: Many schools are often in reactive “post-vention” mode, responding to crises like bullying, violence, or suicide attempts after they occur. Handle with Care shifts the focus to prevention and early intervention, reducing the need for reactive measures and fostering a more proactive approach to student well-being.
- Community Strengthening: Handle with Care fosters stronger connections between schools, law enforcement, and child protective services. This collaborative approach strengthens community support systems for children and families, creating a more cohesive network of care.
- Cost-Effective Intervention: Compared to more intensive mental health programs, Handle with Care is a relatively low-cost intervention. The primary resources needed are time for training and coordination among stakeholders. By addressing issues early, Handle with Care can potentially reduce the need for more expensive interventions down the line.
Implementing Handle with Care: Key Considerations
For schools and districts considering implementing Handle with Care, several key factors contribute to successful adoption:
- Stakeholder Engagement: Successful implementation requires buy-in and active participation from all stakeholders, including school administrators, teachers, counselors, nurses, law enforcement agencies, child protective services, and community organizations.
- Clear Communication Protocols: Establishing clear and efficient communication protocols between law enforcement and schools is essential. This includes defining procedures for notification, confidentiality, and school-based responses.
- Training and Education: Providing comprehensive training to school staff and law enforcement personnel on trauma-informed practices and the Handle with Care protocol is crucial. This ensures everyone understands their roles and responsibilities.
- Data Privacy and Security: Maintaining student privacy and data security is paramount. Protocols must be in place to protect confidential information and ensure compliance with privacy regulations.
- Ongoing Evaluation and Adaptation: Regularly evaluating the program’s effectiveness and adapting it to meet the evolving needs of the school community is essential for long-term success.
Software and Systems: Streamlining Handle with Care
While Handle with Care is fundamentally a communication framework, technology can play a significant role in streamlining its implementation and enhancing its impact. Software solutions designed for school health management can facilitate:
- Secure Notification Systems: Electronic platforms can provide secure and efficient channels for law enforcement to send Handle with Care notifications to designated school personnel.
- Automated Workflows: Software can automate notification workflows, ensuring timely delivery of information to the right individuals within the school system.
- Centralized Student Records: Integrating Handle with Care notifications into electronic health records systems allows school nurses and counselors to have immediate access to relevant information when interacting with students.
- Data Tracking and Reporting: Software can track Handle with Care notifications and related student data, enabling schools to monitor program effectiveness, identify trends, and measure outcomes.
- Enhanced Communication: Secure messaging features within school health management systems can facilitate communication and collaboration among school staff involved in supporting students who have received Handle with Care notifications.
Solutions like Frontline School Health Management offer features specifically designed to support Handle with Care programs, providing tools for secure communication, automated workflows, and data-driven insights.
Measuring Success and Future Growth
Measuring the success of Handle with Care programs involves assessing various indicators, including:
- Student Behavioral Data: Tracking changes in office referrals, suspensions, attendance, and other behavioral metrics.
- Student Mental Wellness: Monitoring student self-reports of well-being, anxiety, and depression (where appropriate and ethically sound).
- Academic Performance: Analyzing academic outcomes, such as grades and test scores, to assess the impact of Handle with Care on student learning.
- Stakeholder Feedback: Gathering feedback from teachers, counselors, administrators, law enforcement, and parents to assess program satisfaction and identify areas for improvement.
As awareness of ACEs and the importance of trauma-informed schools continues to grow, the adoption of Handle with Care is likely to expand. Its simplicity, effectiveness, and community-driven nature make it a valuable asset for schools seeking to create safer, more supportive, and more equitable learning environments for all students.
Resources to Get Started with Handle with Care
For schools and communities interested in implementing Handle with Care, numerous resources are available:
- West Virginia Handle with Care Website: (http://www.handlewithcarewv.org/) – Offers comprehensive information, guides, and contacts to initiate Handle with Care programs.
- Oklahoma Handle with Care: (https://handlewithcareok.org/) – Provides free getting started guides and training materials.
- Handle with Care Quick Start Guide: (https://www.frontlineeducation.com/handle-with-care-guide-for-schools/) – A practical guide for schools to begin implementing Handle with Care.
- Trauma-Sensitive Schools Website: (https://traumasensitiveschools.org/) – Offers resources and information on creating trauma-sensitive learning environments.
Conclusion: Fostering Healing and Resilience
While the exact number of schools with Handle with Care programs continues to evolve, the program’s growing adoption reflects a significant shift towards proactive student mental health support in education. Handle with Care is more than just a notification system; it is a symbol of community collaboration, trauma-informed care, and a commitment to fostering healing and resilience in students.
By implementing Handle with Care, schools can create a vital safety net for students impacted by trauma, promoting their well-being, academic success, and the overall health of the school community. As the program expands, it holds the promise of creating a more compassionate and supportive educational landscape for all children.
To learn more about how to implement Handle with Care in your district and how software solutions can support your program, start here.
References
[1] Centers for Disease Control and Prevention. (n.d.). About Adverse Childhood Experiences (ACEs). Retrieved from https://www.cdc.gov/violenceprevention/aces/about/index.html
[2] Centers for Disease Control and Prevention. (n.d.). About Adverse Childhood Experiences (ACEs). Retrieved from https://www.cdc.gov/violenceprevention/aces/about/index.html
[3] Centers for Disease Control and Prevention. (n.d.). About Adverse Childhood Experiences (ACEs). Retrieved from https://www.cdc.gov/violenceprevention/aces/about/index.html
[4] цимаева, И. М., et al. (2021). Association of Adverse Childhood Experiences With Attention-Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis. JAMA Pediatrics, 175(5), 508–516.
[5] Anda, R. F., et al. (1999). Adverse childhood experiences and risk of health, behavioral, and social problems. American Journal of Preventive Medicine, 16(1), 28–44.
[6] Felitti, V. J., et al. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults. American Journal of Preventive Medicine, 14(4), 245–258.
[7] National Association of School Nurses. (2018). Child Maltreatment and Neglect. NASN Position Statement.
[8] Voight, A., & Nation, M. (2016). Academic and social engagement: A multi‐level analysis of student engagement in elementary schools. School Psychology Quarterly, 31(2), 231–244.
[9] Perry, B. D. (2008). Brockton, MA: The Brockton Public Schools’ Neurosequential Model in Education (NME) Project. The Child Trauma Academy.
[10] West Virginia Center for Children’s Justice. (n.d.). Handle with Care. Retrieved from http://www.handlewithcarewv.org/
[11] Centers for Disease Control and Prevention. (n.d.). About Adverse Childhood Experiences (ACEs). Retrieved from https://www.cdc.gov/violenceprevention/aces/about/index.html
[12] Cook, A., et al. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35(5), 390–398.
[13] Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s Concept of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884.
[14] Collaborative for Academic, Social, and Emotional Learning (CASEL). (n.d.). What is SEL?. Retrieved from https://casel.org/what-is-sel/
[15] Education Corner. (n.d.). Behavioral Disorders in the Classroom. Retrieved from https://www.educationcorner.com/behavioral-disorders-in-the-classroom.html
[16] Office for Victims of Crime. (n.d.). Victim-Centered Approach. Retrieved from https://ovc.ojp.gov/program/vtv/victim-centered-approach
[17] Born Fabulous Podcast. (2021, August 18). What a great teacher! Post was by Jacqueline Nicole Thomas. [Tweet]. Twitter. https://twitter.com/PodcastBorn/status/1428094656122867717
[18] Montana Office of Public Instruction. (n.d.). Handle with Care Montana. Retrieved from https://opi.mt.gov/Families-Students/Health-Wellness/Handle-with-Care-Montana
[19] Centers for Disease Control and Prevention. (2020). Suicide Mortality and Suicidal Ideation Among Adults Aged ≥18 Years — United States, 2008–2009 and 2019–2020. Morbidity and Mortality Weekly Report, 69(5152), 1877–1882.