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Reopening Schools

How to Go Back to School Series Part 3: Supporting Mental Health and Peace of Mind

We can be proactive in adding and expanding resources available to students surrounding mental and behavioral health issues.
5 min read
June 25, 2020
Dr. Robert Darzynkiewicz
Board-Certified Emergency Medicine Physician
Dr. Rob has over 13 years of ER experience, the last two as the Pediatric Emergency Director. He believes technology can improve healthcare access and quality for students and their families.

Did you miss part 1: Click here to read our take on the public health landscape and how to prepare when considering a return in the fall.

School districts are increasingly concerned about how COVID-19 will affect protocols and practices when students return to school. The Institute for Education Innovation has started a dialogue with Superintendents about what to do and how to prepare. Hazel Health was asked to respond with the medical perspective on what to consider when thinking about re-opening.

Hazel Chief Medical Officer, Dr. Rob Darzynkiewicz, and Hazel co-founder/Head of Education Raquel Antunez collaborated in this 3-part Q&A format to address questions asked by superintendents and provide clarity on what steps districts can take next.

Q: Do you think that adults and students will all need to be tested before they can return to work/school? It seems that we would need to know that everyone in our schools is COVID-19 free, no?

Ideally, and from a medical perspective, we would like to see everyone get tested for antibodies. In an ideal world, we would have those who return to school who have immunity against COVID-19. In the absence of universal antibody testing, there continue to be risks associated with contracting and spreading the virus. However, in reality, testing has been difficult, sporadic, and the results have been misleading in certain circumstances. Thankfully, there have been incredible improvements over the past few weeks and we are hopeful that continues.

Regardless of how improved testing does get rolled out, it’s vital for schools to provide clear guidelines for families who have been exposed or are showing symptoms. In the districts that have partnered with Hazel to provide virtual healthcare, parents can contact a doctor before school to help decide whether they should send their child in based on their symptoms. Our team is aware of each individual school district’s policy, and can also connect students to other services they need to stay home.

Based on what has happened over the past few weeks, it is expected that this virus will be in the population for longer than just the start of the school year this fall. An ongoing, and robust approach to managing public health within the school setting are going to be critical throughout the 2020-2021 school year and possibly beyond.

Q: Forehead Thermometer: Do you recommend school districts using forehead thermometers for all employees? If yes, for how long?

There are three primary medical interventions we think are useful for school districts to implement for all employees when it is possible to do so: nasal swabs to test for active COVID-19, antibody tests to determine immunity, and vaccinations. While we wait for this to become possible, we will need to rely on other tools like digital thermometers to help detect and prevent infection. Until there is a vaccine available, using thermometers will likely become the norm in a variety of public spaces.

Beyond taking temperatures and understanding health status, it’s also critically important to consider the role of remote learning and telemedicine. Both students and employees may develop symptoms and be asked to stay home for multiple days—or even weeks—depending on the local situation and home exposure. While at home, access to virtual healthcare will help families manage through how to bring their children back into the classroom safely. As we use forehead thermometers to detect potential symptoms, we’ll need to keep in mind how we can remain flexible across the board.

Q: Can we increase access to mental health professionals? We need to prepare for increased stress and anxiety from our students.

One of the most important considerations during this crisis and in its aftermath is the mental wellbeing of students, staff, and the community at large. The mental and emotional toll this crisis has taken on individuals is immense and will be felt for months and years to come. Many students were in very vulnerable positions before this crisis hit. That has worsened. Social determinants of health have changed drastically and situations are worse for many families than they were a few months ago.

As educators, clinicians, and community leaders, we can be proactive in adding and expanding resources available to students surrounding mental and behavioral health issues. Addressing the root causes of what manifests as mental health concerns is something school nurses, counselors, social workers, and school-based health providers are uniquely positioned to do. Hazel’s providers support partner school districts by addressing students’ urgent needs that lead to these deeper rooted issues through telemedicine services. Our doctors can identify when stress and anxiety are manifesting as physical symptoms – and many mental health issues have historically appeared with physical complaints first, so this is an important first step to discover where we can help with.

Hazel also creates space for students to share their issues through a sense of anonymity and comfort with telehealth. We take the crucial info shared with us and triage care to school counselors or other programs. Along with school leadership and increased funding support for mental health programs, we can make a difference in the lives of students who have been traumatized by the unforeseen consequences of this pandemic.  

About IEI

Superintendents are defenders of our children’s right to a high-quality public education, leading their teams toward effective, sustainable solutions to age-old problems. They must be at the center of discussions around when, where, and how innovation will affect teaching and learning. Many education solution providers, funders, researchers, and thought leaders are mission-driven: they do what they do to improve student outcomes. The Institute for Education Innovation bridges the gaps between the individuals and organizations committed to seeing students succeed in school and life, creating a safe space for constructive problem-solving and innovative thinking.

About Hazel’s Contributors

Dr. Robert Darzynkiewicz, Chief Medical Officer

Dr. Rob (as he is known to the kids) is board certified in Emergency Medicine with over 13 years of experience, the last two as Pediatric Emergency Director.  Dr. Rob received his M.D. from New York Medical College. He oversees all clinical staff and operations, ensuring students are receiving top-quality, evidence-based care. Rob recognizes that technology allows him and his team to make a difference with students and their families by providing much-needed access and better care.

Raquel Antunez, Cofounder / VP Education

Raquel Antunez serves as Vice President of Education at Hazel Health. She has deep expertise in providing advisory and service to diverse ethnic and socio-economic demographics and is fluent in Spanish. Raquel has over 20 years of extensive experience in the education sector, including teaching various grade levels, serving as a school principal and director, and a multitude of other leadership roles including leading full- district implementation for English Learners and struggling learners. Raquel earned undergraduate degrees and certifications from the University of the Pacific and Universidad de Granada (Spain); she has a Master of Arts degree in Education Administration from Cal State-Sacramento.

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Parent Story
A father was concerned when his son was showing COVID-19 symptoms. His school uses Hazel, so he was able to contact a Hazel doctor from home.

The Hazel provider recommended he get a COVID-19 test and shared resources to help find a testing center in their area. The father was eager to help his son feel better and appreciated being able to quickly get answers and advice.
Nurse Story
A student came into the nurse's office with a sprained ankle. After icing her foot, she still was in pain, so the nurse called Hazel. Thankfully, her family had provided consent for over-the-counter pain relief because she was able to take some medicine and return to class feeling better.

After the visit, the Hazel provider reached out to the school nurse to check on the student’s injury. The nurse shared that the student’s ankle was improving, and she appreciated the follow-up.
Parent Story
A mother noticed her son was getting low on his asthma medication. She tried to schedule a visit with his doctor to refill his prescription, but no appointments were available. She didn’t want her son to run out of medicine, so she reached out to Hazel.

The provider was able to send the refill to a local pharmacy within one day. The mother was happy that her son would have the medicine he needed. She was also amazed at how easy and fast the entire process was.
Student Story
A student was coughing and sneezing a lot, but her family wasn’t sure if she was sick or had allergies. Thankfully, her school used Hazel, and they could get an answer.

After talking with the school nurse and the Hazel provider about her symptoms and medical history, the student was happy to find out it was likely allergies. She got some medicine and returned to class feeling better.
Student Story
During the pandemic, a high school student was having a hard time coping. She was sad about COVID-19 impacting her senior year, and she was worried about the state of the world. The student was also struggling with some personal conflicts, and she felt she didn't have the right support at home. After discussing her feelings, a Hazel doctor connected her with resources that she described as “life-changing.” She was very grateful and shared that she didn't know where to go for help before Hazel.
Parent Story
Shortly after COVID-19 began, a student began to develop tics. Her parents took her to a neurologist, but they wanted to get her into counseling as well. The student’s mother was having a hard time finding answers to her questions and didn’t know where to start the process, so she turned to Hazel.

The Hazel doctor listened as the mother shared her concerns and frustrations. Hazel reassured her that they would find the right services for her child. After the initial visit, the Hazel doctor partnered with the school counselor and the student’s mother to identify resources and counseling services that are a good fit.
Student Story
A student came into the nurse’s office because his vision went blurry. The Hazel doctor looked at his eyes, but he did not see any injury. As he asked him questions about his symptoms, he started to sense that he was down about something. After a few minutes, the student shared that he was really sad because his mom was recently diagnosed with cancer. He explained that he feels worried, and it’s hard for him to focus.

Hazel called home, and the student’s mother confirmed her diagnosis. They discussed how to help manage the child’s stress, and Hazel offered to connect the child with counseling resources through the school. The mother was very grateful for the guidance and was eager to get her child help during a stressful time.
Counselor Story
Hazel Health has been integral this year in getting our students the mental health services needed to help them live healthy lives.  The staff has been attentive, prompt, and resourceful. There is an evident sense of caring for the work they do and the students they serve. It has been a pleasure partnering with Hazel Health in providing mental wellness for our Garland ISD families.