School Based Mental Health

ECHO Clinics

Second and Fourth Wednesday of each month • 12–1 p.m.

This ECHO clinic aims to provide school-based mental health professionals and primary care providers a forum to collaborate on the treatment of students with mental and behavioral health disorders. Through trainings focused on early assessment, identification, triage, and proper referral procedures this clinic will help to improve management of mental health disorders in the school setting. Additionally, by bringing together multi-disciplinary teams of primary care providers and school staff, we can facilitate cross-system collaboration to provide these students with the most appropriate care.

School-Based Mental Health Case Submission Form

This clinic team consists of:

  • Erika Ryst, M.D. Dr. Rysts is a board-certified child and adolescent psychiatrist and Medical Director of the Nevada Center for Excellence in Disabilities at the University of Nevada, Reno. She currently serves as the Interdisciplinary Training Director for the Nevada Leadership Education in Neurodevelopmental Disabilities (NvLEND) program. Dr. Ryst has been on the faculty at the University of Nevada since 2004 and was one of the founders of the first Child and Adolescent Psychiatry Fellowship training program in Nevada. In addition to her training roles, Dr. Ryst has served as a consultant to the Washoe County School District and the Washoe County Department of Social Services. She serves as a member of the Schools Committee for the American Academy of Child and Adolescent Psychiatry and has special interests in autism spectrum disorders, school psychiatry and the effects of childhood trauma.
  • Mark E. Swanson, M.D., MPH. Dr. Swanson is a developmental pediatrician providing clinical care to children with disabilities and teaching to students, residents, and fellows at the University of Nevada, Reno School of Medicine. His research interests include long-term follow-up of high-risk children, nutritional issues in high-risk children and using a Life Course Model to assess functional outcomes. A graduate of Princeton University, University of Colorado School of Medicine, and University of North Carolina School of Public Health, he has been board-certified in Pediatrics and Developmental-Behavioral Pediatrics during his 40-year career. He has been a faculty member at health science centers in North Carolina, Texas, and Arkansas. He worked for 8 years at the CDC on disability programs. He has a career-long commitment to full inclusion and participation of persons with disabilities and chronic conditions in all aspects of life.
  • Brighid Fronapfel, Ph.D. Dr. Fronapfel is a Board Certified Behavior Analyst-Doctoral (BCBA-D) and Licensed Behavior Analyst in the State of Nevada with expertise in early intervention, autism, and related disabilities, behavioral gerontology, teacher training, and school-based behavior analysis. She earned her Ph.D. in Psychology with an emphasis in Behavior Analysis from Western Michigan University. While studying at Western Michigan Dr. Fronapfel served as the Practicum Coordinator for the Behavior Analysis Training System, a Supervisor at WoodsEdge Learning Center, a Graduate Therapist for the Community Mental Health Psychological Consultation Team, and Temporary-Limited-Licensed-Psychologist at Neuropsychology Associates. During her time with the University of Nevada, Reno's Nevada Center for Excellence in Disabilities, Dr. Fronapfel has held positions as Project Coordinator for the Prevent-Teach-Reinforce for Young Children Project (PTR-YC), a supervisor and advisor for the Certified Behavior Analysts in Nevada Schools (CBANS) Project, a consultant for the Washoe and Mineral County School Districts, and a trainer for the Positive Behavior Supports-Nevada Aging Project.
  • Melanie Crawford, Ph.D. Dr. Crawford is a Nevada Licensed Psychologist specializing in the neuropsychological assessment of children and adolescents. She received her doctorate in Child Clinical Psychology and Developmental Cognitive Neuroscience from the University of Denver. While at the University of Denver, she worked for several years at the Developmental Neuropsychology Clinic conducting learning disability and neuropsychological evaluations of children and adolescents. She was also a member of a nationally known neuropsychology research laboratory that studied children and families who have problems with dyslexia, attention deficit hyperactivity disorder, and autism.

To participate in this clinic please contact Troy Jorgensen at or (775) 682-8481.

The University of Nevada, Reno School of Medicine designates this Live Activity for a maximum of 1.00 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Nevada, Reno School of Medicine is a provider of continuing education credit through the Nevada State Board of Pharmacy. This program is approved for 1.00 hours of continuing education credit for pharmacists.

The University of Nevada, Reno School of Medicine approves this program for 1.00 hours of nursing continuing education credit.

Previous School Based Mental Health

July 2018

    • Topic: TBD
    • Topic: Dyslexia

June 2018

  • Guest speaker: Dr. Shashank Joshi
    • Topic: Suicide Prevention

  • Guest speaker: Dr. Scott Hunter
    • Topic: Adolescent Substance Abuse

May 2018

    • Topic: TBD
    • Topic: TBD

April 2018

    • Topic: Prevent, Teach, Reinforce
    • Topic: TBD

March 2018

  • Presenter: Brighid Fronapfel, PhD, BCBA-D, LBA
    • Topic: Prevent, Teach, Reinforce
    • Topic: TBD

February 2018

    • Topic: Integration of Treatment Across Systems

  • Speaker: Dr. Melanie Crawford
    • Topic: Neuropsych and Other Assessment Strategies

January 2018

  • Speaker: Dr. Erika Ryst
    • Topic: Evidence-Based Social Skills Interventions for Autism

  • Speaker: Dr. Brighid Fronapfel
    • Topic: Functional Behavior Assessment and Behavior Intervention Plan

December 2017

    • Topic: Models of School-Based Mental Health Service Delivery
    • Topic: TBD

November 2017

October 2017

  • Topic: TBD

  • Topic: Differential Diagnosis