Evidenced Based PrescriptionEvidenced Based Prescription ...
Evidenced Based Practices in the Buffalo Trace Region
description
Transcript of Evidenced Based Practices in the Buffalo Trace Region
![Page 1: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/1.jpg)
Evidenced Based Practices in the Buffalo Trace Region
September 21, 2006
Presented by Goldie Williams, Ada Braun and Mike Duffy
![Page 2: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/2.jpg)
The Buffalo Trace Region
Kentucky 2002
Population = 4,092,891 55,796
Per Capita Income = $18,093 $14,868
Median Household Income = $33,672 $28,168
Families in Poverty = 12.7% 15.5%
Poverty in families with children under 5 = 21.6% 24.3%
% with Bachelors Degree = 17.1% 10.0%
Buffalo Trace 2002
Buffalo TracePopulation 55,796Area 1,379 square milesPopulation Density = 40/sq.mi.
![Page 3: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/3.jpg)
The Community we Serve
![Page 4: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/4.jpg)
Mission Statement
To improve the mental health, relational
and social functioning and the academic
achievement of school aged children in
our community by providing therapeutic,
effective and competent school based
behavioral health services.
![Page 5: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/5.jpg)
Client Demographics
Client Income Distribution/Oct.2004.Clients by Annual Family Income
26%
18%
13%9%
10%
13%
11%
Under 6,000
6,001 thru 10,000
10,001 thru 14,000
14,001 thru 18,000
18,001 thru 24,000
24,001 thru 40,000
Greater than 40,000
![Page 6: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/6.jpg)
Service Expansion
0
500
1000
1500
2000
2500
3000
3500
4000
4500
Hours of Service
2000 2001 2002 2003 2004
Fiscal Year
Hours of School-Based Service by Payor, FY2000 - FY2004
Medicaid
State MH/Partial Pay
Private Pay
![Page 7: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/7.jpg)
The Road to EBP………….
Bringing the program to scale1 year needs assessment3 year strategic planLots of trainingAbility to Seize the Moment
![Page 8: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/8.jpg)
Why CBT?
Logical fit for school based mental health services
Prior training and use by existing staff----staff buy-in
Staff informal discussions of needs and barriers led naturally to CBT
Need for high and effective intervention when using the school clock
![Page 9: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/9.jpg)
Why CBT? The big reason….
IT WAS EASY TO IMPLEMENT
![Page 10: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/10.jpg)
What made it possible…..
Prior work on program goals, mission statement, streamlined service delivery and maximizing billing. Improved Quality and measurement of program effectiveness were the next logical steps.
Receipt of a grant from DMHMR in 1-06 for $15,000.
![Page 11: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/11.jpg)
How was the money spent
TRAINING
BECK INSTITUTE---$6000 plus other cost
YOUTH CHANGE---$6000
![Page 12: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/12.jpg)
Evidenced Based Measurement
G.A.I.N.Global Appraisal of Individual NeedsCurrently staff are in training and
plans are for data collection this school year.
![Page 13: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/13.jpg)
MAIN CHALLENGES To GAIN IMPLEMENTATION
Time constraintsCOMPUTERS, COMPUTERSSpace issues in school Extensive learning commitmentBuilding staff confidenceCollaboration with school staff for buy in
![Page 14: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/14.jpg)
The positives of the GAIN….
Common language and improved consensus among staff
Identification and Assessment of substance abuse history is complete, thorough and reliable
Cognitive functioning component Complete assessment across life areas Diagnosis using standardized means Suggests treatment goals
![Page 15: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/15.jpg)
Challenges to CBT implementation..
Collaboration with school staff who lack necessary training in how to effectively deal with problem behaviors.’
Tie in with IEP’s and school assessments
We need follow up training with Beck Institute trainer
![Page 16: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/16.jpg)
Positives of the CBT…….
Propels outcomes to the positiveCBT techniques and training expanded
our toolbox to BUSTCommon language and improved
consensus among staffMore bang for the buckPass it on approach
![Page 17: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/17.jpg)
Facilitation made possible by….
Special thanks to DMHMR for the grant opportunity which made the entire implementation possible
![Page 18: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/18.jpg)
What would we do differently….
Contracted with the Beck Institute for ongoing training and support over the next 2 years as part of the EBP grant.
Spread training out instead of all in a one month time period.
Computer’s funded
![Page 19: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/19.jpg)
Advice to others……..
Complete a comprehensive needs assessment, strategic plan and follow through
Force yourself to train and discuss your program-it builds expertise on your system and forces self analysis
![Page 20: Evidenced Based Practices in the Buffalo Trace Region](https://reader030.fdocuments.in/reader030/viewer/2022033102/56814659550346895db377a0/html5/thumbnails/20.jpg)
How to contact us
Goldie Williams
Ada Braun
Mike Duffy
THANK YOU……………………