Providing Behavioral, Social and Emotional Supports in a Rural Parish: A Systems Approach

Sabine Parish

Session 33A

James Wagley, LCSW-BACS Rebecca Coburn, MSW

Angela Webb, Data Manager/ Secretary

Parish Demographics for 05-06

Parish Demographics for 05-06

Population: 24,000 7 Rural Communities 11 Schools 4,238 Students 15% Special Education Students 2.7 % of SPED are ED 12% of SPED are OHI 71 % of 504 have characteristics of

ADHD 61 % Free and Reduced Lunch 24% Live Below the Poverty Level 15% Single Parent Households Average per Capita Income $15,381 24% Less than High School Education

Population: 24,000 7 Rural Communities 11 Schools 4,238 Students 15% Special Education Students 2.7 % of SPED are ED 12% of SPED are OHI 71 % of 504 have characteristics of

ADHD 61 % Free and Reduced Lunch 24% Live Below the Poverty Level 15% Single Parent Households Average per Capita Income $15,381 24% Less than High School Education

School Behavioral Data for 05-06

School Behavioral Data for 05-06

636 Suspended in-school 358 Suspended out-of-school 24 Expelled Out of School 23% Dropped out 60 Went to FINS 50 Adjudicated in Juvenile Court 150 Placed at SPARK Alternative School

636 Suspended in-school 358 Suspended out-of-school 24 Expelled Out of School 23% Dropped out 60 Went to FINS 50 Adjudicated in Juvenile Court 150 Placed at SPARK Alternative School

System CollaborationSystem Collaboration

Children & Youth Service Planning Board Parents, FINS, SPSB, DA’s Office, Juvenile Court, OYD,

OCS, OAD, OPH, OMH, Faith-Based

Governor’s Health Consortium (2005)

Region 7 OMH (2006)

FINS (no one can remember)

Positive Behavior Supports (2004)

Coordinated School Health (2006)

FSCS MOU

Children & Youth Service Planning Board Parents, FINS, SPSB, DA’s Office, Juvenile Court, OYD,

OCS, OAD, OPH, OMH, Faith-Based

Governor’s Health Consortium (2005)

Region 7 OMH (2006)

FINS (no one can remember)

Positive Behavior Supports (2004)

Coordinated School Health (2006)

FSCS MOU

C&YSPB Planning Questions

C&YSPB Planning Questions

What does the data suggest that we need in terms of primary, secondary and tertiary intervention as well as ongoing support services?

What services along the continuum do we have and what is the capacity of each service?

What infrastructure is needed to sustain current services?

How does C&YSPB complete and sustain the continuum?

Specifically, who will do what and when?

What does the data suggest that we need in terms of primary, secondary and tertiary intervention as well as ongoing support services?

What services along the continuum do we have and what is the capacity of each service?

What infrastructure is needed to sustain current services?

How does C&YSPB complete and sustain the continuum?

Specifically, who will do what and when?

Community Risk FactorsCommunity Risk Factors

Gaps in service: no private practitioners, only one private non-profit agency, limited and fragmented services from state agencies, no public transportation, fragmentation of services within the parish and district

Lack of sustainability due to inconsistent funding policies

Lack of interagency communication and cooperation High incidence of D&A abuse High % of multigenerational poverty High incidence of family violence Very few recreation/leisure activities

Gaps in service: no private practitioners, only one private non-profit agency, limited and fragmented services from state agencies, no public transportation, fragmentation of services within the parish and district

Lack of sustainability due to inconsistent funding policies

Lack of interagency communication and cooperation High incidence of D&A abuse High % of multigenerational poverty High incidence of family violence Very few recreation/leisure activities

Community Protective Factors

Community Protective Factors

Active FINS Committee Active Sports Programs in Most

Communities Church Youth Groups, Scouts PALS After-School Program opened in 2004 IDEA Mental Health Project in 2003-05 Children and Youth Services Planning

Board established in 2005 District focus on school reform

Active FINS Committee Active Sports Programs in Most

Communities Church Youth Groups, Scouts PALS After-School Program opened in 2004 IDEA Mental Health Project in 2003-05 Children and Youth Services Planning

Board established in 2005 District focus on school reform

Theory BaseTheory Base

Systems Theorya. Treating the total child within the context of their environmentb. Service integration vs. categorization and fragmentationc. Interventions needed at the local, regional and state level

Normalization (Wolfensburger):a. Program design based on model coherencyb. Multi-problem youth need multimodal treatment approachesc. Reduce deviant juxtaposition to the degree possible

Organizational Dynamics: Rural settings require a different service delivery design-outreach, one-stop shopping, transportation

Social Learning Theory: Behavior can be taught and should be considered part of the instructional curriculum

Systems Theorya. Treating the total child within the context of their environmentb. Service integration vs. categorization and fragmentationc. Interventions needed at the local, regional and state level

Normalization (Wolfensburger):a. Program design based on model coherencyb. Multi-problem youth need multimodal treatment approachesc. Reduce deviant juxtaposition to the degree possible

Organizational Dynamics: Rural settings require a different service delivery design-outreach, one-stop shopping, transportation

Social Learning Theory: Behavior can be taught and should be considered part of the instructional curriculum

Planning Goals (IDEA MH Grant 2002)

Planning Goals (IDEA MH Grant 2002)

To identify and eliminate gaps and fragmentation in services within the existing child serving agencies in Sabine Parish.

To establish a system designed to identify, assess, plan, monitor and evaluate services for children, youth and their families.

To develop a full continuum of services to meet the behavioral and emotional support needs of all students.

To identify the resources and funding mechanisms necessary to maintain the service delivery system over time.

To identify and eliminate gaps and fragmentation in services within the existing child serving agencies in Sabine Parish.

To establish a system designed to identify, assess, plan, monitor and evaluate services for children, youth and their families.

To develop a full continuum of services to meet the behavioral and emotional support needs of all students.

To identify the resources and funding mechanisms necessary to maintain the service delivery system over time.

Sabine Parish C & Y Service Need Predictions for 07-08 based on population of 4238

students Pre K-12

Sabine Parish C & Y Service Need Predictions for 07-08 based on population of 4238

students Pre K-12

Red Zone: (254) 1:20 Recommended caseload

Local and District PBS Committee, Alternative Education Programs, School-Based Behavioral Health Services, Psychiatric Case Management, Referral to OMH, OAD, OPH, OCS, FINS,

Juvenile Court, hospitalization

Yellow Zone: (636) 1:30 Recommended Caseload (BHT)

PBS Committee, Behavior Education Program, Targeted Interventions, Tutoring/Mentoring, PALS, Alternatives to Suspension programs (Project Decision) DEWS List,

FINS, Truancy Court

Green Zone: 3,390 All faculty and support staff

School-Wide PBS, Health and Wellness Programs, RTI,Family Education & Support, PALS Enrichment Programs,

Community Recreation Programs

Red Zone: (254) 1:20 Recommended caseload

Local and District PBS Committee, Alternative Education Programs, School-Based Behavioral Health Services, Psychiatric Case Management, Referral to OMH, OAD, OPH, OCS, FINS,

Juvenile Court, hospitalization

Yellow Zone: (636) 1:30 Recommended Caseload (BHT)

PBS Committee, Behavior Education Program, Targeted Interventions, Tutoring/Mentoring, PALS, Alternatives to Suspension programs (Project Decision) DEWS List,

FINS, Truancy Court

Green Zone: 3,390 All faculty and support staff

School-Wide PBS, Health and Wellness Programs, RTI,Family Education & Support, PALS Enrichment Programs,

Community Recreation Programs

Service Delivery DesignService Delivery Design

Red Zone

Yellow Zone

Green Zone

Red ZoneRed Zone

Case Management and Referrals through or to SBLC Committees, FINS, Rural Health Clinics, Mental Health Center, District PBS, FINS, Juvenile Court

Provision of Case Management, Rec/Leisure Activities, Individual, Group and Family Therapy by Mental Health Professionals and Behavioral Health Technicians

Teacher consultation and collaboration on FBAs Alternatives to Suspension: BEP, Project Decision Quality Assurance through Case Review Process Linkage With Community Services and Agencies Outreach through contracted MHPs

Case Management and Referrals through or to SBLC Committees, FINS, Rural Health Clinics, Mental Health Center, District PBS, FINS, Juvenile Court

Provision of Case Management, Rec/Leisure Activities, Individual, Group and Family Therapy by Mental Health Professionals and Behavioral Health Technicians

Teacher consultation and collaboration on FBAs Alternatives to Suspension: BEP, Project Decision Quality Assurance through Case Review Process Linkage With Community Services and Agencies Outreach through contracted MHPs

Yellow ZoneYellow Zone

Type of interventions identified, planned and revised PRN through the PBS Committee

Both individual and group targeted Interventions

Behavior Education Program (BEP) Social Skills Focus Groups PALS Life Skills Specialty Groups

Type of interventions identified, planned and revised PRN through the PBS Committee

Both individual and group targeted Interventions

Behavior Education Program (BEP) Social Skills Focus Groups PALS Life Skills Specialty Groups

Green ZoneGreen Zone

Faculty, support staff, health and behavioral health Staff work together to develop a safe and healthy school climate that reaches into the community

District PBS Committee provides feedback and training to schools

PBS Committee works the 8 steps Services provided to all students before,

during and after school at CSH Pilot site Nutrition, Health and Wellness classes,

mentoring, helping roles for students, Circle of Courage, Smart Bodies Program

PALS after-school and summer program in four school sites

Faculty, support staff, health and behavioral health Staff work together to develop a safe and healthy school climate that reaches into the community

District PBS Committee provides feedback and training to schools

PBS Committee works the 8 steps Services provided to all students before,

during and after school at CSH Pilot site Nutrition, Health and Wellness classes,

mentoring, helping roles for students, Circle of Courage, Smart Bodies Program

PALS after-school and summer program in four school sites

Integration of Therapeutic Services in After-school and Summer

Programming

Integration of Therapeutic Services in After-school and Summer

Programming

Academics, Enrichment and Recreation Parent Education and Support

Family Resource CenterAdventure Based Counseling

Social Skills Training/Behavior Instruction/Anger ManagementRecreation/Leisure skill Training

Health and Wellness ClassesStaff Wellness Services

Crisis InterventionCommunity Service

Service LearningWork ExperienceEquine TherapyFamily Therapy

Academics, Enrichment and Recreation Parent Education and Support

Family Resource CenterAdventure Based Counseling

Social Skills Training/Behavior Instruction/Anger ManagementRecreation/Leisure skill Training

Health and Wellness ClassesStaff Wellness Services

Crisis InterventionCommunity Service

Service LearningWork ExperienceEquine TherapyFamily Therapy

District-wide Unmet NeedsDistrict-wide Unmet Needs

Current Capacity Unmet Needs

Red 70 184

Yellow 100 536

Green 3,100 290

Current Capacity Unmet Needs

Red 70 184

Yellow 100 536

Green 3,100 290

Data Driven Decision Making

Data Driven Decision Making

SBLCPBSCSHBEP504Case ReviewCQI/Quality Assurance

SBLCPBSCSHBEP504Case ReviewCQI/Quality Assurance

Data Collection SystemsData Collection Systems

Youthservices Internal data system LA OMH Contract Services Data

System JPAM Surveys Goal Attainment Scaling BEP Data Observations External Evaluators (ULL) State Agency Monitors

Youthservices Internal data system LA OMH Contract Services Data

System JPAM Surveys Goal Attainment Scaling BEP Data Observations External Evaluators (ULL) State Agency Monitors

YouthservicesYouthservices

Student DemographicsComponents—Activities—EventsAverage Daily AttendanceNumber of students by:

GradeEthnicityFree/Reduced LunchAge

Student DemographicsComponents—Activities—EventsAverage Daily AttendanceNumber of students by:

GradeEthnicityFree/Reduced LunchAge

LA OMH Contract Services Data System

LA OMH Contract Services Data System

Total service delivery hoursDuplicated and unduplicated

students served

Total service delivery hoursDuplicated and unduplicated

students served

JPAMSJPAMS

JPAMS is used to gather demographic information, grades, discipline and attendance history for clients served through the School Based Behavioral Health Services

JPAMS is used to gather demographic information, grades, discipline and attendance history for clients served through the School Based Behavioral Health Services

ServicesServices 05-06 07-08

Units Hours Units Hours

Adventure Based Counseling N/A 369 92.25

Anger Management 176 44 27 6.75

Behavioral Education Program N/A 2346 586.5

Behavioral Learning Therapy 850 213 1450 362.5

Crisis Intervention 29 7.25 253 63.25

Family Counseling 177 44.3 152 38

Group Counseling 116 29 1498 374.5

In Person Mediation 4 1 18 4.5

Individual Counseling 418 105 1804 451

Job Training 1439 360 45 11.25

ServicesServices 05-06 07-08

Units Hour Units Hours

Assessment N/A 553 138.25

Case Review N/A 254 63.5

Clinical Supervision N/A 507 126.75

Service Coordination N/A 222 55.5

Exercise Class N/A 5 1.25

First Aid N/A 9 2.25

Health & Wellness Class N/A 2725 681.25

Recreation/Leisure Activities N/A 8253 2063.25

Weight Management N/A 19 4.75

ServicesServices

05-06 07-08

Units Hours UnitsHours

Life Skills Training 718 180 4912.25

Parent Counseling 23 5.75 29072.5

Parenting Education 10 2.5 132 33

Case Management 3238 809.5 2860 715

Social Skills Training 8423 2106 810 202.5

Study Skills Assistance 168 42 7 1.75

Subject Tutoring 48 12 4310.75

BMI 166 41.5 N/A

Drub Abuse Counseling 212 53 N/A

Process Outcomes for 07-08

Process Outcomes for 07-08

Students/Parents Served621

Units of Service Delivered24,723 = 6,180.75 Hours

Students/Parents Served621

Units of Service Delivered24,723 = 6,180.75 Hours

Program OutcomesProgram Outcomes

42% reduction in Office Referrals at ZES

Two juvenile arrests in the Parish during 2008 Summer Program

42% reduction in Office Referrals at ZES

Two juvenile arrests in the Parish during 2008 Summer Program

School Behavioral Data Comparison 05-06 & 07-

08

School Behavioral Data Comparison 05-06 & 07-

08

05-06 07-08Suspended in-school 636 454Suspended out-of-school 358 428Expelled 24 23*Dropped out 23% 8%Went to FINS 60 50Adjudicated in Juvenile Court 50 40Placed at SPARK Alternative School 150

172**• * 0 out of school expulsions, all placed at SPARK• ** 40 long term, 132 short term placements at SPARK

05-06 07-08Suspended in-school 636 454Suspended out-of-school 358 428Expelled 24 23*Dropped out 23% 8%Went to FINS 60 50Adjudicated in Juvenile Court 50 40Placed at SPARK Alternative School 150

172**• * 0 out of school expulsions, all placed at SPARK• ** 40 long term, 132 short term placements at SPARK

Teacher Satisfaction Surveys

Teacher Satisfaction Surveys

74% reported their students’ problems ranged from “better” to “remarkably better”

75% reported the program was “helpful” to “remarkably helpful” in assisting them working with the students

74% reported their students’ problems ranged from “better” to “remarkably better”

75% reported the program was “helpful” to “remarkably helpful” in assisting them working with the students

Parent Satisfaction Surveys

Parent Satisfaction Surveys

Parent Responses:

78% reported their child’s problems were “better” to “remarkably better”

84% reported the program was “helpful” to “remarkably helpful” in assisting them work with their child

Parent Responses:

78% reported their child’s problems were “better” to “remarkably better”

84% reported the program was “helpful” to “remarkably helpful” in assisting them work with their child

Questions/CommentsQuestions/Comments

wagleyj@sabine.k12.la.us James Wagley

phone: 318-645-6693 cell: 318-419-1057