Building State Structures for Integrating SMH and PBIS

Building State Structures for Integrating SMH and PBIS

2012 National PBIS Leadership ForumOctober 19, 2012


State: PennsylvaniaPresenter: James Palmiero, Ed.D.

Director, Pennsylvania Training

and Technical Assistance Network (PaTTAN)

State: MontanaPresenter: Susan Bailey-Anderson, M.Ed MBI Coordinator,

Office of Public Instruction


Session Brief:

This session seeks to showcase two states’ efforts to develop structures that support the integration of school mental health (SMH) and positive behavior interventions and supports (PBIS). Such efforts stand to inform how schools can efficiently offer a full continuum of evidence-based services for students in the least restrictive setting.


Session Objectives:

1. The participants will learn about the compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level.

2. The participants will learn about the strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS.

3. The participants will learn about demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place.

4. The participants will learn about state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS.

5. The participants will learn about Montana’s and Pennsylvania’s next steps in furthering efforts to maintain state-level structures supporting the integration of SMH and PBIS.


Session Format:

Objective by objective…..

1. 2.

REFLECTION3.

Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level

High # Of Kids in Out of Home Placement

Strong Partnership Between OPI and DPHHS

Strong State MBI (PBIS) System

Compelling Forces

Impact Events

SMH Program Created1998

OPI SIG Funded

MBI/SMH Pilot Project

2000

Stable Funding Stream Created (CSCT)

2003• White

Paper2009

• ISF Pilot Sites

• CSCT Rule Re-Write

2011


2004• IDEA

Partnership Community Building Forum

2005• SBBH CoP

Established

2006 • PA Statewide

Conference

2006 • PA SBBH

Performance Grants

2006• SBBH CoP

Adopts PBIS

Stages of Implementation: Exploration & Adoption

VISIONBehavioral Supports

LRE

S.T.


2006• 1st Training:

Integrating SWPBIS and SBBH

2007• SWPBIS Pilot

Sites (33) Received Training

2008 • SWPBIS Pilot

Sites Received Additional Training

2008 • SBBH CoP

Assesses Current Efforts and Plans for Future

2008• SWPBIS Pilot

Sites (35) Expanded

Stages of Implementation: Instillation


2008• Contracted

with IUP for Program Evaluation

2008• SBBH CoP

Hosted SWPBIS Awareness Summit

• ?

• ?

• ?


Our History

Reflection:• What do you recognize as major forces that are (may be) in place or

event sequences within your state or local area that could rally folks to explore the need for integrating SMH and PBIS?

Discussion / sharing:• Share out some of the compelling forces you have identified?• Do you have any questions for folks about the compelling forces they

have shared?• Talk about who are those that need to be aware of the compelling forces

that have been identified?• Other

Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level.

REFLECTION

Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS

Objective #2: Strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS

Stable Funding Through Unique OPI/DPHHS Partnership

Community of Practice

State CSCT Coalition Group

Annual State SMH Conferences

Embedding MBI into All State SMH Strategies


CapacityFunding

Cross Systems Supports


2009• SBBH CoP

Proposal: PAPBS – Affiliated Network

2009• SBBH CoP asks:

“How are we going to scale-up even further?”

2010• Launched

website – www.papbs.org

• ?

• ?


Pennsylvania Positive Behavior

Support Network

Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBISOverview of PA’s (CoP) on (SBBH)

• Part 1: Explanation of the CoP on SBBH & its primary strategy


26

5

1

3

1

11

1

16

43

10

2

313

15

71

17

14

12

1

4

3

12

11

18

1

66

162

2

19

1

3

24

5

1 3

2

3 6 1

Approx. 300 Schools / Districts in the Network

2011-12 School-Wide PBIS Sites by County

• Part 2: The scale-up of PBIS across the Commonwealth

2011-12 early childhood center based sites


Reflection:• How are the strategies that MT and PA alike and how are different?

• Given your local or state context, do you see aspects of a strategy evolving from the compelling forces you previously considered?

Discussion / sharing:• Share your thoughts on how MT and PA are alike and/or different in their

strategic approaches?• Do you, at the local or state level, see similarities with either of the

approached taken by MT or PA.


REFLECTION

Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place

Interconnected Systems Framework Pilot Projects

Helena Middle School

Missoula County Public Schools District• 9 Elementary Schools•3 Middle Schools•3 High Schools•1 Alternative High School


Pilot Site Activities

• Common training for school and agency mental health staff using MBI model

• Bi-weekly coaching for CSCT staff in implementing evidenced based practices

• Community High Fidelity Wraparound coaches provide support to school staff implementing Wraparound

• Community team of key stakeholders guide SMH practices

What it Looks Like

• Screening for All students• Intensive SMH services tied to Tier 1 and 2

interventions (using common language, check-in/check-out, target groups)

• School and CSCT staff co-facilitating Wraparound services

• Data based decision making• On-going Systems evaluation (Implementation

and Outcome data)

Three Pilot Projects:


Tartary Demonstration Sites

#1) Community Care Behavioral Health - CCBH (MC0)

Montrose Area School District/NHS Human Services• Choconut Valley Elem School (K-6)• Lathrop Street ElemSchool (K-6)• Montrose Jr/Sr High School (7-12)

Scranton School District/Lourdesmont/Scranton Counseling Center• Frances Willard Elem School (K-5)• George Bancroft Elem School (K-5)• Scranton High School (9-12)

Three Pilot Projects:


RENEW

R – rehabilitation for …E – empowermentN – natural peer supportsE – educationW – work

Four goals guide the work of RENEW:(1) high school completion,(2) employment, (3) post-secondary education and training, and (4) community integration

Universal Screeners

• Schools select a screening tool to implement as part of their regular school practices with technical assistance from PaTTAN.

• Schools design a systematic approach for supporting students who are detected as having elevated risk.• Secondary and Tertiary

Intervention Grids• Site-based leadership teams

to review school level and student level data.

Reflection:• Are you aware of any local or state-level sites that are addressing issues

similar to the featured pilot sites from MT or PA?

Discussion / sharing:• What questions might you have for us concerning any featured pilot

sites?


REFLECTION

Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS


SHIFTING PARADGIMS FOR MENTAL HEALTH SERVICE DELIVERYFROM TOMH workers “see” kids in an office MH workers provide evidenced based

interventions communicated to classroom teacher

MH workers seen as crisis response MH workers prevent crisis from happening by delivering services in classroom

Intervention decisions based on intuition Interventions based on data and progress monitoring

Mental Health services are provided by clinical staff

Mental health services provided by ALL school staff


Installing Structural Systems

From To

MH services provided to some students (Medicaid funding)

MH services provided to ALL students in need

Disjointed, separate professional development for school and CSCT staff

Strategically planned collaborative training for both school and CSCT staff (SMH conference at MBI, local training)

Drive-by professional development On-going coaching embedded in all training

A few sites implementing EBP EBP way of doing business in Montana

Pennsylvania:• Coordinating funding related issued by MH providers and schools /

• Scale-up and sustain ISF with the same collaborative partnerships, given dwindling resources in both mental health and education.


Pocono Mt. – analysis on ROI

• Pocono Mt. – analysis on their ROI

- Pocono Mt. School District


http://www.pattan.net/Videos/Browse/Single/?code_name=07_return_on


• Pocono Mt. – analysis on their ROI

- Pocono Mt. School District

http://www.pattan.net/Videos/Browse/Single/?code_name=07_return_on

Reflection:• Do you recognize and or identify with any of the issues that MT and PA

are experiencing?

Discussion / sharing:• Share your reflection.


REFLECTION

Objective #5: next steps in furthering efforts to maintain state-level structures supporting the integration of SMH and PBIS

Montana:• Develop State CSCT Contract Template that

requires EBP and integration of SMH/MBI practices

• Increase participation in SMH COP• Implement new CSCT administrative rule• Develop comprehensive state training plan to

accompany state rule-roll out for school and mental health agency staff

• Integrate SMH conference into MBI Summer Institute

• Map Resources


Pennsylvania:• Continued collaboration across Pennsylvania’s CoP on SBBH

• Development of a 5 year strategic plan to better increase collaboration between LEAs and Community Providers

• Increase visibility associated with returns on investment – programmatic and fiscal


Reflection:• What effort do you feel are necessary at your local or state levels to

further supports for the integration of SMH and PBIS?

Discussion / sharing:• Share your reflection.


REFLECTION

Documents

Building State Structures for Integrating SMH and PBIS