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

A Systems Approach

James Wagley LCSW-BACS

Session 18 A 10:45 Session 18 B 2:00 p.m.

Sabine Parish Schools

Parish Demographics for 05-06

Parish Demographics for 05-06

Population: 24,000 7 Rural Communities 11 Schools 4,200 Students 15% Students Classified Special Education 2.7 % of SPED are ED 12% of SPED are OHI 71 % of 504 have characteristics of ADHD 61 % Free and Reduced Lunch (84% at ZHS) 23 % Drop-out Rate 24 % Live Below the Poverty Level 15 % Single Parent Households Average per Capita Income $15,199 24% Have less than High School Education

Population: 24,000 7 Rural Communities 11 Schools 4,200 Students 15% Students Classified Special Education 2.7 % of SPED are ED 12% of SPED are OHI 71 % of 504 have characteristics of ADHD 61 % Free and Reduced Lunch (84% at ZHS) 23 % Drop-out Rate 24 % Live Below the Poverty Level 15 % Single Parent Households Average per Capita Income $15,199 24% Have less than High School Education

School Behavioral Data for 05-06

School Behavioral Data for 05-06

1,424 Suspended in-school 698 Suspended out-of-school 38 Expelled Out of School 23% Dropped out 60 FINS cases 50 Adjudicated in Juvenile Court 150 Placed at SPARK Alternative School

1,424 Suspended in-school 698 Suspended out-of-school 38 Expelled Out of School 23% Dropped out 60 FINS cases 50 Adjudicated in Juvenile Court 150 Placed at SPARK Alternative School

System CollaborationSystem Collaboration

Governor’s Health Consortium (2004) 2003 Juvenile Justice Reform Act 1225, Act 555 Region 7 OMH (2006) FINS (no one can remember) Positive Behavior Supports (2004) Coordinated School Health (2006) Children & Youth Service Planning Board

FINS, SPSB, DA’s Office, Juvenile Court, OYD, OFS, OCS, OAD, OPH, OMH, Faith-Based Orgs, Parents

Neighborhood Place (2008-09)

Governor’s Health Consortium (2004) 2003 Juvenile Justice Reform Act 1225, Act 555 Region 7 OMH (2006) FINS (no one can remember) Positive Behavior Supports (2004) Coordinated School Health (2006) Children & Youth Service Planning Board

FINS, SPSB, DA’s Office, Juvenile Court, OYD, OFS, OCS, OAD, OPH, OMH, Faith-Based Orgs, Parents

Neighborhood Place (2008-09)

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 substance abuse High % of multigenerational poverty High incidence of family violence Very few recreation/leisure alternative 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 substance abuse High % of multigenerational poverty High incidence of family violence Very few recreation/leisure alternative activities

Community Protective Factors

Community Protective Factors

Active FINS Committee Active sports programs in most

communities Church youth groups, scouts, etc. PALS After-School Program since 2004 IDEA Mental Health Project in 2003-05 PBS implemented in 2004 CSH, S-BBH in pilot sites Children and Youth Services Planning Board

established in 2005 District focus on school reform Reorganization of Early Childhood/Headstart

and LA 4 Programs into Universal Pre-K

Active FINS Committee Active sports programs in most

communities Church youth groups, scouts, etc. PALS After-School Program since 2004 IDEA Mental Health Project in 2003-05 PBS implemented in 2004 CSH, S-BBH in pilot sites Children and Youth Services Planning Board

established in 2005 District focus on school reform Reorganization of Early Childhood/Headstart

and LA 4 Programs into Universal Pre-K

Children and Youth Planning Board Planning Questions

Children and Youth Planning Board Planning Questions

What does the data suggest that we need in terms of primary, secondary and tertiary interventions needed?

What services along the continuum do we have, what is their capacity and what is missing?

What infrastructure is needed to sustain a full continuum of care?

How does C&YSPB facilitate this process?

Who will do what and when?

What does the data suggest that we need in terms of primary, secondary and tertiary interventions needed?

What services along the continuum do we have, what is their capacity and what is missing?

What infrastructure is needed to sustain a full continuum of care?

How does C&YSPB facilitate this process?

Who will do what and when?

Established in August of 2008 to remove all barriers to learning for all 4,300 Sabine Parish students and families through an integrated continuum of support services funded through local, regional and state

agency partners.

Sabine Parish SchoolsStudent Services

Mission

Sabine Parish Children & Youth Service Need Predictions

07-08

Sabine Parish Children & Youth Service Need Predictions

07-08

Red Zone: (226) 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 through Neighborhood Place, Hospitalization

Yellow Zone: (678) 1:30 Recommended Caseload (BHT)PBS Committee, Behavior Education Program, Targeted Interventions, RTI,

Tutoring/Mentoring, PALS, Alternatives to Suspension programs

(Project Decision/Community Service) DEWS,FINS, Truancy Court

Green Zone: (3,614) All faculty and support staff

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

Community Recreation Programs, Universal Pre-K

Red Zone: (226) 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 through Neighborhood Place, Hospitalization

Yellow Zone: (678) 1:30 Recommended Caseload (BHT)PBS Committee, Behavior Education Program, Targeted Interventions, RTI,

Tutoring/Mentoring, PALS, Alternatives to Suspension programs

(Project Decision/Community Service) DEWS,FINS, Truancy Court

Green Zone: (3,614) All faculty and support staff

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

Community Recreation Programs, Universal Pre-K

SCHOOLCommunity Peers

SCHOOLCommunity Peers

Positive Behavior Support

SCHOOLCommunity Peers

Coordinated School Health

Positive Behavior Support

SCHOOLCommunity Peers

Coordinated School Health

PALS After-School Program

Positive Behavior Support

SCHOOLCommunity Peers

Coordinated School Health

Neighborhood Place

PALS After-School Program

Positive Behavior Support

Red ZoneRed Zone

Referrals through or to SBLC Committees, FINS, Rural Health Clinics, Mental Health Center, District PBS - CHS Team, Neighborhood Place

Assessment and Case Management by Pupil Appraisal; Individual, Group and Family Therapy by Mental Health Professionals and Behavioral Health Technicians using evidence-based modalities

Teacher consultation and collaboration on Positive Behavior Facilitation, Functional Behavioral Assessments and brief solution-focused approaches.

Referrals through or to SBLC Committees, FINS, Rural Health Clinics, Mental Health Center, District PBS - CHS Team, Neighborhood Place

Assessment and Case Management by Pupil Appraisal; Individual, Group and Family Therapy by Mental Health Professionals and Behavioral Health Technicians using evidence-based modalities

Teacher consultation and collaboration on Positive Behavior Facilitation, Functional Behavioral Assessments and brief solution-focused approaches.

Red ZoneRed Zone

Alternatives to Suspension: BEP, Community Service

Quality Assurance through Case Review Process

Linkage With Community Services and Agencies such as Multi-Systemic Therapy and Nurse-Family Partnership programs

Outreach through contracted Mental Health Professionals and Community Based Providers

Alternatives to Suspension: BEP, Community Service

Quality Assurance through Case Review Process

Linkage With Community Services and Agencies such as Multi-Systemic Therapy and Nurse-Family Partnership programs

Outreach through contracted Mental Health Professionals and Community Based Providers

Yellow ZoneYellow Zone

Types of interventions identified, planned and revised PRN through SBLC and the PBS Committees

Both individual and group targeted Interventions: Behavior Education Program (BEP) Social Skills Focus Groups Life Skills Specialty Groups PALS After-school and summer programs School-Based Behavior Assessment Centers

Types of interventions identified, planned and revised PRN through SBLC and the PBS Committees

Both individual and group targeted Interventions: Behavior Education Program (BEP) Social Skills Focus Groups Life Skills Specialty Groups PALS After-school and summer programs School-Based Behavior Assessment Centers

Green ZoneGreen Zone

Support Services Staff work with schools to develop a safe and healthy school climate that partners with families and the community

District PBS/CSH Committee provides feedback

and training to school level PBS Committees and

takes referrals for ‘Red Zone” students.

PBS Committees work the 8 steps

Preventive services provided to students before, during and after school at CSH Pilot sites

Support Services Staff work with schools to develop a safe and healthy school climate that partners with families and the community

District PBS/CSH Committee provides feedback

and training to school level PBS Committees and

takes referrals for ‘Red Zone” students.

PBS Committees work the 8 steps

Preventive services provided to students before, during and after school at CSH Pilot sites

Green ZoneGreen Zone

Nutrition: Health and Wellness classes, SmartBodies Program, Family Nutrition Nights, Health

Fairs integrated into school and after-school programs

Universal Pre-K program opened in the fall of2008 and receive CSH as well as after-school

programs

PALS after-school and summer programsexpanded to seven schools

Nutrition: Health and Wellness classes, SmartBodies Program, Family Nutrition Nights, Health

Fairs integrated into school and after-school programs

Universal Pre-K program opened in the fall of2008 and receive CSH as well as after-school

programs

PALS after-school and summer programsexpanded to seven schools

Integration of Therapeutic ServicesIntegration of Therapeutic Services

Academics, enrichment and recreation programs

Parent education and supportBehavior Education ProgramAdventure Based Counseling

Social Skills TrainingBehavior Instruction Programs

Recreation/Leisure skills Training

Health and Wellness Classes

Academics, enrichment and recreation programs

Parent education and supportBehavior Education ProgramAdventure Based Counseling

Social Skills TrainingBehavior Instruction Programs

Recreation/Leisure skills Training

Health and Wellness Classes

Staff Wellness ServicesNutritional Programs

Case ManagementHealth Services

Crisis InterventionCommunity Service

Service LearningWork ExperienceEquine Therapy

Individual, group and family therapy

Staff Wellness ServicesNutritional Programs

Case ManagementHealth Services

Crisis InterventionCommunity Service

Service LearningWork ExperienceEquine Therapy

Individual, group and family therapy

Before, during, after-school and summer programming

District-wide Unmet NeedsDistrict-wide Unmet Needs

Current Capacity Unmet Need

Red 70 156

Yellow 80 598

Green 3,800 418

Current Capacity Unmet Need

Red 70 156

Yellow 80 598

Green 3,800 418

Service Map

Service Map

MHS

PBS PALS

MJHS

PBS PALS CSH

MES

PBS PALS

SPARK

PBS CSHFHS

PBS PALS

NHS

PBS CSH PALS

Many Preschool CSH PBS PALS

NP

EHS

PALS ZES-ZHSCSH PBS PALS

NP

Student Supports PartnersStudent Supports Partners

LA Department of Social Services LA Department of Health and Hospitals LA Department of Education LA Regional Offices of Mental Health, Public

Health, Juvenile Justice, Community Services, Addictive Disorders, Family Services and Rehabilitation

University of Louisiana at Lafayette Cecil Picard Center for Child Development

Northwestern State University department of Social Work

Sabine Children and Youth Services Planning Board

Local Health Service Delivery Systems

LA Department of Social Services LA Department of Health and Hospitals LA Department of Education LA Regional Offices of Mental Health, Public

Health, Juvenile Justice, Community Services, Addictive Disorders, Family Services and Rehabilitation

University of Louisiana at Lafayette Cecil Picard Center for Child Development

Northwestern State University department of Social Work

Sabine Children and Youth Services Planning Board

Local Health Service Delivery Systems

PALS GARDENPALS GARDENhttp://www.sabine.k12.la.us/pals/Home.htm

Data Driven Decision Making

Data Driven Decision Making

School Building Level Committee

Positive Behavior SupportCoordinated School HealthBehavioral Education ProgramDistrict PBS/CSH CommitteeDistrict Vision TeamCase ReviewCQI/Quality Assurance

School Building Level Committee

Positive Behavior SupportCoordinated School HealthBehavioral Education ProgramDistrict PBS/CSH CommitteeDistrict Vision TeamCase ReviewCQI/Quality Assurance

Data Collection SystemsData Collection Systems

Youth Services (21st Century Database) Sabine Service Delivery Database LA OMH Contract Services Data System JPAMS Surveys Goal Attainment Scaling (Service Plans) BEP Data External Evaluators (ULL) State Agency Monitors (DOE,OYD,OMH)

Youth Services (21st Century Database) Sabine Service Delivery Database LA OMH Contract Services Data System JPAMS Surveys Goal Attainment Scaling (Service Plans) BEP Data External Evaluators (ULL) State Agency Monitors (DOE,OYD,OMH)

Process Outcomes for 07-08

Process Outcomes for 07-08

Students/Parents Served675

Units of Service Delivered29,795 = 7,448.75 Hours

Students/Parents Served675

Units of Service Delivered29,795 = 7,448.75 Hours

Behavior OutcomesBehavior Outcomes

42% reduction in Office Referrals at ZES from 06-07 to 07-08 school year

District wide reduction of 48% office referrals comparing fall semester of 07-08 to fall semester of 08-09.

Only two juvenile arrests in the Parish during 2008 Summer Program

42% reduction in Office Referrals at ZES from 06-07 to 07-08 school year

District wide reduction of 48% office referrals comparing fall semester of 07-08 to fall semester of 08-09.

Only two juvenile arrests in the Parish during 2008 Summer Program

District Data Comparison

District Data Comparison

05-06 06-07 07-08 08-09

In SchoolSuspension

1,424 456 458 287

Community Service

120 120 133 137

Out of School

Suspension

698 609 433 399

Expulsion 38 40 22 3

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

Need statement based on 2008-09 data

Need statement based on 2008-09 data

7.8 % report dependency on alcohol or drugs 4.5 % treated for allergies 4.0 % Asthma 4.0 % ADHD 2.0 % other chronic, terminal or reoccurring

illnesses 8.6 % receive meds at school 20 % obesity rate * 13 % Special education 61 % at-risk economically 4.3 % report no insurance * 8 % annual drop-out rate

7.8 % report dependency on alcohol or drugs 4.5 % treated for allergies 4.0 % Asthma 4.0 % ADHD 2.0 % other chronic, terminal or reoccurring

illnesses 8.6 % receive meds at school 20 % obesity rate * 13 % Special education 61 % at-risk economically 4.3 % report no insurance * 8 % annual drop-out rate

Questions/CommentsQuestions/Comments

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

A Systems Approach

James Wagley LCSW-BACS

Session 18 A 10:45

Session 18 B 2:00 p.m

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