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Session Agenda

This session will provide an overview of the need for screening and showcase the use of screening instruments at Van-Far Elementary and Hawthorn Elementary to identify students at-risk for emotional and behavioral concerns.

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Session Agenda

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  1. Session Agenda • Introductions & Overview of need for Screening (Barb; 20 min) • Van-Far (20 min) • Administrator, Counselor, Classroom Teacher • Hawthorn (20 min) • Administrator, Tier 2 Coach • Closing & Questions (Barb 15 min) 2:30-3:45 – Wednesday – Northwinds

  2. Use of Screening Instruments to Identify Students At-Risk for Emotional & Behavioral Concerns Van-Far Elementary School Hawthorn Elementary School Barbara S. Mitchell, Ph.D. MO SWPBS Tier 2/3 Consultant MO SW-PBS

  3. Introductions Van-Far Elementary Hawthorn Elementary Lucinda Varner Assistant Principal Penny Rassler Tier 2 Coach • Amber Crane • Principal • Robyn Jennings • Counselor • Angie Morris • Classroom Teacher MO SW-PBS

  4. Three Levels of Implementation A Continuum of Support for All Academic Systems Behavioral Systems • Tier Three • Individual Students • Assessment-based • Intense, durable procedures • Tier Three • Individual Students • Assessment-based • High Intensity • Tier Two • Some students (at-risk) • High efficiency • Rapid response • Tier Two • Some students (at-risk) • High efficiency • Rapid response • Tier One • All settings, all students • Preventive, proactive • Tier One • All students • Preventive, proactive MO SW-PBS

  5. What Do We Know? • Approximately 1in every 4 to 5 youth in the U.S. meets criteria for a mental disorder with severe impairment across their lifetime (Merikangas et al., 2010). • Among those affected only 30% actually receive services (U.S. Public Health Service, 2000) MO SW-PBS

  6. What Do We Know? • The most common conditions include • Anxiety (31.9%) • Behavior disorders (19.1%) • Mood disorders (14.3%) • Substance use disorders (11.4%) • Approximately 40% of individuals meet criteria for multipledisorders. (Merikangas et al., 2010) MO SW-PBS

  7. What Do We Know? • The median age of onset occurs during school-age years • 6 years for anxiety • 11 years for behavior • 13 years for mood • 15 years for substance use disorders. (Merikangas et al., 2010) MO SW-PBS

  8. What Do We Know? • Academic success is linked with social & behavioral skills • Early identification with intervention can decrease the likelihood of academic failure • Prevent onset • Preventive supports reduce the need for more intensive supports later. • Minimize impact of risk MO SW-PBS

  9. Outcomes • By the end of this session participants will be able to… • Explain the advantages of screening for emotional and behavioral concerns. • Describe basic procedures for conducting a universal screening. • Ask questions about implementation of a comprehensive identification process. MO SW-PBS

  10. Who is At-Risk? Externalizing Behaviors • Aggression to others or things • Hyperactivity • Non-compliance • Disruptive • Arguing • Defiance • Stealing • Not following directions • Calling out MO SW-PBS

  11. Who is At-Risk? Internalizing Behaviors • Exhibits unusual sadness • Sleeps a lot • Is teased or bullied by peers • Does not participate in games • Very shy or timid • Acts fearful • Does not stand up for self • Withdrawn • Avoids social interactions MO SW-PBS

  12. Identification Process • Teacher nomination • Existing school data • Universal screening instrument Allows for early intervention? Identifies internalizing & externalizing? MO SW-PBS

  13. Systematic Screening • Advantages • Fast, efficient, and respectful • Include all children and youth of interest • If we make an error, the error tends to identify students who are not at-risk • Informs schools about the student population • Find groups of students with common needs • Facilitates resource mapping of services (University of Oregon Institute on Violence and Destructive Behavior) MO SW-PBS

  14. Systematic Screening • Not common because… • History of being reactive rather than proactive Impression that kids will “grow out of it” • Concern about profiling/stigmatizing • Fear of costs and potential to identify large number of EBD students MO SW-PBS

  15. Systematic Screening • Not Common Because • Easier to screen vision & hearing because response falls in the realm of the parents • Political realities of managing parent reactions to behavior screenings; confidentiality • Systems skill set • Do we know how to respond to behavior with the same confidence that we respond to academic concerns? MO SW-PBS

  16. Strengths & Difficulties Questionnaire • Teacher, parent or student ratings • Ages 4-10 or 11-17 • Respond to 25 items for each student • Administered and scored by hand or on-line • No cost MO SW-PBS

  17. Strengths & Difficulties Questionnaire • Results indicate level of risk • Close to average • Slightly raised • High • Very high MO SW-PBS

  18. Strengths & Difficulties Questionnaire • Also includes information about signs reported. • emotional distress, • behavioral difficulties, • hyperactivity and attention difficulties, • difficulties getting along with other children, • impact of difficulties on the child’s life, • extent to which the child demonstrates kind and helpful behavior. MO SW-PBS

  19. Van-Far Elementary School Vandalia, Missouri Strengths & Difficulties Questionnaire (SDQ) – Teacher Version MO SW-PBS

  20. Van-Far Elementary School • Mrs. Amber Crane • Building Principal • Mrs. Robyn Jennings • School Counselor • Mrs. Angie Morris • Classroom Teacher - Kindergarten MO SW-PBS

  21. End of School Year (2012) MO SW-PBS

  22. End of 1st Quarter - Major ODR Data (August to October 2012) MO SW-PBS

  23. End of 1st Quarter - Classroom Minor Data(August to October 2012) MO SW-PBS

  24. End of 1st Quarter - Screening Scores October 2012 47 Students Identified with Overall Score in the “High” or “Very High” range MO SW-PBS

  25. Sorted Results - October 2012 MO SW-PBS

  26. Outcomes – April 2013 MO SW-PBS

  27. Hawthorn Elementary SchoolCamdenton, Missouri Strengths & Difficulties Questionnaire (SDQ) – Student Version MO SW-PBS

  28. Hawthorn Elementary • Lucinda Varner • Assistant Principal • Penny Rassler • Tier 2 Coach MO SW-PBS

  29. Hawthorn Elementary 500 Students40 Teachers

  30. School History • Our building was created in 2006 • First two years were spent creating our mission and vision for the building • Happy, Progressive, Model School • “Team Hawthorn” – teachers, students and families feel a part

  31. School Wide PBS History • 2006-08 • Built knowledge of PBS • Discussions • Consensus for implementation • Planning/Training • 2008-09 • Began implementation of Tier I • 2009-11 • Continued implementation of Tier I • Improvements through trial/error • 2011-12 • More data review • Discussions of a need for Tier II team • 2012-13 • Continued to revise and improve Tier I • Began implementation of Tier II

  32. Team Structures Each team meets the 2nd and 4th Tuesday of the month. Tier I – Before School Tier II – After School • Tier I • Third Grade Teachers (2) • Fourth Grade Teachers (2) • Librarian • Focus Room Teacher * • Administrators * • Tier II • Interventionist • Counselor • Third Grade Teacher • Fourth Grade Teacher • Focus Room Teacher * • Administrators * * Crossover membership

  33. What Does the Administrator Do? • Ongoing evaluation of PBS • Communication • Staff (Email, faculty meeting shout outs, surveys, etc.) • Families (Newsletters, announcements, surveys, etc.) • District (Administrator Meetings, Board Reports, etc.) • Reallocate Resources • Staff (Counselor/Librarian schedules, CICO volunteers, etc.) • Schedule (Monday morning meetings, coverage for trainings, etc.) • Buy In • Building Access • Review referrals • Part of the decision making process

  34. Review of Referrals • Referrals for 2011-12 What about the students with repeated behaviors?

  35. What Can We Do From Day 1? Triage Student Placement Dig Deeper...

  36. Strengths & Difficulties Questionnaire • Review of data • During summer trainings, heard about the SDQ • Tier II team decided to see if the building would be interested in piloting • Received consensus from the staff • Communicated to families about the screening tool and its purpose

  37. Strengths & Difficulties Questionnaire • School counselor and librarian administered the screening • Beginning of the year, during specials • About 20 minutes • Netbooks • Paper/pencil

  38. Strengths & Difficulties Questionnaire • Overview of results were considered and individual results were set aside for a time • As the Tier II team began to receive teacher referrals, the individual results were then considered for further support

  39. Consideration for Support Additional supports considered based on ODRs, think sheets, minors, other concerns Triage Social Groups Environmental Interventions Check In, Check Out

  40. The results…

  41. Student Referrals ~ Comparison

  42. Total Referrals ~ Comparison

  43. Additional Examples • Parents complete rating questionnaire during Kindergarten registration • Parents and/or students complete ratings when new family registers for school • Incoming 9th graders complete screening questionnaire when they create course schedule; risk scores used to assign advisory courses • Classroom teacher screenings in the spring prior to transition to new building MO SW-PBS

  44. Resources • Screening Instruments at a Glance • Name of Instrument • Description / Use • Age of Students • Method • Time to Administer • Cost • Ordering Information MO SW-PBS

  45. Resources • Screening Considerations • Documented Purpose & Policy • Clearly Defined Procedures • Availability of Supports • Universal Screening – General Requirements • Federal regulations • Example Parent Notification Letter MO SW-PBS

  46. Resources • Tier 2 Workbook • http://pbismissouri.org/archives/1816 • Screening Handouts • http://www.youthinmind.info • Information and protocols for SDQ • Complete questionnaire on-line MO SW-PBS

  47. Contact Information • MO SWPBS Regional and/or Tier 2/3 Consultant • Amber Crane, Principal, Van-Far Elementary • acrane@vf.k12.mo.us • Lucinda Varner, Assistant Principal, Hawthorn Elementary • lvarner@camdentonschools.org MO SW-PBS

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