Building State Structures for Integrating SMH and PBIS

1. Building State Structures for Integrating SMH and PBIS 2012 National PBIS Leadership Forum October 19, 2012

2. Building State Structures for Integrating SMH and PBIS State: Montana Presenter: Susan Bailey-Anderson, M.Ed MBI Coordinator, Office of Public Instruction State: Pennsylvania Presenter: James Palmiero, Ed.D. Director, Pennsylvania Training and Technical Assistance Network (PaTTAN)

3. Building State Structures for Integrating SMH and PBIS 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.

4. Building State Structures for Integrating SMH and PBIS Session Objectives: 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. The participants will learn about the strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS. 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. The participants will learn about state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS. 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.

5. Building State Structures for Integrating SMH and PBIS Session Format: Objective by objective….. 1. 2. REFLECTION 3.

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

7. Compelling Forces

8. Impact Events

9. Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level VISION Stages of Implementation: Exploration & Adoption

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

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

12. 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: • 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 REFLECTION

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

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

15. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Capacity Funding Cross Systems Supports

16. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Pennsylvania Positive Behavior Support Network Stages of Implementation: Instillation

17. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Overview of PA’s (CoP) on (SBBH) • Part 1: Explanation of the CoP on SBBH & its primary strategy

18. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS 2011-12School-Wide PBIS Sites by County 5 4 1 2 1 3 2 18 3 10 11 Approx. 300 Schools / Districts in the Network 6 5 6 3 1 2 7 13 4 3 1 16 1 12 1 4 2 16 26 2 11 14 1 3 17 19 15 1 12 3 6 1 3

19. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS • Part 2: The scale-up of PBIS across the Commonwealth 2011-12early childhood center based sites

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

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

22. 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

23. 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

24. 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)

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

26. Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place • Three Pilot Projects: RENEW R – rehabilitation for … E– empowerment N – natural peer supports E – education W– work 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. Four goals guide the work of RENEW: (1) high school completion, (2) employment, (3) post-secondary education and training, and (4) community integration

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

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

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

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

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

32. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS • Pocono Mt. – analysis on their ROI • - Pocono Mt. School District

33. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS • Pocono Mt. – analysis on their ROI • - Pocono Mt. School District

34. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS • Reflection: • Do you recognize and or identify with any of the issues that MT and PA are experiencing? • Discussion / sharing: • Share your reflection. REFLECTION

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

36. 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

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

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