How PBIS Fits Into CPSA’s Goals PBIS Conference June 11, 2008

1. How PBIS Fits Into CPSA’s GoalsPBIS ConferenceJune 11, 2008 Bill B. Burnett, M.Ed., MAC Director of Prevention and Community Development

2. CPSA Prevention Target: • Non-members targeted for services • To prevent behavioral health problems before they start • Focused on risk and protective factors

3. Primary Prevention School-wide programs for all students, staff, and settings Goal: Reduce new cases of problem behavior Secondary Prevention Target group interventions Goal: Reduce current cases of problem behavior *5% of Students *15% of Students *80% of Students Continuum of Behavior Support • Tertiary Prevention • Individualized intervention for specific student needs • Goal: Reduce complications, intensity, severity of current cases *Average percentage of students responding to a given level of prevention/intervention.1/9/2007

4. “Prevention” means the creation of conditions, opportunities, and experiences that encourage and develop healthy, self-sufficient children and that occur before the onset of problems. Arizona Revised Statutes 8-201-23. Prevention

5. CPSA Prevention Across the Life Span E N V I R O N M E N T A L P R O J E C T S & C O M M U N I T Y M O B I L I Z A T I O N 0-5 years 6-11 12-15 15-18 18-55 years 55 & older PRN MMFT YES* YES PRN, family strengthening Older Adult (targeted) Suicide Prevention MMFT (media campaign)

6. Tertiary Broadest impact, least depth Takes longest to become apparent Secondary “Indirect participants” Broader impact, moderate depth • Primary • “Direct participants” • Narrowest impact • Greatest depth • Most immediatelyapparent results The CPSA Community change model

7. CPSA’s Prevention goals • Increased family bonding • Increased attachment/connectedness to school • Decreased laws, policies & norms favorable to substance use • Increased community cohesion

8. Alcohol Advertising:Targeted at Youth?

9. Who and/or What Influences Youth? • Parents • Friends • Teachers • Families • Church • Community leaders • Communities

10. Who and/or What Else Influences Youth? • Media in general • TV, Radio, Magazines, Newspapers, Movies • Advertising for: • Music • Clothing • Alcohol • Cigarettes

11. Television • 65% of children 8 and above have TVs in their bedroom. • Young persons (ages 8-18) watch TV nearly 3 hours per day. Stranger, J.D. and Gridina, N. Media in the Home: The Fourth Annual Survey of Parents And Children. The Annenbery Public Policy Center of the University of Pennsylvania, 1999.

12. Impact of Television • Studies suggest that higher rates of television viewing are correlated with increased tobacco usage, increased alcohol intake and younger onset of sexual activity. “Facts about Media Violence.” American Medical Association, 1996.

14. In 2003, youth saw more TV commercials for beer than for jeans, chewing gum, fruit juice, skin care products, cookies, crackers or potato chips.

15. Alcohol 1996 – 1.2 million 1999 – 1.4 million 2002 – 1.9 million 5,240 new users daily Marijuana 1996 – 2.6 million 1999 – 2 million 5,479 new users daily Tobacco 1997 – 1.9 million 1999 – 1.4 million 3,835 new user daily Methamphetamine 1996 – 119,355 1999 – 112,420 2003 – 132,495 363 new users daily New Users National Survey on Drug Use and Health (NSDUH) – 2003.

16. Prevalence of Lifetime Use of Heroine, Cocaine, and Psychotherapeutics among Adults Aged 26 or Older, by Age of Marijuana Initiation: 1999 and 2000 SAMHSA, Office of Applied Studies, National Household Survey on Drug Abuse, 1999 and 2000.

17. CPSA’s collaborative Prevention projects • Make Mealtime Family Time (MMFT) • Youth Empowered for Success (YES) • Suicide Prevention • Community Development Network

19. MMFT goal • To increase family bonding by bringing families together during mealtimes • Research: The number of family mealtimes is highly correlated with decreased substance use and a variety of other negative behaviors, and increased success in school and life in general

20. The program • MMFT currently targets 6th graders and their families • Began in September 2005 • Activity materials are provided to school administrators to disperse to students for families to use • Supporting information is included in school newsletters and disseminated via school-wide gatherings

21. MMFT partners • Primary partners • CPSA • University of Arizona College of Education • United Way • Funding partners • Basha’s • Diamond Ventures • Estes Homes • Daily Star

22. MMFT’s 65elementary schools District# of schools • Alter Valley 2 • Amphi 5 • Flowing Wells 5 • Marana 11 • Sunnyside 2 • Tanque Verde 1 • TUSD 31 • Vail 6 • Independent/Private 2

23. MMFT web site • Make Mealtime Family Time

25. YES goal • To increase personal protective factors of youth participants • To increase school connectedness and attachment by: • Improving school climate • Providing increased opportunities for meaningful participation to students in schools

26. YES High Schoolfirst-year outcomes Statistically significant improvement over the year (04-05) was reported in: • Personal resiliency • Decision-making and goal-setting skills

27. 2007/2008 YES High Schools • Nogales • Palo Verde • Patagonia Union • Pima • Pueblo • Rincon • Safford • Sahuarita • Sunnyside • Tohono O’odham • Tucson Magnet • Ajo • Benson • Buena • Catalina • Catalina Foothills • Cholla • Clifton • Desert View • Duncan • Flowing Wells • Fort Thomas • Marana • Mountain View

28. YES High School project design • Teen Institute model • Youth-adult partnership and action-planning model • Health Realization life skills education • Training Academy

29. YES web site • http://arizonayes.org

30. Short break

31. Suicide prevention & intervention Community education & training: • Youth Suicide Prevention Coalition • Older Adult Suicide Prevention Coalition • Applied Suicide Intervention Skills Training (ASIST) • safeTALK

32. safeTALK is a half-day suicide alertness training program. After completing safeTALK you will have the ability to recognize a person with thoughts of suicide and know how to connect them with a person trained in suicide first aid intervention.

33. Anyone in twenty may have thoughts of suicideOthers likely want to help

34. Applied Suicide Intervention Skills Training enhancing resources today • saving lives for tomorrow

35. Structure of the Suicide Intervention Model Understanding Connecting Assisting

36. Community Development Network

37. Community Development Network Pima County: • Kino Area Weed & Seed (CODAC) • Liberty Partnership (Child & Family Resources) • Luz South Side Coalition (Luz Social Services) • Refugee and Immigrant Service Provider Network (La Frontera Center) • Robles Responds! (Three Points; La Frontera Center) • Coalitions in Marana, Ajo, Catalina and four districts of the Tohono O’odham Nation (Arizona Youth Partnership)

38. Other environmental efforts Staff support for Pima County-Tucson Commission on Addictions, Treatment & Prevention – legislative and policy issues that affect underage drinking, such as: • keg registration, • liquor taxes • limits on drive-in liquor stores and • server education (Pima Prevention Partnership)

39. Other environmental efforts • Monitoring the concentration of and helping neighborhood associations challenge liquor license applications, transfers and renewals (Luz Social Services, Child & Family Resources) • Monitoring and helping communities advocate on billboard content (Luz Social Services)

40. Family-focused programs • Parent Resource Network • Parenting classes • Teen Court

41. Parenting classes • Using model programs • Providers: • CODAC Behavioral Health • La Frontera Center (for refugee and new immigrant families) • Luz Social Services • Pima Prevention Partnership

42. Teen Court • Part of Pima County Juvenile Diversion Program • Youth and parents targeted Provider: Pima Prevention Partnership

43. Other youth development programs • Life skills classes, using model programs, for: • All fifth and sixth graders in Altar Valley Schools (La Frontera Center)

44. Health Promotion • Wellness Messenger newsletter • Nutrition classes • Family Fun and Wellness Day • Red Cross Babysitting Classes • Family Forum • Red Cross Save a Life Saturday • Recovery EXPO • Meth Free Alliance

45. Questions & answers

46. System-wide Prevention outcome results(2004-05) • Family cohesion increased among both adults (11%) and youth (4%) • Adults’ negative attitudes towards youth smoking increased 17% • Sense of community increased in school settings (14%) and communities (7%)

47. System-wide outcome results cont. • Youth perceptions of friends’ disapproval “if I got drunk once in a while” increased 7% • Community members’ perception of ability to influence neighborhood conditions increased 8%

48. Changes in school climate and attachment are expected to take multiple years

49. Further expansion of YES • Pilot middle school programming begins in 06-07 • 5 middle schools • Program Name – Don’t Meth Around

50. YES High School partners • Child & Family Resources Inc. • SEABHS • Arizona Youth Partnership • CODAC Behavioral Health Services • Working with 2 independent contractors • 26 high schools