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FAMILIES, EDUCATION & TREATMENT

FAMILIES, EDUCATION & TREATMENT. STUDENT’S BRIDGE TO SUCCESS May 5, 2006. Presenters. Gwyn Devendorf, Director of Special Education, Wallenpaupack Area School District AnnaBeth Fish, Student MaryAnn Fish, Parent

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FAMILIES, EDUCATION & TREATMENT

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  1. FAMILIES, EDUCATION & TREATMENT STUDENT’S BRIDGE TO SUCCESS May 5, 2006

  2. Presenters Gwyn Devendorf, Director of Special Education, Wallenpaupack Area School District AnnaBeth Fish, Student MaryAnn Fish, Parent Gail Learn, Director, Child & Adolescent Services, Tri-County Human Services Center

  3. Presenters (cont.) Marnell Fortuner, Teacher, R.D. Wilson Elementary School SBPH Program James Martin, Deputy Administrator, Lackawanna-Susquehanna Counties MH/MR Office Denise Stoneroad, Coordinator, Child & Adolescent Partial Hospitalization Programs Mary Jane Yevics, Family Advocate for The Advocacy Alliance.

  4. PRESENTATION OUTLINE • INTRODUCTION OF PRESENTERS & OUTLINE • A PARTNERSHIP FOR SCHOOL BASED PARTIAL HOSPITALIZATION • PARENT’S & STUDENT’S VOICES • HISTORY & DEVELOPMENT OF SBPHP -MH & EDUCATION PERSPECTIVE • PROGRAM MODEL & OPERATION • CLINICAL & EDUCATIONAL COMPONENTS

  5. OUTLINE CONTINUED • KEYS TO SUCCESS • WHAT WE HAVE LEARNED • WHAT WE WOULD CHANGE • QUESTIONS FOR THE PANEL

  6. School Based Partial Hospitalization • A Day Treatment Program combining mental health treatment and education. • Less intense and acute than an inpatient psychiatric hospital or MH residential treatment facility. • More intensive than outpatient mental health treatment

  7. PARTNERS IN THE COLLABORATION L-S & W COUNTIES MH OFFICES DPW & PDE N.E.I.U. #19 LOCAL SCHOOL DISTRICTS TRI-COUNTY HUMAN SERVICES PARENTS, STUDENTS & ADVOCACY GROUPS

  8. Parent & Student Voices • What were the strengths of the SBPH Program? • Which components benefited you or your child/adolescent most? • Sharing thoughts and experiences…

  9. Family, Education and Treatment: Student’s Bridge to Success May 5, 2006 2006 Pennsylvania School-Based Behavioral Health Conference

  10. Background / Location

  11. Background/ Population

  12. MH Total Served Fiscal Year 2004-05

  13. MR Total Served Fiscal Year 2004-05

  14. Service Delivery System/ Structure

  15. Service Delivery System/ Structure • Lackawanna-Susquehanna County Mental Health/ Mental Retardation Program Administrative Office • Policy Development • Contract Management • Planning and Development

  16. Service Delivery System/ Structure • Service Delivery • Contracted Services • 22 Providers Delivering Mental Health Services

  17. Service Delivery System/ Structure • Service Delivery • Mental Health Contracted Services include: • Intensive Case management • Partial Hospitalization • Outpatient Treatment • Inpatient Treatment • Behavioral Health Rehabilitation Services • Emergency Services • Crisis Intervention • Family Based Services Resource Coordination • Resource Coordination • Vocational Services

  18. Partial Hospitalization Services within the Joinder Program • Provider System • Four (4) Providers deliver a range of Partial Hospitalization Services: • Center Based Programs • School Based Programs • After School Programs • Acute • Early Childhood

  19. Current Utilization Statistics • 413 Child and Adolescent Partial Hospitalization Program Slots within the Joinder Program • Average Length of Stay is 9-16 Months • Average Daily Attendance is 405 students • 887 Unduplicated children and Adolescents were served in Fiscal Year 2004-2005 throughout the Joinder Program

  20. School Based Partial Hospitalization Program Development • Lackawanna/ Susquehanna/Wayne Counties had three school Based Partial Hospitalization Programs in existence prior to 1993 • Elk Lake- 5-12 years old • Wallenpaupack- 10-14 Years old • Western Wayne 5-12 Years old

  21. School Based Partial Hospitalization Program Expansion in 1993 • Department of Education Request: • Eliminate Center Based Option for 57 Adolescents • Transition the Center Based Program to a School Based Program within local School Districts

  22. Creation of The Partnership • Meeting was held with: • Department of Education • Bureau of Special Education • Intermediate Unit #19 • Local School Superintendents • Local Mental Health System

  23. Creation of The Partnership • Partnership’s Charge: • Create School Based Options for 57 Adolescents within a nine (9) month period of time- The next School Year

  24. Reasons for moving program from Center-Based to School-Based • Difficulty of re-entering students from center to home school • Students not able to mainstream, integrate in regular education • Students not able to participate in extra-curricular, co-curricular activities • Center far from student’s home – making it difficult for family and LEA involvement

  25. Educational Components • Special Education Teacher and Teacher Assistant • Emotional Support Program with related services • Individual Education Programs • Access to general education curriculum • Access to special area classes, clubs, activities, extra and co-curricular activities and sports • Communication and collaboration among all staff • Administrative support and active involvement - willingness to be flexible

  26. Community Needs …(Educational perspective) • Space for Classroom and Therapy rooms • Understanding of therapeutic elements of program • Respect for each discipline • Willingness by administrators to adjust rules • Acceptance of students from other districts as your own

  27. PROGRAM MODEL TODAY • SBPH in the Continuum of Care • Who does it serve? • Where are the programs located? • How is the program funded?

  28. TRI-COUNTY HUMAN SERVICES CONTINUUM OF CARE FOR CHILDREN & ADOLESCENTS • Student Assistance Programs • School Outreach Programs • Community & School Based Outpatient Sites • Acute & After School Partial Hospitalization Programs

  29. Continuum of Care • Summer Partial Hospitalization Programs • Family Based In-Home Services • Intensive Case Management & Resource Coordination • BHRS & Autism Programs • Wilderness Adventure • Center Based PHP

  30. April,2006Ages of Students Currently in SBPHTotal = 101 Students

  31. April, 2006Sex of Students

  32. Axis I Diagnosis2004-2005

  33. Locations of Host Schools 9 School Sites Elk Lake R.D. Wilson Forest City Mountain View Western Wayne High School Carbondale Valley View Wallenpaupack Mid Valley

  34. Home School District At Admission2004-2005 17 School Districts utilized School Based PHP

  35. Educational Status at Admission2004-2005

  36. EDUCATIONAL STATUS AT DISCHARGE 2004-2005

  37. Mainstreaming & Inclusion • Data Collection since 1992 • 1992-1993: 100% Mainstreamed in Specials (Art, Music, Physical Education, etc.) * • 1992-1993: 80% mainstreamed in at least one academic subject* • 2005-2006: 95% mainstreamed in Specials* • 2005-2006: 78 % mainstreamed in at least one acaemic subject* *After completion of diagnostic period

  38. Length of Stay2004-2005 *Discharged Students Only

  39. Most CommonReasons For Referral • Behavior Issues at school and at home • Impulsivity and Attention related issues • Depression, Anxiety and other mental health issues • School Refusal and Truancy

  40. Reason For Discharge2004-2005

  41. Funding for the SBPHP • Collaborative approach = collaborative funding. • Shared costs • MH Treatment funded by Medical Assistance, third party insurance and County MH Funding • Education Costs are paid by home school districts

  42. PROGRAM MODEL • Therapeutic Milieu • Special Education • Psycho-Education • MH Treatment • Therapeutic Classroom • Crisis Prevention & Intervention • Integration & Mainstreaming

  43. Demographics of Programs • Age/Grade Levels • School Districts • Number of Students per Program

  44. Physical Set-Up • Educational Component • Clinical Component • Staff Complement • Clinical • Educational

  45. Referral Process • Criteria • Medical Necessity Statement • Orientation Procedure

  46. Treatment Team Members • Family Members • Clinical Staff • Educational Staff • Support Systems

  47. Clinical Components • Individual, Group & Family Therapies • Crisis Intervention • Behavior Modification System • Treatment Planning and Reviews • Psychiatric Staffing

  48. Behavior Management System • Homework 6 points • Morning Routine 4 points • Reading 6 points • Social Studies 4 points • Lunch 4 points • Recess 4 points • Mathematics 6 points • Group Therapy 6 points • TOTAL 40 points

  49. Behavior Management System • Level 3: 36-40 points • *full privileges • *full recess • *choice of milk at lunch • *walk independently to activities/restroom • Level 2: 29-35 points • *most privileges • *full recess • *no chocolate milk • *walk with class to activities/restroom • Level 1: 0-28 points • *no privileges • *no recess • *no chocolate milk • *escorted to activities/restroom by adult

  50. M. FORTUNER 2005-2006 ROOM 316 PARTIAL PROGRAM *Students leave at varying times for specials and mainstreaming per grade level

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