Evidenced Based Practices in the Buffalo Trace Region

1. Evidenced Based Practices in the Buffalo Trace Region September 21, 2006 Presented by Goldie Williams, Ada Braun and Mike Duffy

2. The Buffalo Trace Region Buffalo Trace Population 55,796 Area 1,379 square miles Population Density = 40/sq.mi. Buffalo Trace 2002 Kentucky 2002 Population = 4,092,891 55,796 Per Capita Income = $18,093 $14,868 Median Household Income = $33,672 $28,168 Families in Poverty = 12.7% 15.5% Poverty in families with children under 5 = 21.6% 24.3% % with Bachelors Degree = 17.1% 10.0%

3. The Community we Serve

4. Mission Statement To improve the mental health, relational and social functioning and the academic achievement of school aged children in our community by providing therapeutic, effective and competent school based behavioral health services.

5. Client Demographics • Client Income Distribution/Oct.2004.

6. Service Expansion

7. The Road to EBP…………. • Bringing the program to scale • 1 year needs assessment • 3 year strategic plan • Lots of training • Ability to Seize the Moment

8. Why CBT? • Logical fit for school based mental health services • Prior training and use by existing staff----staff buy-in • Staff informal discussions of needs and barriers led naturally to CBT • Need for high and effective intervention when using the school clock

9. Why CBT? The big reason…. • IT WAS EASY TO IMPLEMENT

10. What made it possible….. • Prior work on program goals, mission statement, streamlined service delivery and maximizing billing. Improved Quality and measurement of program effectiveness were the next logical steps. • Receipt of a grant from DMHMR in 1-06 for $15,000.

11. How was the money spent TRAINING • BECK INSTITUTE---$6000 plus other cost • YOUTH CHANGE---$6000

12. Evidenced Based Measurement • G.A.I.N. Global Appraisal of Individual Needs • Currently staff are in training and plans are for data collection this school year.

13. MAIN CHALLENGES To GAIN IMPLEMENTATION • Time constraints • COMPUTERS, COMPUTERS • Space issues in school • Extensive learning commitment • Building staff confidence • Collaboration with school staff for buy in

14. The positives of the GAIN…. • Common language and improved consensus among staff • Identification and Assessment of substance abuse history is complete, thorough and reliable • Cognitive functioning component • Complete assessment across life areas • Diagnosis using standardized means • Suggests treatment goals

15. Challenges to CBT implementation.. • Collaboration with school staff who lack necessary training in how to effectively deal with problem behaviors.’ • Tie in with IEP’s and school assessments • We need follow up training with Beck Institute trainer

16. Positives of the CBT……. • Propels outcomes to the positive • CBT techniques and training expanded our toolbox to BUST • Common language and improved consensus among staff • More bang for the buck • Pass it on approach

17. Facilitation made possible by…. • Special thanks to DMHMR for the grant opportunity which made the entire implementation possible

18. What would we do differently…. • Contracted with the Beck Institute for ongoing training and support over the next 2 years as part of the EBP grant. • Spread training out instead of all in a one month time period. • Computer’s funded

19. Advice to others…….. • Complete a comprehensive needs assessment, strategic plan and follow through • Force yourself to train and discuss your program-it builds expertise on your system and forces self analysis

20. How to contact us • Goldie Williams gwilliams@comprehendinc.com Ada Braun abraun@comprehendinc.com Mike Duffy mduffy@kywirelesscollc.com THANK YOU……………………