Providing Behavioral, Social and Emotional Supports in a Rural Parish: A Systems Approach

1. Sabine Parish Schools Providing Behavioral, Social and Emotional Supports in a Rural Parish: A Systems Approach James Wagley LCSW-BACS Session 18 A 10:45 Session 18 B 2:00 p.m.

2. Parish Demographics for 05-06 Population: 24,000 7 Rural Communities 11 Schools 4,200 Students 15% Students Classified Special Education 2.7 % of SPED are ED 12% of SPED are OHI 71 % of 504 have characteristics of ADHD 61 % Free and Reduced Lunch (84% at ZHS) 23 % Drop-out Rate 24 % Live Below the Poverty Level 15 % Single Parent Households Average per Capita Income $15,199 24% Have less than High School Education

3. School Behavioral Data for 05-06 1,424 Suspended in-school 698 Suspended out-of-school 38 Expelled Out of School 23% Dropped out 60 FINS cases 50 Adjudicated in Juvenile Court 150 Placed at SPARK Alternative School

4. System Collaboration • Governor’s Health Consortium (2004) • 2003 Juvenile Justice Reform Act 1225, Act 555 • Region 7 OMH (2006) • FINS (no one can remember) • Positive Behavior Supports (2004) • Coordinated School Health (2006) • Children & Youth Service Planning Board • FINS, SPSB, DA’s Office, Juvenile Court, OYD, OFS, OCS, OAD, OPH, OMH, Faith-Based Orgs, Parents • Neighborhood Place (2008-09)

5. Community Risk Factors Gaps in service: no private practitioners, only one private non-profit agency, limited and fragmented services from state agencies, no public transportation, fragmentation of services within the parish and district Lack of sustainability due to inconsistent funding policies Lack of interagency communication and cooperation High incidence of substance abuse High % of multigenerational poverty High incidence of family violence Very few recreation/leisure alternative activities

6. Community Protective Factors Active FINS Committee Active sports programs in most communities Church youth groups, scouts, etc. PALS After-School Program since 2004 IDEA Mental Health Project in 2003-05 PBS implemented in 2004 CSH, S-BBH in pilot sites Children and Youth Services Planning Board established in 2005 District focus on school reform Reorganization of Early Childhood/Headstart and LA 4 Programs into Universal Pre-K

7. Children and Youth Planning Board Planning Questions What does the data suggest that we need in terms of primary, secondary and tertiary interventions needed? What services along the continuum do we have, what is their capacity and what is missing? What infrastructure is needed to sustain a full continuum of care? How does C&YSPB facilitate this process? Who will do what and when?

8. Sabine Parish SchoolsStudent Services Mission Established in August of 2008 to remove all barriers to learning for all 4,300 Sabine Parish students and families through an integrated continuum of support services funded through local, regional and state agency partners.

9. Sabine Parish Children & Youth Service Need Predictions 07-08 Red Zone: (226) 1:20 Recommended caseload Local and District PBS Committee, Alternative Education Programs, School-Based Behavioral Health Services, Psychiatric Case Management, Referral to OMH, OAD, OPH, OCS, FINS, Juvenile Court through Neighborhood Place, Hospitalization Yellow Zone: (678) 1:30 Recommended Caseload (BHT) PBS Committee, Behavior Education Program, Targeted Interventions, RTI, Tutoring/Mentoring, PALS, Alternatives to Suspension programs (Project Decision/Community Service) DEWS, FINS, Truancy Court Green Zone: (3,614) All faculty and support staff School-Wide PBS, Health and Wellness Programs, RTI, Family Education & Support, PALS Enrichment Programs, Community Recreation Programs, Universal Pre-K

10. State Regional Peers Community SCHOOL COMMUNITY

11. Peers Community SCHOOL State Regional Positive Behavior Support COMMUNITY

12. Peers Community SCHOOL State Regional Coordinated School Health Positive Behavior Support COMMUNITY

13. State Regional Peers Community SCHOOL COMMUNITY PALS After-School Program Coordinated School Health Positive Behavior Support

14. Peers Community SCHOOL State Regional Neighborhood Place PALS After-School Program Coordinated School Health Positive Behavior Support COMMUNITY

15. Red Zone Referrals through or to SBLC Committees, FINS, Rural Health Clinics, Mental Health Center, District PBS - CHS Team, Neighborhood Place Assessment and Case Management by Pupil Appraisal; Individual, Group and Family Therapy by Mental Health Professionals and Behavioral Health Technicians using evidence-based modalities Teacher consultation and collaboration on Positive Behavior Facilitation, Functional Behavioral Assessments and brief solution-focused approaches.

16. Red Zone • Alternatives to Suspension: BEP, Community Service • Quality Assurance through Case Review Process • Linkage With Community Services and Agencies such as Multi-Systemic Therapy and Nurse-Family Partnership programs • Outreach through contracted Mental Health Professionals and Community Based Providers

17. Yellow Zone Types of interventions identified, planned and revised PRN through SBLC and the PBS Committees Both individual and group targeted Interventions: Behavior Education Program (BEP) Social Skills Focus Groups Life Skills Specialty Groups PALS After-school and summer programs School-Based Behavior Assessment Centers

18. Green Zone Support Services Staff work with schools to develop a safe and healthy school climate that partners with families and the community District PBS/CSH Committee provides feedback and training to school level PBS Committees and takes referrals for ‘Red Zone” students. PBS Committees work the 8 steps Preventive services provided to students before, during and after school at CSH Pilot sites

19. Green Zone • Nutrition: Health and Wellness classes, Smart Bodies Program, Family Nutrition Nights, Health Fairs integrated into school and after-school programs • Universal Pre-K program opened in the fall of 2008 and receive CSH as well as after-school programs • PALS after-school and summer programs expanded to seven schools

20. Integration of Therapeutic Services Staff Wellness Services Nutritional Programs Case Management Health Services Crisis Intervention Community Service Service Learning Work Experience Equine Therapy Individual, group and family therapy Before, during, after-school and summer programming Academics, enrichment and recreation programs Parent education and support Behavior Education Program Adventure Based Counseling Social Skills Training Behavior Instruction Programs Recreation/Leisure skills Training Health and Wellness Classes

21. District-wide Unmet Needs Current Capacity Unmet Need Red 70 156 Yellow 80 598 Green 3,800 418

22. Service Map

23. CHS PBS CSH PHHS PBS PALS EHS PALS NP ZES-ZHS CSH PBS PALS NP Many Preschool CSH PBS PALS MJHS PBS PALS CSH MHS MES PBS PALS PBS PALS NHS SPARK PBS CSH PALS FHS PBS CSH PBS PALS

24. Student Supports Partners LA Department of Social Services LA Department of Health and Hospitals LA Department of Education LA Regional Offices of Mental Health, Public Health, Juvenile Justice, Community Services, Addictive Disorders, Family Services and Rehabilitation University of Louisiana at Lafayette Cecil Picard Center for Child Development Northwestern State University department of Social Work Sabine Children and Youth Services Planning Board Local Health Service Delivery Systems

25. PALS GARDEN http://www.sabine.k12.la.us/pals/Home.htm

26. Data Driven Decision Making School Building Level Committee Positive Behavior Support Coordinated School Health Behavioral Education Program District PBS/CSH Committee District Vision Team Case Review CQI/Quality Assurance

27. Data Collection Systems Youth Services (21st Century Database) Sabine Service Delivery Database LA OMH Contract Services Data System JPAMS Surveys Goal Attainment Scaling (Service Plans) BEP Data External Evaluators (ULL) State Agency Monitors (DOE,OYD,OMH)

28. Process Outcomes for 07-08 Students/Parents Served 675 Units of Service Delivered 29,795 = 7,448.75 Hours

29. Behavior Outcomes 42% reduction in Office Referrals at ZES from 06-07 to 07-08 school year District wide reduction of 48% office referrals comparing fall semester of 07-08 to fall semester of 08-09. Only two juvenile arrests in the Parish during 2008 Summer Program

30. District Data Comparison

31. Teacher Satisfaction Surveys 74% reported their students’ problems ranged from “better” to “remarkably better” 75% reported the program was “helpful” to “remarkably helpful” in assisting them working with the students

32. Parent Satisfaction Surveys Parent Responses: 78% reported their child’s problems were “better” to “remarkably better” 84% reported the program was “helpful” to “remarkably helpful” in assisting them work with their child

33. Need statement based on 2008-09 data • 7.8 % report dependency on alcohol or drugs • 4.5 % treated for allergies • 4.0 % Asthma • 4.0 % ADHD • 2.0 % other chronic, terminal or reoccurring illnesses • 8.6 % receive meds at school • 20 % obesity rate * • 13 % Special education • 61 % at-risk economically • 4.3 % report no insurance * • 8 % annual drop-out rate

34. Questions/Comments

35. Complete Your Evaluation Providing Behavioral, Social and Emotional Supports in a Rural Parish: A Systems Approach James Wagley LCSW-BACS Session 18 A 10:45 Session 18 B 2:00 p.m