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

1. Sabine Parish Session 33A James Wagley, LCSW-BACS Rebecca Coburn, MSW Angela Webb, Data Manager/ Secretary Providing Behavioral, Social and Emotional Supports in a Rural Parish: A Systems Approach

2. Parish Demographics for 05-06 Population: 24,000 7 Rural Communities 11 Schools 4,238 Students 15% Special Education Students 2.7 % of SPED are ED 12% of SPED are OHI 71 % of 504 have characteristics of ADHD 61 % Free and Reduced Lunch 24% Live Below the Poverty Level 15% Single Parent Households Average per Capita Income $15,381 24% Less than High School Education

3. School Behavioral Data for 05-06 636 Suspended in-school 358 Suspended out-of-school 24 Expelled Out of School 23% Dropped out 60 Went to FINS 50 Adjudicated in Juvenile Court 150 Placed at SPARK Alternative School

4. System Collaboration • Children & Youth Service Planning Board • Parents, FINS, SPSB, DA’s Office, Juvenile Court, OYD, OCS, OAD, OPH, OMH, Faith-Based • Governor’s Health Consortium (2005) • Region 7 OMH (2006) • FINS (no one can remember) • Positive Behavior Supports (2004) • Coordinated School Health (2006) • FSCS MOU

5. C&YSPB Planning Questions What does the data suggest that we need in terms of primary, secondary and tertiary intervention as well as ongoing support services? What services along the continuum do we have and what is the capacity of each service? What infrastructure is needed to sustain current services? How does C&YSPB complete and sustain the continuum? Specifically, who will do what and when?

6. 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 D&A abuse High % of multigenerational poverty High incidence of family violence Very few recreation/leisure activities

7. Community Protective Factors Active FINS Committee Active Sports Programs in Most Communities Church Youth Groups, Scouts PALS After-School Program opened in 2004 IDEA Mental Health Project in 2003-05 Children and Youth Services Planning Board established in 2005 District focus on school reform

8. Theory Base • Systems Theory a. Treating the total child within the context of their environment b. Service integration vs. categorization and fragmentation c. Interventions needed at the local, regional and state level • Normalization (Wolfensburger): a. Program design based on model coherency b. Multi-problem youth need multimodal treatment approaches c. Reduce deviant juxtaposition to the degree possible • Organizational Dynamics: Rural settings require a different service delivery design-outreach, one-stop shopping, transportation • Social Learning Theory: Behavior can be taught and should be considered part of the instructional curriculum

9. Planning Goals (IDEA MH Grant 2002) To identify and eliminate gaps and fragmentation in services within the existing child serving agencies in Sabine Parish. To establish a system designed to identify, assess, plan, monitor and evaluate services for children, youth and their families. To develop a full continuum of services to meet the behavioral and emotional support needs of all students. To identify the resources and funding mechanisms necessary to maintain the service delivery system over time.

10. Sabine Parish C & Y Service Need Predictions for 07-08 based on population of 4238 students Pre K-12 Red Zone: (254) 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, hospitalization Yellow Zone: (636) 1:30 Recommended Caseload (BHT) PBS Committee, Behavior Education Program, Targeted Interventions, Tutoring/Mentoring, PALS, Alternatives to Suspension programs (Project Decision) DEWS List, FINS, Truancy Court Green Zone: 3,390 All faculty and support staff School-Wide PBS, Health and Wellness Programs, RTI, Family Education & Support, PALS Enrichment Programs, Community Recreation Programs

11. Service Delivery Design Red Zone Yellow Zone Green Zone

12. Red Zone • Case Management and Referrals through or to SBLC Committees, FINS, Rural Health Clinics, Mental Health Center, District PBS, FINS, Juvenile Court • Provision of Case Management, Rec/Leisure Activities, Individual, Group and Family Therapy by Mental Health Professionals and Behavioral Health Technicians • Teacher consultation and collaboration on FBAs • Alternatives to Suspension: BEP, Project Decision • Quality Assurance through Case Review Process • Linkage With Community Services and Agencies • Outreach through contracted MHPs

13. Yellow Zone • Type of interventions identified, planned and revised PRN through the PBS Committee • Both individual and group targeted Interventions • Behavior Education Program (BEP) • Social Skills • Focus Groups • PALS • Life Skills • Specialty Groups

14. Green Zone • Faculty, support staff, health and behavioral health Staff work together to develop a safe and healthy school climate that reaches into the community • District PBS Committee provides feedback and training to schools • PBS Committee works the 8 steps • Services provided to all students before, during and after school at CSH Pilot site • Nutrition, Health and Wellness classes, mentoring, helping roles for students, Circle of Courage, Smart Bodies Program • PALS after-school and summer program in four school sites

15. Integration of Therapeutic Services in After-school and Summer Programming Academics, Enrichment and Recreation Parent Education and Support Family Resource Center Adventure Based Counseling Social Skills Training/Behavior Instruction/Anger Management Recreation/Leisure skill Training Health and Wellness Classes Staff Wellness Services Crisis Intervention Community Service Service Learning Work Experience Equine Therapy Family Therapy

16. District-wide Unmet Needs Current Capacity Unmet Needs Red 70 184 Yellow 100 536 Green 3,100 290

17. Data Driven Decision Making SBLC PBS CSH BEP 504 Case Review CQI/Quality Assurance

18. Data Collection Systems Youthservices Internal data system LA OMH Contract Services Data System JPAM Surveys Goal Attainment Scaling BEP Data Observations External Evaluators (ULL) State Agency Monitors

19. Youthservices • Student Demographics • Components—Activities—Events • Average Daily Attendance • Number of students by: • Grade • Ethnicity • Free/Reduced Lunch • Age

20. LA OMH Contract Services Data System Total service delivery hours Duplicated and unduplicated students served

21. JPAMS JPAMS is used to gather demographic information, grades, discipline and attendance history for clients served through the School Based Behavioral Health Services

22. Services 05-06 07-08 Units Hours Units Hours Adventure Based Counseling N/A 369 92.25 Anger Management 176 44 27 6.75 Behavioral Education Program N/A 2346 586.5 Behavioral Learning Therapy 850 213 1450 362.5 Crisis Intervention 29 7.25 253 63.25 Family Counseling 177 44.3 152 38 Group Counseling 116 29 1498 374.5 In Person Mediation 4 1 18 4.5 Individual Counseling 418 105 1804 451 Job Training 1439 360 45 11.25

23. Services 05-06 07-08 Units Hour Units Hours Assessment N/A 553 138.25 Case Review N/A 254 63.5 Clinical Supervision N/A 507 126.75 Service Coordination N/A 222 55.5 Exercise Class N/A 5 1.25 First Aid N/A 9 2.25 Health & Wellness Class N/A 2725 681.25 Recreation/Leisure Activities N/A 8253 2063.25 Weight Management N/A 19 4.75

24. Services 05-06 07-08 Units Hours Units Hours Life Skills Training 718 180 49 12.25 Parent Counseling 23 5.75 290 72.5 Parenting Education 10 2.5 132 33 Case Management 3238 809.5 2860 715 Social Skills Training 8423 2106 810 202.5 Study Skills Assistance 168 42 7 1.75 Subject Tutoring 48 12 43 10.75 BMI 166 41.5 N/A Drub Abuse Counseling 212 53 N/A

25. Process Outcomes for 07-08 Students/Parents Served 621 Units of Service Delivered 24,723 = 6,180.75 Hours

26. Program Outcomes 42% reduction in Office Referrals at ZES Two juvenile arrests in the Parish during 2008 Summer Program

27. School Behavioral Data Comparison 05-06 & 07-08 05-0607-08 Suspended in-school 636 454 Suspended out-of-school 358 428 Expelled 24 23* Dropped out 23% 8% Went to FINS 60 50 Adjudicated in Juvenile Court 50 40 Placed at SPARK Alternative School 150 172** • * 0 out of school expulsions, all placed at SPARK • ** 40 long term, 132 short term placements at SPARK

28. 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

29. 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

30. Questions/Comments

31. wagleyj@sabine.k12.la.us James Wagley phone: 318-645-6693 cell: 318-419-1057