New Levels of Work Together for School-Wide PBIS and School Mental Health

1. New Levels of Work Together for School-Wide PBIS and School Mental Health Mark D. Weist, Ph.D. Center for School Mental Health University of Maryland 10.8.09

2. Center for School Mental Health* University of Maryland School of Medicinehttp://csmh.umaryland.edu*Supported by the Maternal and Child Health Bureau of HRSA and numerous Maryland agencies

3. “Expanded” School Mental Health • Full continuum of effective mental health promotion and intervention for students in general and special education • Reflecting a “shared agenda” involving school-family-community system partnerships • Collaborating community professionals (not outsiders) augment the work of school-employed staff

4. Fundamental Three-Part Rationale • Schools are under-resourced for mental health promotion and intervention • Connections between people and traditional community mental health centers are difficult • By coming together in the most universal natural setting for youth, there are advantages for both systems, and synergies enhance opportunities to achieve valued outcomes

5. A Vision for School Mental Health Strong stakeholder involvement and a shared family-school-community system agenda Full continuum of effective supports and services for all students in general and special education The right staff with the right training, supervision, coaching and support

6. Vision (cont.) Emphasis on quality assessment and improvement and evidence-based practice Strong focus on achieving valued outcomes Outcome findings feed back into program improvement and into policy and advocacy agendas

7. Access Advantages • Reduced initial stigma of services • Reduced burden of initial help seeking • Increased likelihood of early problem identification • Reduced stigma for ongoing service use • Reduced burden of ongoing service use

8. Promotion/Prevention Advantages • Increased ability for environmental enhancement and universal prevention • Enhanced ability for prevention • Increased support to educational staff

9. Service Implementation Advantages • Increased interdisciplinary collaboration • Increased involvement of diverse stakeholders • More efficient (and less costly) services • Enhanced ability for assessment and intervention in multiple settings, enhanced maintenance/generalization

10. P-16 Educational Pipeline(from Dawn Anderson-Butcher)

12. Research Supported Interventions • SAMHSA’s National Registry of Effective Programs and Practices • www.nrepp.samhsa.com • Roughly 50 of 137 research supported interventions can be implemented in schools

13. Research Supported Interventions Involve • Strong training • Fidelity monitoring • Ongoing technical assistance and coaching • Administrative support • Incentives • Intangibles

14. Practice in the trenches • Involves NONE of these supports

15. Central Theme of CSMH • Bridging research and practice in school mental health to enhance the implementation of high quality, evidence-based programs leading to improvements in outcomes valued by families and schools

16. Four Themes in Quality Services • Systematic Quality Assessment and Improvement • Family Engagement and Empowerment • Modular, Evidence-Based Skill Training • Implementation Support

17. A National Community of Practice • CSMH and IDEA Partnership (www.ideapartnership.org) providing support • 30 professional organizations and 12 states • 12 practice groups • Providing mutual support, opportunities for dialogue and collaboration • Advancing multiscale learning systems • Sign up at www.sharedwork.org

18. Hawaii Illinois New Hampshire North Carolina Maryland Missouri New Mexico Ohio Pennsylvania South Carolina South Dakota Vermont Twelve States

19. Twelve Practice Groups • Learning the Language • Social, Emotional, and Mental Health in Schools • Education and Systems of Care • SMH and Positive Behavior Supports • SMH and Juvenile Justice • SMH for Youth with Disabilities

20. Twelve Practice Groups (cont.) • Family-School-Community Partnerships • Youth Involvement and Leadership • SMH and Child Welfare • Quality and Evidence-Based Practice • SMH for Military Families • Psychiatry and Schools

21. From... • Discussion to… • Dialogue to… • Collaboration to… • Action to… • Policy Change

22. 1996 Baltimore 1997 New Orleans 1998 Virginia Beach 1999 Denver 2000 Atlanta 2002 Philadelphia 2003 Portland, OR 2004 Dallas* 2005 Cleveland 2006 Baltimore 2007 Orlando 2008 Phoenix * Launch of National Community CSMH Annual Conferences

23. Next Conference 14thAnnual Conference on Advancing School Mental Health. Minneapolis, November 1-4 Sunday evening – Community Share Fare Monday – Community Meetings/Intensive Training Tuesday, Wednesday – Conference Program See http://csmh.umaryland.edu, www.sharedwork.org or call 410-706-0980

24. www.schoolmentalhealth.org • Website developed and maintained by the CSMH with funding from the Baltimore City Health Department and Maryland Departments of Education and Mental Health • User-friendly school mental health information and resources for caregivers, teachers, clinicians, and youth

25. Two New Journals • Advances in School Mental Health Promotion • The Clifford Beers Foundation and the University of Maryland • www.schoolmentalhealth.co.uk • School Mental Health • www.springer.com

26. Advances in School Mental Health Promotion

27. Contact Information • Center for School Mental Health, Department of Psychiatry University of Maryland 737 W. Lombard Street, 4th Floor Baltimore, MD 21201 PH: 410-706-0980 FX: 410-706-0984 mweist@psych.umaryland.eduhttp://csmh.umaryland.edu