Presenter Disclosures Proviso East High School Maywood, IL

6/25/16
B6: Springing Into
Action: Using a
Mental Health Quality
Improvement
Initiative to Facilitate
Change in our Schools
Presenter Disclosures
ADRIANE'VAN'ZWOLL
The-following-personal-financial-relationships- with-commercialinterests-relevant-to-this-presentation-existed-during-the-past-12months:
No-relationships- to-disclose-
Adriane-“Addie”-Van-Zwoll,-LCSW,-MJ
Loyola-University-Chicago
Proviso-East-SBHC-
Session Objectives
1. Participants-will- be-able-to-identify-and-provide-examples-of-eachof-the-quality-domains-necessary-for-improved-school-mentalhealth-services.
2. Participants-will- recognize-the-difference-between-tiers-1,-2,-and3-and-will- be-able-to- provide-examples-of-interventions-at-eachtier.
3. Participants-will- develop-a-plan-to-become-more-involved-inschoolUwide-teams-such-as-Student-Assistance-Teams,interventions,-and-supports.
Proviso East High School
Maywood, IL
– Part-of-large-suburban-cook-county-school-district-209
– PEHS-School-Report-Card-indicates-the-following:
–
1756- s tudents -enrolled:- 52%-African- American,- 45%-His panic,- 3%-other-
–
83%-Low-income
–
23%-Students - with-dis abilities
–
30%-Students - are-cons idered- chronically- truant
–
17%-Mobility- Rate-
– Loyola-SBHC-has-been-working-in-partnership-with-District-209/Proviso-EastHigh-School-since-its-inception-in-January-2002–
Provides - primary- care,- mental- health,- and-nutrition- s ervices
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National Quality and Sustainability
Collaborative Improvement and
Innovation Networks (CoIIN)
– 15Umonth-learning-collaborative-in-partnership-with-the-Center-for-SchoolMental-Health-through-the-University-of-Maryland
–
Kickoff- meeting- in-October- 2015
– 7-Mental-Health-Quality-Improvement-CoIIN-teams–
Only-team- with-direct- SBHC- involvement/ leaders hip
– 5-Mental-Health-Sustainability-CoIIN-teams
Who is on our team?
Quality vs. Sustainability
Quality' Improvement
Sus tainability'
PEHS- has -s everal-s ocial-workers ,-couns elors ,and-SBHC- s ocial work-providing- mentalhealth- s ervices
The-dis trict has -limited- res ources
Services -are- individualiz ed and- at-times limited- in-collaboration-
The-health- center- has -limited-res ources
Services -are- provided- onUs ite, but- what-arethe- outcomes ?
Money- does n’t- grow- on-trees …SU RPRISE!
W e need-to- have-a-better- s ens e-of-trackingmental- health- is s ues -in-our-s tudents
Much- more- complex than-what- we-canhandle- at-the- s chool-level
W hat if- anything- are-we-doing- for- s tudents with- s ubs tance-us e-is s ues ?
N ot-practical- if-data- is -not beingtracked/ collected- cons is tently-
How are-s tudents - identified?
N eed-more- time,- energy,- res ources - in-orderto- tackle thes e-is s ues
Initial Goals for CoIIN at PEHS
1. The-CoIIN-team-at-PEHS-will-implement-a-schoolUwide-intervention-system(RTI,-PBIS,-etc..)-with-a-strong-emphasis-on-a-tier-one-interventions-that-willaddress-the-entire-school.-
Vanes s a' Schm it t '
Dir ect or ' of 'Special'
Ed/Special' Pr ogr am s
Adr iane' “Addie”'
Van' Zwoll, '
LCSW' ' Loyola' SBHC
Heidi'
Or t olaz aM Alvear '
Dir ect or ' '
Ever Thr ive' I linois '
Kr is t en' Nuyen
J er em y' Bur nham
Ever t hr ive' I linois
ELL' Coor dinat or
2. The-CoIIN-team-will-develop-new-programs-(within-reason)-to-be-facilitated-byschoolUbased-mental-health-staff,-in-collaboration-with-Loyola-SBHC
3. The'CoIIN'team'will'utilize'the'online'data'platform'in'order'to'track'mental'
health'services'and'improve'quality'services'and'access'to'care
LaGr et a' St or y' Ballent ine
Guidance' Couns elor
Lis a' DiSilvio'
Guidance'
Couns elor
Eliz abet h' Walker
As s is t ant ' Pr incipal'
Dean' Lodovic o
Dept ' Chair /Special'
Educat ion
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MTSS at Proviso East before
CoIIN
Working to
create a
Multitiered
System of
Support
(MTSS)
Tier' 1
Tier' 2
Tier' 3
REALUSBHC inUs chools us pens ion-program
SBHC Individual- Therapy
PIRATEUSBHC- outUofUs chools us pens ion-program
School-Social-W orkerInterventions / Couns eling
W orking-on- W omanhood
(W OW )UG irls -EmpowermentG roup-
School Couns elor,
Interventions / Couns eling
Social-Skills -G roups USchool
Social-W orkers -(Sped)
School,Ps ychologis t
Interventions / Couns eling
SEL G roups USBHC- (s ped-&-altprograms )
W es t-40UTruancy- Outreach
Couns elors -
MTSS at Proviso East during
(and after) CoINN
Tier' 1
Tier' 2
Tier' 3
Be-Here!- Behave!- Perform!
REALUSBHC inUs chools us pens ion-program
SBHC Individual- Therapy(including- MSW -interns )
SchoolUwide- s ys tem-(in- theworks )
PIRATEUSBHC- alternative tooutUofUs chool- s us pens ionprogram
School-Social-W orkerInterventions / Couns eling
W orking-on- W omanhood
(W OW )UG irls -EmpowermentG roup-
School Couns elor,
Interventions / Couns eling
Social-Skills -G roups USchool
Social-W orkers -(Sped)
School,Ps ychologis t
Interventions / Couns eling
SEL G roups USBHC- (s ped-&-altprograms )
W es t-40UTruancy- Outreach
Couns elors -
Tier 1
Subs tance Abus e-outUofU
s chool-s us pens ion-(in- theworks )
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Tier 2-SBHC Services
PIRATE' PROG AM'
Tier 2-School & Community
Provider Services
REAL' PROG AM
Began- 2011U2012 s chool-year
Began- 2014U2015- s chool-year
Alternative- to- outUofUs chool s us pens ion
SEL in-dedicated- inUs chool- s us pens ion-clas s room
Days of-OSS--------Subs equent- s us pens ions
Daily acces s -to-SBHC-s ocial-worker
Focus -on-verbal- and-phys ical-aggres s ion-
ISS-Reflection form
3Udays -afterUs chool with-SBHC- Social-W orker
Different- topic- offered each-day-
Provides - acces s to-SBHC-Services
Provides - acces s to-SBHC-Services
SELMAlt' Programs
SELMSped G roups
Collaboration with- W es t-40-PEACE/ DREAMprograms
Twice/ month for- cognitively-impaired- s tudents -
Tier 3-School and SBHC Services
School-Social-Workers
School-CounselorsSchool-Psychologists
SBHC-LCSW
WOW-Counselor-
– Working-on-Womanhood-(WOW):--established-by-Youth-Guidance-in-2011,-CBTcounseling-program-that-focuses-on-selfUawareness,-emotional-intelligence,healthy-relationships,-setting-goals,-and-leadership-skills-(https://www.youthU
guidance.org/wow/)
– School-social-workers-(3):--provide-SEL-groups-for-selfUcontained-specialeducation-classroom
– School-counselors-(7):--do-not-provide-any-tier-2-interventions
– School-psychologist-(2):--do-not-provide-any-tier-2-interventions-
How to track the data?!
The-SHAPE-System-is-hosted-by-the-national-Center-for-School-Mental-Health(CSMH) at-the-University-of-Maryland-School-of-Medicine.-The-CSMH-is-committedto-enhancing-understanding-and-supporting-implementation-of-comprehensiveschool-mental-health-policies-and-programs-that-are-innovative,-effective,-andculturally-and-linguistically-competent-across-the-developmental-spectrum-(frompreschool-through-postUsecondary),-and-three-tiers-of-mental-health-programming(promotion,-prevention,-intervention).https://theshapesystem.com/about
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Where we started…
– School-Mental-Health-Profile-via-the-SHAPE-system
–
N umber- of- unduplicated- s tudents - who- received-at- leas t-one- s chool-mental- healths ervice-las t-year- (~400)
–
N umber- of- unduplicated- who- received- at-leas t-one- s ubs tance-abus e-s ervice-las t-year(~25)
–
N umber- of- unduplicated- s tudents - who- had-one- s chool-mental- health/ s ubs tanceabus e-contact- within- 7-days -of-identification- (~350)
–
N umber- of- out- of-dis trict- placements - (~50)
–
N umber- of- inpatient- ps ychiatric- hos pitaliz ations -(~25)
–
School-Climate- Surveys :--1250Us tudents ,- 0Uparents ,- 99Us chool- s taff
Baseline
Quality
Performance
Measure
Report
Screening
– Depression:--~244
– Suicidality:--~50
– Substance-use:--~244
– Trauma:--~100
– Anxiety:--~50
– General-Mental-Health:--~120
– Other-Mental-Health-(i.e.-ADHD):-~20
Needs Assessment
”Needs-assessment-is-acollaborative-process-to-evaluatethe-unique-breadth,-depth,-andprevalence-of-student-mentalhealth-needs-in-your-community.Conducting-a-needs-assessmentis-a-foundational-step-in-acomprehensive,-ongoingresource-mapping-process-andshould-inform-teamUbaseddecisions-about-school-mentalhealth-service-planning-andimplementation”Uthe-SHAPEsystem-
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Data Driven Decision Making
“Data-driven-decision-making(DDDM)-is-the-process-of-usingobservations-and-other-relevantdata/information-to-makedecisions-that-are-fair-andobjective.--DDRM-can-helpinform-decisions-related-toappropriate-student-supportsand-be-used-to-monitor-progressand-outcomes-across-multipletiers”Uthe-Shape-system-
Evidence-Based Services and
Supports
“EvidenceUbased-services-andsupports-is-a-system’simplementation-of-a-fullcontinuum-of-services-andsupports-including-mentalhealth-promotion-(tier-1),selective-prevention-(tier-2),-andindicated-interventions-(tier-3)that-are-based-directly-onscientific-evidence,-have-beenevaluated-in-largeUscale-studies,and-have-been-shown-to-reducesymptoms-and/or-improvefunctioning”Uthe-Shape-system
Teaming
“A-school-mental-health-team-isa-group-of-school-andcommunity-stakeholders-thatmeet-regularly-and-use-dataU
based-decisionUmaking-tosupport-student-mental-healthincluding-addressing-individualstudent-problems,-improvingschool-climate,-and-promotingwellUbeing”Uthe-Shape-system
Evidence-Based Implementation
“EvidenceUbasedimplementation-is-theintegration-of-research-findingsfrom-implementation-science-toschool-mental-health-carepolicy,-practice,-and-operations.-This-involves-the-selection-ofappropriate-of-evidenceUbasedservices-and-supports-as-well-asutilization-of-effective,-bestpractice-strategies-informed-byimplementation-science-tosupport-and-sustain-thoseservices-and-supports”UtheShape-system.
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Strategic Planning Guide
Plan Do Study Act (PDSA)
DDDM
N eeds As s es s ment
Teaming-
PDSA:
Data- DrivenDecisionMaking-
PDSA:
Data- DrivenDecisionMaking-
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PDSA:
Data- DrivenDecisionMaking-
Needs Assessment and Resource
Mapping
– Behavioral- Health-Capacity-and-Needs-Assessment:
– Step-1:--Establishing-Team-Lead– Step-2:--Complete-capacity-and-needs-assessment-to-the-best-of-your-ability– Step-3:--Brainstorm-additional-personnel-to-also-complete-the-assessment
– Step-4:--Establish-timeline/plan– Step-5:--Synthesize-information/summarize-into-one-document
– Step-6:--Share-final-report/recommendation-with-administration-and-team
Needs Assessment:
Sample Questions
– STAFFING
–
W hich-s taff- currently- provide- BH- s ervices ?-W hat-is -their- background/ training?- Roles ?
– BEHAVIOR-HEALTH-SUPPORTS
–
Tier- 1?-Tier-2?-Tier- 3?-W hat- Cris is -protocols - are-in-place?- Procedures - for- determinings tudent- needs / s ervices ?
– TEACHERS-AND-SCHOOL-STAFF
–
W hat-other- s chool-teams - does -the- BH- team-interact- with?-W hat- PD- does -s chool-s taffreceive-regarding- SEL-and-behavior- s upports ?- Do- you- have-grade- level-teams ?
– DATA
–
W hat-data- is -collected-on- s tudents - with-behavioral- needs ?- W ho-is -res pons ible-forcollecting-and- entering- data?- W hat- s tudent- level-data-is -available-(attendance,grades )?-
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Teaming
Next Steps…
– Student-Assistance-Team– Social-Emotional-Committee
– CoIIN-
Questions?
Contact-Information:
Adriane- “Addie”-Van-Zwoll
Office:--708U449U9523
Email:[email protected]
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