Susan Bailey-Anderson Erin Butts Mark Weist PBIS LEADERSHIP FORUM, LITTLE CHICAGO, OCT. 11, 2013

“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

But SMH programs and services continue to develop in an ad hoc manner, and LACK AN IMPLEMENTATION STRUCTURE

Positive Behavior Intervention and Support ( In 17,000 plus schools Decision making framework to guide selection and implementation of best practices for improving academic and behavioral functioning Data based decision making Measurable outcomes Evidence-based practices Systems to support effective implementation

Tiered Support in Systems of Care Universal Evidence-Based Mental Health Promotion, Social- Emotional Learning Targeted Evidence-Based Prevention E-B Clinical Intervention Evidence-Based Clinical Intervention Targeted Evidence-Based Prevention Universal E-B Mental Health Promotion Community School Districts

Interconnected Systems Framework (ISF) for SMH-PBIS Strategy for interconnection of two systems across multiple tiers Emphasizes state teams working with district teams and schools, and strong team planning and actions at each tier Two national centers (for SMH and PBIS) and a number of states involved Numerous training events and a monograph in progress

ISF Defined A strong, committed and functional team guides the work, using data at three tiers of intervention Sub-teams having “conversations” and conducting planning at each tier Evidence-based practices and programs are integrated at each tier SYMMETRY IN PROCESSES AT STATE, DISTRICT AND BUILDING LEVELS

ISF cont. Key stakeholders from education and mental health are involved and these people have the authority to reallocate resources, change roles and functioning of staff, and change policy There is a priority on strong interdisciplinary, cross-system collaboration

ISF, School Readiness Assessment 1) High status leadership and team with active administrator participation 2) School improvement priority on social/emotional/behavioral health for all students 3) Investment in prevention 4) Active data-based decision making 5) Commitment to SMH-PBIS integration 6) Stable staffing and appropriate resource allocation

ISF, Indicators of Team Functioning Strong leadership Good meeting attendance, agendas and meeting management Opportunities for all to participate Taking and maintaining of notes and the sense of history playing out Clear action planning Systematic follow-up on action planning

Team Members *School psychologist *Collaborating community mental health professional School counselor Special educator *co-leaders Assistant principal School nurse General educator Parent (Older student)

“Advancing Education Effectiveness: Interconnecting School Mental Health and School-wide Positive Behavior Support “ Publish a monograph that provides a summary and framework for interconnection, documents examples of success, and lays out a research, policy, and technical assistance agenda for the future (available on-line October 1, 2013) OSEP TA Center of PBIS ( Center for School Mental Health ( and IDEA Partnership (NASDE) (

Key Rationale PBIS and SMH systems are operating separately Results in ad hoc, disorganized delivery of SMH and contributes to lack of depth in programs at Tiers 2 and 3 for PBIS By joining together synergies are unleashed and the likelihood of achieving depth and quality in programs at all three tiers is greatly enhanced

Chapters in the ISF Book Overview Implementation Framework School Level Systems School Level Practices Effectively Using Data District/Community Role Advancing in States Policy, Practice and People Commentaries

Current Tools Dialogue Guides (IDEA partnership) 4 Simple Questions (IDEA partnership) Implementation Guides (Funding, Team, Evaluation) Knowledge Development Surveys Readiness Checklist Resource Mapping Consumer Guide for Selecting MH practices

Stages of ImplementationFocusStageDescription Exploration/Prep aration Activities Decision regarding commitment to adopting the program/practices and supporting successful implementation. InstallationSet up infrastructure so that successful implementation can take place and be supported. Establish team and data systems, conduct baseline data, develop plan. Initial Implementation Roll-out the practices, work out details, learn and improve before expanding to other contexts. Full Implementation Expand the program/practices to other locations, individuals, times- adjust from learning in initial implementation. Sustainability/Co ntinuous Regeneration Make it easier, more efficient. Embed within current practices. Getting it right Making it better Should we do it Steve Goodman

MONTANA-IZING PBIS… And making it our own

MBI Belief Statements… the philosophy Students should be taught all the skills necessary for success: academic, social, emotional and behavioral. Schools are places where students can learn and practice positive interpersonal, cross-cultural and citizenship skills. A caring school climate and positive relationships between students and staff are critical to student success and provide an environment where academics flourish. Schools are places where youth have access to many significant adults to help them feel collectively and individually valued. Schools and communities must work together to meet the diverse needs of students and honor the traditions and contributions of both family and community members. All students are entitled to be treated with dignity and respect. Successful schools gather and use a variety of information to improve teaching and learning. Effective use of a team approach involving all school staff working together provides a consistency which enhances student success. Positive, proactive and preventative efforts of schools and communities can create a school climate free of stereotyping, harassment and violence—filled with a concern for justice and fairness.

Establish a Framework Practices D ata Montana’s Tri-lateral Framework Partnership Policy Research Systems

Montana Schools 443 Elementary Schools 213 Middle, 7&8, or Junior High Schools 171 High Schools Total Enrollment 141,693 Licensed K-12 Staff 14,947

Susan Bailey-Anderson State Personnel Development Grant (SPDG) Director CSPD Coordinator/MBI Coordinator Special Education Division MBI CONSULTANTSMBI COUNCIL MBI TEAM TRAINING MBI SUMMER INSTITUTE STAKEHOLDERS Montana Board of Crime Control Montana Department of Higher Education Montana School Resource Officers School Administrators of Montana School of Psychology, University of Montana Division of Educational Research and Service, University of Montana Jobs for Montana Graduates And more…. MBI Facilitators MBI Youth Days

Active MBI sites with assigned consultants

Team Training Provided By MBI Consultants MBI Consultants 20 part-time employees of OPI… retired educators and educators who are still working in local school districts. Participate in trainings, work sessions and conference calls to gain fluency and process consistency. Guided by a smaller core team/work groups/committees for decision-making.

Delivered at the 5 Montana CSPD Regions MBI TEAM TRAININGS

MBI TEAM TRAINING CYCLE Year One—2 two day sessions, fall and winter Year Two—2 two day sessions, fall and winter Year Three—1 two day session, fall Beyond- Invited Tier Two and Tier Three sessions to MBI Institute. These trainings include Tier I Universals, Classroom MBI, Tier Two. Tier Three Interventions. Site send representative teams, including an administrator

Impact Events

Strategies that Montana used to introduce state structures that support the integration of SMH and PBIS

Interconnected Systems Framework Pilot Projects Helena Middle School Missoula County Public Schools District 9 Elementary Schools 3 Middle Schools 3 High Schools 1 Alternative High School

Activities Common training for school and agency mental health staff using MBI model Bi-weekly coaching for CSCT staff in implementing evidenced based practices Community High Fidelity Wraparound coaches provide support to school staff implementing Wraparound Community team of key stakeholders guide SMH practices

What it Looks Like Screening for All students Intensive SMH services tied to Tier 1 and 2 interventions (using common language, check- in/check-out, target groups) School and CSCT staff co-facilitating Wraparound services Data based decision making On-going Systems evaluation (Implementation and Outcome data)

Reaching Out … Partnering with Families and Community Title I- Family Engagement Tool Teacher Home Visit Project Helena Community Health Enhancement Early Childhood Center for Social and Emotional Foundations of Early Learning Quaglia Institute for Student Aspirations, Youth Voice Focus Groups Successful Schools/Healthy Students Department of Education Missoula-Helena 21 st Century Community Learning Grants Graduation Matters Montana Montana Board of Crime Control School Resource Officers/Probation Officers Multi-tiered System of Support

Key SMH Activities In Montana Comprehensive School and Community Treatment (CSCT) Administrative Rule Rewrite DPHHS and School-based Wraparound My Voice Survey Montana Behavioral Initiative (MBI) Youth Days Mental Health Strand at MBI Summer Institute Mental Health Toolkit School Mental Health Community of Practice, webinars hosted by the IDEA Partnership

Investing In Early Childhood… Head Starts, childcare centers, and pre-schools— including special education sites

Linking nutrition to learning… Partnering with Team Nutrition and Montana Nutrition and Physical Activity Teaching Healthy Choices Promoting Healthy Lifestyles

Involving Youth…