v Effective Interventions for Promoting Social Development: Implementing and Sustaining Evidence-Based Practices

TACSEI Management Team Lise Fox, University of South Florida Glen Dunlap, University of South Florida Barbara J. Smith, University of Colorado- Denver Phil Strain, University of Colorado-Denver

TACSEI Center Faculty Judith Carta University of Kansas Diane Powell University of South Florida Karen Blase National Implementation Research Network Roxane Kaufmann Georgetown University Mary Louise Hemmeter Vanderbilt University Jill Giacomini University of Colorado Denver

TACSEI Mission To identify, disseminate and promote the implementation of evidence-based practices in order to improve the social, emotional, and behavioral functioning of young children with or at risk for delays or disabilities.

Part C and 619 Child Outcomes Percent of children who demonstrate improved: Positive social emotional skills (including positive social relationships) Acquisition and use of knowledge and skills (including early language/ communication [and early literacy]) Use of appropriate behaviors to meet their needs

TACSEI Focus Unified message Collaboration Models of effective practice Support states

Research Syntheses Multiple Topics Summaries of syntheses will be prepared for dissemination to multiple audiences in a variety of formats

Providing Evidence-Based Models Implementation and evaluation of the use of the Pyramid Model with children with or at risk for delays or disabilities Analysis of implementation and sustainability factors Implementation guidance Support for selected states in the implementation, sustainability, and scale-up of models

Intensive TA to States In years , six states will be selected through an application process based on “readiness” criteria

Technical Assistance Model Universal Outreach Targeted TA Intensive TA

Web-based Technical Assistance Resources Communities of Practice Interactive opportunities State Technical Assistance pages

Consultant Bank Bank of consultants organized by expertise Web-based process of matching request to consultant Accountability procedures

TACSEI Partnerships Goal of Partnerships To collaborate with national organizations to extend the reach and impact of TACSEI

Primary Partners

Social Competence “Emotional well-being and social competence provide a strong foundation for emerging cognitive abilities, and together they are the bricks and mortar that comprise the foundation of human development.” (National Scientific Council on the Developing Child, 2007)

Pyramid Model Universal Promotion Secondary Prevention Tertiary Intervention

Nurturing and Responsive Relationships Foundation of the pyramid Essential to healthy social development Includes relationships with children, families and team members

High Quality Environments Inclusive early care and education environments Supportive home environments

Supportive Home Environments Supporting families and other caregivers to promote development within natural routines and community settings Providing families and other caregivers with information, support, and new skills

Targeted Social Emotional Supports Explicit instruction and support Self-regulation, expressing and understanding emotions, developing social relationships

Individualized Intensive Interventions Family-centered, comprehensive interventions Assessment-based Skill-building

Pyramid Model Universal Promotion Secondary Prevention Tertiary Intervention

Effective Workforce Training and technical assistance Coaching of teachers Ongoing professional development Fidelity of implementation

The Teaching Pyramid: Program-Wide PBS Program-Wide Commitment Teacher Training and Technical Assistance Data-Based Decision Making Well-Defined Procedures Administrative Support Partnerships with Families High Quality Supportive Environments Nurturing and Responsive Caregiving Relationships Targeted Social Emotional Supports Intensive Interventions

Evaluation Plan Implementation Benchmarks of Quality Teaching Pyramid Observation Tool Program Program Incidents (calls to families, dismissals, transfer, requests for assistance, family conferences) Behavior Incidents Child Social Skills Rating System or other measure (social skills; problem behavior)

Fidelity of Program-Wide Implementation

The Teaching Pyramid Observation Tool (TPOT) The TPOT was developed to measure the extent to which Teaching Pyramid practices are being implemented in a classroom Provides information that can be used to: Describe “quality” of implementation of TPOT practices Compare implementation within and across teachers/classrooms Identify needs of teachers for training and support

ENV = 7/ 5 Anchor=.733 / Red Flags = 4 / 6

Overall Classroom Implementation Fidelity

How Often is the Behavior?

What Behaviors?

Who is having problem behavior?

Where is Problem Behavior?

When is problem behavior occurring?

Lessons Learned Thus Far State-wide Pyramid Implementation Initiatives

State Implementation CSEFEL State Partnerships CO, MD, IA, NE, NC, VT, HI, TN TACSEI State Partnerships (to be selected in 2009 through an application process)

Implementation Purpose and Model Purpose: PD system to support adoption and sustainability of Pyramid Model and practices Model of state-wide implementation based on literature and experience re: how to: Disseminate info on what works to program level staff and families Support adoption of what works Support sustained use over time of what works

Implementation Strategies Literature and experience indicates the following strategies: State level collaborative planning and support State-wide trainers Community/program level coaches Demonstration sites

State Level Planning and Support State level collaborative planning team Planful group decision making processes that promote shared ownership and limits feelings of “winners and losers” Written, shared: vision, language, agendas, meeting summaries, action plans Shared decision making Ground rules for conducting meetings and decision making See for some exampleswww.vanderbilt.edu/csefel

Trainers and Coaches State wide Pyramid Model Trainers Trained to train on Pyramid and practices Trained on effective training techniques coaches Pyramid Model Coaches Trained on Pyramid Model and practices Trained on effective training practices Trained on effective coaching strategies

Demonstration Sites Demonstration sites High quality setting, committed leadership, enthusiastic about the Pyramid Model and being a demonstration site Supported in implementation and sustainability of Pyramid Model and practices Supported in data collection to ensure fidelity of implementation and positive outcomes Supported as a site that stakeholders can visit to see the Pyramid in action!

State team (back to the) It’s work focuses on how state policies and resources will: Train and support trainers and coaches Support demonstration sites Ensure that programs have access to information about the effectiveness of the Pyramid Model and practices as well as trainers, coaches and demonstration sites Ensure that families have know about the effectiveness of the Pyramid Model and have access to programs and services that use the Model and practices

Lessons Learned So Far Programs and families like the Pyramid Model and practices Programs and coaches can implement the model and practices to fidelity Programs report improved outcomes

Lessons Learned So Far It takes time, time, time, time Time for training Time for providers to be coached Time for coaches to coach Time for program planning Time for data collection Time for helping families implement the practices

Time=Resources and Leadership! State resources Program resources State, local, community, program leadership for the policies and funding to provide the time and support (e.g. job descriptions and compensation for coaches, job descriptions that provide the time and expectations of all service personnel to implement the practices and data collection, rewards and recognition for meeting the expectations, etc)

Some Sustainability Strategies So Far State agencies planning/reallocating resources together; writing a sustainability plan together State web page on Pyramid info and opportunities State Pyramid consultant bank (trainers, coaches, demo sites, etc State agencies identifying resources and structures/agency(s)/program(s) to sustain effort beyond grant support, including supporting local efforts to implement and sustain

Contact TACSEI Mailing Address: University of South Florida Louis de la Parte Florida Mental Health Institute Department of Child & Family Studies N. Bruce. B. Downs Blvd, MHC Tampa, FL Phone: (813)