1. Building State Structures for Integrating SMH and PBIS 2012 National PBIS Leadership Forum October 19, 2012

2. Building State Structures for Integrating SMH and PBIS State: Pennsylvania Presenter: James Palmiero, Ed.D. Director, Pennsylvania Training and Technical Assistance Network (PaTTAN) State: Montana Presenter: Susan Bailey-Anderson, M.Ed MBI Coordinator, Office of Public Instruction

3. Building State Structures for Integrating SMH and PBIS Session Brief: This session seeks to showcase two states’ efforts to develop structures that support the integration of school mental health (SMH) and positive behavior interventions and supports (PBIS). Such efforts stand to inform how schools can efficiently offer a full continuum of evidence-based services for students in the least restrictive setting.

4. Building State Structures for Integrating SMH and PBIS Session Objectives: 1.The participants will learn about the compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level. 2.The participants will learn about the strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS. 3. The participants will learn about demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place. 4.The participants will learn about state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS. 5.The participants will learn about Montana’s and Pennsylvania’s next steps in furthering efforts to maintain state-level structures supporting the integration of SMH and PBIS.

5. Building State Structures for Integrating SMH and PBIS Session Format: Objective by objective….. 1. 2. REFLECTION 3.

6. Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level

7. High # Of Kids in Out of Home Placement Strong Partnership Between OPI and DPHHS Strong State MBI (PBIS) System Compelling Forces

8. Impact Events SMH Program Created 1998 OPI SIG Funded MBI/SMH Pilot Project 2000 Stable Funding Stream Created (CSCT) 2003 White Paper 2009 ISF Pilot Sites CSCT Rule Re- Write 2011

9. Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level Stages of Implementation: Exploration & Adoption VISION Behavioral Supports LRE S.T.

10. Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level Stages of Implementation: Instillation

11. Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level Stages of Implementation: Instillation Our History

12. Reflection: What do you recognize as major forces that are (may be) in place or event sequences within your state or local area that could rally folks to explore the need for integrating SMH and PBIS? Discussion / sharing: Share out some of the compelling forces you have identified? Do you have any questions for folks about the compelling forces they have shared? Talk about who are those that need to be aware of the compelling forces that have been identified? Other Objective #1: compelling forces that moved Montana and Pennsylvania to address the integration of SMH and PBIS through efforts supported at the state-level. REFLECTION

13. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS

14. Objective #2: Strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Stable Funding Through Unique OPI/DPHHS PartnershipCommunity of PracticeState CSCT Coalition GroupAnnual State SMH ConferencesEmbedding MBI into All State SMH Strategies

15. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Capacity Funding Cross Systems Supports

16. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Stages of Implementation: Instillation Pennsylvania Positive Behavior Support Network

17. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS Overview of PA’s (CoP) on (SBBH) Part 1: Explanation of the CoP on SBBH & its primary strategy

18. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS 26 5 1 3 1 11 1 16 4 3 10 2 3 13 15 7 1 17 1414 1212 1 4 3 12 11 18 1 6 6 16 2 2 19 1 3 2 4 5 1 3 2 3 6 1 2011-12 School-Wide PBIS Sites by County

19. Part 2: The scale-up of PBIS across the Commonwealth 2011-12 early childhood center based sites Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS

20. Reflection: How are the strategies that MT and PA alike and how are different? Given your local or state context, do you see aspects of a strategy evolving from the compelling forces you previously considered? Discussion / sharing: Share your thoughts on how MT and PA are alike and/or different in their strategic approaches? Do you, at the local or state level, see similarities with either of the approached taken by MT or PA. Objective #2: strategies that Montana and Pennsylvania used to introduce state structures that support the integration of SMH and PBIS REFLECTION

21. Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place

22. 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 Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place

23. Pilot Site 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

24. 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)

25. Three Pilot Projects: Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place Tartary Demonstration Sites #1) Community Care Behavioral Health - CCBH (MC0) Montrose Area School District/NHS Human Services Choconut Valley Elem School (K-6) Lathrop Street ElemSchool (K-6) Montrose Jr/Sr High School (7-12) Scranton School District/Lourdesmont/Scranton Counseling Center Frances Willard Elem School (K-5) George Bancroft Elem School (K-5) Scranton High School (9-12)

26. Three Pilot Projects: Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place RENEW R – rehabilitation for … E – empowerment N – natural peer supports E – education W – work Four goals guide the work of RENEW: (1) high school completion, (2) employment, (3) post-secondary education and training, and (4) community integration Universal Screeners Schools select a screening tool to implement as part of their regular school practices with technical assistance from PaTTAN. Schools design a systematic approach for supporting students who are detected as having elevated risk. Secondary and Tertiary Intervention Grids Site-based leadership teams to review school level and student level data.

27. Reflection: Are you aware of any local or state-level sites that are addressing issues similar to the featured pilot sites from MT or PA? Discussion / sharing: What questions might you have for us concerning any featured pilot sites? Objective #3: demonstrations sites and pilot sites in Montana and Pennsylvania in which the integration of SMH and PBIS is taking place REFLECTION

28. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS

29. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS SHIFTING PARADGIMS FOR MENTAL HEALTH SERVICE DELIVERY FROMTO MH workers “see” kids in an officeMH workers provide evidenced based interventions communicated to classroom teacher MH workers seen as crisis responseMH workers prevent crisis from happening by delivering services in classroom Intervention decisions based on intuitionInterventions based on data and progress monitoring Mental Health services are provided by clinical staff Mental health services provided by ALL school staff

30. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS Installing Structural Systems FromTo MH services provided to some students (Medicaid funding) MH services provided to ALL students in need Disjointed, separate professional development for school and CSCT staff Strategically planned collaborative training for both school and CSCT staff (SMH conference at MBI, local training) Drive-by professional developmentOn-going coaching embedded in all training A few sites implementing EBPEBP way of doing business in Montana

31. Pennsylvania: Coordinating funding related issued by MH providers and schools / Scale-up and sustain ISF with the same collaborative partnerships, given dwindling resources in both mental health and education. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS Pocono Mt. – analysis on ROI

32. Pocono Mt. – analysis on their ROI - Pocono Mt. School DistrictPocono Mt. School District Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS

33. Pocono Mt. – analysis on their ROI - Pocono Mt. School DistrictPocono Mt. School District

34. Reflection: Do you recognize and or identify with any of the issues that MT and PA are experiencing? Discussion / sharing: Share your reflection. Objective #4: state-level issues Montana and Pennsylvania current face in their efforts to successfully integrate SMH and PBIS REFLECTION

35. Objective #5: next steps in furthering efforts to maintain state- level structures supporting the integration of SMH and PBIS

36. Montana: Develop State CSCT Contract Template that requires EBP and integration of SMH/MBI practices Increase participation in SMH COP Implement new CSCT administrative rule Develop comprehensive state training plan to accompany state rule-roll out for school and mental health agency staff Integrate SMH conference into MBI Summer Institute Map Resources Objective #5: next steps in furthering efforts to maintain state-level structures supporting the integration of SMH and PBIS

37. Pennsylvania: Continued collaboration across Pennsylvania’s CoP on SBBH Development of a 5 year strategic plan to better increase collaboration between LEAs and Community Providers Increase visibility associated with returns on investment – programmatic and fiscal Objective #5: next steps in furthering efforts to maintain state-level structures supporting the integration of SMH and PBIS

38. Reflection: What effort do you feel are necessary at your local or state levels to further supports for the integration of SMH and PBIS? Discussion / sharing: Share your reflection. Objective #5: next steps in furthering efforts to maintain state-level structures supporting the integration of SMH and PBIS REFLECTION