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

Mental HealthMental Health

Mark D. Weist, Ph.D.Mark D. Weist, Ph.D.Center for School Mental HealthCenter for School Mental Health

University of Maryland University of Maryland 10.8.0910.8.09

Center for School Mental Health* Center for School Mental Health* University of Maryland School of MedicineUniversity of Maryland School of Medicine

http://csmh.umaryland.eduhttp://csmh.umaryland.edu*Supported by the Maternal and Child Health Bureau of HRSA *Supported by the Maternal and Child Health Bureau of HRSA

and numerous Maryland agenciesand numerous Maryland agencies

““Expanded” School Mental HealthExpanded” School Mental Health

Full continuum of effective mental health Full continuum of effective mental health promotion and intervention for students in promotion and intervention for students in general and special educationgeneral and special education

Reflecting a “shared agenda” involving Reflecting a “shared agenda” involving school-family-community system partnershipsschool-family-community system partnerships

Collaborating community professionals (not Collaborating community professionals (not outsidersoutsiders) ) augmentaugment the work of school- the work of school-employed staffemployed staff

Fundamental Three-Part RationaleFundamental Three-Part Rationale

Schools are under-resourced for mental health Schools are under-resourced for mental health promotion and interventionpromotion and intervention

Connections between people and traditional Connections between people and traditional community mental health centers are difficultcommunity mental health centers are difficult

By coming together in the most universal By coming together in the most universal natural setting for youth, there are advantages natural setting for youth, there are advantages for both systems, and synergies enhance for both systems, and synergies enhance opportunities to achieve valued outcomes opportunities to achieve valued outcomes

A Vision for School Mental HealthA Vision for School Mental Health

Strong stakeholder involvement and a shared Strong stakeholder involvement and a shared family-school-community system agendafamily-school-community system agenda

Full continuum of effective supports and Full continuum of effective supports and services for all students in general and special services for all students in general and special educationeducation

The right staff with the right training, The right staff with the right training, supervision, coaching and supportsupervision, coaching and support

Vision (cont.)Vision (cont.)

Emphasis on quality assessment and Emphasis on quality assessment and improvement and evidence-based practiceimprovement and evidence-based practice

Strong focus on achieving valued outcomesStrong focus on achieving valued outcomes

Outcome findings feed back into program Outcome findings feed back into program improvement and into policy and advocacy improvement and into policy and advocacy agendas agendas

Access AdvantagesAccess Advantages

Reduced initial stigma of servicesReduced initial stigma of services

Reduced burden of initial help seekingReduced burden of initial help seeking

Increased likelihood of early problem Increased likelihood of early problem identificationidentification

Reduced stigma for ongoing service useReduced stigma for ongoing service use

Reduced burden of ongoing service useReduced burden of ongoing service use

Promotion/Prevention AdvantagesPromotion/Prevention Advantages

Increased ability for environmental Increased ability for environmental enhancement and universal preventionenhancement and universal prevention

Enhanced ability for preventionEnhanced ability for prevention

Increased support to educational staffIncreased support to educational staff

Service Implementation AdvantagesService Implementation Advantages

Increased interdisciplinary collaborationIncreased interdisciplinary collaboration

Increased involvement of diverse stakeholdersIncreased involvement of diverse stakeholders

More efficient (and less costly) servicesMore efficient (and less costly) services

Enhanced ability for assessment and Enhanced ability for assessment and intervention in multiple settings, enhanced intervention in multiple settings, enhanced maintenance/generalizationmaintenance/generalization

P-16 Educational PipelineP-16 Educational Pipeline(from Dawn Anderson-Butcher)(from Dawn Anderson-Butcher)

Research Supported InterventionsResearch Supported Interventions

SAMHSA’s National Registry of Effective SAMHSA’s National Registry of Effective Programs and PracticesPrograms and Practices

www.nrepp.samhsa.comwww.nrepp.samhsa.com

Roughly 50 of 137 research supported Roughly 50 of 137 research supported interventions can be implemented in schoolsinterventions can be implemented in schools

Research Supported Research Supported Interventions InvolveInterventions Involve

Strong trainingStrong training

Fidelity monitoringFidelity monitoring

Ongoing technical assistance and coachingOngoing technical assistance and coaching

Administrative supportAdministrative support

IncentivesIncentives

IntangiblesIntangibles

Practice in the trenchesPractice in the trenches

Involves NONE of these supportsInvolves NONE of these supports

Central Theme of CSMHCentral Theme of CSMH

Bridging research and practice in school Bridging research and practice in school mental health to enhance the implementation mental health to enhance the implementation of high quality, evidence-based programs of high quality, evidence-based programs leading to improvements in outcomes valued leading to improvements in outcomes valued by families and schoolsby families and schools

Four Themes in Quality ServicesFour Themes in Quality Services

Systematic Quality Assessment and Systematic Quality Assessment and ImprovementImprovement

Family Engagement and EmpowermentFamily Engagement and Empowerment

Modular, Evidence-Based Skill TrainingModular, Evidence-Based Skill Training

Implementation SupportImplementation Support

A National Community of PracticeA National Community of Practice

CSMH and IDEA Partnership (CSMH and IDEA Partnership (www.ideapartnership.orgwww.ideapartnership.org) providing support) providing support

30 professional organizations and 12 states30 professional organizations and 12 states

12 practice groups12 practice groups

Providing mutual support, opportunities for Providing mutual support, opportunities for dialogue and collaborationdialogue and collaboration

Advancing Advancing multiscale learning systemsmultiscale learning systems

Sign up at Sign up at www.sharedwork.orgwww.sharedwork.org

Twelve StatesTwelve States

HawaiiHawaii

IllinoisIllinois

New HampshireNew Hampshire

North CarolinaNorth Carolina

MarylandMaryland

MissouriMissouri

New MexicoNew Mexico

OhioOhio

PennsylvaniaPennsylvania

South CarolinaSouth Carolina

South DakotaSouth Dakota

VermontVermont

Twelve Practice GroupsTwelve Practice Groups

Learning the LanguageLearning the Language

Social, Emotional, and Mental Health in Social, Emotional, and Mental Health in SchoolsSchools

Education and Systems of CareEducation and Systems of Care

SMH and Positive Behavior Supports SMH and Positive Behavior Supports

SMH and Juvenile JusticeSMH and Juvenile Justice

SMH for Youth with DisabilitiesSMH for Youth with Disabilities

Twelve Practice Groups (cont.)Twelve Practice Groups (cont.)

Family-School-Community PartnershipsFamily-School-Community Partnerships

Youth Involvement and LeadershipYouth Involvement and Leadership

SMH and Child Welfare SMH and Child Welfare

Quality and Evidence-Based PracticeQuality and Evidence-Based Practice

SMH for Military FamiliesSMH for Military Families

Psychiatry and SchoolsPsychiatry and Schools

From...From...

Discussion to…Discussion to…

Dialogue to…Dialogue to…

Collaboration to…Collaboration to…

Action to…Action to…

Policy ChangePolicy Change

CSMH Annual ConferencesCSMH Annual Conferences

1996 Baltimore1996 Baltimore

1997 New Orleans1997 New Orleans

1998 Virginia Beach1998 Virginia Beach

1999 Denver1999 Denver

2000 Atlanta2000 Atlanta

2002 Philadelphia2002 Philadelphia

2003 Portland, OR2003 Portland, OR

2004 Dallas*2004 Dallas*

2005 Cleveland2005 Cleveland

2006 Baltimore2006 Baltimore

2007 Orlando2007 Orlando

2008 Phoenix2008 Phoenix

* Launch of National * Launch of National CommunityCommunity

Next ConferenceNext Conference

1414thth Annual Conference on Advancing School Annual Conference on Advancing School Mental HealthMental Health. Minneapolis, November 1-4. Minneapolis, November 1-4

Sunday evening – Community Share FareSunday evening – Community Share Fare

Monday – Community Meetings/Intensive Monday – Community Meetings/Intensive TrainingTraining

Tuesday, Wednesday – Conference ProgramTuesday, Wednesday – Conference Program

See See http://csmh.umaryland.eduhttp://csmh.umaryland.edu, , www.sharedwork.orgwww.sharedwork.org or call 410-706-0980 or call 410-706-0980

www.schoolmentalhealth.orgwww.schoolmentalhealth.org

Website developed and maintained by the Website developed and maintained by the CSMH with funding from the Baltimore City CSMH with funding from the Baltimore City Health Department and Maryland Departments Health Department and Maryland Departments of Education and Mental Healthof Education and Mental Health

User-friendly school mental health User-friendly school mental health information and resources for caregivers, information and resources for caregivers, teachers, clinicians, and youthteachers, clinicians, and youth

Two New JournalsTwo New Journals

Advances in School Mental Health Advances in School Mental Health Promotion Promotion – The Clifford Beers Foundation and the University The Clifford Beers Foundation and the University

of Marylandof Maryland– www.schoolmentalhealth.co.uk www.schoolmentalhealth.co.uk

School Mental HealthSchool Mental Health– www.springer.comwww.springer.com

Advances in School Advances in School Mental Health PromotionMental Health Promotion

Contact InformationContact Information

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