ISF Defined

INTEGRATING MENTAL
HEALTH INTO
KINDERGARTEN AND EARLY
CHILDHOOD EDUCATION
Kelly Perales
Community Care Behavioral Health
October 30, 2014
PBIS Leadership Forum
BIG IDEA…
 How
Multi-tiered Systems of Support (MTSS) can
enhance mental health in schools
 Installing
 The
SMH through MTSS in Schools
Interconnected Systems Framework (ISF)
SMH +MTSS=ISF
Community Care as Part of the
State Community of Practice on
School Based Behavioral Health
Demonstration Project:
Scranton
Montrose
PA PBS NETWORK
 Affiliated
partnership with representatives from:
Department of Drug and Alcohol Programs
 Department of Education
 Department of Public Welfare
 Department of Health
 Office of Child Development and Early Learning
 Devereux Center for Effective Schools
 Community Care Behavioral Health
 Value Behavioral Health
 McDowell Institute
 Office of Mental Health and Substance Abuse Services

Compelling Factors
Detention/ RTF
AAA
Partial
APS
Probation
Detox
Court
Mentor
Truancy
Psych
Special Ed
Residential
Counseling
Referral
Intake
Referral
Referral
Eligibility
Intake
Ed. Sys
JJ
Sys
Residential
MH
Sys
MR Sys
Case
Work
Foster
Care
Referral
Intake
CW Sys
Intake
Psychiatrist
th
D&A Sys
Intake
Therapist.
MCO Sys
Partial
Health Sys
Referral
Referral Case Mgmt..
ER
Hospital.
Intake
TSS/BSC
Mobile T
Intake
Primary
Care
Care Mgmt.
Case Mgmt.
Inpatient
SMH AND PBIS
COMMON PURPOSE
 Schools
supporting/promoting MH of ALL students
 Prevention, early access, interventions
commensurate with level of need (versus labeling
with no or poor follow-up)
 School personnel feel confident and competent in
identifying and intervening with accuracy and
effectiveness
LOGIC
Youth with challenging
emotional/behavioral problems are
generally treated very poorly by schools
and other community agencies, and the
“usual” approaches do not work
Enhanced resources, staff and
coordination of ISF helps to build and
enhance systems at all tiers
LOGIC (CONT.)
•
Effective academic performance promotes
student mental health and effective mental
health promotes student academic
performance. The same integration is
required in our systems
Advancing Education
Effectiveness:
Interconnecting
School Mental Health
and
School-Wide Positive
Behavior Support
Editors: Susan Barrett,
Lucille Eber and Mark Weist
Development of an Interconnected Systems
Framework for School Mental Health
 Access on the Center for School Mental Health or National
PBIS websites:

•
http://csmh.umaryland.edu/Resources/
Reports/SMHPBISFramework.pdf
•
http://www.pbis.org/school/school_mental_health/interco
nnected_systems.aspx
Edited by: Susan Barrett and Lucille Eber, National PBIS Center
Partners; and Mark Weist, University of South Carolina (and Senior
Advisor to the University of Maryland, Center for School Mental
Health)
ISF DEFINED

ISF provides structure and process for education
and mental health systems to interact in most
effective and efficient way.

ISF is guided by key stakeholders in education
and mental health system who have the
authority to reallocate resources, change role
and function of staff, and change policy.

ISF applies strong interdisciplinary, cross-system
collaboration.
ISF DEFINED




ISF uses the tiered prevention logic as the
overall organizer to develop an action plan.
ISF involves cross system problem solving teams
that use data to decide which evidence based
practices to implement.
ISF involves ongoing progress monitoring for
both fidelity and impact.
ISF emphasizes active involvement by youth,
families, and other school and community
stakeholders.
TRADITIONAL
PREFERRED
Each
school works
out their own plan
with Mental
Health (MH)
agency;

District
has a plan
for integrating MH
at all buildings
(based on
community data as
well as school data);
REGIONAL LEVEL EXAMPLE
 Behavioral
 Early
Health Alliance of Rural Pennsylvania
Childhood Mental Health
 Partners
from Early Intervention Technical
Assistance
 Training
for mental health providers and early
childhood programs, head starts, child care centers
LOCAL LEVEL EXAMPLES
 SS/HS



Three LEAs
Three System of Care Counties
Goal regarding Early Childhood
 ISF

Grant – “strategy two”
Demonstration Site
Scranton
CONNECTIONS AND
PARTNERSHIPS
 Scranton
School
District
 Scranton Counseling
Center
 Lourdesmont
 Friendship House
 Community Care
 NEIU 19
 PaTTAN KOP
EXAMPLE SCHOOL ONE
EXAMPLE SCHOOL TWO
EXAMPLE SCHOOL THREE
DISTRICT LEVEL DIALOGUE
 Physical
Health/Behavioral Health Collaboration
 Wellness
 Wright
 Data
and access to care
Center – Commonwealth Medical College
point of children entering Kindergarten – not
“ready” – social/emotional/behavioral
COMMUNITY PARTNERS
 Head
Start
 Early
Childhood Mental Health Community
Providers



Scranton Counseling Center
Friendship House
NEIU 19
 United
Way
INTERVENTION STRATEGIES
 Program


NEIU
PaTTAN
 Prevent




Teach Reinforce – Young Children
Typically “tier three”
Pre-school and kindergarten teachers attend
Use for classroom management strategies
 Parent

Wide PBIS
Child Interactive Therapy – PCIT
Evidence based practice
Home/school/community connection
INTERVENTION STRATEGIES
CONTINUED:
 “summer
camp” for all enrolled kindergarteners
who had no prior “school” experience
 Funded
through Title One dollars with support
from United Way
4
week program that included food, parent
connection, and pro-social skills for children
EXAMPLE ONE 2014
EXAMPLE TWO 2014
NEXT STEPS:
 Meeting
next Thursday
 Continue
to monitor data
 Continue
to refine intervention strategies
 Learn
from other examples
QUESTIONS?
Kelly Perales
[email protected]
717-770-9365