evidenced based practices in the buffalo trace region

Evidenced Based Practices in the Buffalo Trace Region

September 21, 2006

Presented by Goldie Williams, Ada Braun and Mike Duffy

The Buffalo Trace Region

Kentucky 2002

Population = 4,092,891 55,796

Per Capita Income = $18,093 $14,868

Median Household Income = $33,672 $28,168

Families in Poverty = 12.7% 15.5%

Poverty in families with children under 5 = 21.6% 24.3%

% with Bachelors Degree = 17.1% 10.0%

Buffalo Trace 2002

Buffalo TracePopulation 55,796Area 1,379 square milesPopulation Density = 40/sq.mi.

The Community we Serve

Mission Statement

To improve the mental health, relational

and social functioning and the academic

achievement of school aged children in

our community by providing therapeutic,

effective and competent school based

behavioral health services.

Client Demographics

Client Income Distribution/Oct.2004.Clients by Annual Family Income

26%

18%

13%9%

10%

13%

11%

Under 6,000

6,001 thru 10,000

10,001 thru 14,000

14,001 thru 18,000

18,001 thru 24,000

24,001 thru 40,000

Greater than 40,000

Service Expansion

0

500

1000

1500

2000

2500

3000

3500

4000

4500

Hours of Service

2000 2001 2002 2003 2004

Fiscal Year

Hours of School-Based Service by Payor, FY2000 - FY2004

Medicaid

State MH/Partial Pay

Private Pay

The Road to EBP………….

Bringing the program to scale1 year needs assessment3 year strategic planLots of trainingAbility to Seize the Moment

Why CBT?

Logical fit for school based mental health services

Prior training and use by existing staff----staff buy-in

Staff informal discussions of needs and barriers led naturally to CBT

Need for high and effective intervention when using the school clock

Why CBT? The big reason….

IT WAS EASY TO IMPLEMENT

What made it possible…..

Prior work on program goals, mission statement, streamlined service delivery and maximizing billing. Improved Quality and measurement of program effectiveness were the next logical steps.

Receipt of a grant from DMHMR in 1-06 for $15,000.

How was the money spent

TRAINING

BECK INSTITUTE---$6000 plus other cost

YOUTH CHANGE---$6000

Evidenced Based Measurement

G.A.I.N.Global Appraisal of Individual NeedsCurrently staff are in training and

plans are for data collection this school year.

MAIN CHALLENGES To GAIN IMPLEMENTATION

Time constraintsCOMPUTERS, COMPUTERSSpace issues in school Extensive learning commitmentBuilding staff confidenceCollaboration with school staff for buy in

The positives of the GAIN….

Common language and improved consensus among staff

Identification and Assessment of substance abuse history is complete, thorough and reliable

Cognitive functioning component Complete assessment across life areas Diagnosis using standardized means Suggests treatment goals

Challenges to CBT implementation..

Collaboration with school staff who lack necessary training in how to effectively deal with problem behaviors.’

Tie in with IEP’s and school assessments

We need follow up training with Beck Institute trainer

Positives of the CBT…….

Propels outcomes to the positiveCBT techniques and training expanded

our toolbox to BUSTCommon language and improved

consensus among staffMore bang for the buckPass it on approach

Facilitation made possible by….

Special thanks to DMHMR for the grant opportunity which made the entire implementation possible

What would we do differently….

Contracted with the Beck Institute for ongoing training and support over the next 2 years as part of the EBP grant.

Spread training out instead of all in a one month time period.

Computer’s funded

Advice to others……..

Complete a comprehensive needs assessment, strategic plan and follow through

Force yourself to train and discuss your program-it builds expertise on your system and forces self analysis

How to contact us

Goldie Williams

gwilliams@comprehendinc.com

Ada Braun

abraun@comprehendinc.com

Mike Duffy

mduffy@kywirelesscollc.com

THANK YOU……………………