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The School District of Philadelphia

The School District of Philadelphia. Building Cross-Systems Partnerships. Office of Specialized Services Support to Regions and Schools. • OSS Regional Team Support • Professional Development • Professional Steering Committees • Resource Coordination • Emergency Response

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The School District of Philadelphia

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  1. The School District of Philadelphia Building Cross-Systems Partnerships

  2. Office of Specialized ServicesSupport to Regions and Schools • OSS Regional Team Support • Professional Development • Professional Steering Committees • Resource Coordination • Emergency Response • Targeted Problem Solving

  3. The School District of Philadelphia:Fast Facts • 8th Largest District in Country • 268 Schools; 12 Regional Sub-Districts • 180,000 Students • Percentage of Students by Race/Ethnicity: African-American- 64.8%, Asian- 5.5%, Latino- 15.5%, Native American- .2%, Caucasian-14.0% • 73% of Students Eligible for Free/Reduced Lunch • Over 125 Schools with ESOL and/or Bilingual Programs, over 10,000 Students Enrolled • Average Student-Staff Ratio for Pupil Support Service Staff: Nurses: 1- 930; Counselors: 1- 530; Psychologists 1- 1,650

  4. Building Resilient Schools:A Systems Approach • School-Wide Effective Behavior Support Models • Social Skills/ Character Education Curricula • School-Wide Resource Coordination • Emphasis on Small Group Intervention and Classroom Consultation • Partnering to Develop Continuum of Flexible Behavioral Health Services that Support Inclusion

  5. A New Support Paradigm Robust Infrastructure Additional Resources School-Based Behavioral Health CSAP Tiers II & III Targeted Individual Support School-Based CM CSAP Tier I Small Group Intervention SWEBS & Social Skills Curricula School- Wide Universal Prevention

  6. Comprehensive Student Assistance Process- CSAP • CSAP is a systematic mechanism of identification, intervention, referral assistance, and support/follow-up, including continuing care supports • CSAP has a school-wide component and 3 tiers of progressive support • Each tier has 4 phases: referral, team planning, intervention and recommendations, and follow-up • CSAP views caregivers as essential partners

  7. Creating a Continuum of K- 8 Support: School-Based Case Management Collaboration with the Department of Human Services Consultation & Education (C & E) Specialist Program: • Program History: Began as Pilot in 1998 with one Provider in 3 Schools Currently 14 Providers in 200 Schools • Program Description: Provides short- term (120 day) school-based case management, consultation, and groups Majority of schools serviced are elementary; some secondary • Program Funding: Program-Funded; District (30%) and DHS (70%) All Children Eligible Regardless of Insurance

  8. Program Outcomes05-06 YTD • Short Term School-Based Case Management Provided to 3,666 Students • C&E Consultations Provided to 10,537 Children • 1,347 Children Referred for Behavioral Health Services • 1,021 Children/Families Referred for Community-Based Services (e.g. Housing, Welfare Benefits, Recreation, Food/Emergency Services, Church- Related Support, Kinship Care Services) • 540 Children Seen in Groups(Anger Management, Grief/Loss)

  9. Contracted Emotional Support Classes (k-12) Program History • Philadelphia School District unable to staff ES classrooms in 1998 • School District contracted services in 1999 (one class) • September of 2000 - increased to 13 classes • 2006-2007: 52 classes serviced by 2 separate agencies Program Design • Lead Teacher/Counselor • Assistant Teacher/Counselor • Behavior Manager Program Funding • School District of Philadelphia

  10. Creating a K- 8 Continuum:School-Based Behavioral Health • Program History: Began as Pilot in ‘02-’03 Year at 6 Schools; Currently in 28 Schools • Program Description: Replacement of Traditional School-Based Wraparound/TSS; Provides Flexible Services via 11 member Team • Program Funding: MA Funded Through Community Behavioral Health; 60-Day Review Cycle Collaboration with Community Behavioral Health (CBH)

  11. SBBH Team Structure (N =11) Clinical Manager: master’s level • clinical supervision • case triage • administrative oversight and liaison to school administration Clinicians: master’s level • behavior intervention planning with CSAP/Interagency team Care Coordinator/ Case Manager: • care coordination and linkages to services and supports BH Professionals: • behavior plan implementation • progress monitoring • ensures ongoing communication with school and SBBH staff Psychiatrist: • part-time • supervision • medication consultation

  12. Creating a K- 8 Continuum:Children Achieving through Re-Education (CARE) • Program History: Began as Pilot at 1 Site in ‘02-’03 Year; Currently in 8 Sites Serving 9 out of 12 regions • Program Description: Based on “Re-Education” Model Services Provided in 3 Classrooms Per Site (Adult- Student Ratio: 3-10) Students Assigned via Regional Feeder Pattern Full-Time to CARE Classroom (6-12 months) • Program Funding: Clinical Component Funded Through Community Behavioral Health; Educational Component Funded through SDP Collaboration with Community Behavioral Health (CBH)

  13. CARE Clinical Team Structure Clinician: master’s level; provides behavior intervention planning, treatment and crisis intervention; linkage to family and other providers Mental Health Workers: provide behavior plan implementation, progress monitoring, ensures communication between school and CARE staff Clinical Manager: master’s level; provides clinical supervision and intervention, case triage, administrative oversight and liaison to school administration. Care Coordinator: provides care coordination and linkages to community services and supports Psychiatrist: part-time; provides supervision, medication consultation

  14. Therapeutic Emotional Support Classrooms (TESC) • Program History: Began in ‘04-’05; Currently in 14 District ES Classrooms • Program Description: Provides MH Therapist in Lieu of Therapeutic Staff Support • Program Funding: Funded via CBH Collaboration with Community Behavioral Health (CBH)

  15. Creating a 9-12 Continuum: Secondary Behavioral Health Pilot • Program History: Begun in ‘05- ‘06 Year at 20 Sites • Program Description and Funding: Provides on-site, flexible direct services (individual, group, classroom consultation) Works with leadership team to support CSAP Development and Resource Coordination 3 Program Types: • SDP Funded External Contracted Model (N= 12) .5 FTE Agency Master’s Level Clinical SW • SDP Funded Internal Interdisciplinary Model (N= 7) .5 FTE SDP Master’s Level Clinical SW and Intern Team • Hybrid “Deluxe” Model (N= 1) .5 FTE SDP Funded Master’s Level Clinical SW and Intern Team; Outpatient Individual/ Group Services (CBH)

  16. Secondary Behavioral Health Preliminary Outcomes • Over 800 Students Served October - March via Individual and Group Sessions • Impact Analysis of External Model (N=12) Using Fall Cohort (Treatment) and Spring Cohort (Control) • Comparison Between ‘05 Performance Indicators and ‘06 Performance Indicators • 71% Higher Rate of Increase in Absences Between Years for Control Group • 11% Increase in Number of Suspensions Between Years for Control Group

  17. Benefits of Cross-Systems Collaboration • Services are Accessible for Families • Stigma is Reduced • Services are Integrated with Child’s Other Natural Contexts (Ecological Approach) • Collaboration Between Systems More Likely

  18. The Challenges of Cross-Systems Collaboration • Increased Complexity • Philosophical and Training Differences • Family Involvement • Funding • Language Issues • Policy Issues • Space • Supplies

  19. Lessons Learned • Time is needed to develop the partnerships • Relationships are mutually beneficial • Interns provide a bridge between youth and older employees • Rich learning opportunities exist at multiple levels

  20. Contact Information Linda Williams, Administrator lwilliams@phila.k12.pa.us Amy Maisterra, Director Behavioral Health amaisterra@phila.k12.pa.us Office of Specialized Services School District of Philadelphia 440 N. Broad Street, 2nd Floor Philadelphia, PA 19130 (215) 400-4170

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