evidenced based practices in the buffalo trace region september 21, 2006 presented by goldie...
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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
Ada Braun
Mike Duffy
THANK YOU……………………