How PBIS Fits Into CPSA

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How PBIS Fits Into CPSAs GoalsPBIS
ConferenceJune 11, 2008

• Bill B. Burnett, M.Ed., MAC
• Director of Prevention and Community Development

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• CPSA Prevention Target
• Non-members targeted for services
• To prevent behavioral health problems before they
  start
• Focused on risk and protective factors

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Continuum of Behavior Support

• Tertiary Prevention
• Individualized intervention for specific student
  needs
• Goal Reduce complications, intensity, severity
  of current cases

• Secondary Prevention
• Target group interventions
• Goal Reduce current cases of problem behavior

• Primary Prevention
• School-wide programs for all students, staff, and
  settings
• Goal Reduce new cases of problem behavior

Average percentage of students responding to a
given level of prevention/intervention.
1/9/2007
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Prevention

• Prevention means the creation of conditions,
  opportunities, and experiences that encourage and
  develop healthy, self-sufficient children and
  that occur before the onset of problems.
• Arizona Revised Statutes 8-201-23.

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The CPSA Community change model
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CPSAs Prevention goals

• Increased family bonding
• Increased attachment/connectedness to school
• Decreased laws, policies norms favorable to
  substance use
• Increased community cohesion

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Alcohol AdvertisingTargeted at Youth?
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Who and/or What Influences Youth?

• Parents
• Friends
• Teachers
• Families
• Church
• Community leaders
• Communities

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Who and/or What Else Influences Youth?

• Media in general
• TV, Radio, Magazines, Newspapers, Movies
• Advertising for
• Music
• Clothing
• Alcohol
• Cigarettes

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Television

• 65 of children 8 and above have TVs in their
  bedroom.
• Young persons (ages 8-18) watch TV nearly 3 hours
  per day.

Stranger, J.D. and Gridina, N. Media in the Home
The Fourth Annual Survey of Parents And Children.
The Annenbery Public Policy Center of the
University of Pennsylvania, 1999.
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Impact of Television

• Studies suggest that higher rates of television
  viewing are correlated with increased tobacco
  usage, increased alcohol intake and younger onset
  of sexual activity.

Facts about Media Violence. American Medical
Association, 1996.
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• In 2003, youth saw more TV commercials for beer
  than for jeans, chewing gum, fruit juice, skin
  care products, cookies, crackers or potato chips.

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New Users

• Tobacco
• 1997 1.9 million
• 1999 1.4 million
• 3,835 new user daily
• Methamphetamine
• 1996 119,355
• 1999 112,420
• 2003 132,495
• 363 new users daily

• Alcohol
• 1996 1.2 million
• 1999 1.4 million
• 2002 1.9 million
• 5,240 new users daily
• Marijuana
• 1996 2.6 million
• 1999 2 million
• 5,479 new users daily

National Survey on Drug Use and Health (NSDUH)
2003.
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Prevalence of Lifetime Use of Heroine, Cocaine,
and Psychotherapeutics among Adults Aged 26 or
Older, by Age of Marijuana Initiation 1999 and
2000
SAMHSA, Office of Applied Studies, National
Household Survey on Drug Abuse, 1999 and 2000.
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CPSAs collaborative Prevention projects

• Make Mealtime Family Time (MMFT)
• Youth Empowered for Success (YES)
• Suicide Prevention
• Community Development Network

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MMFT goal

• To increase family bonding by bringing families
  together during mealtimes
• Research The number of family mealtimes is
  highly correlated with decreased substance use
  and a variety of other negative behaviors, and
  increased success in school and life in general

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The program

• MMFT currently targets 6th graders and their
  families
• Began in September 2005
• Activity materials are provided to school
  administrators to disperse to students for
  families to use
• Supporting information is included in school
  newsletters and disseminated via school-wide
  gatherings

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MMFT partners

• Primary partners
• CPSA
• University of Arizona College of Education
• United Way
• Funding partners
• Bashas
• Diamond Ventures
• Estes Homes
• Daily Star

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MMFTs 65elementary schools

• District of schools
• Alter Valley 2
• Amphi 5
• Flowing Wells 5
• Marana 11
• Sunnyside 2
• Tanque Verde 1
• TUSD 31
• Vail 6
• Independent/Private 2

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MMFT web site

• Make Mealtime Family Time

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YES goal

• To increase personal protective factors of youth
  participants
• To increase school connectedness and attachment
  by
• Improving school climate
• Providing increased opportunities for meaningful
  participation to students in schools

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YES High Schoolfirst-year outcomes

• Statistically significant improvement over the
  year (04-05) was reported in
• Personal resiliency
• Decision-making and goal-setting skills

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2007/2008 YES High Schools

• Nogales
• Palo Verde
• Patagonia Union
• Pima
• Pueblo
• Rincon
• Safford
• Sahuarita
• Sunnyside
• Tohono Oodham
• Tucson Magnet

• Ajo
• Benson
• Buena
• Catalina
• Catalina Foothills
• Cholla
• Clifton
• Desert View
• Duncan
• Flowing Wells
• Fort Thomas
• Marana
• Mountain View

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YES High School project design

• Teen Institute model
• Youth-adult partnership and action-planning model
• Health Realization life skills education
• Training Academy

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YES web site

• http//arizonayes.org

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Short break
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Suicide prevention intervention

• Community education training
• Youth Suicide Prevention Coalition
• Older Adult Suicide Prevention Coalition
• Applied Suicide Intervention Skills Training
  (ASIST)
• safeTALK

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• safeTALK is a half-day suicide alertness training
  program. After completing safeTALK you will have
  the ability to recognize a person with thoughts
  of suicide and know how to connect them with a
  person trained in suicide first aid intervention.

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Anyone in twenty may have thoughts of
suicideOthers likely want to help
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• Applied Suicide Intervention Skills Training

enhancing resources today saving lives for
tomorrow
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Structure of the Suicide Intervention Model
Understanding
Connecting
Assisting
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Community Development Network
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Community Development Network

• Pima County
• Kino Area Weed Seed (CODAC)
• Liberty Partnership (Child Family Resources)
• Luz South Side Coalition (Luz Social Services)
• Refugee and Immigrant Service Provider Network
  (La Frontera Center)
• Robles Responds! (Three Points La Frontera
  Center)
• Coalitions in Marana, Ajo, Catalina and four
  districts of the Tohono Oodham Nation (Arizona
  Youth Partnership)

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Other environmental efforts

• Staff support for Pima County-Tucson
  Commission on Addictions, Treatment Prevention
  legislative and policy issues that affect
  underage drinking, such as
• keg registration,
• liquor taxes
• limits on drive-in liquor stores and
• server education
• (Pima Prevention Partnership)

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Other environmental efforts

• Monitoring the concentration of and helping
  neighborhood associations challenge liquor
  license applications, transfers and renewals
• (Luz Social Services, Child Family Resources)
• Monitoring and helping communities advocate on
  billboard content
• (Luz Social Services)

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Family-focused programs

• Parent Resource Network
• Parenting classes
• Teen Court

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Parenting classes

• Using model programs
• Providers
• CODAC Behavioral Health
• La Frontera Center (for refugee and new immigrant
  families)
• Luz Social Services
• Pima Prevention Partnership

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Teen Court

• Part of Pima County Juvenile Diversion Program
• Youth and parents targeted
• Provider Pima Prevention Partnership

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Other youth development programs

• Life skills classes, using model programs, for
• All fifth and sixth graders in Altar Valley
  Schools (La Frontera Center)

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Health Promotion

• Wellness Messenger newsletter
• Nutrition classes
• Family Fun and Wellness Day
• Red Cross Babysitting Classes
• Family Forum
• Red Cross Save a Life Saturday
• Recovery EXPO
• Meth Free Alliance

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Questions answers
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System-wide Prevention outcome results(2004-05)

• Family cohesion increased among both adults (11)
  and youth (4)
• Adults negative attitudes towards youth smoking
  increased 17
• Sense of community increased in school settings
  (14) and communities (7)

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System-wide outcome results cont.

• Youth perceptions of friends disapproval if I
  got drunk once in a while increased 7
• Community members perception of ability to
  influence neighborhood conditions increased 8

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Changes in school climate and attachment are
expected to take multiple years
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Further expansion of YES

• Pilot middle school programming begins in 06-07
• 5 middle schools
• Program Name Dont Meth Around

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YES High School partners

• Child Family Resources Inc.
• SEABHS
• Arizona Youth Partnership
• CODAC Behavioral Health Services
• Working with 2 independent contractors
• 26 high schools

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Teen Institute (TI) model

• TIs operate in 22 states
• YES is the first TI in Arizona
• YES is the only TI nationwide to adopt a
  philosophical base of Health Realization
• YES is one of the few TIs to offer extensive,
  ongoing technical support after the Institute

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Collaboration

• In the Treatment system, the collaborative
  process is called Child and Family Teams or Adult
  Recovery Teams.
• In the Prevention system, the collaborative
  process is called community development.

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Community Development

• Community development is a strategy in which
  key stakeholders in a community (including
  families, youth, schools, behavioral health,
  etc.) come together to assess community needs and
  collaboratively plan and implement prevention
  activities

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YES High School process

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Focus Cultural change for a caring campus
through youth-adult partnerships
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High schools joining YES in 06-07

• Catalina Foothills
• Mountain View
• Sahuarita

Additional teams at YES/TI 2006

• Hopi High School
• Gila River Tribe
• Meskhetian Turk students from Catalina High School

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Contributaries of Suicide (no thoughts of
suicide)

• Thoughts of Suicide

• Suicidal Behavior

• Death or Harm

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CPSA Prevention Network Outcomes 2005-06
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Increased family bonding

• Research shows that family bonding is tied to
  reduced incidence of substance abuse,
  delinquency, teen pregnancy, school drop-out and
  violence.
• Parent-child affective quality increased an
  average of 29 for the 83 participants in CPSA
  parenting programs.
• Family cohesion increased an average of 14 among
  327 participants.

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Increased school attachment

• Research shows that lack of commitment to school
  is tied to an increased incidence of substance
  abuse, delinquency, teen pregnancy, school
  drop-out and violence.
• Bonding to school increased 5 among the 165
  youth participants.

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Decreased laws, policies and norms favorable to
substance abuse

• Research shows that laws, policies and norms
  favorable to substance abuse such as acceptance
  of youth experimenting with alcohol and other
  drugs is tied to an increased incidence of
  substance abuse and other negative behaviors.
• Overall disapproval of substance use increased an
  average of 18 among adult participants.
• Favorable attitudes toward drug use decreased 9
  among 118 youth surveyed.

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Increased community cohesion

• Research shows that low neighborhood attachment
  and community disorganization are related to
  substance abuse, delinquency and violence.
• Community development programs 244 participants
  reported an average 11 increase in their overall
  sense of community.
• There was a 6 increase in participants
  perceptions of influence over conditions in their
  community.

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CPSA Prevention providers

• Arizona Youth Partnership
• Casa de Esperanza
• Child Family Resources
• CODAC Behavioral Health Services
• La Frontera Center

• Luz Social Services
• Pima Prevention Partnership
• Providence Corporation
• Southern Arizona AIDS Foundation
• SEABHS

Effective July 1, 2006
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CPSA Prevention participants

• Programs served 54,953 participants in 2005-06 in
  5 counties
• 76 of participants were ethnic/racial minorities

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Plans for MMFT

• Planning with United Way to offer MMFT to a
  limited number of employers in 2006-2007
• Interest expressed by IBM and Citibank
• Continue to evaluate and improve the materials
  delivery system
• Continue development of the evaluation processes
• Develop in-depth evaluation of impact of the
  materials

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Suicide prevention intervention

• Life skills and other programs
• YES
• Pima Council on Aging Older Adult Suicide
  Prevention Program
• San Carlos Apache Wellness Center (via SEABHS)
• Voz (GLBTQ and ethnic minority youth Southern
  Arizona AIDS Foundation)

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safeTALK Training

• Offered every other month beginning in February
  2007 at the CPSA Training Center.

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Next ASIST Training

• ASIST Trainings offered every other month at
  CPSAs Training Center beginning in January 2007.

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CPSA Prevention Geographic Coverage
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19. Catalina
CPSA Prevention program sites neighborhood
stress
18. Marana
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10
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34
29
31
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30
27
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17
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Areas of highest neighborhood stress Prevention
program sites Youth Empowered for Success
Schools Make Mealtime Family Time Schools
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9
22
23
16
20
8
19
21
15
16
13
7
17
14
15
12
18
11
6
8
14
8
5
6
10
9
7
10
7
5
9
4
13
11
6
12
4
5
3
4
3
3
2
1
2
1
1
2
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Tohono Oodham Nation
Catalina
Sif Oidak
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11
20
Hickiwan
Marana
Gu Achi
Schuk Toak
Ajo
Three Points
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12
27
13
26
SanXavier
Gu Vo
Pisinemo
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21
Sells
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Green Valley
Baboquivari
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Chukut Kuk
CPSA Prevention program sites rural Pima
County
Prevention program sites Youth Empowered for
Success Schools Make Mealtime Family Time Schools
Districts of the Tohono Oodham Nation shown in
blue are sites of community mobilization projects
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CPSA Prevention program sites GSA 3
Greenlee County
Graham County
Prevention sites YES schools
Nogales Nogales High School
Patagonia Patagonia High School
Sierra Vista Buena High School
Bisbee Benson High School Douglas
Duncan High School Tombstone
Clifton High School Benson Safford
High School Willcox Pima High
School Bowie Fort Thomas High
School Duncan Clifton Safford
Pima Bylas
14
9
11
1
1
6
2
2
13
12
7
8
3
3
10
4
4
5
5
5
6
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9
7
7
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8
8
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9
9
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Cochise County
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Santa Cruz County
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6
12
3
3
2
13
2
4
1
14
1
5
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MMFT funding partners

• Bashas
• Diamond Ventures
• Estes Homes
• Support received from the Arizona Daily Star via
  a series of articles soliciting and publicizing
  reader ideas for family mealtimes