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Jennif ifer er Le Lembach bach RMC Research Corporation Krissy y Johnso nson Office of Superintendent of Public Instruction March h 23, 2016 STUDENT ASSISTANCE/PROJECT SUCCESS MULTI-TIERED MODEL Tier 3: Case Management Screening,


  1. Jennif ifer er Le Lembach bach RMC Research Corporation Krissy y Johnso nson Office of Superintendent of Public Instruction March h 23, 2016

  2. STUDENT ASSISTANCE/PROJECT SUCCESS MULTI-TIERED MODEL Tier 3: Case Management • Screening, referral to community services, case management, re-entry assistance Tier 2: School-based Intervention • Screening, peer support groups, individual counseling Tier 1: Prevention • Prevention Education Series • School-wide events • Prevention Club • Family, Staff and Community Trainings/Curriculum 2

  3. SERVICE OVERVIEW SAPISP P services ices provided ded in 73 73 school ools Services ices provided ded by 53 53 interven enti tion n speci cial alists ists Tiers s 2 & 3: Direct ct interven enti tion on services ces provide ded d to 2,319 student dents Average age of 44 Pa Participa cipant nts s per Speciali ialist st Note . Number of schools and Specialists includes any school or specialist with at least one student reported in the database. 3

  4. TIER 1: UNIVERSAL PREVENTION SESSIONS Student Sessions 3,783 Family Sessions 272 Community Sessions 792 Staff Sessions 1,212 0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 Total: 6,059 sessions 4

  5. TIERS 2 & 3: SERVICES FOR AT-RISK YOUTH AND THOSE THAT ARE USING SUBSTANCES  Characteristics of students served Demographic characteristics  Presenting problems  GAIN Short Screener results: Student self-report of mental  health, substance problem, and crime/violence behavior issues 5

  6. REFERRAL SOURCE OF STUDENTS PROVIDED SELECTIVE/INDICATED SERVICES Self 46% Administrator 35% Counselor 12% Interventionist 11% Teacher 9% Peer 8% Parent 7% Other school staff 5% Core Team 4% Police or court 3% 0% 20% 40% 60% 80% 100% Note . n = 2,319. 6

  7. CHARACTERISTICS OF STUDENTS PROVIDED SELECTIVE/INDICATED SERVICES Gender Male 49% 51% Female Ethnicity 55% White Black 5% 24% Hispanic 6% Native American 3% Asian/Pacific Islander Multiethnic 7% Grade Level K – 5 2% 6 – 8 35% 9 – 12 64% Substance Use in Past 3 Months Alcohol 38% Tobacco 36% Marijuana 51% 0% 20% 40% 60% 80% 100% Note. n = 2,319 7

  8. PRESENTING PROBLEMS OF STUDENTS PROVIDED SELECTIVE/INDICATED SERVICES ATOD Use by Youth 57% Behavior/Peer 30% School Success 41% Mental Health 23% Home/Community 65% Substance Abuse by Family 40% Substance Abuse by Others 28% 0% 20% 40% 60% 80% 100% Note . n = 2,319. Substance Abuse by Family and Substance Abuse by Others are two subcategories within Home/Community. 8

  9. GAIN-SS SCREENING RESULTS OF STUDENTS RECEIVING SELECTIVE/INDICATED SERVICES 100% 3 or more indicators 2 indicators 1 indicator 75% 50% 63% 50% 50% 9% 18% 20% 13% 25% 12% 19% 16% 12% 15% 29% 17% 15% 13% 13% 10% 0% Internal Disorder External Disorder Mental Health Substance Disorder Mental Halth and Crime Violence (Internal or External) Substance Disorder 9

  10. INTERVENTION SERVICES PROVIDED TO STUDENTS BY PIS Interventions Group counseling 46% Individual counseling 60% Any family contact 66% Quick interventions 27% Support Groups/Classes Affected others group 18% Intervention group 22% ATOD education 14% Any group or class 58% 0% 20% 40% 60% 80% Note. n = 2,319 10 10

  11. TIER 3: CASE MANAGEMENT REFERRALS 70% AOD Assessment 24% 72% AOD Outpatient Tx 12% 51% AOD Counseling 5% 54% Mental Health Care 25% 81% School Counselor/Psych 15% 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% Percent of Referred Participants Percent of Participants Referred Who Attended or Completed Note . n = 2,319 11 11

  12. STUDENT OUTCOMES: STUDENTS RECEIVING INTERVENTION SERVICES  Data represents only students with both a pre and post  Trends over last few years  2014-15 Results Substance use in the previous 30 days  Protective factors  Perceived risk of harm in using substances  Problem behaviors in the previous three months   One-year follow-up data on number of classes failed for students served in 2013 – 14 (matched baseline/follow-up) 12 12

  13. TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: CIGARETTES 80% Pretest 70% Posttest 60% 50% 40% 30% 20% 10% 0% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 N=5,646 N=4,263 N=4,772 N=2,330 N=779 N=729 Cigarettes 13 13 Note. Pre-post reported for SAPISP students with a substance use reduction goal.

  14. TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: ALCOHOL 80% Pretest 70% Posttest 60% 50% 40% 30% 20% 10% 0% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 N=5,646 N=4,263 N=4,772 N=2,330 N=779 N=729 Alcohol Note. Pre-post reported for SAPISP students with a substance use reduction goal. 14 14

  15. TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: BINGE DRINKING 80% Pretest 70% Posttest 60% 50% 40% 30% 20% 10% 0% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 N=5,646 N=4,263 N=4,772 N=2,330 N=779 N=729 Binge Drinking Note. Pre-post reported for SAPISP students with a substance use reduction goal. 15 15

  16. TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: MARIJUANA 80% Pretest Posttest 70% 60% 50% 40% 30% 20% 10% 0% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 N=5,646 N=4,263 N=4,772 N=2,330 N=779 N=729 Marijuana 16 16 Note. Pre-post reported for SAPISP students with a substance use reduction goal.

  17. CHANGE IN SUBSTANCE USE Abstinent Pre & Post Stopped use Reduced use Same use Started or increased use Cigarettes 7% 75% 3% 6% 9% Alcohol 61% 4% 8% 12% 16% Binge drinking 71% 3% 4% 9% 13% 16% Marijuana 57% 8% 8% 11% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Change in Use After Program 17 17 Note. n = 1,256 – 1,266.

  18. PROTECTIVE FACTORS DESCRIPTION  Personal Competence Self-concept. A positive image or "feeling good" about oneself.  Self-control. The ability to control impulses, particularly antisocial impulses such as anger or  violence. Self-efficacy. The sense that life can have a purpose and one can effectively achieve that  purpose  Social Competence Assertiveness. The ability to stand up for oneself in social situations in reasonable ways.  It is distinguished from aggressiveness in that it connotes comfort, rather than hostility. Confidence. The belief that one is liked and will be accepted in a variety of social situations.  Cooperation. The desire to contribute to social groups. It includes a sense of satisfaction that  comes with contributing.  Social Bonding School bonding. A positive attitude and motivation towards school, both now and in the future.   Caring and Support (actions of others rather than the student) Nurturance. Students have others on whom they can rely for support and assistance.  Guidance. Adults provide direction to the student as well as support.  18 18

  19. PROTECTIVE FACTORS: PERSONAL AND SOCIAL COMPETENCE INCREASES AT POST Personal Competence Pre 2.99 Self-Concept 3.09 Post 3.22 Self-Control 3.27 2.93 Self-Efficacy 2.99 Social Competence 2.64 Assertiveness 2.76 3.11 Confidence 3.17 3.15 Cooperation 3.20 2.0 2.5 3.0 3.5 4.0 Low protection Highest Protection 19 19 Note . Scale: 1 ( lowest protection ) to 4 ( highest protection ). n = 1,169 – 1,239.

  20. PROTECTIVE FACTORS: CARING AND SUPPORT FROM ADULTS INCREASES AT POST Social Bonding Pre 3.04 School Post 3.01 Caring and Support 3.22 Nurturance 3.30 2.95 Guidance 3.07 2.0 2.5 3.0 3.5 4.0 Low protection Highest Protection Note . Scale: 1 ( lowest protection ) to 4 ( highest protection ). n = 1,169 – 1,239. 20 20

  21. MOST STUDENTS REPORTED MODERATE TO HIGH PERCEIVED RISK IN SUBSTANCE USE AFTER PROGRAM Pre 83% Smoke 1+ packs per 5% day Post 87% 68% Take 1-2 drinks nearly 12% every day 76% 82% Take 5 or more drinks 7% at a time 87% 29% Try marijuana once or 30% twice 38% 59% Smoke marijuana 20% regularly 70% 0% 20% 40% 60% 80% 100% 0% 10% 20% 30% 40% 50% Percent Perceiving Moderate/High Risk Percent Change in Number Perceiving Risk Note . n = 1,102 – 1,126 21 21

  22. STUDENTS WITH SUBSTANCE USE INTERVENTION GOAL LESS LIKELY TO REPORT 30-DAY USE AFTER PROGRAM Pre 33% Cigarettes -9% Post 30% 46% -26% Alcohol 34% 35% -31% Binge drinking 24% 60% -32% Marijuana 41% -40% -20% 0% 0% 20% 40% 60% 80% Percent Change in Users Percent Using in Past 30 Days Note. Includes only students with substance use goal. n = 675 – 678. 22 22

  23. SUBSTANCE USE OTHER THAN ALCOHOL, TOBACCO, AND MARIJUANA WAS LOW AT PRE AND POST 12% Pre Chewing tobacco 11% Post 8% Hallucinogens 4% 5% Inhalants 4% 4% Cocaine 2% 4% Amphetamines 3% 12% Prescription drugs 8% 5% Synthetic/Designer drugs 2% 3% Other drugs 2% 0% 20% 40% Percent Using in Past 30 Days Note. Includes only students with substance use goal. n = 768 – 789. 23 23

  24. STUDENTS WITH BEHAVIOR INTERVENTION GOAL LESS LIKELY TO REPORT INAPPROPRIATE BEHAVIOR AFTER PROGRAM 27% Pre In trouble at 0% school 27% Post 32% Skipped -16% school 27% 23% Suspended -22% 18% 26% Hit or tried to -27% hurt someone 19% 24% Physical fight -29% 17% 6% Arrested -17% 5% 0% 20% 40% 60% 80% -40% -20% 0% Percent Reporting Offense in Past 3 Months Percent Change in Offenders Note. Includes only students with behavior goal. n = 302 – 307 24 24

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