Jennif ifer er Le Lembach bach RMC Research Corporation Krissy - - PowerPoint PPT Presentation

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

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STUDENT ASSISTANCE/PROJECT SUCCESS MULTI-TIERED MODEL

Tier 1: Prevention

• Prevention Education Series
• School-wide events
• Prevention Club
• Family, Staff and Community

Trainings/Curriculum 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

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SERVICE OVERVIEW

• Note. Number of schools and Specialists includes any school or specialist with at least one student

reported in the database.

SAPISP P services ices provided ded in 73 73 school

• ols

Services ices provided ded by 53 53 interven enti tion n speci cial alists ists Tiers s 2 & 3: Direct ct interven enti tion

• n services

ces provide ded d to 2,319 student dents Average age of 44 Pa Participa cipant nts s per Speciali ialist st

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TIER 1: UNIVERSAL PREVENTION SESSIONS

3,783 272 792 1,212 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 Student Sessions Family Sessions Community Sessions Staff Sessions

Total: 6,059 sessions

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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

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REFERRAL SOURCE OF STUDENTS PROVIDED SELECTIVE/INDICATED SERVICES

3% 4% 5% 7% 8% 9% 11% 12% 35% 46% 0% 20% 40% 60% 80% 100% Police or court Core Team Other school staff Parent Peer Teacher Interventionist Counselor Administrator Self

• Note. n = 2,319.

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CHARACTERISTICS OF STUDENTS PROVIDED SELECTIVE/INDICATED SERVICES

49% 51% 55% 5% 24% 6% 3% 7% 2% 35% 64% 38% 36% 51% 0% 20% 40% 60% 80% 100% Male Female White Black Hispanic Native American Asian/Pacific Islander Multiethnic K–5 6–8 9–12 Alcohol Tobacco Marijuana Substance Use in Past 3 Months Grade Level Ethnicity Gender

• Note. n = 2,319

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PRESENTING PROBLEMS OF STUDENTS PROVIDED SELECTIVE/INDICATED SERVICES

28% 40% 65% 23% 41% 30% 57% 0% 20% 40% 60% 80% 100% Substance Abuse by Others Substance Abuse by Family Home/Community Mental Health School Success Behavior/Peer ATOD Use by Youth

• Note. n = 2,319. Substance Abuse by Family and Substance Abuse by Others are

two subcategories within Home/Community.

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GAIN-SS SCREENING RESULTS OF STUDENTS RECEIVING SELECTIVE/INDICATED SERVICES

29% 17% 15% 10% 13% 13% 13% 12% 12% 15% 19% 16% 9% 18% 20% 63% 50% 50% 0% 25% 50% 75% 100% Crime Violence Mental Halth and Substance Disorder Substance Disorder Mental Health (Internal or External) External Disorder Internal Disorder

3 or more indicators 2 indicators 1 indicator

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INTERVENTION SERVICES PROVIDED TO STUDENTS BY PIS

58% 14% 22% 18% 27% 66% 60% 46%

0% 20% 40% 60% 80% Any group or class ATOD education Intervention group Affected others group Quick interventions Any family contact Individual counseling Group counseling Interventions Support Groups/Classes

• Note. n = 2,319

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TIER 3: CASE MANAGEMENT REFERRALS

15% 25% 5% 12% 24% 0% 20% 40% 60% 80% 100% School Counselor/Psych Mental Health Care AOD Counseling AOD Outpatient Tx AOD Assessment Percent of Participants Referred

• Note. n = 2,319

81% 54% 51% 72% 70% 0% 20% 40% 60% 80% 100% Percent of Referred Participants Who Attended or Completed

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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)

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TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: CIGARETTES

0% 10% 20% 30% 40% 50% 60% 70% 80% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Pretest Posttest N=729 N=779 N=2,330 N=4,772 N=4,263 N=5,646

• Note. Pre-post reported for SAPISP students with a substance use reduction goal.

Cigarettes

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TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: ALCOHOL

0% 10% 20% 30% 40% 50% 60% 70% 80% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Pretest Posttest

• Note. Pre-post reported for SAPISP students with a substance use reduction goal.

Alcohol

N=729 N=779 N=2,330 N=4,772 N=4,263 N=5,646

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TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: BINGE DRINKING

0% 10% 20% 30% 40% 50% 60% 70% 80% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Pretest Posttest N=729 N=779 N=2,330 N=4,772 N=4,263 N=5,646

• Note. Pre-post reported for SAPISP students with a substance use reduction goal.

Binge Drinking

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TRENDS IN PAST 30-DAY SUBSTANCE USE OUTCOMES: MARIJUANA

0% 10% 20% 30% 40% 50% 60% 70% 80% 2009-10 2010-11 2011-12 2012-13 2013-14 2014-15 Pretest Posttest

Marijuana

• Note. Pre-post reported for SAPISP students with a substance use reduction goal.

N=729 N=779 N=2,330 N=4,772 N=4,263 N=5,646

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CHANGE IN SUBSTANCE USE

57% 71% 61% 75% 16% 13% 16% 7% 8% 3% 4% 3% 8% 4% 8% 6% 11% 9% 12% 9% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Marijuana Binge drinking Alcohol Cigarettes Abstinent Pre & Post Stopped use Reduced use Same use Started or increased use Change in Use After Program

• Note. n = 1,256–1,266.

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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.

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PROTECTIVE FACTORS: PERSONAL AND SOCIAL COMPETENCE INCREASES AT POST

3.20 3.17 2.76 2.99 3.27 3.09 3.15 3.11 2.64 2.93 3.22 2.99

2.0 2.5 3.0 3.5 4.0 Cooperation Confidence Assertiveness Self-Efficacy Self-Control Self-Concept Pre Post Personal Competence Social Competence

• Note. Scale: 1 (lowest protection) to 4 (highest protection). n = 1,169–1,239.

Low protection Highest Protection

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PROTECTIVE FACTORS: CARING AND SUPPORT FROM ADULTS INCREASES AT POST

3.07 3.30 3.01 2.95 3.22 3.04

2.0 2.5 3.0 3.5 4.0 Guidance Nurturance School

Pre Post

Social Bonding Caring and Support Low protection Highest Protection

• Note. Scale: 1 (lowest protection) to 4 (highest protection). n = 1,169–1,239.

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MOST STUDENTS REPORTED MODERATE TO HIGH PERCEIVED RISK IN SUBSTANCE USE AFTER PROGRAM

70% 38% 87% 76% 87% 59% 29% 82% 68% 83% 0% 20% 40% 60% 80% 100% Smoke marijuana regularly Try marijuana once or twice Take 5 or more drinks at a time Take 1-2 drinks nearly every day Smoke 1+ packs per day Pre Post Percent Perceiving Moderate/High Risk

• Note. n = 1,102–1,126

5% 12% 7% 30% 20% 0% 10% 20% 30% 40% 50% Percent Change in Number Perceiving Risk

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STUDENTS WITH SUBSTANCE USE INTERVENTION GOAL LESS LIKELY TO REPORT 30-DAY USE AFTER PROGRAM

41% 24% 34% 30% 60% 35% 46% 33% 0% 20% 40% 60% 80% Marijuana Binge drinking Alcohol Cigarettes Pre Post Percent Using in Past 30 Days

• 32%
• 31%
• 26%
• 9%
• 40%
• 20%

0%

• Note. Includes only students with substance use goal. n = 675–678.

Percent Change in Users

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SUBSTANCE USE OTHER THAN ALCOHOL, TOBACCO, AND MARIJUANA WAS LOW AT PRE AND POST

2% 2% 8% 3% 2% 4% 4% 11% 3% 5% 12% 4% 4% 5% 8% 12% 0% 20% 40% Other drugs Synthetic/Designer drugs Prescription drugs Amphetamines Cocaine Inhalants Hallucinogens Chewing tobacco Pre Post Percent Using in Past 30 Days

• Note. Includes only students with substance use goal. n = 768–789.

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STUDENTS WITH BEHAVIOR INTERVENTION GOAL LESS LIKELY TO REPORT INAPPROPRIATE BEHAVIOR AFTER PROGRAM

5% 17% 19% 18% 27% 27% 6% 24% 26% 23% 32% 27% 0% 20% 40% 60% 80% Arrested Physical fight Hit or tried to hurt someone Suspended Skipped school In trouble at school Pre Post Percent Reporting Offense in Past 3 Months 0%

• 16%
• 22%
• 27%
• 29%
• 17%
• 40%
• 20%

0% Percent Change in Offenders

• Note. Includes only students with behavior goal. n = 302–307

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STATISTICAL TESTS SUMMARY

 Changes pre to post were statistically significant for:

• 7 of 8 protective factor scales (all but school bonding)
• 5 of 5 perceived risk items
• Alcohol, binge drinking, and marijuana use (not cigarette use)
• Behaviors: getting in trouble at school, school suspensions, getting into

fights, hitting someone

 Effect size testing showed a positive program effect for all but

four outcomes (school bonding, physical fights, confidence, skipping school).

 Effect sizes were small except for marijuana use, which showed a

medium effect size.

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CLASSES PASSED/FAILED (2013–14 COHORT)

 Data Collection:

 School data collected on number of classes passed and failed in

fall term of the year served and again 1 year later

 Caution: Sample size with baseline and follow-up data is fairly

small (n = 580); data may not be representative

 Results:

 Percent of students failing any classes decreased slightly from

49% to 47%

 64% of students had a positive outcome (23% decreased the

percentage of classes failed, 41% continued passing all classes)

 36% of students did not show positive changes

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CHANGES IN PERCENTAGE OF CLASSES FAILED FROM BASELINE (FALL 2013) TO FOLLOW-UP (FALL 2014)

23% 41%

Reduced percentage of classes failed Continued passing all classes

Positive outcome

12% 24%

No change in percentage of classes failed Increased percentage of classes failed

No positive outcome

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QUESTIONS?

Gillian Leichtling or Jennifer Lembach, RMC Research

 gleichtling@rmcres.com  jlembach@rmcres.com  (800) 788-1887

Krissy Johnson, OSPI

 krissy.johnson@k12.wa.us  (360) 725-6045