5.5-Intensive-Intervention-for-Emotional-and-Behavioral-Difficulties-in-School-Settings

Building RENEW as an Evidence-Based Practice for High School Students with Emotional and Behavioral Challenges Jesse C Suter, IV Principal Investigator jesse.suter@uvm.edu JoAnne Malloy Co-Principal Investigator Developer of RENEW Jesse C Suter, IV & Kiersten Parks Eric J Bruns & Michael Pullmann Sarah O’Rourke, Becky Piermattei, Patti Hershfeldt, Susan Barrett, Amber Shriver Mason Haber & Tom Laporte JoAnne Malloy, Kathy Francoeur, Jonathan Drake, Daniel Peyton Ami Flammini, Ali Hearn, Pam Horn, Jessica SwainBradway, Eryn VanAcker, Julie Busken The research reported here was supported by the Institute of Education Sciences, U.S Department of Education, through Grant R305A150438 to the University of Vermont The opinions expressed are those of the authors and not represent views of the Institute or the U.S Department of Education RENEW PRESULTS STUDY Rehabilitation for Empowerment, Natural Supports, Education, & Work http://renew.unh.edu Session 6.7 Goals Principles • Graduation • Employment • Postsecondary Education • Community Inclusion • Self-Determination • Unconditional Care • Strengths-Based Supports • Building Natural Supports • School-to-Career Planning RENEW 4-Phase Process Phase Engagement & Futures Planning Phase Implementation & Monitoring Phase Team Development & Planning Phase Transition to Less Intensive RENEW PRESULTS STUDY R C T No change or worse Doing better RENEW PRESULTS STUDY Dropout risk q Repeated 8th or 9th, grade q more than failed class q more than Ds q more than 14 days missed of school AND Emotional or behavioral challenges q More than ODRs q at least expulsion q IEP/504 with EBC as concern q any FBA/BIP q receiving Tier 2/Tier PBIS q other evidence of EBC (documented by school) 9th & 10th Grade Enrollment School Records Assessed for eligibility 7,677 Not eligible 6,800 Invited to Participate Study Groups Eligible Invited 877 329 Not enrolled Randomized 257 72 RENEW Comparison 36 Follow Up month 86% 36 month 97% Student Demographics (n = 72) Age: 14 to 18 years, M = 15.6 (SD = 0.8) Gender: 32% women & 68% men Sexual orientation • 88% heterosexual, 8% bisexual, • 4% prefer not to say Race and ethnicity • 46% African American, 40% White, 6% American Indian, 7% Other • 20% Hispanic or Latino Students report higher self-determination (except at school) Always Students Almost always Sometimes Almost never Never 19 15 21 17 Teachers 24 21 23 19 Scale means and 95% confidence intervals Capacity Actions Emotions Opportunity School Home Students report modest school engagement Strongly agree Agree 2.8 3.2 3.5 3.5 3.0 2.3 teacher report 3.1 Disagree Scale means and 95% confidence intervals Strongly disagree Teacher-student relationships Peer support Family support Relevance school work Future aspirations Intrinsic motivation More perceived support from friends than school Always 72 Almost 60 always 59 Most48 52 51 44 42 Some36 Scale means and 95% confidence intervals Almost 24 never Never12 Friends Teachers Parents Classmates School Academics and attendance 74% 66% 44% 28% 7% Ever expelled Ever repeat grade Last semester Suspended Missed or more days Any failed classes Students report more “hidden” problems (& strengths) Students Teachers 78% % Students at-risk or in clinical range 56% 54% 48% 30% 34% 38% 24% 21% 11% Hyperactivity Conduct problems Peer Problems Emotional symptoms Prosocial Services in past months 59% 28% Special Community mental education health 26% Alternative program 15% Class support 11% 4% Residential Alternative or foster school care Job experiences in past months 16% 16% 47% 13% Paid job Internship Missed work due to emotional or behavioral concerns RENEW Facilitators Counselor Social Worker School Psychologist Special Educator Officer Paraprofessional Nurse Instructional coach Transition specialist 1 1 2 36 students assigned to RENEW Phase Engagement & Futures Planning 32 M=18.5 days (SD=13.4) M=71 days (SD=29) 25 Phase Team Development & Planning Phase Implementation & Monitoring 17 M=2 mtgs (SD=0.7) Phase Transition to Less Intensive Fidelity Ratings Strongly agree Agree4 4.3 3.8 4.2 3.7 4.1 3.8 4.2 3.9 Undecided Students Facilitators Disagree Strongly disagree Futures Planning Team Plan Development Implementation Youth Satisfaction HAPPY FALL! jesse.suter@uvm.edu