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Published in: Prevention Science 4/2021

01-05-2021

Impact of a School-Based, Multi-Tiered Emotional and Behavioral Health Crisis Intervention on School Safety and Discipline

Authors: Jill H. Bohnenkamp, Cindy M. Schaeffer, Rachel Siegal, Tiffany Beason, Mills Smith-Millman, Sharon Hoover

Published in: Prevention Science | Issue 4/2021

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Abstract

Schools across the United States are struggling with how to formulate comprehensive and effective programs to address the mental health needs of students and to promote school safety. This study, funded as part of the National Institute of Justice Comprehensive School Safety Initiative, employed a randomized controlled study design to evaluate the impact of a multi-component package of crisis prevention and response interventions on school safety and discipline outcomes, including suspensions, office discipline referrals, bullying reports, juvenile justice referrals, threat assessments, and follow-up procedures. Forty schools participated, all in a culturally diverse Mid-Atlantic, US school system spanning urban, suburban, and rural areas. The Emotional and Behavioral Health–Crisis Response and Prevention (EBH-CRP) intervention is a comprehensive training, organizational, and support protocol for school and community stakeholders aimed at increasing competence in preventing and responding to student EBH crises using multiple evidence-informed strategies that address emotional and behavioral health concerns across the continuum of supports. Results indicate that the EBH-CRP intervention had a significant positive effect on suspensions, office discipline referrals, and juvenile justice referrals for secondary schools. In addition, the intervention had positive effects on the number of bullying reports overall, with a particularly strong impact on primary schools. The intervention also had positive effects in maintaining more use of threat assessment and follow-up procedures. Although the intervention had a significant positive effect on secondary school–level suspensions, there was no impact on racial/ethnic disproportionality rates for this outcome. Implications for school safety prevention are discussed.
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Footnotes
1
Given that Kognito was available to all schools in the state, a small percentage of teachers in comparison schools (7.9%) also completed the training but, given the low completion rate in comparison schools, it was not viewed as a study confound.
 
Literature
go back to reference Alvarez, R., Brennan, S., Carter, N., Dong, H-K., Eldridge, A., Fratto, J., Harrison, E., Ryder, E., Sanderson, K., & Thorburn, P. (2009). The ABCD's of Texas Education: Assessing the Benefits and Costs of Reducing the Dropout Rate. Available electronically from http://hdl.handle.net/1969.1/96997. Alvarez, R., Brennan, S., Carter, N., Dong, H-K., Eldridge, A., Fratto, J., Harrison, E., Ryder, E., Sanderson, K., & Thorburn, P. (2009). The ABCD's of Texas Education: Assessing the Benefits and Costs of Reducing the Dropout Rate. Available electronically from http://​hdl.​handle.​net/​1969.​1/​96997.
go back to reference Dawson, C. A. (2003). A study on the effectiveness of life space crisis intervention for students identified with emotional disturbances. Reclaiming Children and Youth, 11, 223–230. Dawson, C. A. (2003). A study on the effectiveness of life space crisis intervention for students identified with emotional disturbances. Reclaiming Children and Youth, 11, 223–230.
go back to reference Fabelo, T., Thompson, M. D., Plotkin, M., Carmichael, D., Marchbanks, M. P., & Booth, E. A, (2011). Breaking schools’ rules: A statewide study of how school discipline relates to students’ success and juvenile justice involvement. New York, NY: Council of State Governments Justice Center. Retrieved from http://justicecenter.csg.org/resource Fabelo, T., Thompson, M. D., Plotkin, M., Carmichael, D., Marchbanks, M. P., & Booth, E. A, (2011). Breaking schools’ rules: A statewide study of how school discipline relates to students’ success and juvenile justice involvement. New York, NY: Council of State Governments Justice Center. Retrieved from http://​justicecenter.​csg.​org/​resource
go back to reference Frauenholtz, S., Mendenhall, A. N., & Moon, J. (2017). Role of school employees’ mental health knowledge in interdisciplinary collaborations to support the academic success of students experiencing mental health distress. Children and Schools, 39, 71–79. https://doi.org/10.1093/cs/cdx004.CrossRef Frauenholtz, S., Mendenhall, A. N., & Moon, J. (2017). Role of school employees’ mental health knowledge in interdisciplinary collaborations to support the academic success of students experiencing mental health distress. Children and Schools, 39, 71–79. https://​doi.​org/​10.​1093/​cs/​cdx004.CrossRef
go back to reference Hoover, S., Lever, N., Sachdev, N., Bravo, N., Schlitt, J., Acosta Price, O., Sheriff, L., & Cashman, J. (2019). Advancing comprehensive school mental health: Guidance from the field. Baltimore: National Center for School Mental Health, University of Maryland School of Medicine. Hoover, S., Lever, N., Sachdev, N., Bravo, N., Schlitt, J., Acosta Price, O., Sheriff, L., & Cashman, J. (2019). Advancing comprehensive school mental health: Guidance from the field. Baltimore: National Center for School Mental Health, University of Maryland School of Medicine.
go back to reference Interdisciplinary Group on Preventing School and Community Violence. (2012). Connecticut school shooting position statement. Charlottesville: University of Virginia, Curry School of Education. Interdisciplinary Group on Preventing School and Community Violence. (2012). Connecticut school shooting position statement. Charlottesville: University of Virginia, Curry School of Education.
go back to reference Lee, T., Cornell, D., Gregory, A., & Fan, X. (2011). High suspension schools and dropout rates for black and white students. Education and Treatment of Children, 34, 167–192.CrossRef Lee, T., Cornell, D., Gregory, A., & Fan, X. (2011). High suspension schools and dropout rates for black and white students. Education and Treatment of Children, 34, 167–192.CrossRef
go back to reference Mallett, C. (2016). The school-to-prison pipeline: A comprehensive assessment. New York: Springer Publishing Company. Mallett, C. (2016). The school-to-prison pipeline: A comprehensive assessment. New York: Springer Publishing Company.
go back to reference Merikangas, K. R., He, J., Burstein, M. E., Swendsen, J., Avenevoli, S., Case, B., et al. (2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey Adolescent Supplement (NCS-A). Journal of American Academy of Child Adolescent Psychiatiry, 50, 32–45. https://doi.org/10.1016/j.jaac.2010.10.006.CrossRef Merikangas, K. R., He, J., Burstein, M. E., Swendsen, J., Avenevoli, S., Case, B., et al. (2011). Service utilization for lifetime mental disorders in U.S. adolescents: Results of the National Comorbidity Survey Adolescent Supplement (NCS-A). Journal of American Academy of Child Adolescent Psychiatiry, 50, 32–45. https://​doi.​org/​10.​1016/​j.​jaac.​2010.​10.​006.CrossRef
go back to reference Muthén, L. K., & Muthén, B. O. (2019). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén. Muthén, L. K., & Muthén, B. O. (2019). Mplus User’s Guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
go back to reference Nadeem, E., Kataoka, S. H., Chang, V. Y., Vona, P., Wong, M., & Stein, B. D. (2011). The role of teachers in school-based suicide prevention: A qualitative study of school staff perspectives. School Mental Health: A Multidisciplinary Research and Practice Journal, 3, 209–221. https://doi.org/10.1007/s12310-011-9056-7.CrossRef Nadeem, E., Kataoka, S. H., Chang, V. Y., Vona, P., Wong, M., & Stein, B. D. (2011). The role of teachers in school-based suicide prevention: A qualitative study of school staff perspectives. School Mental Health: A Multidisciplinary Research and Practice Journal, 3, 209–221. https://​doi.​org/​10.​1007/​s12310-011-9056-7.CrossRef
go back to reference National Academies of Sciences, Engineering, and Medicine. (2016). Preventing bullying through science, policy, and practice (p. 10.17226/23482). Washington, DC: The National Academies Press. National Academies of Sciences, Engineering, and Medicine. (2016). Preventing bullying through science, policy, and practice (p. 10.17226/23482). Washington, DC: The National Academies Press.
go back to reference Pack, C., White, A., Raczynski, K., & Wang, A. (2011). Evaluation of the Safe School Ambassadors program: A student-led approach to reducing mistreatment and bullying in schools. Clearing House: A Journal of Educational Strategies, Issues and Ideas, 84(4), 127–133. https://doi.org/10.1080/00098655.2011.564974. Pack, C., White, A., Raczynski, K., & Wang, A. (2011). Evaluation of the Safe School Ambassadors program: A student-led approach to reducing mistreatment and bullying in schools. Clearing House: A Journal of Educational Strategies, Issues and Ideas, 84(4), 127–133. https://​doi.​org/​10.​1080/​00098655.​2011.​564974.
go back to reference Polanin, J. R., Pigott, T. D., & Espelage, D. L. (2012). A meta-analysis of school-based bullying prevention programs’ effects on bystander intervention behavior. School Psychology Review, 41, 47–65.CrossRef Polanin, J. R., Pigott, T. D., & Espelage, D. L. (2012). A meta-analysis of school-based bullying prevention programs’ effects on bystander intervention behavior. School Psychology Review, 41, 47–65.CrossRef
go back to reference Rumberger, R. W., & Losen, D. J. (2017). The Hidden Costs of California’s Harsh School Discipline: And the Localized Economic Benefits from Suspending Fewer High School Students. Civil Rights Project-Proyecto Derechos Civiles. Rumberger, R. W., & Losen, D. J. (2017). The Hidden Costs of California’s Harsh School Discipline: And the Localized Economic Benefits from Suspending Fewer High School Students. Civil Rights Project-Proyecto Derechos Civiles.
go back to reference Ryan, J. B., Peterson, R., Tetreault, G., & Vander Hagen, E. (2007). Reducing seclusion timeout and restraint procedures with at-risk youth. Journal of At-Risk Issues, 13, 7–12. Ryan, J. B., Peterson, R., Tetreault, G., & Vander Hagen, E. (2007). Reducing seclusion timeout and restraint procedures with at-risk youth. Journal of At-Risk Issues, 13, 7–12.
go back to reference Shriberg, D., Keeshawna, B., Jenkins, K., Immen, J., Sutter, C., & Cronin, K. (2017). Using student voice to respond to middle school bullying: A student leadership approach. School Psychology Forum, Research in Practice, 11, 20–33. Shriberg, D., Keeshawna, B., Jenkins, K., Immen, J., Sutter, C., & Cronin, K. (2017). Using student voice to respond to middle school bullying: A student leadership approach. School Psychology Forum, Research in Practice, 11, 20–33.
go back to reference Stephan, S. H., Sugai, G., Lever, N., & Connors, E. (2015). Strategies for integrating mental health into schools via a multitiered system of support. Child and Adolescent Psychiatric Clinics of North America, 24, 211–231.CrossRefPubMed Stephan, S. H., Sugai, G., Lever, N., & Connors, E. (2015). Strategies for integrating mental health into schools via a multitiered system of support. Child and Adolescent Psychiatric Clinics of North America, 24, 211–231.CrossRefPubMed
go back to reference Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Crisis services: effectiveness, cost effectiveness, and funding strategies. 1–54. (SMA)-14–4848. Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Crisis services: effectiveness, cost effectiveness, and funding strategies. 1–54. (SMA)-14–4848.
go back to reference Vreeman, R. C., & Carroll, A. E. (2007). A systematic review of school-based programs to prevent bullying. Archives of Pediatrics and Adolescent Medicine, 161, 78–88.CrossRefPubMed Vreeman, R. C., & Carroll, A. E. (2007). A systematic review of school-based programs to prevent bullying. Archives of Pediatrics and Adolescent Medicine, 161, 78–88.CrossRefPubMed
Metadata
Title
Impact of a School-Based, Multi-Tiered Emotional and Behavioral Health Crisis Intervention on School Safety and Discipline
Authors
Jill H. Bohnenkamp
Cindy M. Schaeffer
Rachel Siegal
Tiffany Beason
Mills Smith-Millman
Sharon Hoover
Publication date
01-05-2021
Publisher
Springer US
Published in
Prevention Science / Issue 4/2021
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-020-01195-3

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