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Improving Post- School Outcomes for Adolescents with Emotional/Behavio ral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services Coordinator for Albuquerque Public Schools, Ginny Johnson, Bureau Chief for Long- term Services Division Intake Eligibility, NM Dept. of Health

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Page 1: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Improving Post-School Outcomes for

Adolescents with Emotional/Behavioral

Issues

Deanne Unruh, University of OregonMarilyn D'Ottavio, Transition Services Coordinator for Albuquerque Public Schools,Ginny Johnson, Bureau Chief for Long-term Services Division Intake Eligibility, NM Dept. of Health

Page 2: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Session Overview

• Characteristics & outcomes of youth with E/BD

• Gaps & Barriers to Service

• Evidence-informed practices & program strategies

• Examples of model programs

Page 3: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

NLTS2 School Characteristics of

Youth with ED

• 53% of youth with ED received special education services prior to the age of 9

• 40 % of youth with ED have reported attendance in 5 or more schools

• 73% of youth with ED have been suspended and/or expelled

• Youth with ED have the highest dropout rate of any other disability category (4.2% in one year)

Page 4: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

NLTS2 Characteristics of Youth with ED

• 33.5% youth with ED receive some type of mental health services

• 46.5% of youth with ED reside with a single parent

• 34.7% of youth with ED reside in poverty

• 75% of youth with ED have been stopped by police other than for a traffic violation

• 58% of the ED sample were arrested at least once, and

(NLTS2, Wagner, et al., 2005)

Page 5: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

NLTS2 Post-School Outcomes 1 – 4 Years Out of School

27.420.4

38.6

30.6

0

20

40

60

80

100

Employed Post-SecondaryEnrollment

Perc

en

t

Emotional Disturbance Learning Disability

Page 6: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

84.3

61.2

34.3

22.2

49.1

23.816.2

9.9

0

20

40

60

80

100

Stopped ByPolice

Arrested In Fight past 12months

Carried aWeapon in last

30 days

Per

cen

t

Emotional Disturbance All other Disabilities

NLTS2 Other Post-School Experiences of Youth with ED

Page 7: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Service Needs of Youth with ED in Schools

• Multiple agencies beyond Special Education– Mental Health– Juvenile Justice– Vocational Rehabilitation– What else?

Page 8: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Service Gaps:

• In Age Continuity of Services

• Between Child & Adult Mental

Health Services

• Within & Across Systems

• In Effective, Developmentally Appropriate, and Appealing Services

Davis, Greene, & Hoffman (In Press)

Page 9: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Public Service System

AGE

Child Mental Health

Adult Mental HealthChild Welfare

Special Education

Juvenile Justice Criminal Justice

Substance Abuse

Vocational Rehabilitation

Housing

Birth Death

CHILD SYSTEM ADULT SYSTEM

Davis & Greene, in press

Page 10: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Essential Features of Service Delivery Model

• Individualized to Unique Needs of Youth

• Competitive Employment

• Social Skill Training

• Immediate Access to Wrap-Around Services Driven by Unique Needs of Individual

• Flexible Educational Opportunities

Bullis & Cheney, (1999)

Developing Transition Plan

Page 11: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Lessons Learned:Multi-Agency Collaboration

Development & dissemination

of Screening & Referral Process

Education of ALL local

partners

Regular planning meetings with multiple agencies

Use of formative evaluation data to review project services

Unruh & Bullis, (2005)

Page 12: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

Lessons Learned:

Youth with ED

Development of self-determination skills

Employment/education defined by interests/needs of youth

Employability skill training is more than the youth being employed

Important role of the Transition Specialist

Development of wrap-around servicesUnruh & Bullis, (2005)

Page 13: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

What can we do?Program Administrators

– Value, support, and conduct data-based decision-making evaluation activities for program improvement

– Ensure hiring practices that bring staff committed to transition-age youth; Job descriptions should specify expectations

– Ensure program staff have what it takes to do the job (e.g., cell phones, adequate compensation, access to ongoing training with TA, etc.

– Be an advocate for program staff and students re: program services

Unruh & Clark, (in press)

Page 14: Improving Post- School Outcomes for Adolescents with Emotional/Behavioral Issues Deanne Unruh, University of Oregon Marilyn D'Ottavio, Transition Services

What Can We Do? Transition Program staff

• Participate in data-based evaluation activities for program improvement

• Embrace and implement evidence-based practices for youth with ED

• Get to know your local partners and work closely with them

• Value the voice of your students to develop and implement transition plan

Unruh & Clark, (in press)