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11/8/17 CBITS Partners Connecticut Department of Children and - PDF document

11/8/17 CBITS Partners Connecticut Department of Children and Families Cognitive Behavioral Intervention for Trauma in Child Health and Development Institute Schools (CBITS) and Bounce Back (BB) in Connecticut Sharon Stephan (CBITS


  1. 11/8/17 CBITS Partners • Connecticut Department of Children and Families Cognitive Behavioral Intervention for Trauma in • Child Health and Development Institute Schools (CBITS) and Bounce Back (BB) in Connecticut • Sharon Stephan (CBITS Trainer) • Wheeler Clinic • Community Based Providers, Schools, School-Based Health Bethany Zorba (DCF) Centers Jason Lang, Ph.D. (CHDI) Danielle Moraes (Optimus Healthcare) Child Health and Development Institute What is CBITS/BB? Our Vision CBITS : School-based, group trauma focused • intervention All children have a strong start in life with ongoing supports to ensure their optimal health and well-being. • 10 group sessions • Plus individual child, caregiver, teacher sessions Our Mission Grades 5-12 • To ensure healthy outcomes for all children in Connecticut by advancing effective policies, stronger Bounce Back: Adaptation for Grades K-5 • systems, and innovative practices. Designed to: • Ø Reduce PTSD symptoms, depression, behavior Our Strategy problems We identify, demonstrate, support and promote effective health and mental health care innovations and Ø Improve grades, attendance, coping skills, peer/ improvements, working closely with providers, parent support policymakers, academic institutions and state agencies. CBITS/BB Eligibility CBITS/BB Implementation in CT • 2014: Cohort 1 started in two school-based health • Schools screen children to assess their eligibility for centers in Bridgeport (CBITS only) CBITS/BB using two assessments (trauma exposure & PTSD symptoms) 2015: Cohort 2 started in New Haven, New London, • and Stamford (CBITS only) To be eligible for CBITS/BB: At least 1 reported trauma exposure • 2016: Cohort 3 started in East Hartford, Norwalk, • Moderate levels of PTSD symptoms (diagnosis NOT • Bristol, New Haven, Hartford, and Enfield (CBITS & required) BB) • 2017: Expansion/new opportunities for providers/ Note: ~ 50% of all children screened to date have • schools screened positive 1

  2. 11/8/17 Current CBITS/BB Providers Outcomes to Date Optimus Health Care – Bridgeport 10 agencies • • • Southwest Community Health Center – Bridgeport • Wheeler Clinic – Bristol • 61 sites Integrated Health Services – East Hartford • • Community Health Center – Enfield 139 clinicians trained • The Village for Families & Children – Hartford • Child & Family Agency of Southeastern CT – New London • • Mid-Fairfield Child Guidance Center - Norwalk 768 children served • Stamford Public Schools - Stamford • Clifford Beers Clinic – New Haven • (and more) • Children Served Outcomes to Date N=527 N=62 N=143 N=442 N=33 Children reported an average of 7.9 different types of trauma events prior to treatment FY16 Outcomes Child Outcomes CBITS • 98% of group session activities completed (through SFY16) • Average clinician fidelity rating across groups = 3.6 out of 4 N=452 N=396 • 94% of caregivers satisfied with their child’s Mean PTSD Scores Pre- and Post- BB Group treatment 25 23.1 Bounce Back 20 (SFY17) 14.1 15 10 5 0 Pre Post N=124 2

  3. 11/8/17 Behavior Problems by Baseline PTSD Symptoms by Baseline Severity Severity N=129 N=48 N=212 N=107 FY16 Outcomes by Race Functioning by Baseline Severity N=140 N=13 N=41 N=4 N=140 N=204 N=31 Questions? CBITS/BB Implementation in CT • Agency/School commitment • Team-based Contact: Training & clinical consultation • Fidelity review • CHDI: Measurement & feedback system: data on all children • Jason Lang: jalang@uchc.edu served (EBP Tracker) www.chdi.org • Implementation consultation/TA • Agency funding DCF: Bethany Zorba bethany.zorba@ct.gov Clinician certification • Train-the-trainer : Selected clinicians who have • implemented CBITS/BB are trained as CBITS/BB trainers Danielle Moraes: dmoraes@opthc.org • CBITS Welcome Packet: www.chdi.org (go to CBITS) 3

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