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School-based interventions to reduce drug/alcohol use Evidence-based practice in the trenches www.pv-psg.org 316-284-6446 [email protected]

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School-based interventions to reduce drug/alcohol use

Evidence-based practice in the trenches

www.pv-psg.org 316-284-6446 [email protected]

Who is Prairie View? Non-profit Community Mental Health Center Open since 1954 450 employees, serves 12,000 patients/year Full range of services, including inpatient hospital,

outpatient therapy, school for at-risk youth, adolescent residential program, community-based outreach, housing

15 years of clinical outcomes research 14 years of adventure-based programming with inpatient,

outpatient, and non-clinical populations of all ages 6 years of outcomes research in adventure Partnering with Project Adventure to study outcomes tools,

provide open enrollment trainings, and study behavioral management models.

Who is Process Solutions? Prairie View’s organizational consulting,

training, and research division Vision statement: Renewing Spirit,

Discovering Strengths, Pursuing Excellence

Three core components Process Communication Model (PCM) Adventure-based learning models Self-Efficacy outcomes measurement

Overview Setting the stage Getting the contract – making the case,

connecting the dots Research design and data collection Results so far Lessons learned Discussion

Prior experience Worked with Haysville Alternative school

during 2005-2006 school years experimenting with combination of adventure course and school-based adventure groups.

Collected outcomes data with control groups showing effectiveness in raising self-efficacy

Had begun capacity building with alternative school staff to conduct school-based groups

The big one! Haysville school district taking bids on

drug-alcohol reduction programs Already had a liking for adventure-based

methods Strong school board pressure for hard-line

fear-based tactics such as drug dogs School advisory council allowed us to

make a presentation, submit a bid

Making our case Escalating drug and alcohol use, along with the

negative health and societal consequences Increasing communication gap between youth

and adult culture Changes in socio-economic profile and gaps Increasingly fragmented family and community

support systems More and more responsibility shifted to schools to

help deal with the problems So many things interfering with the learning

process

Our hope

Reducing drug and alcohol use/abuse among youth

Making school a place where youth are developing the skills necessary to become healthy, contributing adults

Feeling like we are really connecting with kids, making a difference in their lives

Modeling effective approaches, where others can come to observe and learn

Where’s the problem? Where’s the solution? Attitudes, values, and beliefs about

student drug and alcohol use From your perspective, what’s the solution

to all this nonsense?

How did you answer? Nurturing ___ Values ___ Information ___ Fun ___ Direction ___ Excitement ___

Source: Pauley, Bradley & Pauley (2003). Here’s How to Reach Me. Brooks Publishing

How youth are engaged

Nurture

Values

Fun

Information

Direction

Excitement

How at-risk youth are engaged

Nurture4%

Values4%

Fun48%

Information4%

Direction8%

Excitement32%

Less than 20% of the youth account for more than 80% of the problems

Toward No Drug Abuse (TND) SAMHSA Model program status Lists individual, family, school, and

community protective factors 1/3 of the factors relate to having

adequate information The remaining 2/3 relate to developing

social and emotional intelligence

CTC Survey Data for Haysville Drug/Alcohol use above county and state

averages on most indicators Below averages on protective factors Above averages on risk factors Getting bad press Of the 17 peer/individual, family, and school risk

factors, 14 relate to social/emotional intelligence process factors, i.e. patterns of getting motivational needs met in unhealthy ways, failure to engage or relate effectively, or mismatch between environmental demands and coping skills

So what are the keys? Self-awareness - understanding what makes me

tick and stop ticking effectively Responsibility - Skill-building in meeting my

needs in healthy ways, recognizing and reversing negative attention patterns

Belief in my ability to act on what I know and learn

Hope that my effort will get me somewhere Support - peer, school, family, and community

support for positive change

Self-Efficacy A person’s belief in their ability to act in a manner

appropriate and necessary to deal with various situations (Bandura)

Social/Emotional skills in action The difference between what you know, and what

you do with what you know. With regard to it’s impact on health and wellness,

positive behavior change, and overcoming obstacles, self-efficacy is the most well-researched and strongly supported construct currently available.

For a glimpse into the world of self-efficacy, go to www.des.emory.edu/mfp/self-efficacy.html

Self-Efficacy Differs from attitudes, values and beliefs about

others or situations – self-efficacy is focused on personal capabilities.

Transcends age, gender, type of problem, or socioeconomic status.

Self-efficacy is necessary for a person to act on what they know or learn.

It connects a person’s innate gifts, resources and potential with the demands of the real world

Is NOT self-esteem (see work by Roy Baumeister) Strongly connected to failing forward and

resilience

Process Solutions knows what works

Prairie View has a 52 year history in building self-efficacy. We are in the change business.

14 year history in measuring outcomes in mental health and substance abuse treatment exploring the most effective approaches.

Just received Lattner Foundation grant to advance our work in outcomes

13 year history in adventure-based programming Present nationally at conferences Published outcomes tools Partnership with Project Adventure, the nation’s premier adventure

training and programming organization Ongoing calendar of training programs Ongoing research programs Proven results with local schools

Programs are effective when they… Understand the impact of personality on behavior,

engagement, learning, and motivation Involve models of personality that go deep enough in

explaining distress, negative attention, and many of the dynamics influencing drug/alcohol use

Place emphasis both on providing information AND building self-efficacy

Focus on potential and resiliency instead of what’s wrong with youth (i.e. strengths-based)

Focus on empowering youth to make positive changes rather than trying to control behavior

Include effective capacity-building for staff Provide tools for culture change within systems

Our tools Perceived Competence of Functioning Inventory (PCFI) – 16

item self-report assessment of self-efficacy Motivational competencies* - setting and pursuing goals Affective competencies – dealing with feelings about self Cognitive competencies – judgment and critical thinking Relational competencies* - connecting with others, giving

and receiving support General Level of Functioning – overall efficacy

Internal consistency of .88 - .90 Test-retest reliability - .73 Validated against the MCMI, Hope Scale, Ways of Coping

Scale, Brief Symptom Index, and OQ-45

* Preliminary data from a large-scale longitudinal study at University of Minnesota on the impact of adventure-based interventions on drug/alcohol use shows that raising motivational and relational competencies are the two strongest predictors of success.

Our toolsPCFI 8-item scale for ages 10-13

Same subscales as PCFI-16psychometrics not established

yet

Our tools Process Communication Model (PCM)

Transactional personality communication model Defines 6 personality types, each with specific and

predictable Perceptual filters and preferred “channels of communication” Character strengths Psychological needs and motivators Learning styles and environmental preferences Second by second negative attention and sabotage behaviors Likely racket emotions /authentic unresolved emotions Typical clinical manifestations

Manual, training trajectory, and competency skills verification exists, so fidelity easier to manage

Experiential/Adventure Learning Learning through doing Clearly superior to “sit n git” learning – enhances retention

and application of material Engages multiple learning and personality styles When done well, closely mimics real-life social and

emotional challenges Proven to positively impact key areas of self-efficacy Published meta analysis proves effectiveness Our data from 800 students completing similar programs

over the last 3 years replicates these findings

Our success with youth

Analysis of 800 youth participating in our adventure course programs show statistically significant gains in self-efficacy with moderate to large effect sizes.

Numerous individual examples of transformed lives.

No comparison groups or follow-up data yet.

Our success with at-risk youth Grades 6-12

Analysis of 204 at-risk students from 5 different schools (including Haysville Alternative) who have completed our school-based programs since 2005, and 23 matched controls. Slight reduction in motivational, affective, cognitive, and

relational capabilities for control group* Significant improvements in all scales for treatment group When asked to rate their confidence in coping without using

drugs or alcohol – negligible change in control group, improvement in treatment group. Although the improvement was fairly small, it was 15 x larger than the change in the control group.

* Our programs reversed a negative trend without changing curriculum or staffing. When we train staff and parents to use these tools, outcomes can be even more dramatic.

Why choose Process Solutions?

Local relationships and support that will be here for the long term

Clinical expertise and history Proven tools, proven outcomes Research experience and national

partnerships for excellence Shared values

What do you have to gain? Impact on target behaviors, enhanced

student efficacy and achievement, enhanced staff morale

Publicity and recognition for innovation Opportunity and research data to obtain

grant funding

Implementation Planstart small, demonstrate results, get funding to expand

Level 1: Direct services for at-risk youth Level 2: Capacity building for staff Level 3: Consultation/Coaching Level 4: Advanced training to build local

leaders

Level 1: Direct Services LEEP program – Learning and Empowerment

through Experiential Programs Up to 15 students 1 hour/week on-site groups for 6 weeks Finish with 1 day on adventure course Outcomes tracking for treatment and matched control

group Fidelity

Program manual Weekly facilitator consultation group Dual facilitator model

Level 2: Capacity Building

2 day PCM training (second semester) Content

Teach teachers the PCM model, which outlines basic skills in connecting, motivating, and reducing conflict in the classroom for all 6 personality types

Teach tools for empowering students to get their psychological needs and motivators met in healthy, productive ways (rather than with drugs/alcohol/violence)

Teach basics of transforming the classroom into an environment that supports all learning styles and engages all students

Could be applied for parents as well (perhaps even include parents?)

Fidelity Manual and rigorous certification training Regular group consultation among trainers Dual trainer model

Level 3: Consultation/Coaching PVPS staff on-site for regular consultation

and coaching 1 hour ten times during semester

Level 4: Advanced Training For selected staff/students who will be mentors

and consultants to rest of the system Students selected/apply from LEEP program 3-days customized training in using PCM and

adventure based methods in the school to: enhance impact of programs such as Challenge Day or

other adventure-based programs, every day throughout the year.

meet diverse student needs increase self-efficacy break down barriers and stereotypes build peer accountability culture

Funding Options Funds that directly relate to these services

Safe and Drug Free Schools dollars Staff Development funds At Risk Student funds

Other options?

Anticipating resistance

Yes, but…. Not many people will receive your services. How

can that really make a difference? At risk youth can lead the gangs, or they can lead the

healthy initiatives. Connect with them first. It’s not about Prairie View connecting with each person.

It’s about initiating a culture change, moving toward a tipping point, empowering the right people to spread positive energy, finding and developing leaders, and gaining momentum.

Capacity building recognizes that those who deal with the kids, families, and community day in and day out are the ones who can really make a difference.

Yes, but…. What about the kids who are already

using? You can’t stop them, but you can begin to

create a culture and environment that is incompatible with drug/alcohol abuse

This is a long-term investment

Yes, but…. When will we fit this all in?

How are at risk youth spending their time now? How productive is it? What are they accomplishing?

How much time are staff spending dealing with the distraction of disengaged youth, consequences of drug/alcohol use and other problems we are attempting to address?

The intended result is that everyone involved (staff and students) are making more productive use of their precious time.

Yes, but…. What about the schools who aren’t involved…what can they

do? Assist in efforts to find funding Work to develop community coalitions and partnerships Volunteer to be a control group Send one or two staff to our open enrollment seminars to test-

drive what we do Initial demonstration training should include staff from around

the district so we can discuss this question during those two days

Promote the program and listen to what others are learning

Obtaining Collaboration Built on existing relationship with the

district’s education coordinator and principle from one of the grade schools

Proposal presented to district site council Follow-up presentations and planning

meetings with principles and counselors from the two participating schools

Research Design Crossover design. Conditions crossed over at

Spring semester New elementary school - 5th graders – 2 classes

(N = 27) experimental group, 2 classes (N = 28) control group

H.S. – Access Program for students designated as “at risk” based on grades and other behavioral indicators 49 students Randomly assigned to experimental and

control groups

Data Collection Protocol PCFI at week 1, 4, and 6 of LEEP, day before and

day after Adventure course, and semester end. Control group: Week 1, 4, 6, and semester end Behavioral data collected for prior year (2006)

and current year to date. GPA Math and Reading test scores Attendance (h.s. only) Behavioral referrals (h.s. only) Attendance (h.s. only)

Challenges along the way Getting all the PCFI data collected

Designated internal staff person trained to collect all PCFI data for every condition

All PCFIs were completed in classroom setting, same time of day (even for adventure course)

PVPS facilitators brought data back to our lab for scoring

Our outcomes coordinator had constant contact with school to update on status of data collection, missing data, etc.

Challenges along the way Changing plans mid-stream

H.S. staff didn’t show up for consultation, didn’t support LEEP program

Resources and funds diverted to elementary school for second semester

Challenges along the way Gathering behavioral data

Took several months for school to collect and deliver all the data

Lots of missing data, no referral or attendance data for elementary students

Lots of passing the buck

What we’ve got so far! Psychometrics of the PCFI PCFI self-efficacy data for program and

control groups Associated behavioral data for program

and control groups

Testing Internal Consistency 49 high school students completed PCFI-16 at 4

time frames throughout semester. Program group (N = 25) also completed PCFI before and after day on adventure course

55 5th grader students completed PCFI-8 at 4 time frames throughout semester. Program group (N = 28) also completed PCFI before and after day on adventure course

Full Scale ReliabilityPCFI-16 and PCFI-8

0.50.550.6

0.650.7

0.750.8

0.850.9

0.951

Week 1 Week 3 Week 6 Pre-Adv.Course

Post-Adv.

Course

Week13

Time Frame

PCFI-16

PCFI-8

Implications Reliability goes up with repeated administrations

(would be expected) but stabilizes somewhat over time

As with our previous experience, initial administration with a group is less reliable than follow-up administrations (demand characteristics, lack of trust, etc.)

8-item PCFI performed respectably, may present a viable alternative for younger children

Examining test-retest reliability, and subscale characteristics are the next steps

Pre-Test Mid-TestPost-Test Adv-Pre Adv-Post

Semester End

Pre to End

Change

Pre to End St. Dev.

Pre to End

Effect

Pre to Adv Post Change

Pre to Adv Post

Effect

Motivational 55.51 60.00 63.33 64.07 61.85 62.22 6.71 13.46 0.50 6.34 0.45Cognitive 61.38 62.76 65.19 65.19 61.48 62.59 1.21 14.57 0.08 0.10 0.01Relational 63.10 65.17 64.81 66.67 66.67 64.81 1.71 13.26 0.13 3.57 0.25Affective 63.79 66.55 66.30 65.93 67.41 66.30 2.51 16.84 0.15 3.62 0.21GLF 60.95 63.62 64.91 65.46 64.35 63.98 3.03 11.04 0.27 3.40 0.28

Prairie Elementary School - Program Group

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Ave

rage

Sco

re

Pre-Test Mid-Test Post-Test Adv-Pre Adv-Post Semester End

Pre-Test Mid-TestPost-Test

Semester End

Pre to End

Change

Pre to End St. Dev.

Pre to End

Effect

Motivational 58.00 58.89 57.31 55.00 -3.00 8.53 -0.35Cognitive 65.00 58.89 60.00 57.69 -7.31 12.03 -0.61Relational 63.33 62.22 63.46 62.69 -0.64 13.32 -0.05Affective 67.67 71.85 66.54 65.00 -2.67 12.01 -0.22GLF 63.50 62.96 61.83 60.10 -3.40 7.97 -0.43

Prairie Elementary School - Control Group

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Ave

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core

Pre-Test Mid-Test Post-Test Semester End

Prairie Elementary – PCFI Results

Motivational

55.057.059.061.063.065.067.069.071.073.075.0

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

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Adv-P

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nd

Ave

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Program Control

Prairie Elementary – PCFI Results

Cognitive

55.057.059.061.063.065.067.069.071.073.075.0

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

re

Adv-P

ost

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nd

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Program Control

Prairie Elementary – PCFI Results

Relational

55.057.059.061.063.065.067.069.071.073.075.0

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

re

Adv-P

ost

Semes

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nd

Ave

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Program Control

Prairie Elementary – PCFI Results

Affective

55.057.059.061.063.065.067.069.071.073.075.0

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

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Adv-P

ost

Semes

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Ave

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Program Control

Prairie Elementary – PCFI Results

General Level of Functioning

55.057.059.061.063.065.067.069.071.073.075.0

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

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Adv-P

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Program Control

5th Grade SamplesGPA prior year vs. this year

0

0.5

1

1.5

2

2.5

3

3.5

GPA '06-07 GPA '07-08

Program

Control

5th Grade SampleMath scores prior year vs. this year

196198200202204206208210212214

Math Fall '06 Math Fall '07

Program

Control

5th Grade SamplesReading scores prior year vs. this year

194196198200202204206208210

Reading Fall '06 Reading Fall '07

Program

Control

GPA '06-07

GPA '07-08

Change Size

Stan. Dev.

Effect Size Sig. Level

Program 2.22 3.05 0.83 1.46 0.57 Control 2.22 3.18 0.96 1.66 0.58 n.s

Math Fall '06

Math Fall '07

Change Size

Stan. Dev.

Effect Size

Program 202.62 207.68 5.06 11.62 0.44Control 205.36 212.04 6.68 11.93 0.56 n.s

Reading Fall '06

Reading Fall '07

Change Size

Stan. Dev.

Effect Size

Program 200.27 200.39 0.12 13.13 0.01Control 203.73 209.15 5.42 11.72 0.46 p = .03

Behavioral Measures Prairie Elementary

Prairie Elementary SummaryProgram Vs. Control Summary PCFI

No difference between groups on any scales at beginning

Motivational scale significantly higher at end for program group

Cognitive scale approaching significance at end for program group

GPA Change Scores N.S. difference between groups

Math Change Scores N.S. difference between groups

Reading Change Scores Control group started higher and made significantly

more change than program group

Pre-Test Mid-TestPost-Test Adv - Pre

Adv - Post

Semester End

Pre to End

Change

Pre to End St. Dev.

Pre to Post

Effect

Pre to Adv Post Change

Pre to Adv Post

Effect

Motivational 56.00 56.35 54.96 57.63 59.00 58.17 2.17 13.04 0.17 3.00 0.24Cognitive 49.04 50.96 51.70 52.74 55.60 50.67 1.63 17.50 0.09 6.56 0.43Relational 55.65 50.78 54.37 55.26 53.60 47.50 -8.15 14.34 -0.57 -2.05 -0.14Affective 53.57 53.91 57.93 56.59 59.00 57.17 3.60 16.23 0.22 5.43 0.37GLF 53.57 53.00 54.74 55.56 56.80 53.38 -0.20 13.15 -0.01 3.23 0.27

Campus High School - Program Group

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Ave

rage S

core

Pre-Test Mid-Test Post-TestAdv - Pre Adv - Post Semester End

Pre-Test Mid-TestPost-Test

Semester End

Pre to End

Change

Pre to End St. Dev.

Pre to Post

Effect

Motivational 59.26 58.00 57.08 60.00 0.74 12.49 0.06Cognitive 50.67 52.33 54.46 54.73 4.06 15.20 0.27Relational 56.00 55.00 54.15 54.91 -1.09 15.77 -0.07Affective 60.00 59.83 58.62 56.36 -3.64 16.81 -0.22GLF 56.48 56.29 56.08 56.50 0.02 13.12 0.00

Campus High School - Control Group

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Ave

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core

Pre-Test Mid-Test Post-Test Semester End

Campus High School – PCFI Results

Motivational

45.0047.0049.0051.0053.0055.0057.0059.0061.0063.0065.00

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

re

Adv-P

ost

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nd

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Program Control

Campus High School – PCFI Results

Cognitive

45.0047.0049.0051.0053.0055.0057.0059.0061.0063.0065.00

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

re

Adv-P

ost

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ter E

nd

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Program Control

Campus High School – PCFI Results

Relational

45.0047.0049.0051.0053.0055.0057.0059.0061.0063.0065.00

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

re

Adv-P

ost

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ter E

nd

Ave

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Sco

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Program Control

Campus High School – PCFI Results

Affective

45.0047.0049.0051.0053.0055.0057.0059.0061.0063.0065.00

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

re

Adv-P

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nd

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Program Control

Campus High School – PCFI Results

General Level of Functioning

45.0047.0049.0051.0053.0055.0057.0059.0061.0063.0065.00

Pre-

Test

Mid-Te

st

Post-

Test

Adv-P

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Adv-P

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Program Control

High School Students - GPA

0

0.5

1

1.5

2

2.5

GPA '06-07 GPA '07-08

Program

Control

High School Students - Reading

215

216

217

218

219

220

221

222

Reading Fall '06 Reading Fall '07

Program

Control

High School Students - Math

219

220

221

222

223

224

225

226

227

Math Fall '06 Math Fall '07

Program

Control

High School Students - Missed Days

0

2

4

6

8

10

12

14

Attendance '06-07 Attendance '07-08

Program

Control

High School Students - Referrals

0

2

4

6

8

10

Referrals '06-07 Referrals '07-08

Program

Control

Behavioral Measures – Campus H.S.

GPA '06-07 GPA '07-08Change

SizeStan. Dev.

Effect Size Sig. Dif?

Program 1.86 2.04 0.18 0.83 0.22Control 1.61 1.73 0.12 0.66 0.18 n.s.

Referrals '06-07

Referrals '07-08

Change Size

Stan. Dev.

Effect Size

Program 2.85 7.94 5.09 5.28 0.96Control 3.54 9.48 5.94 5.25 1.13 n.s

Attendance '06-07

Attendance '07-08

Change Size

Stan. Dev.

Effect Size

Program 11.81 3.72 -8.09 8.26 -0.98Control 9.19 5.43 -3.76 7 -0.54 0.01

Math Fall '06Math Fall

'07Change

SizeStan. Dev.

Effect Size

Program 224.74 221.35 -3.39 8.83 -0.38Control 221.26 225.67 4.41 9.91 0.45 0.02

Reading Fall '06

Reading Fall '07

Change Size

Stan. Dev.

Effect Size

Program 220.91 218.62 -2.29 8.93 -0.26Control 219.35 217.04 -2.31 9.19 -0.25 n.s.

H.S. At risk youth SummaryProgram Vs. Control Summary PCFI

Groups did not differ significantly at the beginning on any scales

Groups did not differ significantly at the end on any scales

GPA Change Scores N.S. difference at beginning or end of semester

Math Change Scores N.S. difference at beginning or end of semester

Reading Change Scores Control group started higher and made significantly

more change than program group

Haysville Teachers on Adventure Course (n =9)

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Ave

rage

Sco

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Pre-Test Post-Test

PCM Quality Educator Relations Seminar (n = 18)August 29-30, 2007

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Avera

ge S

core

Pre-Test Post-Test

Teacher Capacity building

Pre-Test Post-Test Change Effect Size

Motivational 64.22 65.78 1.56 0.23Cognitive 58.00 62.67 4.67 0.44Relational 58.22 61.33 3.11 0.35Affective 59.33 61.11 1.78 0.18GLF 59.94 62.72 2.78 0.37

Pre-Test Post-Test Change Effect Size

Motivational 62.67 67.56 4.89 0.69Cognitive 62.67 68.89 6.22 0.66Relational 56.89 62.67 5.78 0.67Affective 60.00 65.78 5.78 0.80GLF 60.56 66.22 5.66 0.78

Day on the adventure course

Two-day course on student communication and motivation

Alternative H.S. Students School-based groups running

autonomously using school staff Each semester the group comes to the

adventure course.

Haysville Alternative (n = 16)

20.0

30.0

40.0

50.0

60.0

70.0

80.0

Motivational Cognitive Relational Affective GLF

Avera

ge S

core

Pre-Test Pre-Adv. Post-Adv. Mid-Test Post-Test

Pre-Test Pre-Adv. Post-Adv. Mid-Test Post-Test Change St. Dev. Effect Size

Motivational 56.50 59.00 64.75 59.20 61.50 5.00 10.82 0.46Cognitive 50.00 56.50 63.25 52.53 54.25 4.25 9.58 0.44Relational 49.25 55.75 63.50 52.00 49.25 0.00 11.24 0.00Affective 51.50 57.75 68.25 58.40 59.50 8.00 13.22 0.61GLF 51.81 57.25 64.94 55.53 56.13 4.32 8.77 0.49

Good news / Bad news Prairie Elementary has invested fully, is moving

forward with teacher capacity building and culture shifts.

Campus high school still teetering, trying to decide what to do – wants us to treat the problem kids, little ownership for culture change.

Alternative high school continues to use the adventure course, and rely on us for consultation, and achieving great results.

Comparing these three schools, seems that it pays to commit over time, invest in internal capacity, and integrate adventure more fully into the educational climate.

Next Steps Finish out school year, see what second semester

data after crossover looks like. Definitely increase intensity of school-based

interventions in both schools. Continue to track behavioral and PCFI data over

the next 12-18 months. Stick with protocol as best we can. Explore ways to increase motivational and

relational scales more. Continue tracking CTC data Explore gender differences as well as the

psychometrics of PCFI-8 Examine fidelity of implementation better