In this epsidoes of Meeting Midway - Tier 2 Prevention we talk with Stephen Hibner on the importance of setting expectations. Setting expectation is a powerful, powerful tool that teams can use to enhance not only the quality of someone's but also build better communication and relationships with those involved. However, setting expectation needs to be done in the right way. During the course of this epsidoes Stephen and I will provide an example of a poor set expectation of a supervisor rambling off tasks and setting expectation to have them complete and then provide a much better approach. Stephen also highlights the importance of team involvement in setting expectation, the importance of taking on small tasks one at time, and the importance of "Earn" and "Don't Earn" and why we use this phrase. 
	
	Please see additional resources below.. 
	Set Expectation Vs. Rights Restrictions -- https://dmh.mo.gov/media/pdf/set-expectations-vs-rights-restrictions
	Tools of Choice - https://dmh.mo.gov/dev-disabilities/tools-of-choice
	
	Additional Resources…
	• Missouri Department of Mental Health - https://dmh.mo.gov/
	• Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
	• Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
	• Twitter - https://twitter.com/MentalHealthMO
	• Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
	• Missouri Division of Developmental Disabilities Youtube -https://www.youtube.com/channel/UCH_Q__AwF6WRtLjYpkNrZNQ
Missouri DMH Tier 2 Webpage - https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Ep. 11 Setting Expectation

On this epsidoes of Meeting Midway we talk with Rhi Evan's from the Missouri Behavioral Health Council. Our discussion is about Check In Check Out (CICO). Through our discussion Rhi explains what CICO is? Who benefits from this intervention? Why use CICO? How to implement CICO successfully and additional factors to consider before using this intervention. Please see show notes below. 

Show Notes: 
• Mental Health Monday DMH: chrome-extension://https://dmh.mo.gov/sites/dmh/files/media/pdf/2023/03/mentalhealthmonday030623.pdf 
• Journal of Organizational Psychology Vol 20 (3) 2020: "How to Sustain PBS without Magic in Forensic Psychiatric Facilities & Community Setting" - https://articlegateway.com/index.php/JOP/article/view/2936/2791
• PBISMissouir.org - Chapter 5 "Check-In, Check-Out": https://pbismissouri.org/wp-content/uploads/2017/06/5.0-MO-SW-PBS-Tier-2-Workbook-Ch-5-CICO.pdf

Additional Resources…
• Missouri Department of Mental Health - https://dmh.mo.gov/
• Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
• Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
• Twitter - https://twitter.com/MentalHealthMO
• Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
• Missouri Division of Developmental Disabilities Youtube -https://www.youtube.com/channel/UCH_Q__AwF6WRtLjYpkNrZNQ
Missouri DMH Tier 2 Webpage - https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Ep 12 Check-In, Check-Out

Thursday, November 30, 2023
4:51 PM

On this episode of meeting midway we take listen in on a panel discussion recently held at the Missouri Department of Mental Health 2023 Tiered Support Summit. The speakers for this summit included Sarah Ekart from Guardhouse, Kathleen Deppeler from DMH, Dr. Lucas Evan's from DMH and Nicole Jones from DMH. The panel discussion focuses in on the Missouri's Tiered Support progress by taking a historical approach by moving from individual consultation to agency wide consultation, the infusion of value based payments (present), and future goals currently being worked on by Tier 2, and Tier 3. Listener's will gain  a great deal of knowledge from this discussion that we hope will be used and fruitful for others. 

Please not that there will be no podcast released in Dec 2023 but we will be back in January 2024 with more episodes. 

Show Resources… 
• 2023 Tier Supports Summit - https://dmh.mo.gov/dev-disabilities/tiered-support-summit/2023

Additional Resources…
• Missouri Department of Mental Health - https://dmh.mo.gov/
• Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
• Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
• Twitter - https://twitter.com/MentalHealthMO
• Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
• Missouri Division of Developmental Disabilities Youtube -https://www.youtube.com/channel/UCH_Q__AwF6WRtLjYpkNrZNQ
Missouri DMH Tier 2 Webpage - https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Ep. 13 - Missouri 2023 Tiered Support Summit

On this episode we talk about Risk Screening. Out discussion centers on defining risk screening, defining a system, the importance of having a risk screening system for your agency and how to implement a risk screening within your organization and the several steps required. 

We note that in order to successful with Tier 2 Risk Screening that an agency needs to have Tier 1, universal strategies  implemented to fidelity. Key elements for successful implementation of Tie 2 include 1) Data Collection, 2) Coaching, & 3) Positive Consequences. 

After having a foundation with Tier 1, universal strategies, and have elements needed for Tier 2, the implementation of risk screen can following this basic model… 
	1) Agency ids data points that would show risk for a person, create criteria of what constitutes risk. 
	2) Has written procedures that outlines how that data is collected. 
	3) Staff is trained on how to collect the data the agency will use to identify risk. 
	4) Develop procedures on how that data is aggregated together and reviewed in order to identify the red flags (risk criteria being met). 
	5) Develop a procedure on what to do once risk is identified and the process to address it. 
	6) Identify and outline a procedure on how to implement approprate intervention to address risk. 
	7) Monitor those intervention to identify when to fade out or if there is a need for more support. 

Please see additional show notes below. 

DMH Tier 2 Webpage: https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2
Chapter 3 - Student Identification Process. PBIS Missouri. https://pbismissouri.org/wp-content/uploads/2018/08/Tier-2-2018_Ch.-3.pdf
Data Based Decision Making: https://mnpsp.org/wp-content/uploads/2022/08/3.23.22IDD-Brief-Using-Data-for-Decision-MakingFINAL-FINAL.pdf

Additional Resources…
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 14 Tier 2 Risk Screening

On this episode of Meeting Midway we discuss the Targeted System of Support Evaluation Tool (TSSET) with Nicole Jones. The purpose of this tool is to measure the implementation of Tier 2 and Tier 3 efforts among supported individuals within an organization. The tool itself, when administer, highlights consistent Tier 2 and Tier 3 efforts while also addressing gaps that need to be strengthened or areas that need to be implemented. At this time Missouri is the only state using the TSSET and is leading the rest of the nation in this approach however collaboration and connections are being made across the USA and internationally as well. Please see show notes for additional information below… 

Show Notes: 
May Institute: https://www.mayinstitute.org/services-for-schools/pbs-consult-dds-funded-org.html
Minnesota PBS: https://mnpsp.org/
PBIS.org Assessments: https://www.pbis.org/resource-type/assessments 
DMH DD Tiered Support Infographic on Risk Criteria: https://dmh.mo.gov/media/pdf/tiered-supports-risk-criteria-graphic
TSSET: https://dmh.mo.gov/media/pdf/tsset
Tier 2 Webpage: https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2

Additional Show Notes: 
Missouri Department of Mental Health - https://dmh.mo.gov/
Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
X - https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

EP 18. TSSET May 2024

On this episode we're with Molly Dellinger, Taylor Thomas Harris, and Kayla Diggs Brody about CHAT, which stands for Communication and Health Advocate Training (CHAT). This tool is designed to make healthcare conversation more accessible and personalized for individualized diagnoses with developmental disabilities. The tool empowers individuals to take ownership of their own healthcare needs through opening channels of communication between the individual, their staff and their healthcare providers during routine and/or scheduled medical appointments. If you would like to learn more about CHAT please see resources below. 

Show Notes and Resources
	- Virginia Commonwealth University - Partnership for People with Disabilities - https://partnership.vcu.edu/programs/health/communication-and-health-advocacy-training-chat/
	- Virginia Commonwealth University - Partnership for People with Disabilities - Communication and Health Advocacy Training (CHAT)- https://cdl.partnership.vcu.edu/health-advocacy-training-chat/
	- Virginia Commonwealth University - Partnership for People with Disabilities - Workbook for Person Centered Health Profile - https://cdl.partnership.vcu.edu/health-advocacy-training-chat/workbook-for-person-centered-health-profile/
	- Virginia Commonwealth University - Partnership for People with Disabilities -Person Centered Health Profile - https://cdl.partnership.vcu.edu/health-advocacy-training-chat/person-centered-health-profile/
	- Virginia Board for People with Disabilities - https://vbpd.virginia.gov/grantee/communication-health-advocacy-training-chat/

Additional Resources 
	- Missouri Department of Mental Health - https://dmh.mo.gov/
	- Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
	- Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
	- X - https://twitter.com/MentalHealthMO
	- Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 19. Communication and Health Advocacy Training (CHAT)

On this epsidoes of Meeting Midway we're discussing what data is and why it is important. Data is complex and has many different layers that we attempt to unravel in this episode. We first attempt to operationally define what data is. Next we go into why its important to collect data, how we can use data, and provide ideas on what is good and bad data. Our hope for this epsidoes is that listeners will develop greater knowledge on this subject and begin to view data not as just confusing statistic or to complicated to collect and review, but rather to understand how data can help you and why you need it for your organization. 

Please see the show notes below for information discussed in this episode.

SMART Goals (DMH): https://dmh.mo.gov/media/pdf/smart-goals
Smart Goal Development - Agency Tiered Supports (DMH): https://dmh.mo.gov/media/pdf/smart-goal-development
"What are SMART Goals? Definition, Best Practices, and How to Make Your Own" - Tableau: https://dmh.mo.gov/dev-disabilities/tiered-supports/mtss
MTSS (DMH): https://dmh.mo.gov/dev-disabilities/tiered-supports/mtss
Tammy McCausland (2021) The Bad Data Problem, Research-Technology Management, 64: 1, 68-71, DOI: 10.1080/08956308.2021:1844540 (https://www.tandfonline.com/doi/epdf/10.1080/08956308.2021.1844540?needAccess=true)
Brown, A.W, Kaiser, K. A., Allison, D.B. (March, 2018) Issues with data and analyses: Error, underlying themes, and potential solutions, PNAS, 115,11,2563-2570. (https://www.pnas.org/doi/epdf/10.1073/pnas.1708279115)
Cooper, J. O., Heron, T. E., & Heward, W. L. (2020). Applied behavior analysis (3rd ed.). Pearson.
Ep 9 of Meeting Midway - Action Planning: https://open.spotify.com/episode/1CXpJpOEZbRVrbjoNn9Ngm?si=29owi32uQgCubPjLPsa88Q
Ep 14 of Meeting Midway - Tier 2 Risk Screening: https://open.spotify.com/episode/3apFVeOsaOsuPNSMMXrINE?si=WfD6OWW2RzqMHYGDtLMShg
Ep 18 of Meeting Midway - TSSET May 2024: https://open.spotify.com/episode/09mgPULF0JSJW5WIqHxIta?si=2ezH5V7JQhWM2gKt33wavA
Ep 21 of Meeting Midway - Tiered Fidelity Tools: https://open.spotify.com/episode/2nkj9ULg7Wy5fv4R3JKQDy?si=1kevLP-FR1yhHj6MKr0Kcw


Additional Resources 
Missouri Department of Mental Health: https://dmh.mo.gov/
Missouri Department of Mental Health Facebook: https://www.facebook.com/MODivisionDD
Missouri Division of Developmental Disabilities Facebook: https://www.facebook.com/MODivisionDD
X: https://twitter.com/MentalHealthMO
Missouri Department of Mental Health Youtube: https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube: https://www.youtube.com/@modivisionofdevelopmentald1632

Ep 22 -Do you have data?

On this epsidoe we'll be talking about fading and its importance with Tier 2 interventions. Have you ever considered this topic before? Perhaps not as this topic is often overlooked or may be considered late in the game when others implement interventions. Fading is a critical part of any intervention and staff and/or teams who implement interventions need to have an understanding on this topic. Over the course of this episode you'll learn several things about fading such a basic definition, why we should never fade intervention quickly, how to making fading successful, etc... Know that in future epsidoes we'll go over this topic a little more but for now we hope that you're able to sit back, relax and gain a little more understanding about fading. 

Show Resources 
	- Cowan, L. S., Lerman, D. C., Berdeaux, K. L., Prell, A. H., & Chen, N. (2022). A decision-making tool for evaluating and selecting prompting strategies. Behavior Analysis in Practice, 16(2), 459–474. https://doi.org/10.1007/s40617-022-00722-8 
	- Tier 2 Webpage: https://dmh.mo.gov/dev-disabilities/tiered-supports/tier-2
	- Ep 12 Meeting Midway: https://open.spotify.com/episode/1M83grp9ksITCijqSSPx3d?si=617aNiVuSjiDhCMCUZOi0w 

Additional Resources 
	- Missouri Department of Mental Health - https://dmh.mo.gov/
	- Missouri Department of Mental Health Facebook - https://www.facebook.com/MODivisionDD
	- Missouri Division of Developmental Disabilities Facebook - https://www.facebook.com/MODivisionDD
	- X - https://twitter.com/MentalHealthMO
	- Missouri Department of Mental Health Youtube - https://www.youtube.com/channel/UCPsFpAHi-lN5sEaf_pbhEWg
Missouri Division of Developmental Disabilities Youtube - https://www.youtube.com/@modivisionofdevelopmentald1632resour

New tracks tagged #Positive behavioral supports