1 Presentation Note: Before the workshop begins make sure the following occurs:Show this slide on the screen as participants are coming into the room. Presenter(s) add their names, organization, and date to the slide. Make sure that you remain mindful of the purpose of this presentation. This presentation is intended to encourage the audience to seriously consider PREPaRE training in their districts and schools. It is NOT intended to discuss the content in much detail at all, but to introduce some key ideas and concepts which represent empirically supported best practice in school crisis prevention and intervention. Sample Presentation Language is presented in the event you need to further explain a concept or idea. You need not read all, but use parts of it to make a particular point. Background Information is provided to help inform the presentation. Overview: PREPaRE School Crisis Prevention and Intervention Training Curriculum ©2016, National Association of School Psychologists,

2 Please Note: This is a brief overview of the PREPaRE curriculum and is not an official PREPaRE training. To find out more about the PREPaRE curriculum, visit To schedule a training, contact   Updated October 13, 2016

3 Why Do Schools Need This Training?School crisis management is relatively unique and requires its own conceptual model. School climate and safety are associated with academic achievement. All schools will experience some level of crisis. Federal law, the Every Student Succeeds Act (ESSA), includes significant emphasis on comprehensive school safety. Good crisis planning and preparation help mitigate traumatic impacts in event of a crisis. Comprehensive Safety = Physical and Psychological Safety Sample Presentation Language: As reflected on this slide, school crisis management is unique. As we will be discussing throughout this workshop, research shows that prevention programming; school culture; school climate and safety; and crisis planning, preparedness, response, and recovery can positively or negatively affect academic achievement. In today‘s world, quality prevention programming and crisis management are no longer optional, but are expected and required. NCLB set the stage for the importance of schools being ready to address crises. The reauthorization of this Act, now called Every Student Succeeds Act (ESSA), carries on this mandate with a focus on safety. (Related to bullet points) Time Permitting - Ask: In the event of a crisis, can someone give me an example of how the school culture and structure are unique and how not knowing this might affect a crisis intervention? Presentation Note: Listen for and validate responses such as the following: (a) not knowing the bell schedule of a given school may result in a crisis intervener not accounting for the fact that some students will need to catch a bus to get home; (b) lack of understanding of cultural expressions of emotions may lead to wrong conclusions about the level of impact the event had on students; (c) when staff are also affected, they have a more challenging task to support students. Sample Presentation Language: There is increasing recognition that providing quality prevention programming focused on building resiliency and a positive school climate and culture can help mitigate the traumatic impact of a crisis event if one does occur. Thus, students are able to cope and return to academic functioning more readily.

4 Sample of Current Policy and LawThe Every Student Succeeds Act (ESSA) Requires state assistance to LEA’s to address bullying, harassment, and discipline Requires annual reporting of safety, climate, bullying, and harassment data Authorizes funds that may be used to improve school safety, improve crisis planning, and response 33 states require every school and district to have a comprehensive school safety plan Increased trend in the requirement of various emergency drills, including active shooter drills All 50 states and DC have bullying laws Vary in scope and comprehensive nature Sample Presentation Language: No federal law exists requiring a school safety/emergency plan. The federally legislated NCLB required all schools to have a safety or crisis plan in place if they wanted to receive funds from the Safe and Drug Free Schools program. However, did not specify the plan components or how to operationalize the plan. Schools must take reasonable actions to maintain order Schools must provide care and supervision Foreseeability Negligence (includes civil rights violations) As of 2014, 33 states have laws specifying that all schools/districts must have a comprehensive school safety plan in place The U.S. Departments of Education, Health and Human Services, Homeland Security, Justice, and the Federal Bureau of Investigation and Federal Emergency Management Agency offer guidance in assisting school districts in creating Emergency Operations Plans (EOPs). Plans must comply with federal regulations Americans with Disabilities Act Civil Rights Act of 1964 Family Educational Rights and Privacy Act (FERPA) & Health Insurance Portability and Accountability Act (HIPAA) - exception to confidentiality, can share if imminent risk of safety to self and others ESSA requires states to articulate how they will assist LEA efforts to address bullying, harassment, and discipline. ESSA requires that states annually report school climate, bullying, and harassment data that, at a minimum, is contained in the Civil Rights Data Collection. OCR: schools must look beyond just disciplining the perpetrators. Schools are obligated to eliminate the hostile environment created by the harassment, address its effects, and take steps to ensure that harassment does not recur. This regulatory obligation speaks to the importance of focusing on overall school safety and climate. © Kuosumo | Dreamstime.com Sources: Bailey (2006); ESSA, (2015); U.S. Dept. of Education, Office for Civil Rights (2010); U.S. Dept. of Education, Office of Elementary and Secondary Education, Office of Safe and Healthy Students (2013); The Council of State Governments (2014).

5 U.S. Department of Education Crisis Management PhasesPresidential Policy Directive (PPD-8, 2011) Five Mission Areas Prevention Protection Mitigation Response Recovery U.S. Department of Homeland Security (2008) National Incident Management System (NIMS) and the National Response Framework (NRF) Incident Command System (ICS) Schools and districts assume that if they have a crisis plan, they have done comprehensive safety planning. Quite the contrary, if all they have is a crisis plan, they are neglecting the bigger picture. The concepts for crisis plan development and training on the plan are covered within Workshop 1. Previously, the United States Department of Education advocated for the use of four emergency response and crisis management phases: 1) Prevention/Mitigation, 2) Preparedness, 3) Response, and 4) Recovery. Recent U.S. Department of Education guidelines, published in 2013, are informed by Presidential Policy Directive- 8 (PPD-8) signed by the president in March PDD-8 describes the nation’s approach to preparedness pertaining to five mission areas:  Prevention: the actions schools take to prevent a threatened or actual incident from occurring by avoiding, deterring, or stopping an imminent crime or threat  Protection: focuses on ongoing actions that protect students, teachers, staff, visitors, networks, and property from a threat or hazard; secure the schools against acts of violence and manmade or natural disasters.  Mitigation: reducing the likelihood that threats and hazards will happen; taking actions necessary to eliminate, lessen, or reduce the loss of life and property damage  Response: taking actions to stabilize an emergency once it has already happened or is certain to happen; establish a safe and secure environment; save lives and property; and facilitate the transition to recovery.  Recovery: actions taken and interventions implemented to assist schools affected by an event or emergency in restoring the learning environment and emotional well-being Thus, school safety and crisis planning must involve actions taken before, during, and after a crisis. When good preparedness efforts are conducted it allows for good response and recovery efforts to build resiliency. Resiliency then serves as a protective factor which leads to the development of healthy coping strategies to manage future stressful situations. *U.S. Department of Education, Office of Elementary and Secondary Education, Office of Safe and Healthy Students, Guide for Developing High-Quality School Emergency Operations Plans, Washington, DC, 2013.

6 School Incident Command System (ICS)NASP Mental Health Advocacy (Slide is optional based on presentation time limits.) Ask: How many of you are familiar with the National Incident Management System (NIMS) and the concept of the Incident Command System? (Ask for a show of hands.) Sample Presentation Language: NIMS provides a common set of concepts, principles, terminology, and organizational processes to be used in planning, preparing, and responding to a crisis. All federal, state, local, and tribal departments and agencies are required to adopt NIMS and the Incident Command System (ICS). In this next section, we provide a brief overview of the important roles and responsibilities within the Incident Command System and illustrate how these concepts may be played out in a school setting. The Incident Command System is a structure designed to give responders specific roles to manage emergencies. When schools use this system, communication with other agencies and overall organization of response is improved. In addition, the ICS helps schools to meet the needs of any crisis incident, provides logistical and administrative support to operational staff, and is cost-effective by avoiding duplication of efforts with other agencies. In an emergency situation, staff will transition from their day-to-day job to a function addressing that emergency. Benefits of the ICS -Manages multiple types of incidents and events, such as disasters, disease outbreaks, graduations, and sporting events. -Uses school resources more effectively and efficiently -Maintains a manageable span of control -Establishes pre-designated incident command post and facilities -Ensures integrated communication between agencies -Uses top-down, modular fashion based on the size and complexity of the incident -Grows and expands based on the incident objectives and resources needed to stabilize the incident (scalability) Both Workshop 1 and 2 discuss how the ICS fits into crisis planning and response. Workshop 1 has an activity where participants get to play in an ICS role during a tabletop exercise. Source: Federal Emergency Management Agency (FEMA; 2010, August);

7 PREPaRE Conceptual FrameworkExamine the effectiveness of crisis prevention and intervention E Provide interventions and Respond to psychological needs P a R Evaluate psychological trauma risk Reaffirm physical health and perceptions of security and safety Prevent and prepare for psychological trauma Presentation Note: Refresh participants’ memories of the PREPaRE Model and HIGHLIGHT that it is sequential and hierarchical model of crisis prevention, preparedness, response and recovery.

8 Workshops 1 and 2 Workshop 1: Crisis Prevention and Preparedness - Comprehensive School Safety Planning 6.5 contact hours Workshop 2: Crisis Intervention and Recovery - Roles of School-Based Mental Health Professionals 13 contact hours

9 Prevent and Prepare for Psychological TraumaSchool Safety and Crisis Prevention Physical Safety Psychological Safety Crisis Preparedness Comprehensive Safety Teams and Plans Crisis Teams and Plans Special Considerations Sample Presentation Language: It’s not a matter of if a crisis will occur, but when. Schools have to have procedures and activities in plan to help prevent crises from occurring and prepare for those crises that cannot be prevented. These concepts are covered in detail in Workshop 1. School Safety and Crisis Prevention Physical safety is focused on the physical structures of the school environment. Among the topics explored through PREPaRE is Crime Prevention Through Environmental Design (CPTED) including Natural Access Control, Natural Surveillance, and Territoriality. Psychological safety is focused on the emotional and behavioral well-being of students and staff. Here, Positive Behavior Supports, Social-Emotional Learning, School Connectedness, and Internal and External Resiliency are all explored along with suggestions for selecting appropriate prevention programs and strategies for your school. Crisis Preparedness Crisis Preparedness is aimed at creating a safe climate through the efforts of district and school safety teams whose focus is on the larger picture of prevention and coordination of efforts at creating safe climates where students can grow emotionally and academically. The efforts of both district and school safety teams provide leadership, support, sustainability and evaluation. Their work is guided by yearly vulnerability assessments. An activity in the workshop requires participants to do part of a vulnerability assessment for their school or district. Crisis teams work within the ICS model described earlier. The model is flexible enough to expand to a larger scale when multiple agency involvement is required into a Unified Command Structure. -Participants will learn how ICS is also flexible in the level of response required for various types of crises which might require minimal, building-level, district-level, or regional-level responses. -Crisis plan development guiding principles are presented along with implementation principles. -Exercising plans and evaluating them are covered. Crisis plans vs. school staff plans are compared and contrasted. -Finally, focus is placed on special considerations including students and staff, and other topic such as communication, technology, dealing with the media, and memorials.

10 Reaffirm Physical Health and Perceptions of Security and SafetyReaffirm objective physical health and safety Reaffirm perceptions of safety and security Sample Presentation Language: Once a crisis event has occurred and is judged to have a potential impact on students, the second set of school crisis interventions is designed to reaffirm physical health and to ensure that students perceive the school as being safe. These activities typically take place during and immediately after crisis threats end—impact or recoil phase (Valent, 2000) and immediate post-disaster phase (Raphael & Newman, 2000). Specifically, they include meeting basic physical health and safety needs and facilitating students’ perceptions that they are safe. In other words, before any other school crisis intervention can be implemented, students must not only be safe, they must have their basic needs met and believe that the threat of danger has passed. This concept is covered in detail in Workshop 2. Relevant Quote From the Literature: “Needs for food, water, shelter, alleviation of pain, reunification with family members, and the provision of a sense of safety and security should all precede the utilization of psychologically oriented crisis interventions.” (Everly, 2003, p. 182)

11 Evaluate Psychological TraumaRationale for Assessing Psychological Trauma Unique Consequences of Crisis Intervention Assessment Variables Risk Factors Warning Signs Conducting Psychological Triage Primary Secondary Tertiary Sample Presentation Language: One of the unique aspects of the PREPaRE curriculum is that we train staff on how to assess who has the potential of being impacted by a crisis event. This will help the crisis team allocate resources in an efficient manner. From the evaluation of psychological risk factors and warning signs, students with psychological needs are identified and responses are initiated. The assessment of psychological trauma is not a discrete intervention; rather, it is a dynamic process. The data gathered as a part of initial responses to psychological needs will support decisions regarding which students will need professional mental health interventions. Why do we conduct assessments for psychological trauma (or psychological triage)?  Not all individuals will be equally affected, and some will need mental health crisis intervention more than others.  Recovery from trauma exposure is the norm.  Identifying those who do not need mental health crisis intervention is also important. Primary assessment of psychological trauma establishes initial crisis intervention treatment priorities and makes initial decisions about what form of crisis intervention (if any) individuals need. Secondary assessment of psychological trauma takes place as the initial immediate crisis interventions are provided. This level goes beyond the known crisis facts and individual characteristics (or risk factors) and initial crisis reactions (or early warning signs) and examines individual threat perceptions and more durable crisis reactions (or enduring warning signs), including reactions observed by crisis interveners and those observed by other caregivers. Tertiary assessment of psychological trauma takes place during the concluding stages of the crisis intervention. This level continues to evaluate known crisis facts, individual characteristics, and threat perceptions (or risk factors) and continues to monitor student crisis reactions (or enduring warning signs). This level of triage identifies those individuals for whom school-based crisis intervention is by itself insufficient.

12 Evaluate Psychological TraumaCrisis Event Variables Predictability Consequences Crisis Event Duration Intensity Risk Factors Threat Perceptions Exposure Vulnerability Early Warning Signs (reactions displayed during impact and recoil phases) Initial Crisis Reactions Slide is optional based on the time provided to give the presentation. Common Reactions Enduring Warning Signs (reactions displayed during postimpact and recovery/reconstruction phases) Durable Crisis Reactions Psychopathological Reactions

13 Provide Interventions and Respond to Student Psychological NeedsReestablish Social Support Systems Psychoeducation: Empower Survivors, Caregivers, and Teachers Informational documents Caregiver trainings Classroom meetings Student psychoeducational groups 3. Psychological Interventions Classroom-Based Crisis Intervention Individual Crisis Intervention Psychotherapeutic Treatments Sample Presentation Language: After the team assesses for who needs assistance, the team has to determine what type of intervention does the victims need. Workshop 2 assists training participants in learning what type of support do the students and staff members need after a crisis event. Using primary risk assessments the crisis intervention team makes initial crisis intervention treatment decisions. As initial crisis interventions are provided, the degree of psychological injury is reevaluated and more informed crisis intervention treatment decisions are made. The following are the three general classes of intervention:  Natural social support  Psychological education  Psychological intervention Although the full range of interventions would be made available to those at highest risk for psychological trauma, social support and psychological education for caregivers would be interventions recommended for those at the lowest risk.

14 Levels of School Crisis InterventionsPresentation Note: Relate to RtI and PBS/PBIS (a pre-existing scheme that many school psychologists will be familiar with)- this is not one more thing to do, this synthesizes with what many schools are already doing!! (Slide is optional based on the time limit of the presentation.)

15 Examine the Effectiveness of Crisis Prevention and InterventionThree examination strategies: Needs Assessment Process Analysis Outcome Evaluation A topic covered in both Workshops is the need to assess the effectiveness of the school’s prevention and intervention efforts. Needs assessment is to identify areas to be addressed so that plans and strategies may be developed to focus on these needs. The needs assessment, done as part of a vulnerability assessment, is particularly valuable, as it focuses on information in the local context. Process analysis is to understand what was done and by whom, and to assess whether these activities were consistent with established plans. Sometimes referred to as procedural integrity, treatment integrity, or formative assessment, the emphasis is on obtaining information about the specific activities implemented. Outcome evaluation should focus on the stated objectives of crisis prevention, preparedness, response, and recovery activities. Outcome evaluation is sometimes referred to as summative evaluation, in that the focus is on assessing the effectiveness of one‘s efforts. The PREPaRE curriculum addresses each of these examination strategies and provides example forms to guide each of these processes.

16 PREPaRE Training: Evaluation Data Knowledge, Attitudes, & SatisfactionParticipants consistently experience: significant gains in knowledge significant improvements in attitudes toward crisis prevention and intervention. Workshop 1 participants report: Feeling more knowledgeable about school crisis prevention More confidence and enthusiasm in collaborating with others to develop school safety and crisis response management plans. Workshop 2 participants report: Less anxiety and fear in responding to school crises More confidence in ability to respond as part of a crisis team Participant Satisfaction (5 point scale) High across Workshop 1 (M=4.5) and Workshop 2 (M=4.6) Sample Presentation Language: Participants consistently experience significant gains in knowledge toward crisis prevention and intervention on pre/post measures for both workshops. Background Information: This data comes from program evaluation data gathered and summarized by the PREPaRE workgroup from workshops conducted from July 2011 through November 2012.

17 What PREPaRE Can Do For Your Schools?Builds a consistent crisis prevention through recovery framework Everyone is speaking the same language Enhances collaboration and communication Connects physical and psychological safety initiatives Is cost effective! Provides structure to build long-term sustainability and support (Training-of-Trainers) Helps to meet the legal requirements requiring initiatives to create a positive, safe school climate Can help to restore academic learning!

18 References Brock, S.E., Nickerson, A.B., Reeves, M.A., Conolly, C.N., Jimerson, S. R., Pesce, R.C., & Lazzaro, B.R. (2016). School crisis prevention & intervention (2nd Ed): The PREPaRE model. Bethesda, MD. National Association of School Psychologists. https://www.nasponline.org/resources-and- publications/books-and-products National Association of School Psychologists PREPaRE Webpage Presentation Note: Should participants seek more information regarding any research cited during the presentation, the reference list is provided here. Bailey, K.A. (2006). Legal knowledge related to school violence and school safety, In S. R. Jimerson & M. Furlong (Eds.), Handbook of school violence and school safety: From research to practice (pp. 31–49). Mahwah, NJ: Lawrence Erlbaum. Dornbusch, S. M., Erickson, K. G., Laird, J., & Wong, C. A. (2001). The relation of family and school attachment to adolescent deviance in diverse groups and communities. Journal of Adolescent Research, 16, 396–422. doi: / Everly, G. S. (1999). Toward a model of psychological triage: Who will most need assistance? International Journal of Emergency Mental Health, 3, 151–154. Frey, A., Ruchkin, V., Martin, A., & Schwab-Stone, M. (2009). Adolescents in transition: School and family characteristics in the development of violent behaviors entering high school. Child Psychiatry and Human Development, 40, 1–13. doi: /s x . Jennings, G. (2003). An exploration of meaningful participation and caring relationships as contexts for school engagement. The California School Psychologist, 8, 43–52. Retrieved from pdfs/journal03.pdf#page=45. Murray, C. & Greenberg, M. T. (2001). Relationships with teachers and bonds with school: Social emotional adjustment correlates for children with and without disabilities. Psychology in the Schools, 38(1), 25–41. doi: / (200101)38:1<25::AID-PITS4>3.0.CO;2-C . Raphael, B., & Newman, L. (2000). Disaster mental health response handbook: An educational resource for mental health professionals involved in disaster management. North Sydney, New South Wales: NSW Health. Shochet, I. M., Dadds, M. R., Ham, D., & Montague, R. (2006). School connectedness is an underemphasized parameter in adolescent mental health: Results of a community prediction study. Journal of Clinical Child and Adolescent Psychology, 35, 170–179. doi: /s jccp3502_1. U.S. Department of Education, Office for Civil Rights, Dear Colleague Letter Harassment and Bullying. (2010, October). Valent, P. (2000). Disaster syndromes. In G. Fink (Ed.), Encyclopedia of stress (Vol. 1, pp. 706–709). San Diego, CA: Academic Press.

19 Thank you!