1 - KU SEd Toolkit - Full Curriculum - 07-23-12
1 - KU SEd Toolkit - Full Curriculum - 07-23-12
OVERVIEW
The University of Kansas (KU) Supported Education Toolkit is meant to provide information and assistance for fidelity reviewers and
supported education implementation sites. This toolkit is divided into four sections. Section 1 introduces and provides information
on the KU supported education fidelity scale as well as instructions and protocols. Section 2 provides sample tools for fidelity
reviewers that assist with conducting supported education fidelity reviews. Section 3 provides sample tools for implementation sites
that assist with tracking essential supported education information. Section 4 is a bibliography of supported education related
articles or books.
The average supported education fidelity review should take between one and two days. It is recommended that new fidelity
reviewers receive mentorship from experienced supported education fidelity reviewers familiar with the toolkit and protocols.
Receiving mentorship may help to avoid implementation drift and increase the speed of implementation in general.
If you have feedback or questions regarding this fidelity scale please contact Trevor Manthey, LMSW, Ph.D. Candidate at
[email protected].
SECTION 1:
The Supported Education Scale and Protocol
DEVELOPMENT HISTORY
The evidence for supported education thus far does not constrain program development into one narrow model. Therefore, the aim
of the KU SEd fidelity scale is to provide a principle-driven model that is likely to be of use in a variety of settings and programs. As
used here "fidelity" means concordance with principles rather than adherence to key elements of programs proven effective.
The KU Supported Education fidelity scale was initially developed through using an expert panel of six researchers, a review of other
fidelity scales currently available, individual interviews (with general consumers, students with psychiatric disabilities, community
mental health staff, and community college staff), three large focus groups, and a review of the literature. The KU SEd fidelity scale
has been piloted at three separate community mental health centers in Kansas and revised based on the piloting process in these
centers. The scale has also been adopted by SAMHSA and has been used by other supported education agencies across the country.
Current revisions to the scale were based on a national study of integrated supported education and supported employment
programs (Manthey, et al., 2012), a focus group of nine SEd provider agencies in Kansas, and a panel of seven KU researchers. The
aim of the latest revision was to make the scale more adaptable to a variety of integrated models (such as an integrated supported
education/employment model) which is consistent with the original adaptability goals of the scale.
Reference:
Manthey, T. J., Rapp, C. A., Carlson, L., Holter, M. C., & Davis, J. K. (2012). The perceived importance of integrated supported
education and employment services. Journal of Rehabilitation, 78(1), 16-24.
3.
5.
6.
Integrated caseloads
are 81 or greater
Integrated caseloads
are between 61-80
Integrated caseloads
are between 41-60
Integrated caseloads
are between 26-40
Integrated caseloads
are at or less than 25
Nonintegrated
caseloads are 91 or
greater
Nonintegrated
caseloads are
between 71-90
Nonintegrated
caseloads are
between51-70
Nonintegrated
caseloads are
between 36-50
Nonintegrated
caseloads are at or
less than 35
Team offers
assistance for some
activities but not a full
range
There is no evidence
of informal or formal
eligibility
requirements. All
consumers are eligible
& actively encouraged
to participate in the
program.
There is no structured
mechanism in place
but there is evidence
that conversation (s)
took place.
There is a structured
mechanism used that
ensures conversations
take place about
education.
7.
There is evidence
that formal or
informal screening
regularly occurs or
has occurred more
than two times.
8.
No structured
mechanized and
evidence of
conversation beyond
the SEd referral
9.
10
Materials are
developed but are
not displayed or
distributed
45-59%
have completed a
concrete educational
activity within 30
days of referral
Materials are
displayed in one
location
Materials are
displayed at multiple
locations that are
easily accessible
75-89% of cases
have a visit the first
week.
75-89% of cases
have completed a
concrete
educational activity
within 30 days of
referral
1 or 0 elements are
present
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2 out of 3 elements
are present
3 out of 3 elements
are present
Three or less
domains are
documented and/or
documentation is not
updated regularly
Three of the
domains are present
in either charts or
consumer comments
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Services are
provided to 80% 99% of participants
Services are
provided to 80% 99% of participants
with identified need
Assistance is
provided monthly to
<= 29% of program
participants.
Assistance is provided
monthly to 30-49% of
program participants.
Assistance is provided
monthly to 50- 69% of
program participants..
Assistance is
provided monthly to
70-89% of program
participants.
Assistance is provided
monthly to 90-100%
of program
participants.
Only 1 out of 5
financial aid types of
assistance are
delivered.
2 out of 5 financial
aid types of
assistance are
delivered.
4 out of 5 financial
aid types of
assistance are
delivered.
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Assistance is
provided to <= 29%
of program
participants.
Assistance is provided
to 30-49% of program
participants.
Assistance is provided
to 50- 69% of
program participants.
Assistance is
provided to 70-89%
of program
participants.
Assistance is provided
to 90-100% of
program participants.
Assistance is
provided to <= 29%
of program
participants.
Assistance is provided
to 30-49% of program
participants.
Assistance is provided
to 50- 69% of
program participants.
Assistance is
provided to 70-89%
of program
participants.
Assistance is provided
to 90-100% of
program participants
Assistance is
provided to <= 29%
of program
participants.
Assistance is provided
to 30-49% of program
participants.
Assistance is provided
to 50- 69% of
program participants.
Assistance is
provided to 70-89%
of program
participants
Assistance is provided
to 90-100% of
program participants.
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INTRODUCTION
Supported Education is an emerging best practice in the field of psychiatric rehabilitation. The primary goal of Supported Education is to provide
opportunities, resources and support to people with psychiatric disabilities in order to gain admittance to and succeed in the pursuit of
education. Education is an activity that enables individuals to gain access to meaningful employment, a new identity, and the fulfillment of life
goals.
Consumers of mental health services and service providers are increasingly recognizing the role of supported education in recovery. Educational
involvement parallels recovery; both are on-going processes and both prepare one for new challenges in life. Unfortunately, for people
experiencing psychiatric disabilities, involvement in post-secondary or other continued education, though frequently desired, is seldom
achieved. For many individuals, the completion of high school, college and trade apprenticeship is interrupted by the onset of identifiable
psychiatric symptoms manifested in the young adult years.
Although existing models of Supported Education vary, The University of Kansas Supported Education Group upholds the following as the
framework for best practices in Supported Education:
Mental health center (MHC) promotes Supported Education throughout the organization and in the greater community
Supported Education activities occur on campus
Variety of activities are offered to increase consumer/student confidence & explore educational possibilities
Mental health center sponsored segregated activities are not required and consumer chooses from an array of other non-segregated
educational options
Clinicians, case managers, treatment teams are active in encouraging education with consumers
Enrollment and individualized educational supports are provided
Support groups or peer-to-peer assistance is available and accessible
MHC provides necessary help to acquire needed resources on an individualized basis
No exclusion based on mental health or personal considerations for participation in activities of Supported Education
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The data collection procedures include chart review, review of educational handouts, and semi-structured interviews with the Supported
Education program coordinator, Supported Education practitioners, other clinical staff in the agency, and participants in the Supported
Education Program.
Interviews:
It is recommended that if the Supported Education program has 3 or fewer Supported Education specialists, attempts should be made to
interview all. If the program is larger than a staff of 3, try to interview as many as possible. However, a minimum of 3 specialists should
be sampled for interview. It is recommended that interviews with Supported Education specialists be conducted in a group setting.
It is recommended that other clinical staff (i.e. case managers and therapists) working in Community Support Services and with the
Supported Education target population be randomly selected and interviewed. Group interviews should be conducted, selecting at least
1 therapists and 1 case managers from each referring team/or at least a total of 3 case managers as respondents.
It is recommended that the Fidelity assessors should aim to interview at least 5 consumers who have received or are currently receiving
Supported Education services. If possible, interviewing 3 consumers who are not currently receiving services is also recommended. The
ideal is that consumers from the Supported Education program are randomly selected.
Chart Review:
Some items on the Fidelity assessment require chart review. It is recommended that 10% of participant charts be randomly selected and
reviewed (from both established and newly enrolled participants) with a minimum of 10 charts. The reviewer may choose to review
more charts if compelled to do so.
Who does the rating:
Using the University of Kansas (KU) Fidelity Scale, assessments can be made by both external groups as well as by the organization implementing
Supported Education. Both types of assessments are recommended. If it is administered internally, it is important for the ratings to be made
objectively and based on hard evidence. Agencies are encouraged to select a review process that fosters objectivity in ratings, e.g., by involving
a staff person who is not centrally involved in providing or supervising Supported Education services. With regard to external reviews, there is a
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distinct advantage in using assessors who are familiar with the program, but at the same time are independent. The goal in this process is the
selection of objective and competent assessors.
Fidelity assessment should be administered by persons who have experience and training in interviewing and data collection procedures,
including chart reviews. In addition, raters need to have an understanding of the nature and critical ingredients of Supported Education and
population served. It is recommended that all Fidelity assessments be conducted by at least two raters in order to increase reliability of the
findings.
Missing data:
The KU Fidelity Scale is designed to be completed fully, with no missing data on any items. If information cannot be obtained at the time of the
site visit, it will be important for the raters to collect the data by following up with phone calls, emails, or additional site visits. It is critical that
raters record detailed notes of responses given by interviewees.
FIDELITY ASSESSOR CHECKLIST
Before the Fidelity Site Visit:
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Indicate what you will need from respondents during your Fidelity visit.
In addition to the purpose of the assessment, you will need to briefly describe what information you will need, who you will need to speak
with, and how long each interview or visit will take to complete. The Fidelity visit will be most efficient if the Supported Education
coordinator gathers the following information in advance.
Organizational Policies
The Mental Health Agency will provide information on any policies concerning confidentiality or other organizational policies
that will need to be followed. The Fidelity Review Team agrees to follow all organizational guidelines and policies set forth by
the Agency. Any releases of information or consent forms for access to client files or interviews will be obtained by the agency
receiving the KU Fidelity Review.
Information about the Supported Education Program
The agency will provide the following information:
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Alert your contact person that you will need to sample 10% of client charts, with a minimum of ten.
It is preferable from a time efficiency standpoint that the charts be drawn beforehand, using a random selection procedure. Obviously, a
program can falsify the system by hand picking charts and/or updating them right before the visit. If there is a shared understanding that
the goal is to better understand how a program is implementing services, this is less likely to occur. Request from the agency to provide a
room where chart review can be conducted by KU Fidelity Review Team staff.
Alert your contact person that you will need to interview at least 1 clinicians from both case management and therapy services through the
Community Support Program.
Group interviews will be conducted with clinicians who have familiarity with the Supported Education program offerings. The importance of
having a multi-disciplinary approach will help to assess the Supported Education programs communication, collaboration and outreach to
clinical staff regarding opportunities for consumers on case management and therapy caseloads.
Alert your contact person that the Fidelity assessment includes interviews with at least 5 consumers who are currently receiving or have
received in the recent past Supported Education services.
The fidelity assessment should include interviewing with at least 5 consumers who have received or are receiving Supported Education
services. Reassure the agency that organizational policies (e.g. releases of information, confidentiality, etc.) will be followed.
Interviews Summary:
Agency will arrange the following interviews. All interviews will last approximately 1 hour.
Group interview with 5 consumers who currently receive or have received supported education services.
Group interview with 3 Supported Education specialists.
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managers and clinicians, and with consumers who receive Supported Education services. Charts and/or other written sources such as
progress notes, educational assessments, educational goal plans, etc. documenting the Supported Education sessions will be reviewed.
After the Fidelity Site Visit:
Rate the Fidelity scale:
The same day of the site visit, assuming there are at least two assessors, each should independently rate the Supported Education
Fidelity scale. Within 24 hours the assessors should then compare their ratings and resolve any disagreements. Determine a consensus
rating for each item.
Tally Scores:
The Fidelity assessors should tally the item scores and determine which level of implementation was achieved.
Data follow up:
If necessary, follow up on any missing data (e.g., phone calls, email to the program site). This would include a discussion with the
Supported Education program coordinator about any discrepancies between data sources that arise after the visit has been completed.
In cooperation with all assessors, make necessary adjustments to the Fidelity scores based on the completed data.
Fidelity Report:
Send a fidelity report to the program site. This report may include an explanation of scores on the Fidelity scale and interpretation of the
assessment, highlighting both strengths and weakness/challenges. The report should be informative, factual, and constructive. If the
Fidelity assessment is given repeatedly to the same program, it is useful to provide a visual representation (i.e. bar/pie charts, Excel
spreadsheet) which graphs the programs progress on the Fidelity scores over time. Those receiving this report will vary but typically will
include the key administrators involved in the assessment.
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Each item of the fidelity scale is followed by a definition and a rationale. There is also an explanation of the data sources needed for each item
and probe questions to be asked in the interviews. Information about the Supported Education program will be gained from the following
sources:
Program Coordinator/Administrator/Team Leader interview
Definition: One clinical administrator is designated as team leader and/or administrator for the Supported Education program. The portion of
this persons time devoted to Supported Education program is dependent on the size of the program. This persons role includes fostering
agency support and awareness for the Supported Education program in the following areas:
Monitor and improve the quality (fidelity) and quantity (penetration) of Supported Education implementation at the agency
Display of written materials
Inform staff, consumers, and family of program goals, services and outcomes
Monitor the referral of eligible person to the Supported Education program
Encourage the use of Supported Education services offered by the program
Monitor and improve the quality (fidelity) and quantity (penetration) of supported education implementation at the agency
Monitor and track caseloads
Provide or arrange for training and technical assistance for practitioners
Arrange and staff group supervision and field mentoring for Supported Education staff
Serve and function as a team member and facilitate in group supervision
Recognize educational success with team, consumers and throughout agency
Serve as advocate for program and program participant within agency and in community
Process: The first question is whether the organization has someone who has a title of Supported Education coordinator or equivalent. This
should be determined prior to the Fidelity site visit.
Supported Education Specialist/Worker interview
Definition: One or more persons who deliver direct (face-to-face) Supported Education services to people who receive services from the CSS
program. This person(s) role includes activities such as:
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Be accountable to senior management regarding Supported Education program services and outcomes
Carry a Supported Education caseload and work directly with consumers
Serve as campus liaison/advocate for program and program participants
Assist consumers to gain confidence and familiarity in the campus environment
Assist persons in course selection
Assist in securing individualized educational supports/resources (tutors, supplies, financial aid, navigating campus, enrollment,
transportation, etc.)
Be responsible for the documentation of Supported Education activities
Process: The first question is who (what staff) serves as a Supported Education specialists/worker. From this roster, calculate the number of fulltime equivalent (FTE) staff and confirm with program coordinator. This should be determined prior to the site visit.
Community Support Service Clinicians interview
Definition: Staff clinicians including at least 2 therapists and 2 case managers as respondents working in CSS with the Supported Education
target population will be interviewed in a group setting. This clinicians role includes activities such as, but limited to:
Process: With the assistance of the Program Coordinator calculate the total FTE therapists and FTE case management staff. At least 2 therapists
and at least 2 case managers should be selected that have experience with a person on their case loads who are receiving or have received
Supported Education services. This should be determined prior to the site visit.
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Participant Interview
Definition: One or more persons who receive or have recently received direct Supported Education program services. This person(s) role
includes activities such as:
Working in partnership with the Supported Education practitioner towards achieving personal educational goals
Active in identifying, choosing, securing and sustaining personal educational goals
Process: The fidelity assessment should include interviews with at least 3 participants who have received or are receiving Supported Education
services. Reassure the agency that organizational policies (e.g. releases of information, confidentiality, etc.) will be followed. Participants to be
interviewed should be selected by the Supported Education Program Coordinator prior to the site visit. Introduce yourself to consumer(s) being
interviewed; explain the purpose of the interview; and very briefly provide a short overview of the rationale for gathering data to consumers
interviewed.
Agency Documents
The Supported Education team employs agency charts and in-field tools to measure progress towards Supported Education goal achievement
and other outcomes by program recipients. The following will serve as sources of information:
Process: Some items require chart review for rating the Fidelity Scale. This assessment involves the examination of 10% of charts (with a
minimum of 10) of Supported Education participants. Ideally, the charts are randomly selected.
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Definition& Rationale: The same SEd staff person provides all services from referral to ongoing support to each client. It is important to have one staff person
work through all phases of the SEd process with the client rather than the client working with different staff for various stages of the process.
Item Rating: Determine if the phases of service listed are typically delivered by one staff person to one client. If all phases are typically and provided by one
SEd staff member, that would warrant a rating of 5. This item is trying to capture whether or not the philosophy of one staff working through the entire
process with one client is used. If some of the SEd staff provide all 5 phases, but some SEd do not, score this item by averaging each individual staffs score
(e.g. if 2 staff provide all 5 phases of service, while one staff only provides 2 phases, the rating would be a 4 ).
Methods: Interview the SEd staff, the SEd supervisor, clients and case managers.
2. Integration with Mental Health Treatment
1
2A.
28
Definition & Rationale: The SEd staff should be integrated with the mental health treatment team through participation in team meetings/group supervision
and frequent, informal contact with case managers.
Item Rating: This item is split into 2A and 2B. The scores for A and B should be averaged so there is a single score for item 2.
This item is rated by determining how the team, as a whole, functions except for criteria #A3 and B3. Criterion #A3 requires that each SEd staff person has at
least 3 client related contacts with case managers per week. Criterion #B3 requires that each SEd staff asks case managers about new referrals during
individual contacts with case managers. The other criteria are not concerned with which SEd staff person performs the tasks.
Methods: Interview SEd staff members, SEd supervisor, case managers, case management team supervisors, clients (Is your case manager up to date about
your educational progress?), and a case management services supervisor. Also review progress notes.
3.Educational Outcomes
Definition & Rationale: Educational outcomes are tracked twice a year by the SEd team and shared with the staff and stake holders. Outcomes tracked should
include: % of agency (CSS) clients that are working with SEd; % of SEd clients that have completed their educational goal; the mean GPA of the SEd clients
enrolled in school during the quarter; % of withdrawals/terminations from an educational quarter; # of credits completed by clients in the SEd program; and
type of degree programs. Tracking a variety of outcomes provides the SEd program with information about the program and the clients who are served. It will
provide an historical perspective of SEd services. The data collected can be used to guide programing changes.
Item Rating: Determine if the outcomes listed are tracked regularly for the SEd program. Most often this will be the SEd supervisor, but this item does not
specify who tracks the items; rather it is only concerned with whether or not the outcomes are tracked for the SEd team. For elements 2, 3 and 4: the
outcomes must be shared with stakeholders, staff or a combination of those on a quarterly basis (if outcomes are shared with stakeholders one quarter and
staff the next quarter the SEd team would get credit for all 3 elements). For element 1 and 5 there should be evidence that 1. A-F are collected regularly and
that both individual and aggregate data is available; however, what data is distributed to which groups is not specified.
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Method: Ask the SEd team leader for documentation of the data collection. Interview clients, SEd staff, and various stakeholders (staff at educational
institutions with which the team collaborates, family members, etc.).
4.Caseload Size
Integrated caseloads
are 81 or greater
Integrated caseloads
are between 61-80
Integrated caseloads
are between 41-60
Integrated caseloads
are between 26-40
Integrated caseloads
are at or less than 25
Nonintegrated
caseloads are 91 or
greater
Nonintegrated
caseloads are
between 71-90
Nonintegrated
caseloads are
between51-70
Nonintegrated
caseloads are
between 36-50
Nonintegrated
caseloads are at or
less than 35
Definition and Rationale: Each SEd staffs caseload size is 25 or fewer for programs that are integrated with the supported employment program. A caseload
size of 25 or fewer is a combination of SEd and SE clients. For nonintegrated SEd programs the caseload size should be 35 or fewer. Caseload sizes must be
reasonable in order to provide all phases of service to clients.
Item Rating: Each program will have only one score for item 4. Gather caseload sizes for each staff member that provides SEd services. Average the caseload
sizes for the SEd team to determine the rating.
Method: Survey the SEd team members and the SEd supervisor.
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5.Supervisors Duties
5.
Definition and Rationale: The SEd supervisor should perform certain tasks to ensure the program objectives are met. Among these are: weekly supervision;
promoting referrals among other agency supervisors; inclusion in agency supervisor meetings; field mentoring; and reviewing outcomes with the team. It is
the job of SEd supervisor to assure the SEd program best practices.
Item Rating: Weekly supervision can be individual or group. There should be a formal means of communicating with other supervisors on at least a quarterly
basis. The SEd supervisor should meet with all case management supervisors as a group at least quarterly. The SEd supervisor should provide field mentoring
to each SEd staff person at least once every quarter. If field mentoring is provided, but less than once every quarter it will not count towards this rating.
Examples of field mentoring included coaching on how to be a liaison to campuses, how advocate for consumer accommodations without damaging
educational relationships, how to fill out a FAFSA, etc. The SEd supervisor should review individual outcomes with SEd staff at least once every six months. If
less than once every six months, it will not count towards this rating. During group and individual supervision the SEd supervisor should participate in problemsolving and generation of new ideas. If the model being assessed is integrated, the field supervision should be documented as being unique to supported
education.
Method: SEd supervisor interview, SEd staff interviews, case management supervisor interviews, observation of team meeting.
6.Range of Services
1
6.
3
Team offers
assistance for some
activities but not a full
range
5
Team offers a full
range of support for
educational activities
(there is no evidence
the team excludes any
type of educational
pursuit)
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Definition and Rationale: Education is rapidly changing (e.g. online education) necessitating that SEd programs maintain flexibility in service provision. SEd
services prioritize services geared toward career development. Services are provided for a variety of educational programs from GED and ESL to vocational
programs to college. The services are individualized and encompass a wide range of educational pursuits, too numerous to list. If the focus is primarily career
development then a wide range of educational programs should be supported.
Item Rating: The SEd staff and supervisor should be able to provide examples of cases where they provided support for non-standard educational pursuit .
Method: Review documentation in the medical record; treatment plans and progress notes. Review written admission criteria, if available. Interviews with
SEd staff, SEd supervisor, case managers, case management supervisors and clients.
7.
There is evidence
that formal or
informal screening
regularly occurs or
has occurred more
than two times.
5
There is no evidence
of informal or formal
eligibility
requirements. All
consumers are eligible
& actively encouraged
to participate in the
program.
Definition and Rationale: There are no criteria, other than a desire to pursue educational goals, for acceptance to the SEd program. There is no evidence that
characteristics, symptoms or behaviors are reliable predictors of educational success.
Item Rating: Formal screening is straight forward and would include any written policies for admission to the SEd program. Informal screening is more difficult
to detect. To come to a determination regarding informal screening, cross-reference all the interviews, progress notes and referrals and make a judgment
about the degree informal screening. In general there should be at least 2 sources with evidence of screening in order to decrease the rating. Examples of
formal screening policy that excludes individuals with substance use, poor hygiene, transportation barriers, etc. from participating in the SEd program.
Informal screening includes case managers or other staff discouraging clients from working with the SEd program at the time they express interest. Telling or
coaching clients to believe they need to complete other things before they are ready to attend school (e.g. better hygiene, cleaning apartment, stop D/A use)
Method: If possible review referrals to SEd and determine how many clients were accepted into SEd services. Interview: SEd staff; SEd supervisor; case
management staff; case management supervisors; and clients. Also review progress notes and strengths assessments can be a good source
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1
8.
No structured
mechanized and
evidence of
conversation beyond
the SEd referral
There is no structured
mechanism in place
but there is evidence
that conversation (s)
took place.
5
There is a structured
mechanism used that
ensures conversations
take place about
education.
Definition and Rationale: Qualitative research has supported the notion that more consumers would be interested in educational pursuits if they had more
conversations with staff that conveyed education as a possibility. All staff should take advantage of opportunities to discuss education with clients. Case
managers should make a point of addressing the issue frequently.
Item Rating: Use of a structured mechanism that documents discussions with clients regarding educational pursuits is highly recommended. The KU SSW tool
is one option for a structured mechanism, but each agency has the option of developing their own structured mechanism.
Method: Review of structured mechanism is necessary for a rating of 5. Interviews with clients, SEd staff and SEd supervisor. Review agency policies.
Progress notes might be another source.
9.SEd Program Awareness
9.
Materials are
developed but are
not displayed or
distributed
Materials are
displayed in one
location
Materials are
displayed at multiple
locations that are
easily accessible
Definition and Rationale: There is a method or agency culture in place that builds awareness among clients of the SEd program and the support with
educational opportunities offered. It is important for clients to be aware of the educational support offered through the agency. Even those clients that
express no interest in any educational pursuit should be aware there is support available
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Item Rating: A tour of the facility should be done in order to determine if advertizing is displayed in multiple locations. If none is found, the fidelity reviewers
should ask the SEd staff if there are materials displayed and ask to be shown where the materials are displayed.
Method: Visual survey of the premises for posters/advertisements for the SEd program. Ask the SEd supervisor for copies of brochures/flyers for the SEd
program.
10. Services Begin Quickly
75-89% of cases
have a visit the first
week.
45-59%
have completed a
concrete educational
activity within 30
days of referral
75-89% of cases
have completed a
concrete
educational activity
within 30 days of
referral
Definition and Rationale: SEd services should begin within one month of referral to the program and the first contact with an SEd staff should be within one
week of referral. Once a client decides to pursue an educational goal, there should not be a long wait for a service to support the educational support. If a
client is ambivalent about the educational goal waiting for services might increase the ambivalence.
Item Rating: 11A and 11B are averaged, resulting in one score for item 11. Concrete educational activity examples include: visit campus, financial aid
application, admission application, etc. The definition of concrete educational activity is any task oriented activity that goes beyond simply talking to the
participant.
Method: Review of referrals and progress notes will be the primary way to determine the ratings for this item. Dates from referral to first contact with SEd
staff and first concrete educational activity will need to be tracked with the referral form and progress notes. Secondary sources for this item include
interviews with clients, SEd staff, CM staff, and SEd supervisor.
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1
11. Assertive engagement and outreach (phone, mail, email, community
visits) occurs with new referrals or when a participant stops participating
in SEd services until the individual acknowledges they do not want to
continue SEd services or re-engage. The following elements should be in
place: 1) a systematic means of tracking outreach efforts 2) SEd workers
make a minimum of five outreach attempts within one month 3) Has
contacted the primary treatment team about the non-engagement.
1 or 0 elements are
present
3
2 out of 3 elements
are present
5
3 out of 3 elements
are present
Definition and Rationale: SEd staff should outreach new clients as well as clients that stop attending the SEd program. Ideally, there will be a minimum of 5
outreach attempts within the month the client is referred to services or misses his first appointment. A variety of outreach methods can be used: phone, text,
email, home visits, other frequented community locations, etc. Many clients tend to drop of treatment due unmanageable situations in the lives caused by MI
symptoms, poverty, or a sense of hopelessness. It has repeatedly been shown effective to provide assertive outreach to SMI clients.
Item Rating: In this item you should be looking for both the quality and quantity of the outreach attempts. The quantity of outreach attempts means one
month of a new referral or last meeting with a client, the SEd staff should ideally make a minimum of 5 outreach attempts. The quality of the outreach
attempts refers to the means used to contact a client. Making 5 phone calls within the month is not considered a robust outreach attempt. Using a variety of
methods is judged to be a better quality of service. The number of outreach attempts can of course be lower than 5 if the individual re-engages. Systematic
means of tracking outreach attempts means there is a form which tracks attempts or they are consistently tracked via progress notes or other tracking
mechanism. If there is evidence that outreach attempts are occurring but are not documented credit for the systematic tacking will not be given.
Method: Review progress notes to see if outreach attempts are documented. Also interview clients, SEd staff and the SEd supervisor.
35
Three or less
domains are
documented and/or
documentation is not
updated regularly
Definition and Rationale: Seven domains relating to the clients educational pursuits are thoroughly assessed and documented. Thoroughly assessing all these
domains can prove to be an important step for the client in choosing his or her course of study. The opportunity to compare domains ultimately might inform
the clients choice. This assessment is intended to be used to guide planning for education. The assessment should be updated quarterly.
Item Rating: Ask for the Supported Education programs completed assessments ahead of the fidelity review visit (if they are not kept in the medical record).
This assessment needs to be updated quarterly. In anchors 2-5 regularly means quarterly. If it is not updated quarterly the rating should be 1. For ratings 2
5 the assessment is updated quarterly so the number of domains is the only thing being evaluated. The assessment form should have clear sections for each of
the 7 domains listed.
Method: Review assessment forms for # of domains addressed and review frequencies of updates.
13.Disclosure
Three of the
domains are present
in either charts or
consumer comments
36
Definition and Rationale: Formal accommodations are available for people with disabilities. A thorough discussion of accommodations is necessary in order
for the client to make an informed about disclosure of his or her disability. Disclosure of a disability is necessary in order to acquire formal accommodations
under the ADA; however, formal accommodations might not be necessary in every case. Only through examination of this process can an informed decision be
made for the client. Re-engaging in this discussion quarterly is useful in determining if unanticipated circumstances have arisen where accommodations might
be helpful.
Item Rating: In order to receive a rating of 5 for this item the chart reviews and the client interviews have to be crossed referenced and have strong agreement
in each of the 4 domains. The other anchors the domains have to present in one or the other, charts or client interviews.
Method: Review of charts including progress notes for documentation of discussions regarding disclosure. Interviews with clients, SEd staff and SEd
supervisor.
14.Educational Goal Planning
Definition and Rationale: Goal planning is essential to the successful completion of an educational program. It should be used as a tool for the client to help
keep him or her on track. The goal should be timely and specific; requiring the short-term, steps, dates and responsibilities be updated frequently.
Item Rating: Examples of consumer preferences include type of educational program, major, class order, schedules etc. The treatment/goal plan or Personal
Recovery Plan (for Strengths Case Management agencies) should have all these domains completed quarterly.
Method: Review of the medical chart and SEd documentation (if some working documents are kept separately from the medical record). Interviews with
clients and SEd staff can corroborate what is found in the documentation.
37
Enrollment/Ongoing Support
15. Essential Enrollment/Ongoing Supports
Services are
provided to 80% 99% of participants
Definition and Rationale: (cant score above a certain level unless it is documented).
A participant is in the enrollment phase when they are enrolling into classes for the first time after being admitted to the SEd program or for the first time after
re-enrolling in the SEd program.
1) Admission: The SEd staff should work with the client to assess: how much help the client needs with process of applying for admission; and how
much help the client wants or will accept with the process. The SEd staff should provide the level of support agreed upon with the client but be
prepared to adjust the level of support as needed.
2) Financial Aid: SEd staff should offer assistance with locating sources for financial assistance (e.g. grants, loans, scholarships) and applying for financial
assistance. This should be done during or before the application process, but also on an ongoing basis. The SEd staff should be aware of deadlines for
applying for financial assistance from various sources.
3) Books and Supplies: SEd staff assists clients with obtaining funding for textbooks and school supplies, as well as physically obtaining these items.
School supplies include equipment that might be needed for a vocational program as well as typical college supplies. Although not explicit, this item
includes the SEd staff helping clients secure funding for textbooks and supplies. This type of assistance can range from financial aid to budgeting.
4) Transportation: SEd staff helps clients find resources for transportation to classes, resources (e.g. library), and school events (of interest to the client).
This assistance can span the spectrum from car purchase/repair to public transportation to ride shares with other students.
5) Class Scheduling: SEd staff, as part of goal formation, should explore with client the course work required for the degree of interest to the client.
Examination of the specific courses required might have an influence on whether or not the client chooses that degree program. The assistance of the
SEd is not meant to take the place of the academic advisor. The SEd should assist the client with formulating class schedules. Consideration should be
given to the workload, transportation, other commitments, etc.
38
Item Rating: All clients received these services. Total all services. If even 1 person misses one service rate down to a four. If all members of a team miss at
least one service rate down to a 1. Assistance is provided means that assistance is offered to all clients and provided to the majority.
1) Admission: There should be documentation of any assistance provided with the application process, as well as documentation that assistance with
the application process was offered in those cases where the client does not need assistance with this item.
2) Financial Aid: Types of assistance provided for this item includes gathering financial information (e.g. bank records, income tax returns), past
academic records, etc. Keep in mind that includes applying for financial aid (scholarships, grants, loans, VR, etc) or multiple forms of financial aid to
cover the entire cost of schooling. This item includes reconciling previous financial aid awards where the client dropped out of school and is now in
default. This can involve a plethora of documentation and take a considerable amount of time.
3) Books and Supplies: In addition to securing funding for books and supplies, assistance with obtaining textbooks/school supplies can range from
checking with the client to see if he or she knows where to obtain needed items to accompanying the client to actually purchase textbooks/supplies.
When possible it is important for the raters to make a determination about the degree of assistance available to clients.
4) Transportation: Transportation to and from classes must be planned at the time the course schedule is planned. The SEd staff should be as involved
in this aspect of education to the extent necessary, including riding the public transportation route the student will take with the client to help with
acclimation. This is an area where the raters might expect to see some creativity. A red flag is when transportation is the road block to furthering
education. While this is possible, no transportation is available at the time the student needs it, it should be a rare occurrence and the raters should
see clear effort documented.
5) Class Scheduling: SEd staff should provide assistance to clients in determining what courses will have to be completed in order to earn the degree of
interest. This usually happens fairly early in the work between SEd staff and clients or if the client decides to change his or her course of study. This is
not meant to replace the role of the academic advisor from the institution where the client is pursuing his or her education. On the contrary, the SEd
staff should make sure the client works with the academic advisor to assure that degree requirements are met. The SEd staff can also function to
reinforce what the academic advisor recommends.
Method: * Caveat..assessing early stage folks. Interviews with clients, SEd staff, SEd supervisor, and case managers. Progress notes and treatment plan
goals are also potential sources
23. Supplemental Enrollment/ Ongoing Supports
Services are
provided to 80% 99% of participants
with identified need
39
40
3) Tutoring: Determine if there is assistance available from the SEd staff ranging from making clients aware that tutoring is available to going with the
client to meet the tutor or the staff person that will be in charge of arranging tutoring. It is important to try to determine if maximum assistance is
given/offered for those who could use it and if the SEd staff follows-up to see that the client actually receives tutoring.
4) Accommodations: SEd staff should make clients aware of the ADA and give examples of accommodations that are available to them. They should
also be made aware of the office at the educational institution that deals with accommodations.
5) Peer Support: Peer supports are defined as supports from others who are dealing with a mental illness or other students. Often this will occur
naturally, such as sharing lecture notes with a classmate, but the SEd staff should also have other resources available to those SEd clients that are not
able to access naturally occurring (e.g. NAMI, agency peer support program/groups, CRO). The SEd staff should offer to assist clients/encourage clients
in finding peers that are positive influences and encourage clients in their educational paths.
Method: Interviews with clients, SEd staff, SEd supervisor, and case managers. Progress notes and treatment plan goals are also potential sources. Crossreference interviews with clients, SEd staff, case management staff and the SEd supervisor for consistency.
17.
Ongoing Supports
Assistance is
provided monthly to
<= 29% of program
participants.
Assistance is provided
monthly to 30-49% of
program participants.
Assistance is provided
monthly to 50- 69% of
program participants..
Assistance is
provided monthly to
70-89% of program
participants.
Assistance is provided
monthly to 90-100%
of program
participants.
Definition and Rationale: Ongoing supports include monitoring client progress with school, including assessing for accommodations, tutoring, transportation,
etc. This would include assessing if financial aid is in place for the upcoming academic unit. Although much of the work for SEd is upfront, prior to the
academic schedule beginning, another important part of the SEd staffs job is to follow the clients academic progress and foresee and address obstacles to
academic success. Monthly support is defined as contact with a client at least monthly and this can be to complete at task, to discuss progress etc. The
primary focus of the contact is to determine how academic progress is going, it is preferable that the contact be face to face, but in some cases only phone
contact will be adequate.
Item Rating: This item will require that the fidelity raters consider each SEd staffs performance regarding ongoing supports and then arrive at some kind of
average for the team. If it is clear from the data gathered that some of the staff members provide 90 100%, while others only provide 50-69%, use an
average for the entire SEd staff to rate this item.
41
Methods: Progress notes, treatment plans, etc. should be the primary resource for assessing this item. If a problem arises that threatens the continuation of a
clients course of study, the raters should look back in the medical record to see if there is any documentation that the problem was addressed. Interviews
with clients should also provide some insight into how to rate this item. In addition interviews with SEd staff should include a request for examples of how the
SEd staff follow the clients on their caseload once the academic session begins.
25. Financial Assistance
Only 1 out of 5
financial aid types of
assistance are
delivered.
2 out of 5 financial
aid types of
assistance are
delivered.
4 out of 5 financial
aid types of
assistance are
delivered.
Definition and Rationale: SEd staff should offer assistance with locating sources for financial assistance (e.g. grants, loans, scholarships) and applying for
financial assistance. This should be done during or before the application process, but also on an ongoing basis. The SEd staff should be aware of deadlines for
applying for financial assistance from various sources.
Item Rating: The majority of clients will likely need some assistance with this item. In fact, this aspect of SEd, along with admission to an educational
institution, might be the primary reasons why clients seek assistance from the SEd program. Types of assistance provided for this item includes gathering
financial information (e.g. bank records, income tax returns), past academic records, etc. Keep in mind that includes applying for financial aid (scholarships,
grants, loans, VR, etc) or multiple forms of financial aid to cover the entire cost of schooling. The SEd staff should also make sure clients understand how much
debt they will be responsible to repay and what the financial ramifications are if they do not complete the semester/quarter.
This item includes reconciling previous financial aid awards where the client dropped out of school and is now in default. This can involve a plethora of
documentation and take a considerable amount of time.
Method: Interviews with clients, SEd staff, SEd supervisor, and case managers. Progress notes and treatment plan goals are also potential sources.
42
Assistance is
provided to <= 29%
of program
participants.
Assistance is provided
to 30-49% of program
participants.
Assistance is provided
to 50- 69% of
program participants.
Assistance is
provided to 70-89%
of program
participants.
Assistance is provided
to 90-100% of
program participants.
Definition and Rationale: When the client has disclosed to the educational institution he or she is attending, the SEd can serve as a liaison to campus
personnel. This should only occur when there is an explicit purpose and agreement between the client and the SEd staff. When appropriate, the SEd staff
should make contact with school personnel on a routine basis.
Item Rating: The SEd worker should, in most circumstances, be involved in setting up and maintaining accommodations. Once accommodations are in place
the SEd staff should become a liaison to the academic staff involved with the accommodations; checking in with the appropriate school personnel on a regular
basis.
The percentages in the anchors for this item refer to a percentage of clients that have disclosed to the school. So if the SEd program serves 100 SEd clients
and 30% of those clients disclose, the percentages would be for 30 clients. In that scenario, to earn a rating of 5, 27 to 30 clients would have to receive liaison
services from the SEd staff.
Method: Interviews with clients, SEd staff, SEd supervisor, and case managers. Progress notes and treatment plan goals are also potential sources.
27. Individualization
Assistance is
provided to <= 29%
of program
participants.
Assistance is provided
to 30-49% of program
participants.
Assistance is provided
to 50- 69% of
program participants.
Assistance is
provided to 70-89%
of program
participants.
Assistance is provided
to 90-100% of
program participants
43
Definition and Rationale: SEd staff provides services that are tailored to each clients circumstances, preferences and desires. There should be a unique plan
for each client that addresses the clients wants and needs.
Item Rating: Look at treatment plan goals across clients for goal repetition, which indicates a lack of individualization. Likewise, look at progress notes for
repetitiveness.
Method: Interviews with clients, SEd staff, SEd supervisor, and case managers. Progress notes and treatment plan goals are also potential sources. Recovery
Goal Worksheets would also be a good source for SCM programs.
21.
Mobile/Immediate Supports
Assistance is
provided to <= 29%
of program
participants.
Assistance is provided
to 30-49% of program
participants.
Assistance is provided
to 50- 69% of
program participants.
Assistance is
provided to 70-89%
of program
participants
Assistance is provided
to 90-100% of
program participants.
Definition and Rationale: SEd staff should be available to clients when difficult situations arise. The staff should be prepared to intervene at the time the
client is experiencing the problem, not a day or two later. This item is trying to determine if the SEd team provides immediate support, regarding the clients
academic pursuit, at the academic institution, at the clients home (e.g. helping a client arrive to class on time), at a community location (e.g. a mobile hotspot
where the client is experiencing some kind of difficulty).
Item Rating: Rating for this item is fairly straightforward. Gathering the data through the methods listed should indicate the level of mobile support available.
If there is more than one SEd staff and there is a difference in the amount of mobile support provided, use their caseload sizes to determine the rating. So if
there are 2 SEd staff, each serving 20 SEd clients, and one of them provides mobile support readily but the other only provides minimal (or no) mobile support,
the rating would be 3. This might be a difficult item to rate at times, because the need for mobile support isnt frequent. If there is no information in the
progress notes, rely on the interviews. If none of the clients interviewed have had the experience of needing/asking of mobile supports then ask if they believe
their SEd staff person would provide mobile/immediate support. Some types of immediate supports include: phone calls, travel to the institution, emails/texts,
travel other locations (e.g. clients home, library, mobile hotspot). One example might be helping someone get out of his or her home to the bus stop, helping
a client with accessing technology (e.g. online classes), etc.
Method: Interviews/focus group with clients, interviews with SEd staff, interview with SEd supervisor and progress notes. Have the SEd staff give specific
examples of mobile/immediate supports that were provided during the current review period.
SECTION 2:
Tools for Fidelity Reviewers
44
45
OVERVIEW
The following tools and forms are meant to assist fidelity reviewers in their assessment of supported education
implementation sites. These forms are not meant to be prescriptive, but rather provide examples of the types of forms
assessors can develop to assist in conducting the review. The following tools are provided here: 1) Cover Sheet 2) Chart
Review Tool, Interview Guide, and a Sample Fidelity Review Report.
Rater:____________________________________
___Referral Tool
___Progress Notes
___Educational Assessment
(#)
___________
___Clinicians Interviewed
(#)
__________
(#)
___________
___Consumer Interviewed
(#)
___________
46
47
PN Progress notes
TxP Treatment plan/goal plan
SA Strengths Assessment
EA Educational Assessment document
D Disclosure form
Med Record information might be found in various places in the medical record/client chart.
Location
PN
PN
PN, TxP
TxP, SA,
PN
PN
PN
PN
PN
PN
EA
EA, SA
EA
EA, SA
EA, SA
EA, PN
EA
EA
EA, D
TxP/ Med
Record
EA, TxP
Fidelity
Item
Integration with Mental Health Treatment
Broad Range of Services
Evidence of Screening?
Structured Mechanism for SEd Conversation
st
1 Contact Within 1 Week of Referral
1 Concrete Activity Within 1 Month of
Referral
Assertive Outreach
Systematic means of tracking
5 outreach attempts within 1 month
Contacted primary team about nonengagement
Educational Assessment
Interests
Academic History
Academic Aspirations
Talents, Skill, Environmental Supports,
Resources
Updates Quarterly
Barriers/Challenges for Ed Participation
Accommodations/Support Needs
Disclosure
Goal Plan
2
6
7
8
10
10
14
14
14
14
14
EA, TxP
EA, TxP
EA, TxP
EA, TxP,
PN, Med
11
11
11
11
12
12
12
12
12
12
12
12
13
14
Case
File 1
Comments
48
Case
File 2
Comments
PN, EA
PN
PN
Essential Supports
Admissions Assistance
Financial Assistance
PN
PN
PN
PN, EA
Supplemental Supports
PN
PN
PN
PN
Peer Support
PN
PN
PN
PN
PN
Mobile supports
14
15
15, 17
15, 17
&18
15
15
15
16
16
16
16 & 17
16
16
19
20
20
21
49
50
INTERVIEW GUIDE
The following questions are meant to help guide the interviews conducted during the fidelity visit. The questions provided here are
examples only, do not have to be asked as written, and should not be asked in a rote manner. Instead these types of questions
should be asked in a conversational manner while interviewing supported education participants, workers and leaders. Not all of
these questions need to be asked, this guide simply provides a menu of options. Each fidelity scale item is provided here followed
by some example questions.
1.
Provides All Phases: The person providing supported education services provides all phases of the supported education
process (referral, engagement, assessment, enrollment support, and ongoing educational support).
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Do you work with the same clients throughout their educational tenure or do different educational specialists work on different
aspects of the process (e.g. intake, enrollment, financial aid etc.)? If a participant is assigned to a new educational specialist,
what are the reasons for doing so?
-Program Participants:
Which supported education worker have you worked with since enrolling in the program? Have you felt like you have been
passed around from worker to worker since joining? If your primary educational specialist was changed, why were they
changed? Did you request the change or was it for some other reason?
2A.
Integration with Mental Health Treatment: The Supported Education team is integrated with mental health treatment as
illustrated by: (1) attending at least one case management team meeting per month, (2) attending all CM team meetings
quarterly, and (3) having at least three client-related contacts per week with CMs.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Does a representative from the supported education program attend the team meetings of other teams? Is so, how often? Who
attends from the supported education program? How often do you attend case-management team meetings? How do you
ensure that you are visiting all of the different case management teams? How often do you rotate through all of the case
management teams? How often do you contact case managers in general? What do you discuss with case managers when you
contact them? Describe the means by which staff from the supported education team and members of other teams
51
communicate and collaborate with each other (email, phone, face-to-face, written). What means of communication seems to be
the most effective? Have there been barriers to effective communication and collaboration? If so, please give some examples.
How have these barriers been addressed? By who? Have they been resolved?
-Clinical Staff from Other Teams:
How often does a supported education specialist visit your team meetings? Do they contact you outside of the case
management team meetings? What do these contacts look like (phone, email etc.) and what do you discuss?
2B.
Integration with Mental Health Treatment: The Supported Education team is integrated with mental health treatment as i
illustrated by: (1) attempting to recruit new clients at CM team meetings, and (2) coordinating services at CM team meetings
3) During individual CM contact, inquiring about possible new referrals from case managers caseloads.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
When a supported education representative attends a case management meeting what do they discuss? What do they bring
up? (probe for additional topics if they are not all three elements are present). Please give a case example of the joint
development of intervention plans involving the supported education worker/specialist and a provider from another team. Are
there barriers to the joint development of interventions? If so, how are those barriers addressed? By who? Can you give an
example?
-Clinical Staff from Other Teams:
When a supported education representative attends a case management meeting what do they discuss? What do they bring
up? (probe for additional topics if they are not all three elements are present). How many clients do you refer to the Supported
Education Program every month? How many clients do you have on your caseload? Do you know how many clients your team
refers to the Supported Education Program? Does the agency encourage teams to use the Supported Education Program? How?
Please give a case example of the joint development of intervention plans involving yourself and the supported education
worker/specialist. Are there barriers to the joint development of interventions? If so, how are those barriers addressed? By
who? Can you give an example?
3,
Educational Outcomes: The Supported Education team: (1) tracks outcomes including: (a) % in education (b) % completed (c)
GPA (d) withdrawals/terminations, (e) # of credits, and (f) type of degree program. (2) the outcomes tracked and shared on a
semi-annual basis at a minimum (3) the outcomes tracked are shared with stakeholders (including clients and community
members) (4) the outcomes tracked are shared with staff (5) the outcomes tracked include both individual and aggregate
data.
52
Caseload Size: Supported Education workers have a total caseload of 25 or less for an integrated model (combined supported
employment and supported education caseload). OR
Caseload Size: For the freestanding (nonintegrated) model: Supported Education workers have a total caseload of 35 or less.
Example Interview Questions:
-Program Coordinator:
How many staff members on the team provide supported education services? How many people does each of these staff carry
on their caseload? What percentage of time is this person (or persons) allotted for providing supported education services?
-Supported Education Specialist/Worker:
How many people do you have on your caseload? What percentage of your time is allotted for providing supported education
services?
5.
Supervisors Duties: Supported Education supervisor ensures program objectives are met by: (1) Providing weekly
supervision, (2) communicating with mental health service supervisors quarterly to resolve programmatic issues and to
encourage referrals to the SEd program, (3) provides field mentoring every quarter, (4) provides individualized feedback
regarding outcomes, and (5) helps develop new strategies and ideas to help clients achieve their educational goals.
53
Range of Services: The Supported Education program offers services individualized for the specific educational needs of each
consumer meant to further career development (e.g. GED/HS diploma, post-secondary education, vocational school, English
as a Second Language, basic educational skills, online programs, apprenticeships, etc).
Example Interview Questions:
-Program Coordinator:
What types of educational pursuits or degrees do you allow? What types of educational pursuits do you not allow? Please
provide an example of an educational goal that was outside of the norm that you helped someone achieve.
-Supported Education Specialist/Worker:
What types of educational pursuits or degrees do you allow? What types of educational pursuits do you not allow? Please
provide an example of an educational goal that was outside of the norm that you helped someone achieve.
-Program Participant:
Have you been told that the educational goals you are trying to achieve are not supported by the supported education program?
Have you been forced to change your major or change your goals to something other than what your originally wanted? What
types of educational goals have you wanted to pursue that were supported?
7.
Screening: Consumers are not screened out of Supported Education Services based on formal or informal educational or noneducational eligibility requirements such as literacy, substance use, language barriers, symptoms, perceived readiness,
motivation, age, hygiene, medication compliance, etc
54
Engaging Communication With All Clients: Case-managers and supported education workers regularly and frequently talk with
all clients about education as an option (e.g. ask clients if they ever thought about it, convey education as a possibility, discuss
pros and cons, ask clients about their past experience with education, discuss connections between employment and
educational goals, and discuss what their future educational goals might be if they were to pursue it)*
Example Interview Questions:
-Supported Education Specialist/Worker:
What do conversations about supported education look like with consumers? How are participants made aware of the specific
services available in the Supported Education Program (informed verbally once or on several occasions, given written
information)? How do you determine that they have an adequate knowledge of the services (do they ask questions, is the
information discussed)? Is supported education discussed as on option with ALL clients? What types of systematic ways does
your agency ensure that these types of conversations occur?
-Program Participants and Non Program Participants:
Was the supported education program discussed with you? How did you first become aware that the supported education
program was an option for you? What did those conversations look like? What are some of the supported education services
55
offered? Describe these services. What services have you used? Have you been given written materials about the available
services? Was that information discussed with you?
-Clinical Staff from Other Teams:
What do conversations about supported education look like with consumers? How are participants made aware of the specific
services available in the Supported Education Program (informed verbally once or on several occasions, given written
information)? How do you determine that they have an adequate knowledge of the services (do they ask questions, is the
information discussed)? Is supported education discussed as on option with ALL clients? What types of systematic ways does
your agency ensure that these types of conversations occur?
9.
SEd Program Awareness: Individuals who receive agency services are aware of the educational services provided as evidenced
by displays of SEd program materials (posters, brochures, flyers) that are highly visible and are present in multiple locations
that consumers frequent.
Example Interview Questions:
- Program Coordinator & Supported Education Specialist/Worker:
What means are used to make clients aware of the Supported Education Program? Who is responsible for ensuring that
materials are available in all areas frequented by clients? What materials are available for consumers to learn about the
supported education program? Where are they located?
-Program Participant: How did you find out about the Supported Education Program?
Have you seen materials about the Supported Education Program around the agency? Where were the materials located? Do
other clients know about the Supported Education Program? When did you become aware of the specific services available in
the Supported Education Program? Do you think clients outside of the Supported Education Program are aware of specific
services? Why or why not?
-Clinical Staff from Other Teams:
How did you become aware of the Supported Education Program? Have you seen materials (brochures, flyers) about the
Supported Education Program in client areas?
10A.
10B.
Services Begin Quickly: Individuals seeking supported education services receive their first contact by the supported
education team within one week of referral.
Services Begin Quickly: Individuals seeking supported education services have one concrete educational activity completed
within one month of referral.
56
Assertive engagement and outreach: (phone, mail, email, community visits) occurs with new referrals or when a participant
stops participating in SEd services until the individual acknowledges they do not want to continue SEd services or re-engage.
The following elements should be in place: 1) a systematic means of tracking outreach efforts 2) SEd workers make a
minimum of five outreach attempts within one month 3) Has contacted the primary treatment team about the nonengagement.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
What systematic means does the supported education program to ensure that assertive engagement occurs and continues if
needed? How often do assertive outreach attempts occur when they are needed? Besides the participant, who else do you
contact if the person needs to be re-engaged in the program?
-Program Participant:
-Do you find that the supported education staff contact you often to see how you are doing? Have you ever felt like isolating
and had the supported education worker check to make sure you are okay? If you miss a meeting with the supported education
worker what happens?
-Clinical Staff from Other Teams:
What systematic means does the supported education program have to ensure that assertive engagement occurs and continues
if needed? How often do they contact someone if they start to disengage from the supported education program? Do the
supported education workers contact you if one of your clients starts to disengage from the program?
57
Written Assessment: Educational Support Workers assess participants (1) educational interests, (2) talents, skills,
environmental supports, resources (3) preferences, (4) academic history, (5) future academic aspirations, (6) barriers to
education, and (7) accommodations/support needs and documents their assessment using an educational assessment tool.
The educational assessment is updated quarterly with new information based on changes in the participants life situation.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
What is assessed in the educational assessment tool when someone first becomes involved in the program? Is this information
ever updated? (probe for any missing information).
-Program Participant:
When you first signed up for the program what types of questions did the supported education worker ask you?
13.
Disclosure: Educational support workers assist participants in making an informed decision regarding disclosure to school
staff, faculty and students. An informed decision includes the following: (1) disclosure is not required (2) offer to discuss pros
and cons including how the decision influences access to accommodations (3) discuss what/how information may be
appropriately disclosed including examples (4) workers discuss disclosure and revisit it at least quarterly.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
What systematic means does the supported education program have to ensure that conversations about disclosure to
educational institutions occur? What do these conversations about disclosure look like? What happens if a participant decides
not to disclose? What happens if they decide to disclose? How often do you revisit the topic of disclosure with a participant?
-Program Participant:
Has the supported education worker ever talked with you about the pros and cons about disclosing your mental illness with
your educational institution? If so, what did this conversation look like? IF these conversations have happened how often would
you say they occur? Or have they happened more than once?
14.
Educational Goal Planning: Educational Support Workers provide individualized educational goal planning that is updated
quarterly and meet these criteria: (1) consumer preferences; (2) includes long-term goal(s), (3) short-term action steps, (4)
date(s) for completion, and (5) responsibilities.
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Essential Enrollment/Ongoing Supports: At a minimum, the following services are provided for individuals beginning
enrollment or continuing enrollment at an educational institution. 1) application for admission 2) financial aid 3) books and
supplies 4) transportation 5) class scheduling
Example Interview Questions
-Program Coordinator & Supported Education Specialist/Worker:
Are on-going supports for securing financial aid available to participants? If so, please give describe the assistance that is given.
Does the office of student financial aid at the institution continue to be used in the process? Is assistance with the application
process available to participants? If so, please describe how assistance is provided. Is assistance with securing academic supplies
and required text books available to participants? If so, please describe the assistance that is given. Is assistance with setting a
course schedule available? Is so, please describe the assistance. How are the degree requirements determined for the
participants course of study? How is the academic advising office at the school utilized in the process of setting a schedule and
determining degree requirements? Is assistance with transportation available? If so, please describe what assistance is given.
-Program Participant:
Is on-going assistance with securing financial aid available to you? Do you continue to get help from the financial aid office at the
school? If so, how did they assist you? If the participant has not used this service inquire about why the service not been used. Is
assistance with application to the school available to you? Have you used this service? If so, please describe how you were
assisted. If not, why not? Is assistance with securing academic supplies and required text books available to you? Have you used
this service? If so, please describe how you were assisted. If the participant has not used this service inquire about why the
service not been used. Is assistance with setting your schedule and determining degree requirements available to you? Did you
get help from the advising office at the school? If so, how did they assist you? If the participant has not used this service inquire
about why the service not been used. Is assistance with transportation to the educational institution available to you? If the
participant has not used this service inquire about why the service not been used.
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Supplemental Enrollment/ Ongoing Supports: At a minimum, the following services are provided for individuals beginning
enrollment or continuing enrollment at an educational institution. 1) familiarization with educational institution 2)
introduction to campus resources and personnel 3) tutoring 4) accommodations 5) peer support
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Are on-campus exposure activities made available to participants? Please give specific examples of these activities. Is the
supported education worker/specialist available to introduce the participant to useful campus personnel? Is this service offered
to each participant? Are peer role models/mentors available to participants on both a structured and unstructured basis? Please
give examples of availability on a structured basis (support groups, formal assignment of a peer role model/mentor to a
participant, scheduled time periods that peer role models/mentors are available). Please give examples of availability on an
unstructured basis (peer role models/mentors that have been observed supporting a participant, participant report of seeking
and gaining support from a peer role model/mentor on their own). Are participants aware of the availability of peer role
models/mentors? If so, by what means are they made aware? Please describe the peer supports that are available to
participants. How are each of these utilized by participants? What role do the participants play in the leadership of the peer
supports offered by the supported education program? Are tutoring services available to participants? If so, who delivers these
services? Are tutoring services offered at the school? If so, are participants encouraged to use tutoring services at the school? If
not, why not? Is the participant made aware of the accommodations available under the ADA? How are participants made
aware of accommodations? Are participants assisted in obtaining accommodations? Please describe the assistance.
-Program Participant:
Are on-campus exposure activities available to you? Have you requested this service? If yes, what on-campus exposure activities
did you request? If no, why not? Are you aware of opportunities to attend events on campus? Are they regularly scheduled?
Please give some examples of these events (see above). How do you come to know about these events? Do you attend? Why or
why not? Has the supported education worker/specialist offered to introduce you to useful campus personnel? Did you use this
service? Why or why not? If so, what campus personnel were you introduced to? Are there peer role models/mentors available
to you? Please give some examples of how you have access to them. How did you become aware of the availability of peer role
models/mentors? Do you use this service? Why or why not? What types of peer support opportunities do you have? Do you use
them? Why or why not? Who leads peer supports offered in the supported education program? Are tutoring services available
to you? If so, who provides these services (SEd program, school, other community agency)? Do you use tutoring services at the
school? If not, why not? If not, does your supported education worker/specialist encourage you to use the tutoring services at
the school? Are you familiar with academic accommodations available through the ADA? If so, what are some of them? Do you
use any of these accommodations? If so, how were they initiated?
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Ongoing Supports: Ongoing essential and supplemental supports are provided at least monthly to each SEd client. After
preparing clients to attend an academic program (e.g. application for admission, financial aid, coarse schedule) it is part of the
SEd staffs job to follow the progress of each SEd client to provide support, encouragement and to address needs in advance
(e.g. tutoring, accommodations).
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Once participants are successfully attending classes how do you proactively ensure that they continue to experience success?
How often do you contact them? What other things do you do?
-Program Participant:
If you have been attending classes for a while how often does the supported education worker contact you? How do they
continue to help you succeed?
18.
Financial Assistance: Educational support workers provide assistance in securing financial aid/assistance (i.e. scholarships,
grants, VR access etc.) during enrollment and throughout educational tenure. The assistance is comprehensive and should
cover the following elements: 1) gathering relevant financial/academic information (e.g. bank records, income tax returns,
past academic records), 2) resolving past educational loan defaults, 3) exploration of grant/scholarship opportunities 4)
exploration of funding opportunities (e.g. special programs, VR, etc) and 5) their potential ramifications.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Are supports for securing financial aid available to participants? If so, please give describe the assistance that is given. How is the
office of student financial aid at the institution used in the process? What types of financial aid programs are discussed? How
are passed financial problems resolved? (probe for missing information).
-Program Participant:
Is assistance in securing financial aid available to you? Have you used this service? If so, please describe how you were assisted.
Did you get help from the financial aid office at the school? If so, how did they assist you? If you had past financial aid problems
how did the supported education worker assist you in resolving these issues? Did they help you gather your financial records to
help you apply for financial aid?
19.
Liaison Services: If disclosure occurs and is based on client identified need and preference, the supported education worker(s)
serve as a proactive liaison to educational programs in order to address participant and programmatic issues. Collaboration
and communication with relevant campus personnel occurs on a consistent and regular basis.
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Individualization: Educational Support Workers provide support that is individualized by participants preferences and needs.
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Are services provided by the supported education program individualized to to meet participants educational preferences and
needs? If so how? Please provide some examples.
-Program Participant:
Have you ever been told that your educational preferences or needs could not be accommodated? If so why? How are your
individual preferences included in the program? If you have educational needs, how are they accommodated?
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Mobile/immediate supports: are available when the student requires it. A supported educational worker is able to respond
when a participant needs immediate support (travel to educational institution).
Example Interview Questions:
-Program Coordinator & Supported Education Specialist/Worker:
Are mobile support services available to participants? If so, please describe how these services are delivered (when, where, how
workers are contacted, how quickly they are able to respond). Is the supported education worker/specialist available to
accompany the participant to the school? If so, please give examples of the circumstances in which the participant has requested
accompaniment.
-Program Participant:
Is the supported education worker/specialist available to accompany you to the school? Have you used this service? If so, what
supports were you given? If the participant has not used the service inquire about why the service has not been used. Are
mobile support services available to you? Have you used this service? If so, please describe your experience (what were the
circumstance of the need, how you contacted the worker, where you received the service, how long the response time was).
Was the service helpful? Why or why not?
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Overall this team did exceptionally well for a baseline review and for a self-instigated implementation effort. Any recommendations we
provide should not detract from the sense of accomplishment this team should feel.
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Summary of Scores
Item Category
Staffing and Organizational Factors
Referral and Engagement
Overall Rating
4.57
4
2.33
Enrollment/Ongoing Supports
OVERALL SCORE
3.94
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Rating
5
Program participants receive services from the same worker throughout their educational tenure.
2A. The Supported Education team is integrated with mental health treatment as illustrated by: (1) attending at least
one case- management team meeting per month, (2) attending all CM team meetings quarterly, and (3) having at least
three client-related contacts per week with CMs.
The workers meet with each case-management team weekly and contact CM usually about 10 times per week.
2B. The Supported Education team is integrated with mental health treatment as illustrated by: (1) attempting to recruit
new clients at CM team meetings, and (2) coordinating services at CM team meetings 3) During individual CM contact,
inquiring about possible new referrals from case managers caseloads.
The team is integrated with the mental health team and attempt to meet all three of the team meeting criteria.
3. The Supported Education team: (1) tracks outcomes including: (a) % in education (b) % completed (c) GPA (d)
withdrawals/terminations, (e) # of credits, and (f) type of degree program. (2) the outcomes tracked and shared on a semiannual basis at a minimum (3) the outcomes tracked are shared with stakeholders (including clients and community
members) (4) the outcomes tracked are shared with staff (5) the outcomes tracked include both individual and aggregate
data.
While many of these outcomes are tracked they are not shared regularly with stakeholders.
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For integrated teams this team has a slightly higher caseload than is suggested by the fidelity scale (25 or less). The team has approximately
30 individuals per case-manager.
5. Supported Education supervisor ensures program objectives are met by: (1) Providing weekly supervision, (2)
communicating with mental health service supervisors quarterly to resolve programmatic issues and to encourage referrals
4
to the SEd program, (3) provides field mentoring every quarter, (4) provides individualized feedback regarding outcomes,
and (5) helps develop new strategies and ideas to help clients achieve their educational goals.
The supported education supervisor provides 4 out of 5 of the services. Field mentoring specific to educational services should increase.
6. The Supported Education program offers services individualized for the specific educational needs of each consumer
meant to further career development (e.g. GED/HS diploma, post-secondary education, vocational school, English as a
Second Language, basic educational skills, online programs, apprenticeships, etc).
4.57
The team scored very well for staffing and organizational features! Especially for a baseline review. Excellent work. Some small adjustments
in outcome reporting and other services will make this score even higher.
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Rating
4.
Consumers are not screened out of Supported Education Services based on formal or informal educational or non5
educational eligibility requirements such as literacy, substance use, language barriers, symptoms, perceived
readiness, motivation, age, hygiene, medication compliance, etc.
It appears that consumers are not screened out of SEd services based on formal or informal criteria. Consumers with barriers to employment
are provided services and coached for success.
5. Case-managers and supported education workers regularly and frequently talk with all CSS clients about education as
an option (e.g. ask clients if they ever thought about it, convey education as a possibility, discuss pros and cons, ask
5
clients about their past experience with education, discuss connections between employment and educational goals,
and discuss what their future educational goals might be if they were to pursue it)*
There are structures in place to ensure that conversations take place between case-managers and participants about education. There is some
indication that the quality of these conversations might improve, but not strong enough evidence to reduce the scoreon this item.
6. Individuals who receive agency services are aware of the educational services provided as evidenced by displays of
SEd program materials (posters, brochures, flyers) that are highly visible and are present in multiple locations that
consumers frequent.
While there are high quality materials for the supported employment services provided by the team, brochures and other media for educational
services have not yet been developed.
7.
A. Individuals seeking supported education services receive their first contact by the supported education team
within one week of referral.
According to staff interviews and case-file review 60-74% of cases have a visit the first week.
10 B. Individuals seeking supported education services have one concrete educational activity completed within one
month of referral.
All participants have one concrete educational activity completed within one month of referral.
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8.
Assertive engagement and outreach (phone, mail, email, community visits) occurs with new referrals or when a
participant stops participating in SEd services until the individual acknowledges they do not want to continue SEd
5
services or re-engage. The following elements should be in place: 1) a systematic means of tracking outreach efforts
2) SEd workers make a minimum of five outreach attempts within one month 3) Has contacted the primary treatment
team about the non-engagement.
According to case-file reviews (and corresponding staff interviews) assertive engagement is a strength of this team. Efforts to re-engage are well
documented and consumers reported that outreach efforts are made if they start to isolate. WELL DONE!
Overall Rating
This item is scored at a 4 which is still high for a baseline review. This team has a strength with assertive engagement. However, not having
educational specific flyers and brochures as well as not meeting with all newly referred participants within one week lower the overall score.
Developing and disseminating some educational specific marketing tools will rapidly increase this score.
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Rating
While documentation regarding employment outcomes is of high quality, documentation of specific educational activities is not consistent or is
not present. More explicit documentation of educational assessment is needed. Example forms which help with initial educational assessment
can be provided by the fidelity reviewers if desired.
10. Educational support workers assist participants in making an informed decision regarding disclosure to school staff,
faculty and students. An informed decision includes the following: (1) disclosure is not required (2) offer to discuss
pros and cons including how the decision influences access to accommodations (3) discuss what/how information
may be appropriately disclosed including examples (4) workers discuss disclosure and revisit it at least quarterly.
While documentation of employment related disclosure is well documented, the concerns regarding disclosure to educational institutions is not
documented. If you would like, the reviewers will adapt your current disclosure forms for you to reflect these additional educational concerns.
11. Educational Support Workers provide individualized educational goal planning that is updated quarterly and meet
these criteria: (1) consumer preferences; (2) includes long-term goal(s), (3) short-term action steps, (4) date(s) for
completion, and (5) responsibilities.
Four out of five of these criteria are updated quarterly. The person responsible for completing the goal(s) was not included in the update(s).
Overall Rating
2.33
Recommendations: Primary concerns in this section have to do with documentation. This can be addressed by the use of accurate and
consistent tracking of educational outcomes. While periodically noted that forms are available from the reviewers that can help with this,
these are supplemental forms and not a requirement. As long as the team tracks these outcomes in some form to ensure services are
delivered the scores on these items will increase.
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Enrollment/Ongoing Supports
Item
1. (Essential Services) At a minimum, the following services are provided for individuals beginning enrollment or
continuing enrollment at an educational institution. 1) application for admission 2) financial aid 3) books and supplies
4) transportation 5) class scheduling
Rating
While most of these services were documented periodically, they were not documented consistently. This item is scored a three because it was
unclear via documentation whether educational specialists ensure that all of these services occur. If desired, quarterly update checklist forms are
available from reviewers as a template for SEd programs ensure these services are delivered.
2. (Supplemental Services) At a minimum, the following services are provided for individuals beginning enrollment or
continuing enrollment at an educational institution. 1) familiarization with educational institution 2) introduction to
campus resources and personnel 3) tutoring 4) accommodations 5) peer support
While some of these services were documented periodically, they were not documented consistently. This item is scored a two because it was
unclear via documentation whether educational specialists ensure that all of these services occur if they are needed/requested. If desired,
quarterly update checklist forms are available from reviewers as a template for SEd programs ensure these services are delivered.
3. Ongoing essential and supplemental supports are provided at least monthly to each SEd client. After preparing clients
to attend an academic program (e.g. application for admission, financial aid, coarse schedule) it is part of the SEd staffs
4
job to follow the progress of each SEd client to provide support, encouragement and to address needs in advance (e.g.
tutoring, accommodations).
Participants are contacted at least monthly. However, it is unclear whether SEd workers assess for, and ensure that, all of the essential ongoing
and supplemental services are provided to participants if needed.
4. If disclosure occurs and is based on client identified need and preference, the supported education worker(s) serve as a
proactive liaison to educational programs in order to address participant and programmatic issues. Collaboration and
communication with relevant campus personnel occurs on a consistent and regular basis.
According to interviews (both staff and participant) this service occurs for 100% of participants.
5. Educational Support Workers provide support that is individualized by participants preferences and needs.
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The team scored very well in this category in general. Especially given that this is the baseline review. Many of the issues throughout the review
thus far have surrounded the concern about education specific service delivery and documentation. It is not surprising that other services are
documented (especially employment services) as that is the primary goal for many of those who join the team. However, care consideration and
documentation of essential and ongoing educational services being provided by the team will improve scores on these items as well.
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Base Line
Rating
4.57
2.33
Enrollment/Ongoing Supports
Total Score
3.94
Six Month
Rating
One Year
Rating
18 month
/2 yr
Rating
Three Year
Review
Four Year
Review
Five Year
Review
SECTION 3:
Tools for Implementation Sites
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OVERVIEW
The following tools and forms are meant to assist supported education implementation sites in their assessment and
delivery of supported education services. These forms are not meant to be prescriptive, but rather provide examples of
the types of forms sites can use for tracking and delivering services. The following tools are provided here: 1) Referral
Form 2) Educational Assessment and Goal Planning Form, Disclosure form, and the Quarterly Update Checklist.
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Name:________________________________
Address: ________________________________
No____
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Date: __________________
Cell: _______________
Email: ________________________
What are the main reasons you enrolled in the Supported Education program?
Career/educational exploration
Help with applying for Financial Aid
Help with school enrollment
Help with requesting academic accommodations
Help with study skills
Help with test taking strategies
Help through tutoring
Improving math skills
Improving writing skills
Interest in attending preparatory classes
Gaining familiarity with college environment
Other, please list
Address: ____________________________________________
Other:
G.E.D.
*Year___________
*School_________________
*Year___________
*School_________________
Vocational School
*Year___________
*School_________________
Vocational certificate
*Year___________
*School_________________
College attendance
Associates degree
*Year___________
*School_________________
Bachelors degree
*Year___________
*School_________________
Masters degree
*Year___________
*School _________________
*Year___________
*School _________________
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INTEREST INVENTORY
Interest inventories can be used to help spur educational ideas for participants. After filling out an interest inventory supported education
workers and participants can converse and set educational goals which may be based on the interest inventory. There are many interest
inventory assessments available of which the included is an optional example. Interest inventory assessments are organized in many different
ways and serve a variety of purposes. Finding an inventory that meets the needs of your participants, agency, and region is important. An
interest inventory should not be used to limit the educational pursuits of participants; instead they should be viewed as optional tools to help
participants brainstorm ideas.
Examples of additional interest inventory assessments available online include:
The Career Clusters Interest Survey
http://breitlinks.com/careers/career_pdfs/InterestSurvey.pdf
The MAPP Career Assessment
http://www.assessment.com/MemberCenter/login.asp?GoTo=%2FMemberCenter%2FDefault%2Easp
The Live Career, Career Test
http://www.livecareer.com/career-test
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breathing exercises
breathing
bridge
bronze casting
bus communications
bus management
business
business applications
business law
butterfly gardening
buying a car
buying a computer
C
cake decorating
calligraphy
candle making
candy making
career planning
career/life planning
cell & molecular biology
ceramics
chemistry
chemistry in society
childrens literature
Chinese
circuit training
civil engineer
clay
color design
comedy
computer intro.
computer spreadsheets
computer graphics
Concrete
construction methods
consumer as providers
Cooking
country dancing
C.P.R.
creative writing
crime prevention
criminal justice
D
Databases
dental hygiene
Dentistry
dental materials
desktop publishing
Diesel fundamentals
digital electronics
doll making
downhill skiing
Drafting
Drawing
E
e-bay
Electronics
Electrical engineering
Electrician
Energy systems
F
first aid
flexibility conditioning
floral entrepreneurship
flowerbed design
fly fishing
fossils
French
fused glass
G
garment design
G.E.D.
gemstones
geology
glass painting
golf
guitar
H
Health career exploration
health screening
heating
history
hockey
holiday crafts
home economics
home maintenance
home ownership
Homeopathy
horses
horticulture
hospitality
houseplant care
human relations
humanities
Human services
I
investing
Italian
J
Japanese
job search skills
journalism
K
Karate
Kendo
keyboarding
L
landscape painting
learning strategies
Leisure for lifetime
M
machine knitting
macintosh-computer
magic
marketing
massage
mat class
math
medical
medical transcription
meditation
metal & silver
metal fabrication
mind/body fitness
mini gardens
modern dance
money management
motorcycle maintenance
music
mythology
N
native American
nursing
nutrition counseling
O
ocean/marine
oil painting
oil exploration
organic chemistry
organic farming
P
paralegal
parenting
pastel drawing
periodontics
personal computers
personal finance
personal training exercise
pet safety
philosophy
photography
photo-shop
physical education
physics
piano
poetry
programming
proofreading skills
psychology
public speaking
Publishing
Puppetry
Q
Quilting
R
racquetball
radiology
railroad operations
reading
recipe modification
reflexology
Russian
relationship classes
religion
respiratory therapy
ring making
rock climbing
rowing
rubber stamping
running
S
salsa dance
savings & investing
sculpture
self-defense
salsa dance
savings & investing
sculpture
self-defense
swimming
swing dance
self-healing classes
sign language
small engines
soap making
social work
sociology
soccer
social skills
song writing
Spanish
special education
speech & debate
spelling
spirituality & painting
T
time management
V
voice
volleyball
W
water color
water exercise
watercolor
web design
welding
wellness technology
windows
word processing
writing
writing strategies
X
X-ray technician
Y
youth & childcare
yoga
Z
zoology
OTHER:
4. If you are not enrolled, how soon would you like to begin classes?
5. What kind of resources do you think you will need to reach your educational goals? (e.g. transportation; support
from family; computer access; tutor/mentor; help with college application; tuition; books/supplies, etc.)
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8. What time of day do you think it would be best for you to take a class?
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____Transportation (e.g. dont have a car or dont know how to use public transit)
Strategy: ____________________________________________________________
____Past failures and negative experiences (e.g. didnt do well in school previously)
Strategy: ____________________________________________________________
____Side effects from medication (e.g. Medication makes it hard to concentrate)
Strategy: ____________________________________________________________
____Symptoms (e.g. Depression gets in the way, voices make it hard to listen in class)
Strategy: ____________________________________________________________
____Academic learning skills (e.g. Lack of computer skills or poor study skills)
Strategy: ____________________________________________________________
____Fears of the unknown (e.g. Fear of failure)
Strategy: ____________________________________________________________
____Lack of support (e.g. Not sure what to enroll in or how to get around campus)
Strategy: ____________________________________________________________
____Funding (e.g. Need money to go to school, need to work while attending school)
Strategy: ____________________________________________________________
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FINANCIAL
Have you applied for financial aid?
Type/amount receiving:
Have you previously defaulted on a student loan?
Transportation:
Childcare:
Other:
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Responsibility
Date to
Accomplish
This Step By:
1
2
3
4
5
6
7
8
Name________________________________________________
Date______________
Date______________
Comments
Date Step
Completed
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Some people who use supported education services choose to disclose their disability to the educational institution which they plan
to attend and others choose not to. Most people choose to disclose in order to have access to formal accommodations. Some
students choose informal services in place of formal services such as sharing notes other students instead of getting a formal note
taker. There are lots of options, for instance, some individuals choose to disclose to their peers, but not to instructors, or to disclose
to the accommodations office, but not to their peers. There are advantages and disadvantages to all of these approaches. It is
important for you and your supported education specialist to talk about the pros and cons of these options. This form is meant to
help you determine what type of disclosure decision is right for you.
Common Reasons Not to Disclose:
Some students fear the stigma that may be attached to disclosing a mental illness.
Some students dont mind if the accommodations office and teachers know but dont want their peers to know.
Some students choose not to disclose formally to the school, but rather disclose informally to people they choose.
Some students say that they dont want to disclose because they are working on
recovery and want build responsibility through trying out school without disclosure.
Some students just dont feel that disclosure for accommodations purposes is necessary. They feel pretty sure that they can be
successful without it.
Common Reasons to Disclose:
Some students want to get formal help (accommodations) with coursework, tests, tutors, and other school assignments when
needed.
Some students choose to disclose even though they dont currently need accommodations just in case they decide they do in the
future.
Some students choose to disclose to get in-class help from teachers who know about the unique challenges faced by individuals
with a psychiatric disability.
Some students choose to disclose so their supported education specialist might be able to advocate for them. For example, if your
psychiatric disability made it difficult for you to complete some course requirements the specialist may be able to talk to your
instructor and other school officials to help extend deadlines. The school may not agree with your educational specialist, but the
educational specialist will be there to help regardless.
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When educational specialists talk to school accommodations offices, it is usually possible for them to keep some things private. For
example, some people dont want their educational specialist to share information like diagnosis or medications. Talk this over with
your educational specialist and write down the things that you wouldnt want the specialist to share with an educational institution.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Some people choose to only disclose elements of their psychiatric disability that interfere with educational goals. For example,
some psychiatric symptoms interfere with concentration making it important to have additional time to take tests. If you were
disclose your disability, what aspects of your disability would you disclose?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Here you can write down some of your personal thoughts about disclosure.
Reasons for Disclosing to __________
(ex: teachers, peers, financial aid etc.)
____________________________________________ _____________
Client
Date
____________________________________________ _____________
Educational Specialist
Date
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Participant Name:_________________________________________
Worker:_________________________________________________
Date Checklist Completed:_________________________________
Initial Enrollment ______ Ongoing Enrollment ______ (Check One)
Enrollment/Ongoing Supports
Item
Essential Supports
Application for
Admission
Financial Aid
Books and Supplies
Transportation
Class Scheduling
Disclosure Decisions
Identified
Need
Y/N
SEd
Provided
Y/N
Date(s)
Who
Completed Completed
(Date)
(Name)
Comments
Introduction to Campus
Resources and Personnel
Tutoring
Accommodations
Peer Support
Liason Services
Mobile Supports
Identified
Need
Y/N
SEd
Provided
Y/N
Date
Who
Completed Completed
(Date)
(Name)
92
Comments
93
1. Has the clients goal changed during the past quarter? Yes____
No_____
If so, what is the new goal:
__________________________________________________________________________________________
Has Tx plan/goal plan been updated?
Is the SEd goal stated in quotations (indicating consumer preference)?
Are there long- term academic objective(s)?
Y / N Date in chart:_________________
Y/N
Y/N
Y/N
94
6. What collaboration or communication has occurred with other treatment providers in goal planning?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
________________________
Info note in file? Y / N
Date:______________
*Note: SEd workers should ensure that all of the above services in the checklist are provided as needed. Workers do not need to
provide these services themselves necessarily, but do need to ensure that they are completed. Tracking who completed the task
(e.g. participant, case-manager, peer support worker, SEd worker, or other) and the date completed ensures that these services are
provided. In the name category do not write the persons title, simply insert the name of the person who completed the service.
SECTION 4:
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Compiled by Trevor Manthey, MSW, Ph.D. Candidate. Please email Trevor at [email protected] if you would like to include
additional resources or suggestions for the next iteration of this bibliography or toolkit.