Program Summary
FY23: Bounce Back is an elementary school adaptation of CBITS (Cognitive Behavioral Intervention for Trauma in Schools). The Bounce Back program will operate in the local elementary schools as an afterschool program. The afterschool sessions will be once a week for 10 weeks, with 2-3 children in each. Throughout the 60-minute session, the social workers will incorporate therapeutic elements similar to those used in other CBT therapies, including psychoeducation, relaxation training, cognitive restructuring, problem solving, and positive reinforcement activities. Social workers will work with children to identify feelings and describe the link between thoughts and feelings, making concepts very concrete, and creating games that engage children in skills and strategy. Additionally, parents will be invited to a 1:1 session with the child and the social worker in order to have the child tell their trauma story. The social worker will provide a weekly handout to the parent, outlining what was discussed during each session and the skills learned during that session; this will be encourage the parent to work on the skills learned at home with the child. At the end of the after-school program, children will graduate.
Target Population
FY23: Elementary school aged children (K-5th grade).
Measures
FY24 Annual: This year has been very successful for Bounce Back. We have seen many children come out of their shell and develop better ways to connect to peers, express their feelings, and cope with stressful situations.
FY24 Q1:Maple Shade reached out to the schools in Snow Hill to try to gather as many children who were at risk for regressions and needed consistency through the summer months. The school was very supportive and helpful in connecting us to these children. Parents were asked to sign consents. Two parents did not return the consent and therefore we could not include those children. There were 6 other children that the school recommended and the parents did not respond. ACES screening tools were used to determine where each child was on that scale and what they had experienced in their lives. We were able to support each child individually and make sure that they had the appropriate tools and resources to overcome some of their trauma and emotional struggles. There were 2 CPS reports made after the screenings were completed to make sure that the children were safe in their homes. 2 children were referred to PRP and respite services. As indicated by a reduction of pre and post test scores, all children completed the program, made progress, and reported that they enjoyed the group.
FY24 Q2: It was very slow start in Pocomoke. Referrals have been hard to get but there were still enough to complete a group in all 4 schools. Students returned to school and we continued service provision. Snow Hill Elementary and Middle have been very involved partners. Pocomoke Elementary and Middle have had less buy in and we have had to push a little harder to work within these schools to run groups. Both Pocomoke schools are communicative and do not indicate any barriers to working together, but have not been as forthcoming with getting students identified and enrolled. Further outreach to the Board and the individual schools should result in increased numbers next quarter. There were 3 CPS reports. 3 Children were enrolled in PRP. 1 family was given info on how apply for MA and completed the application. All children that participated (minus 2 that dropped out) indicated progress and satisfaction with the program. One child had lost a parent and was able to process this in the group as well as individually. 10 children showed improvements in social skills, stress and anxiety reduction, mood stabilization, and coping skills. Based on the parent surveys that we received back there was a high level of satisfaction with the program and the outcomes. Q2 This cohort had less parent involvement and response. The children that showed a decline in functioning were enrolled and/or referred for further services.
FY24: HFY1: Some challenges in obtaining completed parent surveys. In both quarters parent surveys were sent home in backpacks and then a follow up call was made to request that it be completed and returned. Though we did not get all of them back, we did receive positive feedback from all families that had a child in the program. Success for HF1 All children made gains in coping skills and emotional regulation, even with the trauma that the one child experienced. HY2: There were challenges with 1 out of the 4 schools hosting the program, with one school not sending any referrals. They were still in agreement to allow Maple Shade to host the program there but have not been forthcoming with contact information for the program to develop a group. A meeting was held with the Supervisor of mental health to help us collaborate with the school and determine why this has been so difficult. Outreach was also done to school staff by staff to re-educate them on what the program is and who can be referred. Further outreach and collaboration resulted in referrals for the 4th quarter. They have now sent 6 referrals and we are looking forward to improved collaboration for FY25.