| Summary: | <p>Bullying, fighting, and other forms of interpersonal violence occur frequently in elementary schools, and are associated with student distress, poor school functioning, and increases in aggression, delinquency, and other behavior problems. Positive Behavioral Intervention and Supports (PBIS) is a holistic, multi-tiered, evidence-based approach for preventing and reducing aggression and other problem behavior in school. However, the majority of PBIS schools struggle with more intensive interventions, which many students who present aggressive and disruptive behaviors need. School mental health (SMH) offers promise for addressing these limitations in PBIS. However, SMH lacks an implementation structure and as a result a student must effectively be at a crisis level to be referred for services. Because PBIS and SMH have operated separately, the impacts of both initiatives have been limited.</p> <p>To address these limitations, the Interconnected Systems Framework (ISF) has been developed by leaders from national centers for both initiatives, providing specific guidance on PBIS-SMH interconnection through effective teams, data-based decision making, implementation support for evidence-based practices, and ongoing quality improvement to assure responsiveness to school and student needs. Involving partnerships with school districts and community mental health agencies in two school districts located in South Carolina and Florida, 24 schools implementing PBIS with fidelity were randomly assigned to the three conditions: the ISF, PBIS and SMH, or PBIS alone (8 schools per condition). Data were collected from school records, teacher and student reports, and school implementation teams. The impacts of ISF were compared to the other two conditions on school climate and safety, student exposure to violence, problem behavior and discipline problems, and access to and quality of services.</p>
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