In October of 1997, Dr. Terry Bergeson, Superintendent of Public Instruction and Mr. Lyle Quasim, Secretary of the Department of Health and Human Services appointed a 30-member Task Force on Behavioral Disabilities to “make recommendations and identify resources in the areas of (a) policy and regulation, (b) program and placement, (c) funding, (d) cross-system access and collaboration (e) parent involvement, and (f) school safety.”
The Task Force reviewed extensive literature on best practices, met with constituent groups, and convened meetings with national experts to reach the following conclusions in their final report:
- To meet the serious need identified, a mandated infrastructure must be established to coordinate existing services in a transdisciplinary “Comprehensive System of Care” - cutting across boundaries of funding, professions, disciplines and roles, and relying on extensive collaboration from families, education, social, human and health services.
- Efforts of this infrastructure must address issues of prevention and intervention strategies for all children at risk of developing a serious behavior disorder, and the training required for practicing professionals and families to provide prevention and intervention services.
The Task Force recommended that a Comprehensive System of Care be developed and implemented throughout the state that addressed three levels - universal, targeted at-risk, and intensive - based on a child's emotional and behavioral needs. The levels were suggested as critical in an article by Walker et al. (1996) and include:
- Universal Services
- Services are provided to the entire “universe” of children to help them develop healthy behaviors, and could include skill-building for group play, conflict resolution and sports.
- Targeted At-Risk Services
- Services are directed to children with an elevated risk of developing behavioral problems and could include mentoring, behavior intervention plans, and skill-building for anger and behavior management.
- Intensive Services
- Services are provided to children with serious behavior problems and could include behavior intervention plans overseen by teams of professionals, day treatment, or alternative education, or residential treatment for the most serious cases.
To be effective, the proposed Comprehensive System of Care shall be:
- Endorsed by state and local policymakers, educational institutions, social service and health agencies, and families.
- Supported by an adequate, flexible funding source that finances a child's need.
- Guided by well-documented and well-researched strategies of best practices that are continually evaluated to ensure both program efficacy and fiscal efficiency.
- Committed to prevention and intervention, and the training needed to achieve the greatest service effectiveness.
A full copy of the report can be accessed at the OSPI Website [www.k12.wa.us/] under Publications.
