Supporting Staff Well-Being: Strategies for Compassion Resilience

C14 
 Creating Systems to Support
Staff Impacted by Secondary
Trauma
Katie Pohlman - Midwest PBIS Network
Angie Williams 
 Green Hills Area Education Agency, Iowa
Ashley Denton - Missouri Valley Community Schools, Iowa
Keywords: Mental Health, Systems Alignment
Description
Education is a helping profession, and many of us
have heard the terms compassion fatigue,
secondary trauma, and burnout often associated
with helping professions.  Coaches and leaders
will leave this session able to apply data,
systems, and practices of self-care within their
schools to promote a culture of compassion
resilience.
Outcomes
Apply the terms compassion fatigue,
compassion satisfaction, and compassion
resilience to your school staff
Formulate an action plan to install systems and
practices to support staff self-care and
compassion resilience
Identify data to monitor fidelity and outcomes
of creating culture of compassion resilience
   
For more information, visit:
   
conference.apbs.org
Miami, FL
Hyatt Regency Miami
March 11-14, 2020
The Missing Piece
 
SELF-
CARE
Curriculum
Based
Measurement
Classroom
Management
PBIS
Trauma
Informed
Formative
Assessment
Restorative
Practices
WHY SELF-CARE?
Individual and System/Climate to Support
“The best thing about
being a teacher is that it
matters.  The hardest
thing about being a
teacher is that it
matters 
EVERYDAY
.”
-Todd Whitaker
State-dependent Functioning
Impact of Teacher Stress
(2016, September 1). Teacher Stress and Health - Robert Wood Johnson Foundation. Retrieved
October 10, 2017, from https://www.rwjf.org/en/library/research/2016/07/teacher-stress-and-
health.html
Positive Aspects
Negative
Aspects
Professional Quality of Life Manual: 
 
https://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf
 
T
h
e
 
C
o
s
t
 
o
f
 
C
a
r
i
n
g
 
Compassion Satisfaction
Positive aspects of caring professions
Pleasure derived from your work
 
Compassion Fatigue: 
negative aspects of caring professions
1. Burnout
Gradual onset
Negative feelings such as frustration, exhaustion, hopelessness,
efforts make little difference
2. Secondary or Vicarious Trauma
Work related trauma (both primary and secondary)
http://www.figleyinstitute.com/documents/Workbook_AMEDD_SanAntonio_2012July20_Re
vAugust2013.pdf
Responsible and Informed Educators
Practice Self-Care
Self-Care Bias
Do you ever.....
 Wonder how others can leave on time everyday
 Pass judgment on someone out walking the track on their
prep period
 Become annoyed by someone who takes 24 hours to
respond to an email or not look at email on time off
 Question why someone has their door closed in the middle
of the day
 Become irked by someone who says no to a committee or
task
 Judge when someone leaves for lunch
These may be implicit or explicit
Individuals will
struggle with self-
care if system
doesn’t feel
supportive.
Modeling Boundaries
What self-care boundaries are you modeling?
  Do you take a lunch?
  Are you the last one to leave everyday?
  Do you email late at night or on the weekend?
  Do you close your door for undisrupted time?
  Do you walk around the building or outside for a
break?
Actions speak
louder than
words.
WHAT IS COMPASSION
RESILIENCE?
System for self-care
Compassion Resilience
Wisconsin Department of Public Instruction 
 Trauma Sensitive Schools
Module 4:  
https://dpi.wi.gov/sspw/mental-health/trauma/modules
 
Supporting culturally
knowledgeable 
Staff
Behavior 
through team-
based leadership and
coordination, professional
development, coaching,
and content expertise
 
Supporting culturally
valid 
Data-based
Decision Making
through universal
screening, progress
monitoring, and
evaluation of fidelity
 
Supporting 
Student Behavior 
through
a three-tiered continuum of culturally
relevant evidence-based interventions
 
SYSTEMS
 
PRACTICES
 
DATA
 
OUTCOMES
 
Supporting culturally equitable 
Targets
 including
social/emotional competence & academic achievement
Positive Behavioral Interventions and Supports 
(PBIS) is
a 
Multi-Tiered System of Supports 
(MTSS) Framework
for
 
Continuous Improvement
 
and
 
Alignment of Initiatives
Midwest PBIS Network 1/15/19. Adapted from:
“What is a systems Approach in school-wide PBIS?” OSEP
Technical Assistance on Positive Behavioral Interventions
and Supports. https://www.pbis.org/school
McIntosh, K.& Goodman, S. (2016). 
Integrated Multi-Tiered
Systems of Support: Blending RTI and PBIS. 
New York:
Guilford Press.
SYSTEMS
Team-based leadership and coordination
(District and School)
District and School Administrator
Commitment
Ongoing
 professional development
including coaching 
and performance
feedback
Support for staff in Implementing practices
Communication/input from stakeholders
Documentation and Policies
Items in 
bold
 denote core features of MTSS
McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered
Systems of Support: Blending RTI and PBIS. New York: Guilford Press.
Team
What team can lead and coordinate?
Consider an 
existing
 team that monitors school-
wide climate and culture
Tier I, Universal Team or Building Leadership Team
Systems
Policy, Documentation &
Communication
Self-Care Manual
Posted Self-Care Expectations
Policies to support self-care
No meeting Tuesday
Tap-In/Tap-Out System
“Walking” meetings
A “stop-doing” PD goal (e.g.: venting in lunchroom,
reading/sending pointless email)
Email prompts, staff lounge postings, etc
Systems
Self-Care Manual
Definition of self-care
Reasons to practice self-care
Resources
Tips
Encouragement for starting to make healthier choices
“One employer who offered self-care manuals to employees
that encouraged the use of over-the-counter medicines for
common health problems saved between $1 million and $2
million annually (excluding savings from reduced presenteeism)
for more than 10 years.”  (1)
Systems
Policy, Documentation & Communication
Staff Reminders
Compassion Resilience Toolkit
https://compassionresiliencet
oolkit.org/schools/a-toolkit-
for-schools/
Systems
Professional Development
Staff Circles to define desired culture
Establish expectations
Setting boundaries
Direct instructional topics
 
What is self-care? ; Why self-care?
Wellness Practices (e.g.: meditation, time management)
Grounding activities in staff meetings, PLCs
Wellness Groups (e.g.: walking group)
Self-Care Coach (e.g.: provide check-ins, skill
development)
Systems
PD: Staff Circles
Examples
Compassion Resilience Toolkit
https://compassionresiliencet
oolkit.org/schools/a-toolkit-
for-schools/
PRACTICES
 
Three-tiered continuum of evidence-based
practices
 and lessons to support community
members
Interventions to match level of need
Practices implemented with fidelity
Practices result in improved outcomes
Items in 
bold
 denote core features of MTSS
McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered
Systems of Support: Blending RTI and PBIS. New York: Guilford Press.
Defined Expectations
Compassion Resilience Toolkit
https://compassionresiliencet
oolkit.org/schools/a-toolkit-
for-schools/
Practices
Defined Expectations
Practices
All staff have self-care
plans
Peer Buddies for check-
ins
Groups for staff support
Debrief groups
Walking Club
Self-care Check-ins within standing
groups (e.g.: grade level/dept
meetings, PLCs)
Employee Assistance
Programs
~80% responding
 
~15%
 
~5%
 
Students
Staff
Families
Community
What might a continuum of supports for staff
self-care look like?
Midwest PBIS Network 1-15-19
Adapted from: USDOE OSEP PBIS TA Center
Practices
DATA
Establish 
comprehensive
 
universal screening
measures (entry and exit criteria) for
internalizing and externalizing needs
Select which evidence-based practices to install
Team 
data-based problem solving 
for
decision-making
Continuous data-based progress monitoring
of organizational and student outcomes
(grades, attendance, referrals, perception,
equity, etc.)
Process for layering up supports
Evaluation of implementation fidelity
Items in 
bold
 denote core features of MTSS
McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered
Systems of Support: Blending RTI and PBIS. New York: Guilford Press.
Outcome Data
Staff Outcomes
Professional Quality of Life Scale multiple times per school year
Compassion Satisfaction
Burnout
Secondary Traumatic Stress
School Climate Survey
Attendance
Healthcare Cost
Student outcomes
Behavior
Academic achievement
School Climate Surveys
Data
Screening
Pro-QOL as self-assessment
Suggested supports for scores in different ranges
Request for Assistance Process
What supports are available?
How do staff access?
Data
Fidelity Data
Individual
 accountability:
Peer buddies
Habit Tracking Apps
System
 accountability
Fidelity Checks for following and modeling norms
(e.g.: rate your median regulatory state, how often
are you practicing self-care)
Self-Care Bingo
Data
System Monitoring
Submit bingos for an acknowledgement!
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M
I
S
S
O
U
R
I
 
V
A
L
L
E
Y
C
O
M
M
U
N
I
T
Y
 
S
C
H
O
O
L
D
I
S
T
R
I
C
T
Our Story:
Why Self-Care at MVCSD?
2018 GHAEA Learning Supports
Symposium
What has it looked liked?
1.
Secured Grant Funding
2.
Hosted a districtwide PD + Parent Night on self-care
3.
Chose 2 initiatives to pursue
4.
Collected data
Systems
Examples of Our Work
Weekly Coaching &
Communication
“As part of the feedback on self-care, staff asked for regular
communication regarding self-care strategies, quotes,
etc.  Therefore, you will be getting weekly emails regarding the topic
of self-care.  Hopefully, you will find these helpful!”
Here is this week's quote:
“Self-care is how you take your power back.”
– Lalah Delia
Systems
"Every time a mental health professional, teacher, staff member, or administrator
connects with a student, they kind of donate a little piece of their heart. While you
hope it will protect that child, for you, you have donated that piece.  You start out in
September with four good chambers in your heart, but by June you have donated
away your left ventricle.
Y
o
u
 
h
a
v
e
 
t
o
 
t
a
k
e
 
c
a
r
e
 
o
f
 
y
o
u
r
s
e
l
f
 
s
o
 
y
o
u
 
c
a
n
 
b
e
s
t
 
t
a
k
e
 
c
a
r
e
 
o
f
 
y
o
u
r
 
s
t
u
d
e
n
t
s
.
 - Richard Lieberman
Staff Perceptions
 
“This year I feel like they are making sure we are getting what we need. Really open about
questions and concerns.”
 
“It's great to get reminders throughout the year -- to be 
reminded
 to be mindful!”
 
“I liked it, it made me think.”
 
“I feel the self-care efforts have been done well this year! I enjoy the weekly emails.”
 
“Many sources are available for use. We are supported very well.”
 
“I like hearing the message that we need to take care of ourselves.”
 
“Love it!”
 
“It was nice to see how we are affected at work if you don't take time for yourself.”
 
“I love getting the Tuesday messages about self-care. I also think that I have established
relationships within the district that ground me.”
 
Data
Trauma & Self-Care PLC
This PLC will bring together school social workers and
other school based mental health professionals
(School Psychologists, School Counselors, etc.) who
want to learn more about how trauma impacts
students in the school setting. This PLC will also focus
on self-care for the professional. The topic of trauma
and self-care go hand-in-hand as many mental health
professionals suffer from vicarious trauma as a result
of working with traumatized youth. Many of the self-
care strategies discussed come from 
Practicing
Presence
 by Lisa Lucas.
Michael S. Kelly PhD, LCSW, Professor
Family and School Partnership Program Director
Loyola University Chicago School of Social Work
Trauma & Self-Care PLC
This Year- Where are we
going?
Weekly emails
Common Language/Common Understanding
Kagan Cooperative Learning
Evaluation & Data Monitoring
 
Data
Outcome Data
 
Teacher Attendance Data
 
Office Discipline Referrals (majors and minors)
 
Positive to Corrective Feedback
Data
Lessons Learned
Communication
Logistics of space/time
Model self-care
Continued facilitation
Feedback about where teachers are
Gave people permission to be vulnerable
Big Take-Aways
Adult regulation impacts student regulation
Adults need to be taught how to self-regulate
through self-care
Self-care is not as effective in a system that
does not model it
Outcomes and sustainability improve when
we use data, systems and practices to install
We must have data to ensure fidelity and
impact
Questions and Answers
Contact Us
Katie Pohlman 
 Midwest PBIS Network
katie.pohlman@midwestpbis.org
Angie Williams 
 Green Hills Area Education
Agency, Iowa
awilliams@ghaea.org
Ashley Denton 
 Missouri Valley Community
Schools, Iowa
adenton@movalleycsd.org
Resources
Midwest PBIS Network (
www.midwestpbis.org
 )
Content Tab
Trauma
Module 1 
 Self-Care
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Education professionals often face challenges like compassion fatigue and burnout. This session focuses on implementing self-care practices in schools to foster a culture of compassion resilience. Learn to recognize and address staff stress, apply terms like compassion satisfaction and resilience, and create action plans for supporting well-being.

  • Staff Support
  • Compassion Resilience
  • Self-Care Practices
  • Education Professionals
  • Well-Being

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  1. C14 Creating Systems to Support Staff Impacted by Secondary Trauma Katie Pohlman - Midwest PBIS Network Angie Williams Green Hills Area Education Agency, Iowa Ashley Denton - Missouri Valley Community Schools, Iowa Keywords: Mental Health, Systems Alignment MI DWES T NE TWORK P B I S

  2. Description Education is a helping profession, and many of us have heard the terms compassion fatigue, secondary trauma, and burnout often associated with helping professions. Coaches and leaders will leave this session able to apply data, systems, and practices of self-care within their schools to promote a culture of compassion resilience. MI DWES T NE TWORK P B I S

  3. Outcomes Apply the terms compassion fatigue, compassion satisfaction, and compassion resilience to your school staff Formulate an action plan to install systems and practices to support staff self-care and compassion resilience Identify data to monitor fidelity and outcomes of creating culture of compassion resilience MI DWES T NE TWORK P B I S

  4. March 11-14, 2020 MI DWES T NE TWORK P B I S

  5. MI DWES T NE TWORK P B I S

  6. The Missing Piece SELF- CARE Curriculum Based Measurement PBIS Formative Assessment Restorative Practices Classroom Management Trauma Informed MI DWES T NE TWORK P B I S

  7. Individual and System/Climate to Support WHY SELF-CARE? MI DWES T NE TWORK P B I S

  8. The best thing about being a teacher is that it matters. The hardest thing about being a teacher is that it matters EVERYDAY -Todd Whitaker EVERYDAY. MI DWES T NE TWORK P B I S

  9. State-dependent Functioning MI DWES T NE TWORK P B I S

  10. Impact of Teacher Stress Teacher Consequences School organization Job description Work resources Social-emotional competence Teacher Stress Lower student achievement Decreased student and family engagement Higher education costs Low performance Absenteeism High turnover Student & System Consequences (2016, September 1). Teacher Stress and Health - Robert Wood Johnson Foundation. Retrieved October 10, 2017, from https://www.rwjf.org/en/library/research/2016/07/teacher-stress-and- health.html MI DWES T NE TWORK P B I S

  11. Positive Aspects Negative Aspects Professional Quality of Life Manual: https://proqol.org/uploads/ProQOL_Concise_2ndEd_12-2010.pdf MI DWES T NE TWORK P B I S

  12. MI DWES T NE TWORK P B I S

  13. Responsible and Informed Educators Practice Self-Care Achieve Better Outcomes for Students Take Care of Yourself Know Yourself MI DWES T NE TWORK P B I S

  14. Self-Care Bias Do you ever..... Wonder how others can leave on time everyday Pass judgment on someone out walking the track on their prep period Become annoyed by someone who takes 24 hours to respond to an email or not look at email on time off Question why someone has their door closed in the middle of the day Become irked by someone who says no to a committee or task Judge when someone leaves for lunch Individuals will struggle with self- care if system doesn t feel supportive. These may be implicit or explicit MI DWES T NE TWORK P B I S

  15. Modeling Boundaries What self-care boundaries are you modeling? Do you take a lunch? Are you the last one to leave everyday? Do you email late at night or on the weekend? Do you close your door for undisrupted time? Do you walk around the building or outside for a break? Actions speak louder than words. MI DWES T NE TWORK P B I S

  16. System for self-care WHAT IS COMPASSION RESILIENCE? MI DWES T NE TWORK P B I S

  17. Compassion Resilience Wisconsin Department of Public Instruction Trauma Sensitive Schools Module 4: https://dpi.wi.gov/sspw/mental-health/trauma/modules MI DWES T NE TWORK P B I S

  18. Positive Behavioral Interventions and Supports (PBIS) is a Multi-Tiered System of Supports (MTSS) Framework for Continuous Improvementand Alignment of Initiatives Supporting culturally equitable Targets including social/emotional competence & academic achievement OUTCOMES Supporting culturally knowledgeable Staff Behavior through team- based leadership and coordination, professional development, coaching, and content expertise Supporting culturally valid Data-based Decision Making through universal screening, progress monitoring, and evaluation of fidelity PRACTICES Supporting Student Behavior through a three-tiered continuum of culturally relevant evidence-based interventions Midwest PBIS Network 1/15/19. Adapted from: What is a systems Approach in school-wide PBIS? OSEP Technical Assistance on Positive Behavioral Interventions and Supports. https://www.pbis.org/school McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered Systems of Support: Blending RTI and PBIS. New York: Guilford Press. MI DWES T NE TWORK P B I S

  19. SYSTEMS Team-based leadership and coordination (District and School) District and School Administrator Commitment Ongoing professional development including coaching and performance feedback Support for staff in Implementing practices Communication/input from stakeholders Documentation and Policies Items in bold denote core features of MTSS McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered Systems of Support: Blending RTI and PBIS. New York: Guilford Press. MI DWES T NE TWORK P B I S

  20. Team What team can lead and coordinate? Consider an existing team that monitors school- wide climate and culture Tier I, Universal Team or Building Leadership Team Systems MI DWES T NE TWORK P B I S

  21. Policy, Documentation & Communication Self-Care Manual Posted Self-Care Expectations Policies to support self-care No meeting Tuesday Tap-In/Tap-Out System Walking meetings A stop-doing PD goal (e.g.: venting in lunchroom, reading/sending pointless email) Email prompts, staff lounge postings, etc Systems MI DWES T NE TWORK P B I S

  22. Self-Care Manual Definition of self-care Reasons to practice self-care Resources Tips Encouragement for starting to make healthier choices Systems One employer who offered self-care manuals to employees that encouraged the use of over-the-counter medicines for common health problems saved between $1 million and $2 million annually (excluding savings from reduced presenteeism) for more than 10 years. (1) MI DWES T NE TWORK P B I S

  23. Policy, Documentation & Communication Staff Reminders Systems Compassion Resilience Toolkit https://compassionresiliencet oolkit.org/schools/a-toolkit- for-schools/ MI DWES T NE TWORK P B I S

  24. Professional Development Staff Circles to define desired culture Establish expectations Setting boundaries Direct instructional topics What is self-care? ; Why self-care? Wellness Practices (e.g.: meditation, time management) Grounding activities in staff meetings, PLCs Wellness Groups (e.g.: walking group) Self-Care Coach (e.g.: provide check-ins, skill development) Systems MI DWES T NE TWORK P B I S

  25. PRACTICES Three-tiered continuum of evidence-based practices and lessons to support community members Tier 3 Individualized Prevention for high need behaviors ~ 5% Tier 2 Group-based Prevention for at-risk behaviors ~ 15% Tier 1 Prevention for all community members in all settings ~ 80% Responding Interventions to match level of need Practices implemented with fidelity Practices result in improved outcomes Items in bold denote core features of MTSS McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered Systems of Support: Blending RTI and PBIS. New York: Guilford Press. MI DWES T NE TWORK P B I S

  26. Defined Expectations Practices Compassion Resilience Toolkit https://compassionresiliencet oolkit.org/schools/a-toolkit- for-schools/ MI DWES T NE TWORK P B I S

  27. Defined Expectations Practices The Wilson Way to Compassion Resilience Recognize others self-care practice Honor others boundary setting Establish clear expectations for others Be Respectful Practice daily self-care Set realistic expectations for self Establish and communicate boundaries Be Responsible Request time to regulate Be Safe MI DWES T NE TWORK P B I S

  28. What might a continuum of supports for staff self-care look like? Employee Assistance Programs ~5% Students ~15% Groups for staff support Debrief groups Walking Club Self-care Check-ins within standing groups (e.g.: grade level/dept meetings, PLCs) Staff Families Community All staff have self-care plans Peer Buddies for check- ins Practices ~80% responding MI DWES T NE TWORK P B I S Midwest PBIS Network 1-15-19 Adapted from: USDOE OSEP PBIS TA Center

  29. DATA Establish comprehensiveuniversal screening measures (entry and exit criteria) for internalizing and externalizing needs Select which evidence-based practices to install Team data-based problem solving for decision-making Continuous data-based progress monitoring of organizational and student outcomes (grades, attendance, referrals, perception, equity, etc.) Process for layering up supports Evaluation of implementation fidelity Items in bold denote core features of MTSS McIntosh, K.& Goodman, S. (2016). Integrated Multi-Tiered Systems of Support: Blending RTI and PBIS. New York: Guilford Press. MI DWES T NE TWORK P B I S

  30. Outcome Data Staff Outcomes Professional Quality of Life Scale multiple times per school year Compassion Satisfaction Burnout Secondary Traumatic Stress School Climate Survey Attendance Healthcare Cost Student outcomes Behavior Academic achievement School Climate Surveys Data MI DWES T NE TWORK P B I S

  31. Screening Pro-QOL as self-assessment Suggested supports for scores in different ranges Request for Assistance Process What supports are available? How do staff access? Data MI DWES T NE TWORK P B I S

  32. Fidelity Data Individual accountability: Peer buddies Habit Tracking Apps System accountability Fidelity Checks for following and modeling norms (e.g.: rate your median regulatory state, how often are you practicing self-care) Self-Care Bingo Data MI DWES T NE TWORK P B I S

  33. System Monitoring Submit bingos for an acknowledgement! MI DWES T NE TWORK P B I S

  34. MISSOURI VALLEY MISSOURI VALLEY COMMUNITY SCHOOL COMMUNITY SCHOOL DISTRICT DISTRICT

  35. Our Story: Why Self-Care at MVCSD?

  36. 2018 GHAEA Learning Supports Symposium

  37. What has it looked liked? 1. Secured Grant Funding 2. Hosted a districtwide PD + Parent Night on self-care 3. Chose 2 initiatives to pursue 4. Collected data Systems

  38. Examples of Our Work

  39. Weekly Coaching & Communication As part of the feedback on self-care, staff asked for regular communication regarding self-care strategies, quotes, etc. Therefore, you will be getting weekly emails regarding the topic of self-care. Hopefully, you will find these helpful! Here is this week's quote: Self-care is how you take your power back. Lalah Delia Systems

  40. "Every time a mental health professional, teacher, staff member, or administrator connects with a student, they kind of donate a little piece of their heart. While you hope it will protect that child, for you, you have donated that piece. You start out in September with four good chambers in your heart, but by June you have donated away your left ventricle. You have to take care of yourself so you can best take care of your students. - Richard Lieberman

  41. Staff Perceptions This year I feel like they are making sure we are getting what we need. Really open about questions and concerns. It's great to get reminders throughout the year -- to be remindedto be mindful! I liked it, it made me think. I feel the self-care efforts have been done well this year! I enjoy the weekly emails. Many sources are available for use. We are supported very well. I like hearing the message that we need to take care of ourselves. Love it! It was nice to see how we are affected at work if you don't take time for yourself. I love getting the Tuesday messages about self-care. I also think that I have established relationships within the district that ground me. Data

  42. Trauma & Self-Care PLC This PLC will bring together school social workers and other school based mental health professionals (School Psychologists, School Counselors, etc.) who want to learn more about how trauma impacts students in the school setting. This PLC will also focus on self-care for the professional. The topic of trauma and self-care go hand-in-hand as many mental health professionals suffer from vicarious trauma as a result of working with traumatized youth. Many of the self- care strategies discussed come from Practicing Presence by Lisa Lucas. Michael S. Kelly PhD, LCSW, Professor Family and School Partnership Program Director Loyola University Chicago School of Social Work

  43. Trauma & Self-Care PLC

  44. This Year- Where are we going? Weekly emails Common Language/Common Understanding Kagan Cooperative Learning

  45. Evaluation & Data Monitoring Professional Quality of Life Compassion Satisfaction 36.12 Burnout 26.74 Secondary Traumatic Stress 24.24 December 2018 Compassion Satisfaction 40.78 Burnout 26.22 Secondary Traumatic Stress 22.52 May 2019 Data

  46. Outcome Data Teacher Attendance Data Office Discipline Referrals (majors and minors) Positive to Corrective Feedback Data

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