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This article provides an overview of the development and implementation of individual student support systems, including tiered interventions and behavior support plans. It addresses the challenges and factors to consider when designing and sustaining these systems.
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RTI Continuum of Support for ALL Math Science Spanish Reading Soc skills Soc Studies Basketball Label behavior…not people Dec 7, 2007
Problem-solving Steps • Define the problem(s) - Analyze the data • Define the outcomes and data sources for measuring the outcomes • Consider 2-3 options that might work • Evaluate each option: - Is it safe? - Is it doable? - Will it work? • Choose an option to try • Determine the timeframe to evaluate effectiveness • Evaluate effectiveness by using the data - Is it worth continuing? - Try a different option? - Re-define the problem?
Overview of Individual Student Systems Simple Solutions Won’t Work for Complex Problems
Purpose • To describe considerations and procedures for developing and sustaining individual student systems
Problem • Educators report that they are unable to educate individual students with significant problem behaviors
LEVEL 2 Specialized Group Interventions
What is a Tier 2 Intervention? • An intervention (or set of interventions) known by all staff and available for students during the school day • Interventions that provide additional student support in academic, organizational, and/or social support areas
Create Templates for Tier 2 • Starting with a template makes frequent tasks more efficient • Form letter (document template) • Business form • Stencil
Tier 2: Small Group Intervention Examples • Social Skills Groups • Check In/Check Out • Academic Support Groups • Self-Monitoring Program
Level 3 Individualized Behavior Support Plans
What is a Tier 3 Intervention? • An intervention (or set of interventions) customized to the unique needs of one child. • Based on the hypothesized function of the child’s behavior • Designed to consider school/home/community variables when possible
Factors and Challenges to ISS • Problem behaviors are high intensity and/or frequency. • Too many students display significant problem behavior at any one time. • Problem behaviors are disrupting learning and teaching environments. • Problem behaviors are difficult to understand. • Interventions are ineffective.
Insufficient number of minutes to collect information, conduct meetings, implement and monitor plans. • Administrative leadership and support is lacking, unavailable, or underdeveloped. • Staff are unable or untrained to implement interventions, and lack opportunities for continuous and applied professional development. • Overemphasis on form, policy, or regulation rather than on process. 10. Lack of continuum of positive behavior support.
Requirements for Individual Student Supports • Behavior must be considered within context in which it is observed.
Problem Behavior Escape/Avoid Obtain Automatic Social Activity Social Activity Tangible Peer Adult Peer Adult 0 Three Functions of Behavior
0 Understanding Behavior Problems • Negative Reinforcement Hypothesis • Positive Reinforcement Hypothesis • Sensory Stimulation Hypothesis • Communication Intent
Requirements for Individual Student Supports • Behavior must be considered within context in which it is observed. • As intensity of problem behavior increases, so must intensity and complexity of functional behavioral assessment and behavior support planning process.
0 Testable Hypothesis Setting Events Triggering Antecedents Problem Behavior Maintaining Consequences
0 Setting event • Factors that make problem behavior worse (more likely to occur, more intense) • E.g., illness, fatigue, social conflict, change in routine,…… • Factors that change value of current reinforcers • E.g., verbal praise less effective, peer attention more influential,escaping work more desirable….
Requirements for Individual Student Supports • Individuals who develop and implement behavior support plans must be behaviorally competent and able to… • Conduct fluently functional assessment-based behavior support planning • Facilitate efficient development, implementation, evaluation of behavior support plans • Collect and analyze student performance data • Develop academic and social behavior support plans that are based on research validated practices
Decisions regarding effectiveness and efficiency of implementation of behavior support plan must be based in data. • Efficiency and effectiveness of implementation system of individual student support are related directly to effectiveness and efficiency of school-wide behavior support systems for all students, staff, and settings.
The longer problem behavior has been occurring, the more resistant it may be to intervention. • Staff need sustained and effective support to respond effectively and efficiently to significant problem behavior. • Efficient team-based approach and process to problem solving must be in place.
Tier 2/3 Team membership: Critical features • Someone skilled in function-based assessment, behavior support planning & implementation • Someone skilled in data-based decision making for individual student progress • Administrator • Staff who know the student(s) • Family members
No heroes……. thanks anyway • Do not try to provide support in isolation • We do not want heroes, • We want self-managers; work your way out of the manager role • It takes a team • If you already know it, challenge yourself to explain or teach it to someone else.
Process for Establishing Tier 3 System • Establish Behavior Support Team to guide/lead process. • Secure and establish behavioral competence within school. • Develop three level system of school-wide behavior support: • Primary Interventions • Secondary Group Interventions • Tertiary Interventions
Primary Interventions • School-wide discipline system for all students, staff, and settings that is effective for “80%” of students • Clearly and positively stated expectations • Procedures for teaching expectations • Continuum of procedures for teaching expectations • Continuum of procedures for encouraging expectations • Continuum of procedures for discouraging rule violations • Procedures for monitoring and modifying procedures
Secondary Interventions • Specialized group administered system for students who display high-risk problem behavior and are unresponsive to primary interventions • Functional assessment based intervention decisions • Daily behavioral monitoring • Regular and frequent opportunities for positive reinforcement • Home-school connection • Individualized academic accommodations for academic success • Planned social skills instruction • Behaviorally based interventions
Tertiary Interventions • Specialized individually administered system for students who display most challenging problem behavior and are unresponsive to secondary interventions. • Simple request for assistance • Immediate response (24-48 hours) • Functional behavioral assessment-based behavior support planning • Team-based problem solving process • Data-based decision making • Comprehensive service delivery derived from a wraparound process
Process for Establishing Tier 3 System • Establish data decision system for matching level of intervention to student. • Simple and direct request for assistance process for staff • Data decision rule for requesting assistance based on number of major behavioral incidents
Process for Establishing Tier 3 System • Establish a continuous data-based system to monitor, evaluate, and improve effectiveness and efficiency. • Are students displaying improved behaviors? • Are staff implementing procedures with high fidelity? • What can be modified to improve outcomes? • What can be eliminated to improve efficiency?
0 Desired Alternative Typical Consequence Summary Statement Points, grades, questions, more work. Do work w/o complaints. Setting Events Triggering Antecedents Problem Behavior Maintaining Consequences Noncompliance, profanity, physical aggression, Lack of peer contact in 30 minutes. Do difficult math assignment. Avoid task, remove from class. Acceptable Alternative Ask for break, ask for help.
0 Make a Plan Write down what the adult will do when student: (a) behaves appropriately (b) engages in minor problem behaviors (c) engages in major problem behaviors
0 Teach and Reinforce • Pick replacement behavior • Teach • Provide reinforcement for functionally equivalent alternative behavior • Student gets (consequence) what he/she wants for doing (behavior) what you want.
0 Considerations in Choosing Alternative Behaviors • Choose form more efficient than problem behavior • Consider effort, immediacy, and consistency of “pay off” • Choose a form that is appropriate for learner and contexts • Already in repertoire? • Easy to learn • Easily interpretable • Initially teach general communication forms
Plan Implementation • Be consistent across people, places, and time • Implement for 10 consecutive school days • Use data to evaluate plan effectiveness • Problem-solve and modify as necessary • Plan for “graduation” from Tier 3 as appropriate
For Problems Bigger than the School Environment • Dual Diagnosis (Special Education and mental health disorders) • Family Issues (abuse, neglect, conflict) • Complex Trauma • Drugs (legal and illegal)
“All of the above… and more” • Do what you can do. (focus on controllable factors) • Look for interagency/community cooperation • Avoid “admiring the problem.” • Individualize and plan for the long haul.
Schools are de facto Mental Health • 70% of all children who receive mental health services, receive them from their school. • Only one third of students with clearly identified mental health needs receive services.
School Mental Health • Evidence-based practices exist. • Limited implementation of available empirically-supported practices within schools • Position constraints (psychologists as evaluators; counselors as academic advisors) • Lack of systems to support work
Wraparound Principles • Strength-based family leadership. • Team based. • Flexible funding/services. • Individualized. • Perseverance.
Wraparound (continued) 6. Outcome focused. 7. Community based. 8. Culturally competent. 9. Natural supports. 10. Collaborative.
… and if that doesn’t work?Reset to “Problem-Solving”
Problem-solving Steps • Define the problem(s) • Analyze the data • Define the outcomes and data sources for measuring the outcomes • Consider 2-3 options that might work • Evaluate each option: • Is it safe? • Is it doable? • Will it work? • Choose an option to try • Determine the timeframe to evaluate effectiveness • Evaluate effectiveness by using the data • Is it worth continuing? • Try a different option? • Re-define the problem?
0 Big Ideas • Teaching matters in the lives of children • Have a plan and follow it consistently • Use proactive and preventative interventions rather than reactive and punitive interventions • Catch kids doing what you want them to do. • NEVER GIVE UP!