the last frontier: key system features of tier iii supports within a school-wide positive behavior...
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The Last Frontier: Key System Features of Tier III Supports Within a School-wide Positive Behavior Support Continuum
Tim Lewis, Ph.D. & Barbara Mitchell, Ph.D.
University of Missouri
OSEP Center on Positive Behavioral Intervention & Supports
pbis.org
Starting Point….
• We cannot “make” students learn or behave
• We can create environments to increase the likelihood students learn and behave
• Environments that increase the likelihood are guided by a core curriculum and implemented with consistency and fidelity
SYST
EMS
PRACTICES
DATASupportingStaff Behavior
SupportingDecisionMaking
SupportingStudent Behavior
SW-PositiveBehaviorSupport OUTCOMES
Social Competence &Academic Achievement
Academic Systems Behavioral Systems
1-5% 1-5%
5-10% 5-10%
80-90% 80-90%
Intensive, Individual Interventions•Individual Students•Assessment-based•High Intensity
Intensive, Individual Interventions•Individual Students•Assessment-based•Intense, durable procedures
Targeted Group Interventions•Some students (at-risk)•High efficiency•Rapid response
Targeted Group Interventions•Some students (at-risk)•High efficiency•Rapid response
Universal Interventions•All students•Preventive, proactive
Universal Interventions•All settings, all students•Preventive, proactive
Designing School-Wide Systems for Student Success
Universal
Targeted
IntensiveContinuum of
Supports
Reading
Science
Math
Soc skills
Horses
Spanish
Essential Features at the School Level
• Teams of educators within the school (administrator)
• Data-based decision making• Instructional Focus
– Teach & Practice• Acknowledge student mastery of social skills
– Positive Feedback• Readiness across Tiers (universals always a priority)• Access to on-going Technical Assistance
Funding Visibility PolicyPoliticalSupport
Training CoachingBehavioral Expertise
Evaluation
LEADERSHIP TEAM(Coordination)
Local School/District Implementation Demonstrations
Universal School-Wide Features
• Clearly define expected behaviors (Rules)– All Settings– Classrooms
• Procedures for teaching & practicing expected behaviors
• Procedures for encouraging expected behaviors• Procedures for discouraging problem behaviors• Procedures for data-based decision making• Family Awareness and Involvement
Tier II (small group)• Efficient and effective way to identify at-risk students
– Screen– Data decision rules– Teacher referral
• Informal assessment process to match intervention to student need– Small group Social Skill Instruction– Self-management– Academic Support
• Progress Monitoring• Part of a continuum – must link to universal
school-wide PBS system
Tier III (individualized support)
• Non response to Tier II• When problem intense and chronic• Driven by Functional Behavioral Assessment• Connections to Mental Health and Community
Agencies (Integrated Framework Monograph)
• Part of a continuum – must link to universal school-wide PBS system
RRKS Team
STAT Team
School-Wide SystemsMatrixLesson PlansSchool-Wide DataAcknowledgementCommunication
Core Team RepresentativeDistrict PBS Support
Building Administrator and Counselors
*Meets Monthly
Core Team Representative
SAT PartnerCore Team Teachers
*Meets Weekly
Core Team/ClassroomsImplement AISMonitor ProgressRefer to SAT
SAT ProcessTeacher Training and SupportTargeted InterventionsIndividual Student Plans
SAT Team
AdministratorCounselorBehavior Specialist
Data Determine When PBS Team is Ready to Build Supports Beyond
Universals
Readiness for Tier 2
• SWPBS universal systems are consistently implemented with fidelity– School-wide– Non-Classroom– Classroom
14
Readiness for Tier 2
• SWPBS Universal System Outcomes– SET or BoQ score of 80% or higher
within past 18 months– SAS: 80% of staff report that School-wide, Non-
Classroom & Classroom Systems are in place
15
Readiness for Tier 2
• SWPBS Universal System Outcomes– Data indicating 80% of students with 0-1 ODR or
within national average for the school’s grade levels
– Consistent use of school-wide data for making decisions as evidenced by monthly Big 5 Data Reports
– System in place to collect classroom minor referrals
16
Readiness for Tier 2
• Evidence of implementation of the Eight Classroom Essential Practices & a process developed for ongoing training faculty/staff.
17
Classroom Universal Essential Practices
1. Classroom expectations & rules defined and taught (all use school-wide, create classroom examples)
2. Procedures & routines defined and taught3. Continuum of strategies to acknowledge appropriate
behavior in place and used with high frequency (4:1)4. Continuum of strategies to respond to inappropriate behavior
in place and used per established school-wide procedure5. Students are actively supervised (pre-corrects and positive
feedback)6. Students are given multiple opportunities to respond (OTR)
to promote high rates of academic engagement7. Activity sequence promotes optimal instruction time and
student engaged time8. Instruction is differentiated based on student need
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Tier 2 Readiness Checklist
*Place a check in the box that best reflects your school’s status
Data Indicators In Place
Not In Place
Notes
1. SET score of 80/80 OR
BoQ score of 80% or higher
2. SAS Schoolwide 80% or higher
3. SAS Non-Classroom 80% or higher
4. SAS Classroom 80% or higher
5. 80% or more students in the 0-1 ODR range or within national range for school’s grade levels
6. Consistent use of schoolwide data for making decisions as evidenced by monthly Big 5 Data Reports
7. System in place to collect classroom minor referrals
8. Tier 2 team includes administrator, crossover member, behavioral expertise or desire to develop, academic expertise
9. Eight Classroom Essential Practices taught to all staff and evident in all classrooms
10. Access to district level support
MO SW-PBS
Tier 2 Readiness Analysis
Tier 3 ReadinessSchool-wide Evaluation Tool (SET) Score of
80/80 or Benchmarks of Quality (BoQ) of 80% or higher within the last 12 months
Self-Assessment Survey (SAS) results indicate current status of 80% or more features in place for School-Wide Systems, Non-classroom Setting Systems and Classroom Systems
Tier 3 Readiness
Office Referral Data (ODR) indicate 80% or more of students in the 0-1 referral range
Data demonstrates reduction in classroom minor referrals over at least a one year period
Consistent use of schoolwide data for making decisions as evidenced by monthly Big 5 data reports
15% Tier 3Goal 5%
16% Tier 2Goal 15%
69% Tier 1Goal 80%
6+ Referrals
2-5 Referrals
0-1 Referral
57 students with 9+ Referrals
1712 referrals
Baseline Behavior Data Spring
7% Tier 3Goal 5%
10% Tier 2Goal 15%
83% Tier 1Goal 80%
Post Intensifying Tier I + Classrooms
516 Referrals
16 Students with 9+ Referrals
6+ Referrals
2-5 Referrals
0-1 Referrals
Tier 3 ReadinessDocumentation of:
– Standard system for identifying students for Tier 2 supports
– Process to identify “function” of behavior and match intervention to the function
– At least one research-based small-group and/or targeted behavioral intervention that is fully implemented. If only one is fully implemented, the second intervention has been piloted and plans are in place for full implementation.
Tier 3 ReadinessDocumentation of:
– Staff training for implementation of interventions
– Use of individual student data for making decisions about when to continue, intensify, change, or fade intervention
– Informing family members of the Tier 2 process and regularly updating them about child’s progress
Tier 3 ReadinessAdministrator and core group of staff who will
serve on Tier 3 team:– At least one member with behavioral expertise– At least one member with academic expertise– Crossover membership for Tier 2 team– Access to district level support
Determine a core group of team members who will attend trainings (i.e., administrator, member with behavioral expertise, member with academic expertise)
Tier 1 and Tier 2 Analysis for Tier 3 Readiness
Tier 3 Readiness Guideline Documentation/Notes: Schoolwide Evaluation Tool (SET) Score of 80/80 or Benchmarks of Quality (BoQ) of 80% or higher within the last 12 months.
Score and date __________________________ 80% Criteria met? Yes No Notes for increasing fidelity based upon results:
Self-Assessment Survey (SAS)/Effective Behavior Support Survey (EBS) results indicate current status of 80% or more features in place for Schoolwide Systems, Nonclassroom Setting Systems and Classroom Systems.
Score and date __________________________ 80% Criteria met? Yes No Notes for increasing fidelity based upon results:
Office Referral Data (ODR) indicate 80% of students in the 0-1 referral range.
Percentage in 0-1 range__________ 80% Criteria met? Yes No Notes for increasing fidelity based upon results:
Data demonstrates reduction in classroom minor referrals over at least a one year period.
Classroom Minor Referrals collected? Yes No If Yes: Number of previous year’s Classroom Minors ___________ If No: Add to your Action Plan steps to begin Classroom Minor data collection
Tier 1 and Tier 2 Analysis for Tier 3 Readiness
Implementation Stages and Phases of Learning
SystemsExplorationInstallationInitial ImplementationFull ImplementationInnovationSustainability
Individual Learning• Acquisition• Fluency• Maintenance &
Generalization
Designing Tier III Systems
School-wide PBIS Tiered Fidelity Inventory
3.1 Team CompositionFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.1 Team Composition: Tier III systems planning team (or combined Tier II/III team) includes a Tier III systems coordinator and individuals who can provide (a) applied behavioral expertise, (b) administrative authority, (c) multi-agency supports (e.g., person centered planning, wraparound, RENEW) expertise, (d) knowledge of students, and (e) knowledge about the operations of the school across grade levels and programs.
School organizational chart
Tier III team meeting minutes
0 = Tier III team does not include a trained systems coordinator or all 5 identified functions
1 = Tier III team members have some but not all 5 functions, and /or some but not all members have relevant training or attend at least 80% of meetings
2 = Tier III team has a coordinator and all 5 functions and attendance of these members is at or above 80%
Main Idea: Tier III teams need individuals with specific skills to
effectively provide and implement Tier III supports. Think about
“functions” versus traditional job titles.
Subscale: Teams
3.2 Team Operating ProceduresFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.2 Team Operating Procedures: Tier III team meets at least monthly and has (a) regular meeting format/agenda, (b) minutes, (c) defined meeting roles, and (d) a current action plan.
Tier III team meeting agendas and minutes
Tier III meeting roles descriptions
Tier III action plan
0 = Tier III team does not use regular meeting format/agenda, minutes, defined roles, or a current action plan
1= Tier III team has at least 2 but not all 4 features
2 = Tier III team meets at least monthly and uses regular meeting format/agenda, minutes, defined roles, AND has a current action plan
Main Idea: Tier III teams should create a standard “problem
solving” format (Data- Practices- systems)
Subscale: Teams
3.3 ScreeningFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.3 Screening: Tier III team uses decision rules and data (e.g., ODRs, Tier II performance, academic progress, absences, teacher/family/student nominations) to identify students who require Tier III supports.
School policy Team decision
rubric Team meeting
minutes
0 = No decision rules for identifying students who should receive Tier III supports
1 = Informal process or one data source for identifying students who qualify for Tier III supports
2 = Written data decision rules used with multiple data sources for identifying students who qualify for Tier III supports, and evidence the policy/rubric includes option for teacher/family/student nominations
Subscale: Teams
Main Idea: Use multiple data sources to identify students who
are displaying intense/chronic patterns and/or not-responding
to Tier II supports.
3.4 Student Support TeamFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.4 Student Support Team: For each individual student support plan, a uniquely constructed team exists (with input/approval from student/ family about who is on the team) to design, implement, monitor, and adapt the student-specific support plan.
Three randomly selected Tier III student behavior support plans created in the last 12 months (see TFI Tier III Support Plan Worksheet)
0 = Individual student support teams do not exist for all students who need them
1 = Individual student support teams exist, but are not uniquely designed with input from student/family and / or team membership has partial connection to strengths and needs
2 = Individual student support teams exist, are uniquely designed with active input/approval from student/family (with a clear link of team membership to student strengths and needs), and meet regularly to review progress data
Subscale: Teams
Main Idea: Each student receiving Tier III supports benefits from having an individualized team comprised of relevant stakeholders with a
Coordinator/Case Manager (3.5)
3.6 Student/Family/Community Involvement
Feature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.6 Student/Family/Community Involvement: Tier III team has district contact person(s) with access to external support agencies and resources for planning and implementing non-school-based interventions (e.g., intensive mental health) as needed.
Three randomly selected Tier III student behavior support plans created in the last 12 months (see TFI Tier III Support Plan Worksheet)
0 = District contact person not established
1 = District contact person established with external agencies, OR resources are available and documented in support plans
2 = District contact person established with external agencies, AND resources are available and documented in support plans
Subscale: Resources
Main Idea: Accessing external supports and resources, as needed, to create cross setting individual student support plans.
3.7 Professional DevelopmentFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.7 Professional Development: A written process is followed for teaching all relevant staff about basic behavioral theory, function of behavior, and function-based intervention.
Professional Development Calendar
Staff Handbook Lesson plans for
teacher trainings School policy
0 = No process for teaching staff in place
1 = Professional development and orientation process is informal
2 = Written process used to teach and coach all relevant staff in basic behavioral theory, function of behavior, and function-based intervention
Subscale: Resources
Main Idea: Effective implementation of Tier III supports requires that relevant staff have the
knowledge base necessary for success – Specific focus on Function Based Interventions & understanding how mental health supports
connect to Universal & Tier II supports
3.10 Hypothesis StatementFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.10 Hypothesis Statement: Behavior support plans include a hypothesis statement, including (a) operational description of problem behavior, (b) identification of context where problem behavior is most likely, and (c) maintaining reinforcers (e.g., behavioral function) in this context.
Three randomly selected Tier III student behavior support plans created in the last 12 months (see TFI Tier III Support Plan Worksheet)
0 = No plans include a hypothesis statement with all 3 components, or there are no Tier III support plans
1 = 1 or 2 plans include a hypothesis statement with all 3 components
2 = All plans include a hypothesis statement with all 3 components
Subscale: Support Plan
Main Idea: Individual behavior support plans should be driven by a
functional behavioral assessment
3.11 Comprehensive SupportFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.11 Comprehensive Support: Behavior support plans include or consider (a) prevention strategies, (b) teaching strategies, (c) strategies for removing rewards for problem behavior, (d) specific rewards for desired behavior, (e) safety elements where needed, (f) a systematic process for assessing fidelity and impact, and (g) the action plan for putting the support plan in place.
Three randomly selected Tier III student behavior support plans created in the last 12 months (see TFI Tier III Support Plan Worksheet)
0 = No plans include all 7 core support plan features, or there are no Tier III support plans
1 = 1 or 2 plans include all 7 core support plan features
2 = All plans include all 7 core support plan features
Subscale: Support Plan
Main Idea: All individual plans provide a strategy to a) teach a pro-social replacement behavior (linked to school-wide expectation) that leads to same/similar outcome as problem behavior and b) high rates of reinforcement for replacement behavior and c) do
not allow problem behavior to access previous outcome -- “don’t feed the function”
FBA – PBS Plan Process
Success requires:
1. Individual(s) with expertise in FBA-PBS
2. Fluency with a clear process among all staff whereby roles are clearly defined
3. A basic understanding of Applied Behavior Analysis (Behavior is functionally related to the teaching environment) among all school staff
Essential Steps to Individual PBS Plans
1. Decision Rule Met2. Operationally define problem/replacement behavior3. Background/archival data/ data collection/Environmental
Assessment4. Functional Behavioral Assessment
– Indirect measures– Direct observation
5. Develop hypothesis regarding function of problem behavior6. Develop a PBS plan
– Social skill instruction– Self management– Environmental modifications
7. Implement, Monitor and Evaluate progress
District –Wide Planning
District-Wide Considerations
• Common forms & process• Training & Technical assistance targets• Evaluation
– FBA– BIP– School & District Process
An Example District Review
Key Points Across the Review
• Response to appropriate/replacement behavior must lead to the same functional outcome as the problem behavior (i.e., get/avoid).
• Response to problem behavior must be the opposite of the current function (e.g., avoid adult attention if problem behavior functions to access adult attention).
• Hypotheses should only include “get what student finds reinforcing” and/or “avoid what student finds aversive.” Power, control, emotion expression are not observable/manipulable functions.
Key Points Across the Review
• Teaching replacement behavior should focus on how to build student fluency with replacement behavior, not what the adults will do or what incentives will be built into the system.
• Environment manipulations should focus on prompting replacement behavior and altering antecedent conditions to lessen likelihood of problem behavior occurring.
• Training and technical assistance should focus on a range of strategies for escape-motivated students.
3.12 Natural and Formal SupportsFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.12 Formal and Natural Supports: Behavior support plan(s) requiring extensive and coordinated support (e.g., person centered planning, wraparound, RENEW) documents quality of life strengths and needs to be completed by formal (e.g., school/district personnel) and natural (e.g., family, friends) supporters.
At least one Tier III behavior support plan requiring extensive support (see TFI Tier III Support Plan Worksheet)
0 = Plan does not include specific actions, or there are no plans with extensive support
1 = Plan includes specific actions, but they are not related to the quality of life needs and / or do not include natural supports
2 = Plan includes specific actions, linked logically to the quality of life needs, and they include natural supports
Subscale: Support Plan
Main Idea: Some Tier III plans may need to include professionals, service providers, and individuals from outside the “typical” school
day. Key is to tie all services to the school-wide expectations.
Interconnected Systems Framework for School Mental Health
Tier I: Universal/Prevention for AllCoordinated Systems, Data, Practices for Promoting Healthy Social
and Emotional Development for ALL Students
School Improvement team gives priority to social and emotional health Mental Health skill development for students, staff, families and communities Social Emotional Learning curricula for all studentsSafe & caring learning environments Partnerships between school, home and the communityDecision making framework used to guide and implement best practices that consider unique strengths and challenges of each school community
Tier 3: Intensive Interventions for FewIndividual Student and Family Supports
Systems Planning team coordinates decision rules/referrals for this level of service and progress monitorsIndividual team developed to support each student Individual plans may have array of interventions/servicesPlans can range from one to multiple life domainsSystem in place for each team to monitor student progress
Tier 2: Early Intervention for SomeCoordinated Systems for Early Detection, Identification,
and Response to Mental Health Concerns
Systems Planning Team identified to coordinate referral process, decision rules and progress monitor impact of interventionArray of services availableCommunication system for staff, families and community Early identification of students who may be at risk for mental health concerns due to specific risk factorsSkill-building at the individual and groups level as well as support groups Staff and Family training to support skill development across settings
3.14 Data SystemFeature Data Sources
Scoring Criteria0 = Not implemented1 = Partially implemented2 = Fully implemented
3.14 Data System: Aggregated (i.e., overall school-level) Tier III data are summarized and reported to staff at least monthly on (a) fidelity of support plan implementation, and (b) impact on student outcomes.
Reports to staff Staff meeting
minutes Staff report
0 = No quantifiable data
1 = Data are collected on outcomes and/or fidelity but not reported monthly
2 = Data are collected on student outcomes AND fidelity and are reported to staff at least monthly
Subscale: Evaluation
Main Ideas: Essential to track daily individual student data and create data-decision rules to
help guide on-going intervention implementation and Implementation Fidelity (3.15). Monitor overall number of students
who are supported (3.16) and modify systems at least annually (3.17).
Tier III and Special Education
• Tier III process and supports available to all students who meet school-based data decision rules.
• Behavioral expertise and process driven among a variety of school staff.
• Not intended to be part of the Special Education Evaluation process (unless specified and parent consent secured).
• If student on IEP, follow procedural safeguards.
Big Ideas• Readiness • Continued focus on Universals and Tier II• Phases of implementation• Behavioral Expertise v. job title• Continue “instructional focus”• Map “external supports” to school-wide PBS system• Strategic training and technical assistance • Formative and Summative evaluation of the
process
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