A17 Tier III Installation: Beginning Stages Lead Presenter: Ali Hearn Exemplar Presenters: Sarah Wright & Nancy Wiebelhaus Lincoln Public Schools, NE Key Words: Tier III, Systems Alignment, Mental Health

Maximizing Your Session Participation When Working In Your Team Consider 4 questions: Where are we in our implementation? What do I hope to learn? What did I learn? What will I do with what I learned?

Where are you in the implementation process Where are you in the implementation process? Adapted from Fixsen & Blase, 2005 We think we know what we need so we are planning to move forward (evidence-based) Exploration & Adoption Let’s make sure we’re ready to implement (capacity infrastructure) Installation Let’s give it a try & evaluate (demonstration) Initial Implementation That worked, let’s do it for real and implement all tiers across all schools (investment) Let’s make it our way of doing business & sustain implementation (institutionalized use) Full Implementation

Leadership Team Action Planning Worksheets: Steps Self-Assessment: Accomplishments & Priorities Leadership Team Action Planning Worksheet Session Assignments & Notes: High Priorities Team Member Note-Taking Worksheet Action Planning: Enhancements & Improvements

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Washington, DC Save the dates, February 20 – 23, 2019 for the… Pre-Conference Workshops FEBRUARY 20 Skill-Building Workshops FEBRUARY 23 Breakout Sessions FEBRUARY 21 - 22 Networking | Posters | Exhibits Washington, DC Grand Hyatt Washington For more information, visit: conference.apbs.org

Video https://www.youtube.com/watch?v=v76f6KPSJ2w

Now get out your deodorant, this work ain’t easy! You Made It! Now get out your deodorant, this work ain’t easy!

WHERE ARE WE AT IN THE TRIANGLE? Academic Systems Behavioral Systems Tier 3/Tertiary Interventions 1-5% Individual students Assessment-based High intensity 1-5% Tier 3/Tertiary Interventions Individual students Assessment-based Intense, durable procedures Tier 2/Secondary Interventions 5-15% Some students (at-risk) High efficiency Rapid response Small group interventions Some individualizing 5-15 Tier 2/Secondary Interventions Some students (at-risk) High efficiency Rapid response Small group interventions Some individualizing Students receive supports based on their response to intervention More intense as youth move up triangle (more teacher/family time, more data) Available at all 3 tiers Fidelity at Tier 1 improves Tiers 2/3 Tier 1/Universal Interventions 80-90% All students Preventive, proactive 80- 90% Tier 1/Universal Interventions All settings, all students Preventive, proactive 9

Students Staff Parents Families SCHOOL-WIDE Tertiary Prevention: POSITIVE BEHAVIOR SUPPORT: Tertiary Prevention: Specialized Individualized Systems for Students with High-Risk Behavior ~5% Secondary Prevention: Specialized Group Systems for Students with At-Risk Behavior ~15% Primary Prevention: School-/Classroom- Wide Systems for All Students, Staff, & Settings Students Staff Parents Families ~80% of Students

A Multi-Tiered System of Support for Behavior Tier 1/Universal School-Wide Assessment School-Wide Prevention Systems Classroom Practices ODRs, credits Attendance, Tardies, Grades, DIBELS, etc. Tier 2/ Secondary Tier 3/ Tertiary Check-in/ Check-out (CICO) Assessment Intervention Modified CICO Daily Progress Report (DPR) (Behavior and Academic Goals) Social/Academic Instructional Groups (SAIG) Competing Behavior Pathway, Functional Assessment Interview, Scatter Plots, etc. Brief Functional Behavior Assessment/ Behavior Intervention Planning (FBA/BIP) Complex or Multiple-domain FBA/BIP Perception Tools: Home, School, Community Tool, Education Tool Wraparound / RENEW

10 Principles of Wraparound and RENEW Family Voice and Choice Team-Based Natural Supports Collaboration Community-Based Culturally-Competent Individualized Strengths-Based Unconditional Care Outcome-Based NWI standardized the 10 principles in 2004 2008–Revised persistent to unconditional

If you haven’t thought deeply about systems before…you will need to now! Who will be part of the Tier III Systems/Implementation Team and when will they meet? Who/how will we provide professional development to the staff? Facilitator FTE Scheduling considerations Coaching Personnel Time to Coach Thinking differently about discipline Flexibility with educational programming Etc.

Tier 3 What is it?

Wraparound and RENEW Tier III Wraparound and RENEW are PROCESSES for supporting youth and families with complex needs. Defined by 10 Principles Implemented in 4 Phases Builds self efficacy/self-determination

4 Phases of Wraparound & RENEW Youth referred for Tertiary Level Services and Supports Phase 1: 1. Engagement & 2. Team Preparation Phase 2: Initial Plan Development Phase 3: Implementation and Monitoring of Plan Phase 4: Transition

How do you know who to give Tier 3 Supports to? Consider: Data (think: top 1% -5%) Discipline (ODR, ISS, OSS) Grades Attendance Daily Progress Report (DPR) Family and School are in conflict Student is at risk of a more restrictive placement Lower level supports have not been effective Needs across multiple life domains

Phase I: Engagement and Team Preparation A person-centered planning process is used for engagement RENEW: A mapping process with 9 maps (including “History”, “Who I am today”, “Resources”, Strengths and Accomplishments”, “Dreams”, “Goals”, etc. Wraparound: A “coffee chat” style conversation with a family/student to learn about strengths and needs

Who I am Today

People and Resources

Dreams

Engagement…It starts with a COFFEE CHAT.

Tier 3 What does it take to get ready?

Readiness for Tier 3 Leadership Teams Access and Use of Data District-wide Building-wide Access and Use of Data Resources, Coaching and Facilitation

District Readiness for Tier 3 District Community Leadership Teams Monitors implementation Policies and procedures District Team Access and Use of Data Identify implement and monitor screening process Overall monitoring of fidelity and student outcomes Action Planning District Allocated Resources, Coaching and Facilitation District Coaching Flexible Resources and Educational programming Community Partner Collaborations

District Readiness Checklist

District Readiness Checklist Cont.

Building Readiness for Tier 3 Building Leadership Teams Tier 3 Implementation Teams Administration included regularly Able to address systems issues quickly including FTE, flexible educational options, discipline, etc. Tier 3 Student Teams are Individualized and are not the same thing as the Tier 3 Systems Team

Building Readiness Checklist

Building Readiness for Tier 3 Building Access and Use of Data Screening process- IN Progress monitoring- ON This can be challenging since every student/plan is unique. Process for weaning back down to Tier I/II supports Ability to check the fidelity and integrity of the Facilitator’s implementation

Building Readiness for Tier 3 Building Allocated Resources, Coaching, and Facilitation Training Consideration for # of facilitators and time necessary to implement practices with fidelity Flexible Resources allocation to meet training and coaching needs Coaching structures in place to help build capacity

Individualized Teams at the Tertiary Level Are unique to the individual child & family Blend the family’s supports with the school representatives who know the child best Meeting Process Meet frequently Regularly develop & review interventions Facilitator Role Role of bringing team together Role of blending perspectives

Wrap Integrity Tool

RENEW Integrity Tool RIT)

Fidelity of Intervention Data You can find it here

Fill out the TFI section for Tier 2. Identify 0’s and 1’s

Tier III Support Plan Evaluation

Lincoln Public Schools, NE Sarah Wright Nancy Wiebelhaus

Lincoln Public Schools Second Largest School District in Nebraska 39 Elementary Schools 12 Middle Schools 6 Traditional High Schools Just over 40,000 students

History of Implementation Year 1 Year 2 Year 3 Year 4 Year 5 Current Year Secondary Tier 1 Elementary Tier 1 Secondary Tier 2 Elementary Tier 2 Fidelity of Tier 1 and 2 First cohort of WRAP and RENEW FBA/BIPs Second cohort of WRAP and RENEW Third cohort of WRAP and RENEW

Cohort Model Wraparound/RENEW 2016-17 2017-18 2018-19 2019-20 7 elementary/middle schools opted in (Wraparound) 6 high schools (RENEW) 9 more elementary/ middle schools (Wraparound) All high schools ongoing training 16 more elementary/middle schools (Wraparound) High schools ongoing training 15 more elementary/middle schools (Wraparound)

Building Leadership Teams

1b and 1c Training Plan Cohort Model Started with _____ schools Invited all roles of a Tier 3 team Clinicians Admininstrators Gained building buy-in (via training plan) Tier 2 review~Opt in or out

1g Tier 2 look back and review Helped teams understand where Wrap fits into systems Schools were initially given option to opt out for now. Examples -- Schools that had trouble identifying families for WRAP and schools that identified families but the student hadn’t been through all the previous tiers AND didn’t have school, community and home impact

2. Building Teams Access and Use of Data

2a Criteria SW data Tier 2 data Key: Risk of placement change Sample Data: Had to help schools understand Wrap is more than just providing services to families in need.

2d and 2e Tier ⅔ Tracking Tool Wrap data collection form

Youth Satisfaction Tool

3. Building Allocated Resources, Coaching, and Facilitation

3a, 3b, 3f Resource and Facilitation Allocation Training Plan Initial training Ongoing training Ongoing technical assistance Yearly follow up Ongoing coaching Challenge: Understanding flexible facilitation

3e Plan Facilitation Started with 1 plan per school Currently expanding Components of Each Plan: Compiled Electronically

Team Meeting Sign In and Intervention History

Strengths Needs Profile and Wrap Plan

2017-2018 District Wide Wrap Data # Responding # of Total Plans % Responding September 9 13 69% October 7 14 50% November 22 59% December 16 34 47% January 21 26 81% February 17 82% March 20 91% April 10 71% Talking about fluctuating data: kids moving could be an issue (kid left, moved to a school that doesn’t do Wrap), started wrap and then parents backed out

THANK YOU! Contact Us! Ali Hearn- ali.hearn@midwestpbis.org @heyalihearn Sarah Wright- swright4@lps.org Nancy Wiebelhaus- nwiebel@lps.org