1. Scaling & Sustaining Evidence-Based Practices Glen Dunlap, Steve Goodman, Tim Lewis, Rob Horner & George Sugai OSEP Center on PBIS OSEP Project Directors’ Meeting Washington DC July 16, 2007 www.pbis.org

2. Panel Context & Purpose Given expectation that effective evidence-based intervention should be adopted, early consideration of implementation sustainability & outcome durability is becoming more important in our technical assistance & implementation efforts. Panel purpose is to discuss strategies & considerations that would stimulate continued & enhanced demonstration & study of effective strategies for sustaining accurate implementation & scaling up our innovative efforts.

3. Achieving Purpose Agenda & Panelists Moderator: Glen Dunlap (USF) Context: George Sugai (UConn) Multi-State Lessons: Tim Lewis (MU) State-Wide Lessons: Steve Goodman (MI DoE) Future: Rob Horner (UO) Q&A: Glen Dunlap (USF)

4. www.pbis.org

5. Challenges How do we….. Increase adoption of effective evidence-based practices? Ensure high fidelity of implementation of EBP? Increase efficient, sustained implementation of EBP? Increase accurate, efficient, & durable institutionalized use of EBP?

6. Fixsen “Big Impressions” “Policy is…. – allocation of limited resources for unlimited needs” – opportunity, not guarantee, for good action” “Training does not predict action”

7. IMPLEMENTATION PHASES Need, Agreements, Adoption, & Outcomes Local Demonstration w/ Fidelity Sustained Capacity, Elaboration, & Replication 4. Systems Adoption, Scaling, & Continuous Regeneration 2. 3. 1.

8. Our objective…. Redesign & support teaching & learning environments that are effective, efficient, relevant, & durable –Outcome-based –Data-guided decision making –Evidence-based practices –Systems support for accurate & sustained implementation

9. Original logic: public health & disease prevention (Larson, 1994) Tertiary (FEW) –Reduce complications, intensity, severity of current cases Secondary (SOME) –Reduce current cases of problem behavior Primary (ALL) –Reduce new cases of problem behavior

10. It’s not just about behavior! Good TeachingBehavior Management STUDENT ACHIEVEMENT Increasing District & State Competency and Capacity Investing in Outcomes, Data, Practices, and Systems

11. Academic SystemsBehavioral Systems 1-5% 5-10% 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

12. Responsiveness to Intervention

13. What’s it gonna take to sustain & expand accurate implementation of evidence-based practices?

14. PRACTICEPRACTICE RESEARCHRESEARCH EFFICACY V. EFFECTIVENESS To

15. Agreements Team Data-based Action Plan ImplementationEvaluation GENERAL TEAMING IMPLEMENTATION PROCESS: “Getting Started”

16. Individual Behavior Support Elements & Process Problem Behavior Functional Assessment Intervention & Support Plan Fidelity of Implementation Impact on Behavior & Lifestyle *Response class *Routine analysis *Hypothesis statement *Function *Alternative behaviors *Competing behavior analysis *Contextual fit *Strengths, preferences, & lifestyle outcomes *Evidence-based interventions *Implementation support *Data plan *Continuous improvement *Sustainability plan Team-based Behavior competence

17. Individual linked to System Student Classroom School State District

18. Scaling Up: Horizontal V. Vertical Expansion National Federal State/Region District School S S SSS SSSS SSSS SSSSSS SSS SSSSSSSSSSSSSSSSSSSS Organizational Systems Schools Practice & Research Communities

19. Leadership Team Active Coordination Funding Visibility Political Support Training Coaching Evaluation Local School Teams/Demonstrations PBS Systems Implementation Logic

20. Valued Outcomes Continuous Self-Assessment Practice Implementation Effective Practices Relevance Priority Efficacy Fidelity SUSTAINABLE IMPLEMENTATION & DURABLE RESULTS THROUGH CONTINUOUS REGENERATION