1. 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

2. 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?

3. 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

4. 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

5. Please Provide Feedback
Your feedback is important to us! Please take a few moments at the end of the session to complete an evaluation form for this session. Forms are available:
In our mobile application by clicking the link in the session description.
Online underneath the posted presentations at go_forum_18

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

7. Video

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

9. WHERE ARE WE AT IN THE TRIANGLE?
Academic Systems
Behavioral Systems
Tier 3/Tertiary Interventions %
Individual students
Assessment-based
High intensity
1-5% Tier 3/Tertiary Interventions
Individual students
Assessment-based
Intense, durable procedures
Tier 2/Secondary Interventions %
Some students (at-risk)
High efficiency
Rapid response
Small group interventions
Some individualizing
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 %
All students
Preventive, proactive
80- 90% Tier 1/Universal Interventions
All settings, all students
Preventive, proactive 9

10. 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

11. 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

12. 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 –Revised persistent to unconditional

13. 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.

14. Tier 3
What is it?

15. 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

16. 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

17. 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

18. 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

19. Who I am Today

20. People and Resources

21. Dreams

22. Engagement…It starts with a COFFEE CHAT.

23. Tier 3
What does it take to get ready?

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

25. 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

26. District Readiness Checklist

27. District Readiness Checklist Cont.

28. 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

29. Building Readiness Checklist

30. 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

32. 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

34. 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

35. Wrap Integrity Tool

36. RENEW Integrity Tool RIT)

37. Fidelity of Intervention Data
You can find it here

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

41. Tier III Support Plan Evaluation

42. Lincoln Public Schools, NE
Sarah Wright
Nancy Wiebelhaus

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

44. 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

45. 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)

46. Building Leadership Teams

47. 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

48. 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

49. 2. Building Teams Access and Use of Data

50. 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.

51. 2d and 2e
Tier ⅔ Tracking Tool
Wrap data collection form

53. Youth Satisfaction Tool

54. 3. Building Allocated Resources, Coaching, and Facilitation

55. 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

56. 3e Plan Facilitation Started with 1 plan per school
Currently expanding
Components of Each Plan: Compiled Electronically

57. Team Meeting Sign In and Intervention History

58. Strengths Needs Profile and Wrap Plan

59. 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

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