1. NH RESPONDS Intensive Support Team Tier III Behavioral Intervention Chamberlain Street School Rochester, NH

2. Motivating Concerns: 2010-2011 Big concern about high frequency of students at risk for flight and escalation to crisis Urgent need for a systematic response to children in crisis Need for the creation of a crisis response team Need to be proactive and preventative with students with intensive needs

3. What Did We Learn When we Looked at the Response System in 2010-2011? Primary responders were the building administrators This left minimal administrative time for the support of other important initiatives and supporting students with lower-urgency concerns Initial strategies were reactive, rather than proactive Office referral system and data collection were in need of an overhaul: Need for redefinition of minor and major behavioral concerns

4. Identify students at risk for flight or escalation Protocols for the response Planning involved creation of a school map with stations Flight response drills Roll-outs for all staff members to identify what behavioral concerns warrant a teacher response, what behavioral concerns activates the flight response team, and what are the “close-confusers” Office staff records assistance calls Developing the Crisis Response System

5. Considerations when Implementing Tier III for Intensive Behavioral Supports Space Data collection Communication system (cell phones or walkie talkies) Office cooperation, serves as information hub Tier III staff needs specialty training (CPI, LSCI, conflict cycle knowledge) School-wide consensus that this is absolute priority Designation of an adequate number of personnel to successfully meet the responsibilities of this strategy

6. More Considerations.... Choose staff that are flexible, skillful, patient and encouraging “Buy-in” from staff and from district level administration

7. Refinement & Restructuring the Tier 3 System June 2011 brainstorming began: Recruitment of Intensive Support Team membership Decisions about what the team will be responsible for and what the team will implement (mission) Establishment of regular meeting schedule for the upcoming school year

8. Fall 2011 Efforts Team process and procedures defined including membership, team mission, roles, action plan log, process for team decision, and agenda development Tier III CEBIS Self-assessment completed and adopted as a framework for continuing action items Fidelity of the use and reporting protocols for restraints and safety room with legal guidelines and district policies

9. Current Efforts Maintenance of an Intensive Support Log Coordination of FBAs and BSPs with increased emphasis on the progress monitoring of student behavior Proactive daily student check-ins, sensory interventions and earned breaks based upon analysis of collected data Continuing professional development integrated with instructional team meetings in attempting to educate staff to think appropriately about behavioral functions and be more effective with behavioral intervention strategies

10. Next Steps..... Expansion of Tier III supports targeting LSCI, wrap-around strategies and coordination of supports with community-based service agencies Training for general staff related to appropriate response strategies during intensive behavioral incidents Continued professional development through instructional team meetings targeting CPI verbal mediation strategies and the conflict cycle Development and implementation of a sustainability plan targeting building and district level supports for the model and the resources to support it Developing a model that can be replicated in other SAU schools

11. Chamberlain IST Referrals by Month 9/11-1/12

12. THANK YOU! NH RESPONDS Steve LeClair Chamberlain Street Elementary School Staff Mental Health and Schools Together (MAST- Seacoast NH) Howard Muscott