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Intensive Positive Behavior Support -- A Systems Approach to Tier II and III Interventions Brie Stiller, Ph.D.
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Agenda -- Welcome; Introductions -- Big Ideas -- Screening -- Break -- Teaming -- Break -- Practices -- Adjourn -- Welcome; Introductions -- Big Ideas -- Screening -- Break -- Teaming -- Break -- Practices -- Adjourn
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Tertiary Prevention: Specialized Individualized Systems for Students with High-Risk Behavior Secondary Prevention: Specialized Group Systems for Students with At-Risk Behavior Primary Prevention: School-/Classroom- Wide Systems for All Students, Staff, & Settings ~80% of Students ~15% ~5% School-Wide Positive Behavior Support
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Tier 1 SWPBS Tier I Second Steps Group Interventions CICO Skills groups Contracts Group Interventions w/function-based modifications Function-based Support Comprehensive Supports Tier II Tier III C Anderson U Oregon March 2010
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Jeremiah Algebra Spelling/Comprehension Conflict resolution Athletic ability Peer relations Conceptual problem solving C Anderson U Oregon March 2010
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SYSTEMS PRACTICES DATA Supporting Staff Behavior Supporting Student Behavior OUTCOMES Supporting Social Competence & Academic Achievement Supporting Decision Making Elements of IPBS Not limited to any particular group of students…it’s for all students Not specific practice or curriculum…it’s a general approach to preventing problem behavior Not new…its based on long history of behavioral practices & effective instructional design & strategies
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Intensive Positive Behavior Support: The Big Ideas Do the easy stuff first (efficiency is a major goal) Processes are as important as practices Use of Evidence Based Practices based on Behavioral Science Teaming is critical Administrative support is critical Data Based Decision Making Do the easy stuff first (efficiency is a major goal) Processes are as important as practices Use of Evidence Based Practices based on Behavioral Science Teaming is critical Administrative support is critical Data Based Decision Making
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Critical Features of IPBS Systematic Screening (Proactive) Effective Teaming Tiered Interventions Practices are based on principles from Behavioral Sciences (Function Based Behavior Support) Use of Progress Monitor Data Systematic Screening (Proactive) Effective Teaming Tiered Interventions Practices are based on principles from Behavioral Sciences (Function Based Behavior Support) Use of Progress Monitor Data
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SST v. IPBS Test/Label/Place v. Evaluate/Problem Solve Intervene Focus on Special Education v. services for all students (including SPED students) Primary focus on behavior problems, but often academic intervention is the appropriate course of action Teacher Input: Occurs at Student Centered Team meetings; not at the IPBS meeting. IPBS meetings serve a coordinating and monitoring function Test/Label/Place v. Evaluate/Problem Solve Intervene Focus on Special Education v. services for all students (including SPED students) Primary focus on behavior problems, but often academic intervention is the appropriate course of action Teacher Input: Occurs at Student Centered Team meetings; not at the IPBS meeting. IPBS meetings serve a coordinating and monitoring function
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Screening Request for Assistance SWIS (ODR) Data Academic Data (IIPM; OAKS) Request for Assistance SWIS (ODR) Data Academic Data (IIPM; OAKS)
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Activity As a team, examine your school’s current Request for Assistance Form. Compare to the versions in your packet. Determine if modifications to existing form are appropriate As a team, examine your school’s current Request for Assistance Form. Compare to the versions in your packet. Determine if modifications to existing form are appropriate
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Old Model: SST/TAT Jeremy is just not making progress. He is really defiant and refuses to follow direction. He often seems really angry when he gets to school; do you think that plays into it? Yes, I do. He has mentioned that his stepdad is really mean and that his parents fight a lot. I bet that is really bothering him. I bet it is too. Also, doesn’t’ his older sister have ADHD? Maybe he does too. I bet he does. You know, Jeremy is in my afternoon class and he is really difficult there too. Do you know what he did last week…. I am in my happy place… He is a handful. I was thinking he should be in my mentoring group. He would really benefit from some of that support Maybe, but you know, I think that he already gets too much support; he makes excuses for his behavior. I was thinking about in-school detention. ISS? Wow, I hadn’t thought about that. What if we started an ADHD evaluation? That would help wouldn’t it?
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IPBS No-No’s Admiring the problem Blaming the student Extended discussions of intervention possibilities we cannot deliver Admiring the problem Blaming the student Extended discussions of intervention possibilities we cannot deliver
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Teams in Your School IPBS team Roles Tracking Monitoring Process for team meetings Student-centered team Behavior specialist (at least two people) Responsibilities of team Process for team meeting IPBS team Roles Tracking Monitoring Process for team meetings Student-centered team Behavior specialist (at least two people) Responsibilities of team Process for team meeting
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Who Does What? IPBS Team Meets every 2 weeks Coordinates and monitors school wide behavioral interventions Analyzes data Recommends changes in interventions IPBS Team Meets every 2 weeks Coordinates and monitors school wide behavioral interventions Analyzes data Recommends changes in interventions Student centered team Meets at least twice -- more if needed Creates a behavior support plan Determines what the intervention looks like Makes final decisions about when to implement or modify an intervention
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IPBS Team Roles Team Leader (organizes agenda; facilitates meeting) Process Monitor (someone whose role is to monitor group processes) Screening Coordinator (someone who collects screening data and brings it to the meeting Coordinators of Tier II Interventions -- CICO; Academic Seminar/Strategies; (bring progress monitor data to meetings) Coordinator of Tier III Interventions (Behavior Support Plans based on Functional Behavioral Assessment) Note Taker Team Leader (organizes agenda; facilitates meeting) Process Monitor (someone whose role is to monitor group processes) Screening Coordinator (someone who collects screening data and brings it to the meeting Coordinators of Tier II Interventions -- CICO; Academic Seminar/Strategies; (bring progress monitor data to meetings) Coordinator of Tier III Interventions (Behavior Support Plans based on Functional Behavioral Assessment) Note Taker
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Activity Determine who will fill which roles on the IPBS team at your school. Document your role assignments Determine meeting dates and times. Email that information to Brie Determine who will fill which roles on the IPBS team at your school. Document your role assignments Determine meeting dates and times. Email that information to Brie
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Student Team for Tier III Intervention Three types of knowledge represented: Knowledge about the student His/her behavior, interests, strengths, challenges, future Knowledge about the school program Instructional goals, curriculum, social contingencies, schedule, physical setting. Knowledge about behavior change strategies Principles of behavior Intervention strategies Three types of knowledge represented: Knowledge about the student His/her behavior, interests, strengths, challenges, future Knowledge about the school program Instructional goals, curriculum, social contingencies, schedule, physical setting. Knowledge about behavior change strategies Principles of behavior Intervention strategies Leah
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Administrative Support Attend meetings Visible support for decision-making process of teams Allocates resources for: Delivery of interventions Trainings in practices; meeting times Attend meetings Visible support for decision-making process of teams Allocates resources for: Delivery of interventions Trainings in practices; meeting times
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District Support District Coach attends team meetings Trainings in practices (CICO; FBA; Academic Seminar) provided throughout school year Technical Assistance Problem Solving Modeling FBA’s Link to District Leadership if additional resources are needed for implementation of support plans District Coach attends team meetings Trainings in practices (CICO; FBA; Academic Seminar) provided throughout school year Technical Assistance Problem Solving Modeling FBA’s Link to District Leadership if additional resources are needed for implementation of support plans
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Practices
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Why Do People Behave? Modeling? Accident? Instinct? Condition?? Why Do People Continue Behaving? IT WORKS!
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A Functional Framework By far, the most common functions of problem behavior in schools are to: Obtain Adult Attention Obtain Peer Attention Avoid/Escape/Delay an Aversive Academic Task By far, the most common functions of problem behavior in schools are to: Obtain Adult Attention Obtain Peer Attention Avoid/Escape/Delay an Aversive Academic Task
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Practices -- Main Logic Behavior support is the redesign of environments, not the redesign of individuals Positive Behavior Support plans define changes in the behavior of those who will implement the plan. Behavior support is the redesign of environments, not the redesign of individuals Positive Behavior Support plans define changes in the behavior of those who will implement the plan.
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Functional Equivalence For an intervention to be effective, it must get the student the same thing, in the same amount, that the problem behavior currently gets him
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Effective Environments Problem behaviors are irrelevant Aversive events are removed Access to positive events are more common Problem behaviors are inefficient Appropriate behavioral alternatives available Appropriate behavioral alternatives are taught Problem behaviors are ineffective Problem behaviors are not rewarded Problem behaviors are irrelevant Aversive events are removed Access to positive events are more common Problem behaviors are inefficient Appropriate behavioral alternatives available Appropriate behavioral alternatives are taught Problem behaviors are ineffective Problem behaviors are not rewarded
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Practices Secondary Prevention: Targeted Interventions applied similarly to students with similar needs CICO Social Skills; Anger Management; or Friendship Groups “ABC” Intervention (Transformers; Academic Seminar; Spy) Tertiary Prevention Functional Behavior Assessment and Individualized Behavior Support Planning Secondary Prevention: Targeted Interventions applied similarly to students with similar needs CICO Social Skills; Anger Management; or Friendship Groups “ABC” Intervention (Transformers; Academic Seminar; Spy) Tertiary Prevention Functional Behavior Assessment and Individualized Behavior Support Planning
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Activity -- Matching Interventions to Function As a team, complete the: Targeted Interventions Assessment Tool Tier 2: Targeted Interventions Matrix As a team, complete the: Targeted Interventions Assessment Tool Tier 2: Targeted Interventions Matrix
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Were data collected? YESNO Are goals being met? Problem solve data collection—determine how to get data Collect data for 2 weeks and reconvene Celebrate and continue Have plan for fading Is plan being implemented as designed? YESNO Modify intervention Consider move to next level Problem solve barriers to implementation Collect data and reconvene in 2 weeks YESNO C Anderson U Oregon March 2010
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Tertiary Intervention Tier III Behavioral Interventions consist of a Functional Behavioral Assessment and individualized Behavior Support Plan Level I: Efficient FBA/BSP at the school level Level II: FBA/BSP with ESS Support (Behavior Specialist) Level III: FBA/BSP with additional resources (IEP; special placements; etc.) Tier III Behavioral Interventions consist of a Functional Behavioral Assessment and individualized Behavior Support Plan Level I: Efficient FBA/BSP at the school level Level II: FBA/BSP with ESS Support (Behavior Specialist) Level III: FBA/BSP with additional resources (IEP; special placements; etc.)
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Functional Behavioral Assessment Strategies Teacher Interview (FACTS) Parent Interview Student Interview Direct Observation Teacher Interview (FACTS) Parent Interview Student Interview Direct Observation
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Tier III Intervention -- the Student Team Consists of: Teacher(s); parent(s); administrator; behavior specialist; others as needed Meets a minimum of two times Once to complete a FACTS interview Once to design an intervention Additional meetings to problem solve/modify the intervention Consists of: Teacher(s); parent(s); administrator; behavior specialist; others as needed Meets a minimum of two times Once to complete a FACTS interview Once to design an intervention Additional meetings to problem solve/modify the intervention
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Tertiary Intervention Strategies Prevention: Strategies to avoid triggering problem behavior Teaching: Strategies to teach the student appropriate replacement behaviors Reinforcement: Strategies to increase reinforcement for appropriate behavior Extinction: Strategies to prevent problem behaviors from being reinforced Safety: Strategies to ensure the safety of students and staff (if needed) Prevention: Strategies to avoid triggering problem behavior Teaching: Strategies to teach the student appropriate replacement behaviors Reinforcement: Strategies to increase reinforcement for appropriate behavior Extinction: Strategies to prevent problem behaviors from being reinforced Safety: Strategies to ensure the safety of students and staff (if needed)
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Identify the “Replacement” Behavior An appropriate Replacement Behavior: Serves the same function as the problem behavior Is as, or more efficient than the problem behavior physical effort, schedule of reinforcement, time to reinforcement Is socially acceptable An appropriate Replacement Behavior: Serves the same function as the problem behavior Is as, or more efficient than the problem behavior physical effort, schedule of reinforcement, time to reinforcement Is socially acceptable
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Teaching a Pro Social Replacement Behavior Identify an appropriate behavior that will get the student the same thing that the inappropriate behavior currently gets him. Model the replacement behavior Have student practice to mastery When the opportunity arises in the “real” setting, prompt the replacement behavior Reinforce the student’s attempt to use the replacement behavior Identify an appropriate behavior that will get the student the same thing that the inappropriate behavior currently gets him. Model the replacement behavior Have student practice to mastery When the opportunity arises in the “real” setting, prompt the replacement behavior Reinforce the student’s attempt to use the replacement behavior
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What Works The two most powerful tools for changing behavior are: Teaching Reinforcement The two most powerful tools for changing behavior are: Teaching Reinforcement The least powerful tool for changing behavior is: Punishment
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Discipline Works When …. Prevention creates more Positive than negative consequences Punishment (Failure) Reinforcement (success) 4 : 1
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Punishment Reliance on Punishment as the primary behavior change strategy is unlikely to be effective. The appropriate use of consequences has two potentially useful purposes: To ensure that problem behavior is not rewarded To minimize disruption to the educational environment Reliance on Punishment as the primary behavior change strategy is unlikely to be effective. The appropriate use of consequences has two potentially useful purposes: To ensure that problem behavior is not rewarded To minimize disruption to the educational environment
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Correction Strategies For chronic problem behavior use a three step process (2- 4 week time frame for high school students) Reminder -- supportive tone of voice. Reminders can be public with most students Warning -- “here are your choices ----” Should be private with most students Consequence -- Response Cost/Time-Out (mild; efficient. Example: 5 minute time-out; Lunch detention; make up work after school) For chronic problem behavior use a three step process (2- 4 week time frame for high school students) Reminder -- supportive tone of voice. Reminders can be public with most students Warning -- “here are your choices ----” Should be private with most students Consequence -- Response Cost/Time-Out (mild; efficient. Example: 5 minute time-out; Lunch detention; make up work after school)
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Common Reasons for Failure of Interventions Interventions are not implemented with sufficient fidelity The intervention is not matched to the function of the problem behavior The intervention is not monitored closely Interventions are not implemented with sufficient fidelity The intervention is not matched to the function of the problem behavior The intervention is not monitored closely
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Trainings in Practices CICO Training -- September FBA I -- October FBA II -- November FBA III -- January AI/IIPM/Spy Training? TBA Social Skills Targeted Intervention Training? TBA CICO Training -- September FBA I -- October FBA II -- November FBA III -- January AI/IIPM/Spy Training? TBA Social Skills Targeted Intervention Training? TBA
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Data CICO Point Cards ODR Data Teacher Feedback Forms Grades; Assignment Completion Data Fidelity of Implementation Data Consumer Satisfaction Data CICO Point Cards ODR Data Teacher Feedback Forms Grades; Assignment Completion Data Fidelity of Implementation Data Consumer Satisfaction Data
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Screening Data ODR (SWIS) Data Easy CBM Data OAKS Data Grades Request for Assistance ODR (SWIS) Data Easy CBM Data OAKS Data Grades Request for Assistance
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Progress Monitor Data SWIS CICO Data Survey Monkey or Google Docs Teacher Feedback Data Teacher Feedback Forms School Success Pre-post Assessment SWIS CICO Data Survey Monkey or Google Docs Teacher Feedback Data Teacher Feedback Forms School Success Pre-post Assessment
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Sample survey
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Weekly SM averages, across teachers, for AA 1/13 1/20 1/25 2/3 2/8 2/16 2/23 3/2 Goal Line
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Outcome Data ODR Data OAKS Data Consumer Satisfaction Data ODR Data OAKS Data Consumer Satisfaction Data
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Student behavior will not change unless adult behavior changes (the interventions only work if you do them!!)
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Contact Information Brie Stiller Email: Stiller@4j.lane.eduStiller@4j.lane.edu (541)790-78716 Brie Stiller Email: Stiller@4j.lane.eduStiller@4j.lane.edu (541)790-78716
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