This is a presentation of the IL PBIS Network. All rights reserved.
Building Tier 2/3 Capacity Within
School-wide Systems of PBIS
Lucille Eber IL PBIS Network www.pbisillinois.org
WI Coaches forum August 2013
Content
• Context for Tier 2/3 systems development• The Tier 2/3 Readiness Process• Teaming Model & Examples of Interventions• Tools to Support Tier 2/3 • A Tier 3 Coaching and TA Process
IL Tier 2/3 Tools Available at PBISILLINOIS.org
1. Tier 2/3 Readiness Tools2. Guiding Questions3. Tier 2/3 Tracking Tool4. Reverse Request for Assistance5. IL PoI Tool6. System Response Tool7. Tier 3 Wraparound Follow-up Checklists
Resources Available at www.pbis.orgBuilding Tier 2 / Tier 3 Capacity within A PBIS System of Support: Model Development and Lessons Learned
Benchmarks of Advanced Tiers
Tools Used to Build District and Building Level Action Plans for Secondary/Tertiary Implementation
• Guiding Questions Tool• Secondary/Tertiary Tracking Tool• Systems Response Tool• Phases of Implementation (PoI) • Benchmarks of Advanced Tiers
Primary Prevention:School-/Classroom-Wide Systems for
All Students,Staff, & Settings
Secondary Prevention:Specialized Group
Systems for Students with At-Risk Behavior
Tertiary Prevention:Specialized
IndividualizedSystems for Students
with High-Risk Behavior
~80% of Students
~15%
~5%
SCHOOL-WIDE POSITIVE BEHAVIOR
SUPPORT: What is meant by
“layering” interventions?
More Students Access Tier 2/3 Interventions When Tier 1/ Universal is in Place
7.94%
4.95%
0%2%4%6%8%
10%
Partially Implementing(n=26)
Fully Implementing(n=125)
% stu
dent
s
FY09 School Profile ToolStudents Accessing Tier 2/Tier 3 Interventions
Tier 2/3…..Changing Existing Systems
• Harder than starting from scratch• Schools think they are “already doing
it”… Need to “deconstruct” some existing
teaming approaches and practices Data not being used except to justify
placements
Tools to Support Secondary/Tertiary Implementation
• Tier 2/3 Readiness Checklists• Secondary/Tertiary Tracking Tool• Reverse Request for Assistance• Systems Response Tool• Guiding Questions Document• Benchmarks of Advanced Tiers (BAT)
Some “Big Picture” Challenges
• Low intensity, low fidelity interventions for behavior/emotional needs
• Habitual use of restrictive settings (and poor outcomes) for youth with disabilities
• High rate of undiagnosed MH problems (stigma, lack of knowledge, etc.)
• Changing the routines of ineffective practices (systems) that are “familiar” to systems
Examples of Ineffective Secondary/Tertiary Structures
1. Referrals to Sp. Ed. seen as the “intervention”
2. FBA seen as required “paperwork” vs. a needed part of designing an intervention
3. Interventions the system is familiar with vs. ones likely to produce an effect (Ex: student sent for insight based counseling at
point of misbehavior)
Tier 2/3 ReadinessDistrict-level support is necessary for successful
building-level Tier 2 & 3 implementation District commitments should be in place before
Tier 2/3 training occursBuilding-level leaders should be aware and
supportive of what Tier 2/3 requires
District-wide Tertiary Implementation Process
• District meeting quarterly District outcomes Capacity/sustainability Other schools/staff
• Building meeting monthly Check on all levels Cross-planning with all levels Effectiveness of practices (FBA/Wrap)
• Tertiary Coaching Capacity• Facilitators for complex FBA/BIP and wraparound teams
Components of Tier 2/3 Model
• Differentiated Teaming Structures Across all 3 Tiers Assigned roles for Coordination/Facilitation
• A Full Continuum of Interventions Scaling up and down the continuum
• Universal Screening Beyond ODRs
• Ongoing Use of More Specified Data Tools for Monitoring Systems and Outcomes
Coordinator vs. Facilitator
Coordinator• Organizes and/or
oversees the specific interventions such as CICO, S/AIG & Group with Individual Features
• Roles include: scheduling meetings, review & collect data to share during team meetings, etc…
Facilitator• Directly provides
intervention support services to youth/families
• Roles include: meeting with students for CICO, running groups
QUICK Reflection
Where is your district/school(s) with regards to the readiness criteria?
Tier 1/Universal School-Wide Assessment
School-Wide Prevention Systems
SIMEO Tools: HSC-T, RD-T, EI-T
Check-in Check-out (CICO)
Group Intervention with Individualized Feature (e.g., Check and Connect - CnC and Mentoring)
Brief Functional Behavior Assessment/Behavior Intervention Planning (FBA/BIP)
Complex or Multiple-domain FBA/BIP
Wraparound
ODRs, Attendance, Tardies, Grades, DIBELS, etc.
Daily Progress Report (DPR) (Behavior and Academic Goals)
Competing Behavior Pathway, Functional Assessment Interview, Scatter Plots, etc.
Social/Academic Instructional Groups (SAIG)
Positive Behavior Interventions & Supports:A Response to Intervention (RtI) Model
Illinois PBIS Network, Revised October 2009Adapted from T. Scott, 2004
Tier 2/Secondary
Tier 3/Tertiary
Inte
rven
tionAssessm
en
t
Individual Student Information System (ISIS)
Data-Based Decision MakingNumbers to Keep in Mind
• 7-15%: Percent of total population expected to need and be supported by Tier 2 interventions
• 1-5%: Percent of total population expected to need and be supported by Tier 3 interventions
• 70%: Percent of youth (receiving intervention “X”) that should be responding to intervention
• Data-based Decision-Rules for ‘determining response’ must be defined Data sources defining response are efficient
• Ex. Daily Progress Report (DPR) cards: Student maintains an 80% average on DPR for 4 weeks
Check-in-Check-out (CICO)
Merely an extension of Tier 1Some get high frequency scheduled positive
contact with adultsYouth solicit the positive contact/feedbackLow effort for teacher if built on Tier 1Need to have 7-12% accessing if it is to come
to be a routine in your school(s)If you only have 1-2% on CICO, those are
likely to be kids who need more….
Why do you want 7-12% on CICO?
1. Kids who here-to-for would have gotten nothing (‘til they ‘got worse”) now get a positive boost of support (sea of ineligibility)
2. All teachers will expect that every day they will have kids cross their threshold who need higher rate of positive contact
3. Quicker/easier to support kids who need Tier 3
3. Structure to build transference and generalizing from Social Skills instructional groups and function-based behavior plans
Tertiary Demo School Reduces ODRs & Increases Simple Secondary Interventions
36
551
05
10152025303540
Aug to Nov 2006 Aug to Nov 2007
num
ber o
f stu
dent
s
2-5 ODRs 6+ ODRs CICO*
*CICO = Check in, Check Out
Tertiary Demos
John Greer Elementary School Suspensions and Students
Succeeding on CICO
CICO with individualized features
This is an intervention that adds support to generic CICO.
Teachers choose these more individualized options on the reverse request for assistance (RRFA).
Teachers are given the option to choose from these features after CICO was not enough support for a student.
CICO Individualized FeaturesWhat it is
• Options are pre-determined and communicated to all stakeholders.
• Secondary systems team designs the options for the building.
• Quick & Efficient
• A list of specified options teachers can choose from listed on the reverse request for assistance
What it isn’t• Changing the goal line one
child at a time
• Changing or adding a goal for one child
• Changing the goals on the Daily Progress Report for one child or a group of children
• A meeting with the specialized staff and the teacher changing a student’s DPR.
CICO Individualized FeaturesWhat it is
• Used after generic CICO has been tried for a set time (for example 4-6 weeks) and the student has not met the pre-determined goal set for all children.
• Options for individualizing the intervention are generic and quick
• Uses the same DPR as used in generic CICO
What it isn’t
•One adult changing/ adding goals or DPR
•Changing or adding a goal for a group of kids (homework, grades, or a specific behavior).
Examples of CICO with Individualized Features
Example one: Extra check in time before/after lunch with secretary in office
Example two:Peer accompanies student to check in at beginning of day and check out at end of day
Example three:Check in with supportive adult prior to a difficult class period
When would a child have goals that are specific to him/her?
This is an intervention that is designed after a Functional Behavioral Assessment is completed and created with the problem solving team as part of a Behavior Intervention Plan.
This intervention is specific to the child.
Social/Academic Instructional Groups
• Selection into groups should be based on youths’ reaction to life circumstance not existence of life circumstances (ex. fighting with peers, not family divorce)
• Goals for improvement should be common across youth in same group (ex. use your words)
• Data should measure if skills are being USED in natural settings, not in counseling sessions (transference of skills to classroom, café etc.)
• Stakeholders (teachers, family etc.) should have input into success of intervention (ex. Daily Progress Report)
Brief vs. Complex FBA/BIP
Brief• Generic Individual
Problem solving Team
• Meeting time/day usually already determined
• Plan developed quickly/easily
Complex• Individualized Youth
FBA/BIP Team
• Meeting time/day decided by individualized team
• Interventions are highly individualized
Brief vs. Complex FBA/BIP
Brief• Every school has this
type of meeting
• Behavior intervention plans address only one behavior, typically only in one setting
Complex• May be a new type of
meeting for schools
• Interventions/strategies address multiple settings and/or behaviors
Brief vs. Complex FBA/BIP
Brief• SWIS data, Daily Progress
Report (DPR) points, Functional Assessment interviews
• Effectiveness of system monitored by Secondary Systems Planning Team
• Data reviewed at least every other week
Complex• SWIS data, Daily Progress
Report (DPR) points, Functional Assessment interviews, SIMEO Data, direct observation data, additional tools as needed
• Effectiveness of system monitored by Tertiary Systems Planning Team
• Data reviewed at least weekly
Quick Assessment of Student Access to Intervention
• Total enrollment of your school?
• Number of students accessing CICO?
• Number of students on complex function-based or wraparound plans?
• Percent of total population of the school?
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
Individualized Comprehensive Teams/Plans
• What? The development of a very unique,
individualized, strength-based team & plan with the youth family that is designed to improve quality of life as defined by the youth/family.
• Who? Youth with multiple needs across home, school,
community Youth with multiple life domain needs The adults in youth’s life are not effectively
engaged in comprehensive planning (i.e. adults not getting along very well)
Individualized, Comprehensive Teams/Plans
What Do Tertiary Plans include?Supports and interventions across multiple life domains and settings (i.e. behavior support plans, academic interventions, basic living supports, multi-agency strategies, family supports, community supports, etc.)
What’s Different?Natural supports and unique strengths are emphasized in team and plan development. Youth/family access, voice, ownership are critical features. Plans include supports for adults/family, as well as youth.
What is Wraparound?
• Wraparound is a tool (e.g. a process) used to implement interagency systems of care in achieving better outcomes for youth and their families.
• The wraparound process is similar to person-centered planning, the individualized Positive Behavior Support (PBS) planning process.
What is Wraparound? • Wraparound is a process for developing
family-centered teams and plans that are strength and needs based. (Not deficit based) Across multiple settings and life domains.
• Wraparound plans include natural supports, are culturally relevant, practical and realistic.
Implementing Wraparound:Key Elements Needed for Success
• Engaging students, families & teachers• Team development & team ownership• Ensuring student/family/teacher voice
Getting to real (big) needs
• Effective interventions Serious use of strengths Natural supports Focus on needs vs. services
• Monitoring progress & sustaining• System support buy-in
What’s New in Wraparound?• Skill set specificity• Focus on intervention design/effectiveness• Integration with school-wide PBS• Phases to guide implementation/supervision• Data-based decision-making• Integrity/fidelity assessment (WIT)• Tools to guide teams:
Home School Community Education Information Tool
Wraparound Skill Sets
1. Identifying “big” needs (quality of life indicators)
“Student needs to feel others respect him”
2. Establish voice/ownership 3. Reframe blame4. Recognize/prevent teams’ becoming
immobilized by “setting events”5. Getting to interventions that actually work6. Integrate data-based decision-making into
complex process (home-school-community)
It Takes a System…
…..that builds system capacity for advanced tiers
Continuum of Teaming:Systems & Student-Specific
• Secondary Systems Planning Team• Secondary (Generic) Problem Solving Team• Tertiary Systems Planning Team• Individual Youth FBA/BIP Team• Wraparound Team• District Tertiary Leadership Team
3-Tiered System of Support
Necessary Conversations (Teams)
Check-In Check-Out
Skills Groups
Group w. individual
feature
ComplexFBA/BIP
Problem Solving Team Meeting
Tertiary Systems Team Meeting
Brief
FBA/BIP
Brief FBA/BIP
Wraparound
Secondary Systems Team
Meeting
Plans schoolwide &
classroom supports
Uses process data; determines overall
intervention effectiveness
Standing team; uses FBA/BIP process for one student at a time
Uses process data; determines overall
intervention effectiveness
Rev. 11.19.2012
UniversalTeam
Meeting
Universal Support
Illinois PBIS Network
Teaming at Tier 2Secondary Systems Planning ‘conversation’
Monitors effectiveness of CICO, S/AIG, Mentoring, and Brief FBA/BIP supports
Review data to make decisions on improvements to the interventions
Individual students are NOT discussed Problem Solving Team ‘conversation’
Develops plans for one student at a time Every school has this type of meeting Teachers and family are typically invited
Question
Is the idea of separating out functions (progress monitoring, brief problem-solving, complex interventions, etc) new to your districts/schools?
Progress Monitoring Secondary/Tertiary Interventions
Teams need to track and monitor interventions by category:
1. How many students are receiving each intervention?2. How many students are responding to each intervention?3. What data is used to monitor each intervention type?
Tier 2/Tier 3 (Secondary/Tertiary) Tracking Tool
Activity : Using Data to Improve Tier 2/Tier 3 Systems of Support
• Review Tracking Tool & Systems Response Tools. How can these tools help your school(s) to identify strengths and weaknesses of their Tier 2/3 systems of support?
• How will you encourage/prompt others to use these data for progress monitoring system responses that need to change?
• How will you encourage/prompt others to use data for progress monitoring Interventions at Tiers 2/3?
Universal Screening for Behavior Results
Implementation Process Summary:Multiple Gating Procedure
(Adapted from Severson et al. 2007)
Teachers Rank Order then Select Top 3 Students
on Each Dimension (Externalizing &
Internalizing)
Teachers Rate Top 3 Students in Each Dimension (Externalizing & Internalizing)Using a Research-Validated
Tool (e.g., SSBD, BASC-2/BESS, SDQ)
Gate 1
Gate 2
Pass Gate 1
Pass Gate 2 Tier 2Intervention
Universal Screening: Suggested Features
• Obtain district and building level buy-in for universal screening (e.g., build case for links between student mental health and academic performance)
• Build, or strengthen Tier 2 systems and practices (use self-assessment tools, e.g. BAT to monitor progress)
• Inform parents/guardians of upcoming screening process• Use teacher nomination process to initially identify students
demonstrating internalizing/externalizing behaviors• Incorporate a validated screener that can reliably identify a
broad range of externalizing and internalizing behaviors • Obtain consent for students meeting screening criteria• Monitor student response to intervention regularly and use
data to determine next steps
A Model for Building Fluency with FBA/BIP
Increased focus on building capacity for school-based T2 and T3 supports
FBA-BIP support Kathleen Strickland-Cohen, Ph.D. [email protected]
Address some of the most common errors in BSP development
Common Mistakes Seen in Behavior Intervention Plans
• “Stuck” on setting events beyond the control of the school,• Student does not take medication at home• ID factors the school can impact
• Skipping the replacement behavior• Must have a alternative or replacement behavior that student is
taught, practiced, reinforced
• Inadequate density for teaching and/or opportunities to practice replacement skill
• Insufficient density of reinforcement• EX: If you’re good all week, you can have a soda on Friday
Other Common Mistakes…• The problem behavior is not operationally defined:
• Observable, countable, measurable • Aggressive versus hits other peers during unstructured time
on a daily basis
• There is more than one function• Lack of accurate identification of routines in which problem
behavior occurs•
• Lack of contextually fit strategies in 3 areas • Antecedent: Preventing problem behavior, • Behavior: teaching replacement and desired behaviors • Consequence: BOTH
• Minimizing reinforcement of problem behavior• Reinforcing the use of desired/alternative behavior
Redefining the Role of the Behavior Specialist
District Behavior District Behavior SpecialistSpecialist
Support Support Teams Teams
building building behavior behavior support support
plans from plans from AssessmeAssessme
nt nt informatioinformatio
nn
Train 2-3 Train 2-3 people per people per school to school to conduct conduct “Basic” “Basic” FBA/BSPFBA/BSP
Train and Train and coach use coach use of EBP at of EBP at
the school-the school-wide and wide and individual individual student student level level
Reflection
How would this model of rethinking District Behavior Specialist work within your district?
Can you think of a handful of teachers who could conduct basic FBAs?
Could your team use support in aligning BSPs with FBAs?
How do/can you apply principles of instruction to supporting your team / staff?
Coaching Tier 3 Implementation
Complex FBA/BIPWraparound
Wrap-based RENEW
Tertiary Interventions Phases of Tier 3 Coaching
Phase 1: Modeling - Coach models the desired skills and competencies
Phase 2: Support and Feedback - Coach provides support and feedback
Phase 3: Monitoring – Coach monitors to ensure fidelity
DO FOR – DO WITH – CHEER ON
IL Coaching Plan for Tier 3 Interventions Coaches & Facilitators participate in intervention specific training
Facilitator/s begin implementing intervention immediately (i.e. identify youth within week or two of training)
ECs connect with Tier 3 Facilitators to answer questions, ensure youth are identified & Tier 3 processes are starting, and ensure Facilitators are signed up for Adobe Connect Tier 3 TA
Within several weeks of training, Facilitators and External Coaches participate in an Adobe Connect Tier 3 TA group call Facilitators continue to participate in Adobe Connect Tier 3 TA group calls
monthly until fluent with the intervention ECs continue to participate in Adobe Connect Tier 3 TA group calls
monthly until fluent with providing Tier 3 TA themselves ECs sustain process of providing intensive Tier 3 TA for their district/s Facilitators & coaches may be invited to participate in a Tertiary
Learning Community (TLC)
Logistics for Tier 3 TA CallsTrainers connect with External Coaches (EC)External Coaches gather Tier 3 plans from Tier 3 Facilitators and forwards to TrainersTrainer uses track changes to highlight positive notes, comments/questions, and corrections to each plan submitted and sends back to External Coaches to give back to Facilitators
Coaches should review edited to plans to learn how to replicate this process in future
Trainer selects 2-3 plans to review on each call Facilitators of those plans are on the call to receive the TA Other Facilitators listen/observe to make or understand edits to
their own plans ECs listen/observe to learn how to replicate this process in future
Process repeats for as many rounds as Coaches & Facilitators need
Sample ?’s for Wraparound TA
Have you chosen your first child/family, describeHow did you engage the family? Where did you
meet? What questions did they have? How did you describe wraparound?
What tools have you used to gather information ? (i.e. EI-T, HSC-T,) Describe your experience with the tools
Describe the strengths inventory process. Share the big need, how did you determine the
big need?
