Transcript Document
Applying the Function-Based Behavior Problem Solving Process with Students with Repeated Behavior Problems at the Individualized Intervention Tier Day 2 Goals of the PBSIS Initiative • To support the inclusion of students with disabilities within general education programs by developing the capacity of schools to create environments that encourage and support pro-social student behavior at the school wide, classroom, and individual student levels using current, research validated practices in positive behavior support 2 PBSIS State Training Team • • • • • • Sharon Lohrmann, Ph.D Scott McMahon, M.S.W Bill Davis, M.Ed Paula Raigoza, M.Ed Kate Handivlle, E.dS Blair Rosenthal, Ph.D 3 Please…… • Ask questions anytime • Refrain from conversations while the presentation is occurring • Return from breaks timely • Make constructive comments • Transition back from activities when given the cue And…. 4 Put your cell phones on silent or turn them off Pls put me on silent Thanks! Intended Training Outcomes 1. Participants will incorporate the “mapping out” behavior pattern framework into their thinking process, discussions and framing of behavior support needs across a range of behavior support needs (i.e., from teacher consults to full FBAs). 2. Participants will incorporate the use of information collection tools and recording methods into their function-based problem solving process 6 Intended Training Outcomes 3. Participants will apply the process of linking function of behavior to intervention selection 4. Participants will develop intervention plans that use combinations of functionbased interventions to address the complexity of behavior patterns 7 Day 1 Topic Outline • Foundation PBSIS & reoccurring themes – Buy-in strategies Pt 1 • Function-Based Problem Solving (FBPS) – Understanding the continuum & levels of planning – Environmental, program, and severity considerations – Understanding behavior patterns & the mapping out framework • Process Tools – Reviewing records – Point of view information – Observations & documenting baseline Day 2 Topic Outline • Foundation – Buy-in strategies Pt 2 – Summarizing data to interpret function – Principals of behavior intervention selection and planning • Intervention Application – Setting event and Antecedent Interventions – Replacement and Social skill Interventions Day 3 Topic Outline • Intervention Application – Social praise and incentive systems – Responding effectively to occurrences of behavior • Foundation – Buy-in strategies Pt 3 – Differentiating the FBPS tools and process across levels of intervention need Positive Behavior Support is… • Different than traditional “behavior management” because it: – Builds combinations of interventions that are proactive and education based on an understanding of the function of behavior – Is process oriented – Uses a team planning approach – Draws from multiple theoretical orientations Reoccurring Themes You Will Hear About in the Training 1. Use a ‘mapping out’ frame to guide discussions about behavior 2. Actively use strategies to promote staff buy-in 3. Use combinations of interventions that match the intensity & scope of the behavior pattern 4. Address systems level issues 5. Use a collaborative teaming process More ‘Super’ Strategies for Promoting Consistent Participant & Implementation Strategies Shared During Day 1 : • Meet with your principal • Model the language and process • Implement a consistent problem solving protocol Involve Everyone in the Process • Why: Incorporating everyone’s input will encourage ownership over the interventions developed • Strategies: – Ask opinions – Negotiate “try-outs” – Involve in the discussion – Set a tone that empowers implementers Support Staff as They Implement • Why: Follow through is likely to be higher when staff feel comfortable implementing the strategies • Strategies: – Provide coaching and modeling – Check in frequently – Offer help, support, encouragement – Assemble an “at a glance” for the teacher across all students with IEPs/BIPs to help organize their work Group Discussion • What were your experiences implementing the practices you learned about during the day 1 training? – What methods did you use to collect information? – What worked / was helpful? – What didn’t work / got in the way? On Day 1 We talked about: Student Name: Assessment Start Date: Reason for FBA: Obtaining Parent consent Preparing for the initial meeting Facilitating an initial meeting Documenting a baseline and conducting observations Check & Date _____ _____ _____ _____ Facilitator Name: Completion Date: Initial Evaluation to determine eligibility Re-evaluation Additional Assessment for program development Result of Disciplinary action Functional Behavior Assessment Process Steps All Tools and Templates referenced are available at www.njpbs.org; select resources Obtain Parent Consent Discuss the process with the student’s parents/guardian Obtain written parental consent to conduct an FBA Pre-Meeting Preparation Using the NJPBSIS Record Review Summary Form document and organize key information from a review of the student’s records (including CST evaluations, if any; report cards, office conduct referrals, IEP etc) Have staff members who are familiar with the student and problem situations complete the Function-Based Information Tool for Staff (F-BIT) (or an equivalent tool) Conduct an interview with the parent/guardian using the Function-Based Information Tool for Parents (or an equivalent tool) If appropriate, gather point of view information from the student (The two recommended options available are: Function-Based Information Tool for Students and the Student Social Support Survey) (or equivalent tools) Develop a facilitation strategy for the first meeting by familiarizing yourself with the information collected thus far and developing visuals & handouts for the meeting including: An agenda to guide the meeting Summary of information learned through surveys or interviews and the review of records A calendar to plan observations and baseline documentation (consider having a take away calendar for each teacher indicating the days and times they will be collecting their tallies) List of the student’s strengths and preferences to display If needed you might also consider considering the use of proactive teaming strategies to promote a positive team environment (e.g., develop three agreed upon meeting norms) Facilitate the Assessment Planning Meeting Have the IEP team discuss student’s strengths and preferences Have the IEP team come to consensus on an operationalized definition of behavior(s) Have IEP team members walk through one or two scenarios, mapping out the discussion on flip chart using the S-A-B-C framework Review the summary of records and F-BIT information reflecting on the mapped out scenarios just discussed – ask clarifying questions as needed Develop a plan for baseline data collection (teacher tallies) and observations (CST) 18 Check & Date Today we will discuss: Preparing for a Behavior Intervention Planning meeting Developing a BIP Functional Behavior Assessment Process Steps All Tools and Templates referenced are available at www.njpbs.org; select resources Conducting Observations and Gathering Baseline Data Conduct observations of the student that sufficiently represent typical routines where problem behavior is most and least likely to occur over the course of a 2-3 week period Provide a data collection reminder to teachers to ensure they are documenting their baseline tallies Prepare for the Behavior Intervention Planning Meeting Using the Behavior Pattern Summary Map, organize the data collected by function, into behavior pattern categories of setting events, antecedents, and consequences Once information is organized by function, develop a short summary that synthesizes the information collected and interprets the information to provide the reader with an explanation for the function of behavior Based on the function of behavior and the interpretation consider potential underlying reasons of why behavior is occurring and how that reason(s) might focus intervention selection: Does the behavior function(s) reflect a need to build a stronger social network or better relationships? Does the behavior function(s) reflect a need to develop social and communication skills to handle situations that trigger behavior? Does the behavior function(s) reflect a need to support academic achievement and sense of competence? Does the behavior function(s) reflect a need to develop a better sense of self or improved well-being Develop a preliminary list of intervention strategies to offer for discussion at the meeting Develop the Behavior Intervention Plan Reconvene the IEP team and additional staff/adults that are familiar with the student and problem situations to review the data and the proposed behavior pattern functions (note the team may need to meet again to continue strategy planning) Review key data Come to consensus about the function of behavior & behavior patterns Begin to plan interventions to address behavior patterns ensuring that strategies sufficiently address the setting event, antecedent, skill instruction, reinforcement, and response to behavior issues identified through the assessment Determine a progress monitoring plan Meet with staff not present at a strategy planning sessions seek input on strategies generated Implementation Fidelity and Behavior Progress Using the Behavior Intervention Planning Template, write up the strategies generated Using the NJPBSIS template, develop an Implementation Checklist that provides an at-a-glance of plan strategies to guide implementation Provide the teachers with the Implementation Checklist and determine what professional development (e.g., training, plan review, coaching) staff need to implement the plan By the end of the second week of implementation, check in with teachers to follow up on implementation (note: use the implementation checklist to guide discussion and stay focused on the how the implementation of strategies is going ): Determine what professional development supports are needed Provide support and encouragement Determine if adjustments are needed to strategies Ongoing, continue to review progress monitoring data and implementation fidelity: Ensure that progress monitoring procedures are being implemented 19 Provide celebration and encouragement Identify coaching or support needs Determine if adjustments are needed to plan strategies Information Gathered From an FBPS Approach Should Lead you to the Function of the Behavior Reinforcement = Function • Function explains the payoff (i.e. reinforcement) the student receives as a result of engaging in the problem behavior: – What does the student get? – What does the student get out of? Figuring out the Function • All behavior serves a function that explains the reason or purpose for why the student is engaging in problem behavior. • In order to understand the function you need to understand how broad information about the student’s life and specific information about behavior incidents work together Figuring out the Function • Juan tosses his history book on the window ledge and using inappropriate language refuses to get started. The teacher sends him to the disciplinarian. • What is Juan’s motivation? – Get out of class? – Get attention from adults? – Respect of peers? What Motivates Juan? • Juan, 16 reads at a 2nd grade level. He feels embarrassed when asked to read out loud and to save face tosses his book and refuses so that he is sent out of the room. • Which is more painful? – Getting a detention or suspension? Or – Being embarrassed in front of his peers? Figuring out the Function • Samantha frequently talks to her neighbors during assignments. Every day her teacher has to reprimand her, often having to provide one on one to get started. • What is Samantha’s motivation? – To get out of work? – To get teacher attention? – To talk with her peers? What Motivates Samantha? • Samantha, 14, lives with her grandmother. She has limited contact with her parents. Her teachers offer her a source of adult interaction she wouldn’t have otherwise. • Which is more satisfying? – Doing your work and nobody noticing you? Or – Drawing attention to yourself, even if the attention is negative? Understanding Behavior Patterns • When we have a student engaging in problem behavior we have to ask ourselves – “Why is the behavior necessary? What is it that the student needs to resolve the issue?” – Stronger social network? – Skills to handle situations that triggers behavior? – Improve concept of self and future? – Improve academic achievement and sense of competence? The Typical Behavior Cycle Task Demand (Antecedent Trigger) The Behavior disappears for the teacher The demand disappears for the student (Reinforcement) Argues with Teacher (Student Behavior) Teacher Redirects Sends to the Office (Adult response & outcome) All behavior is driven by a desire to: Get something we want (access) Get out of something we don’t want (escape) Summarize the Assessment Data • To determine the function of behavior: – Organize the data into the Se-A-B-C pattern and look for themes or similarities across situations – For example, let’s look at the data for Cassie. What patterns do you observe looking at the following descriptions? Possible Function Date Location 10/12 Hallway Antecedent Lots of students in the area, very noisy, and distracting Behavior Consequence Leaned against the Physical assistance 5th (on wall while walking, to stand and keep the way then slid down to walking took to lunch) the floor and laid about 10 minutes Escape because on her back the situation 10/14 Hallway Lots of students in Leaned against the Physical assistance is too overwhelming 5th period the area, very wall while walking, to stand and keep (on the noisy, and then slid down to walking a second way to distracting the floor and laid person was lunch) on her back needed to walk with us 10/13 Resource Counting task that Knocked materials Physical assistance room required writing on the floor, put to clean up the 3rd period her head down materials, took about 10 minutes 10/13 Social Students were Shook her head Verbal prompts to Escape because the Studies asked to complete “no” tried to get be quiet and do demands 6th period a worksheet out task of seat, pushed the work, worksheet assistance to start Were tooaway difficult or nonpreferred the task, but did not finish 1015 Resource Counting practice Knocked materials Physical assistance Room and writing on the floor, put to clean up the 3rd period numbers her head down, materials, took crying about 7 minutes Overwhelmed, trying to get out of the situation Overwhelmed, trying to get out of the situation Difficult task, trying to get out of the task Trying to get out of the task Trying to get out of the task 36 Common Reasons for Behavior Escape Motivation • Lack of motivation • Difficult tasks • Over-stimulating environment • High stress situation Access Motivation • Attention – peer validation • Attention – adult validation • Something wanted (item or activity) • Predictability or control Function Tips 1. Often there is more than one function of behavior – Behavior may start as one function (e.g., escape from work) and then be simultaneously reinforced by another function (e.g., attention) 2. Just saying that the behavior is escape, attention, or item motivated is NOT enough – you need to WHY that function is important to the student Information Obtained Through FBPS is Turned into a Usable Summary • List of strengths and preferences • Operational definition of behavior • A list of: – Relevant setting events – Most common antecedent triggers – How adults and peers respond • A narrative interpretation that explains the function of behavior 39 Behavior Map Summary Example Setting Events • Antecedent Triggers Typical Staff and Peer Responses When tasks are • Staff typically use challenging various verbal When there a series of responses that include demands in a row, redirections, tasks that are low reprimands, and social preference, comments. Materials that are hard for her to see • Cassie frequently Tasks that use fine receives peer attention motor skills which is typically Tasks that tend to be supportive in nature independent (e.g., “I can help you Tasks/activities that last Cassie). longer than 20 minutes Medication and ongoing active seizure disorder • that limits Cassie’s physical endurance for sustained energy exertion • • Short term memory lapses that make it difficult for her to remember typical routines or steps • Vision impairments that make it difficult to see average size font and visual images and cause • the approach from the right side to often be startling • • While the availability of a 1:1 support is very helpful, Cassie’s behaviors are suggesting she • would like a greater amount of personal space and control throughout her school day • • A need and interest in having social connections with same age peers Interpretation of Data Collected: Based on the data gathered through the FBA, the team believes the function of Cassie’s work / demand refusal behavior serves the primary function of escape and avoidance for two reasons. First, a number of the antecedent conditions suggest that the work is not pleasant for Cassie, typically because it is difficult for her to accomplishment (e.g., takes to long to do, requires skills that are difficult for her, she doesn’t understand what is expected). Second, Cassie seems to be expressing that she would like a greater amount of independence from staff prompting. This was supported through the latency assessment which suggests that when left to self initiate, Cassie will begin tasks independently, but might take up to minute for hard or non preferred tasks before starting. Another way to think about it…. • How can we decrease the difficulty associated with academic tasks and activities? • How can we support age appropriate social interactions with peers? • How can we increase Cassie’s opportunities for choice, autonomy and self direction? Reflection Questions to Consider About a Usable Summary • Does the summary give you a clear picture of what is happening with this student? • Does the summary help you relate to the student’s issues? • Just looking at this summary are you able to immediately generate three things you would recommend for this student? FBPS at the Individualized Tier: Summary of Information Teacher Consult Screening (I & RS) IEP-CST (FBA) General & Special Education Intervention General & Special Education Intervention For students have IEPs or being evaluated for Special Education • Informal Informal summary Formal report of the summary on the on the Behavior FBA including the Behavior Patterns Patterns Summary Behavior Patterns Summary Map* Map* Summary Map* Let’s Look at Cassie’s Assessment Report Refer to Cassie’s Assessment report in your packet. Group Activity Developing a Behavior Map Summary • Referring to the information provided for Kevin – Look for persistently re-occurring information – Consider how pieces of information fit together to explain what is happening – Consider what might be the underlying reasons to explain the function 1. Fill in the Se-A-C columns 2. Write a function statement with supporting details (i.e., underlying reason) Develop the Behavior Intervention Plan Guidelines for Behavior Intervention Planning • Behavior intervention strategies are in competition with the outcomes (reinforcement) experienced as a result of the behavior • Behavior intervention strategies must compete with both the scope & intensity of the behavior pattern’s complexity 47 Guidelines for Behavior Intervention Planning 1. What are the underlying reasons why behavior is occurring & select complimentary interventions. Does the function reflect a need for: – stronger social network or better relationships? – social and communication skills to handle situations that trigger behavior? – academic achievement and better sense of competence? – Increasing the student’s sense of self or improved well-being Guidelines for Behavior Intervention Planning 2. Select interventions and strategies that match each of features in the behavior pattern Interventions Should Compliment the Function of Behavior & Features of the Behavior Pattern Setting Events Antecedent Triggers How will address the underlying reasons why behavior is occurring? How will you modify or eliminate antecedent triggers to prevent a problem from occurring? Target Behavior Consequences How will you What skills increase will you teach motivation? to replace How will you behavior and defuse precursor enable the or initial student to be occurrences of successful? behavior to 50 prevent the situation from Guidelines for Behavior Intervention Planning 3. Organize strategies for teaching staff to follow a logical sequence of implementation Guidelines for Behavior Intervention Planning What to Look For: Strategies to Implement Student is calm Replacement skill instruction and reminders & cooperative Antecedent modifications to prevent behavior Incentive system strategies to reinforce positive behaviors Precursor Signals Adjust the environment to meet emerging need (e.g., modify work, give a break, etc.) Initial Display of Behavior Use a consistent redirection protocol to defuse behavior and reengage in routine Persistent Display of Behavior Use a consistent redirection protocol to defuse behavior and reengage in routine Safety plan to manage situations Guidelines for Behavior Intervention Planning 4. Involve implementers in intervention selection • Involving implementers (teachers, parents, instructional aides) promotes consistent implementation 5. Provide training and support • Team members need guidance to know how to implement the strategies, manage the strategies and to troubleshoot when things don’t go according to plan Guidelines for Behavior Intervention Planning 6. Anticipate that some interventions will need longer to take hold and be effective When will You See Positive Changes? Intervention Component Skill Instruction Setting Event Interventions Antecedent Interventions Incentive Systems Defusion Strategies Immediate A Couple of Weeks Month or More X X X X X X X X X X X FBPS at the Individualized Tier: Intervention Development Teacher Consult Screening (I & RS) IEP-CST (FBA) General & Special Education Intervention General & Special Education Intervention For students with IEPs or being evaluated for Special Education • A few key function-based strategies • Information documentation Systematic selection of function-based strategies – typically a combination of strategies Documented in an action plan Systematic selection of function-based strategies – typically a combination of strategies Documented in the IEP An implementation checklist * for teaching staff Let’s Look at Cassie’s Behavior Plan Refer to Cassie’s Behavior Plan in your packet. Student: Cassie Date of Plan: November 4 Intervention focus based the function of escaping/avoid challenging work tasks •Strategies and accommodations that make work more accessible for Cassie and improve her motivation to participate in academic tasks and activities Intervention focus based on the function of wanting to have more social interaction with peers and adults •Strategies that increase Cassie’s opportunities for typical interactions with peers and her ability to have successful interactions Progress Monitoring Meeting Schedule and Progress Goals November 16th Progress Goal: Work / demand refusal average of 5-6 occurrences daily Social Seeking average of 1-2 occurrences daily December 15th Progress Goal: Work / demand refusal average of 1-2 occurrences daily Social Seeking average of 3 occurrences per week December 1 Progress Goal: Work / demand refusal average of 2-3 occurrences daily Social Seeking average of 1 occurrences daily December 23rd Progress Goal: Work / demand refusal average of 4 or less occurrences per week Social Seeking average of 1 or 2 occurrences per week Progress Monitoring Method Daily Behavior Report Average Baseline Refusal 8-9x daily Social seeking 3-4x daily Month 1 5x daily 2x daily Month 2 3x daily 3-4x weekly Month 3 4-5x weekly 2-3x weekly Month 4 Month 5 Month 6 3x weekly 1-2x weekly 1x weekly 1x weekly 0x weekly 1x weekly Month 7 Month 8 When Cassie is calm and following directions/ro utines do these to Prevent Behavior Key skills to review and reinforce: Requesting a break Using appropriate conversation starters Selecting a relaxation choice Using a picture schedule Recognizing physical boundaries with peers and staff Consistently implement the incentive system Throughout the 10 minute interval, provide Cassie with verbal (e.g., great job counting”) and nonverbal (e.g., thumbs up and smiles) praise for desired behavior. At the end of the interval provide Cassie with social praise for the three behavior expectations identified (i.e., doing her work, staying in her seat, and following directions), then give her a penny to put on her board. When she has earned five pennies, provide Cassie with a choice of a reward using the picture board. Provide access to the reward for 2 minutes; at 1 minute 30 seconds provide a transition warning; at 10 seconds have Cassie count down with you and have her put it away Re-start the interval and penny board. Adaptations to materials and instructional conditions: Provide written and visual materials in a 16 point font At the start of routines/activities review with Cassie the classroom “successful student rules” Keep works tasks to 20 minutes or less, then provide Cassie with a break Embed academic tasks into typical and functional routines Break complex tasks into discrete steps and use picture strips to make the series of steps concrete Provide at least 10-15 seconds of wait time in between prompts Maintain a positive upbeat tone of voice Follow OT recommendations for embedding sensory supports throughout the day Provide Cassie with a pliable object to hold during listening activities Provide a break when Cassie makes a request Promoting appropriate social interactions Pair Cassie with a preferred peer during non preferred tasks and transitions Review her social story depicting how to act with friends Support conversations with peers (e.g., review the student picture dictionary; provide prep or reminder to use conversation starters) Increasing choice, self determination and control Provide frequent positive social comments Develop a flexible picture schedule Provide “prep” prior to transitions and changes in preferred activities When walking down the hall stay at least 5 feet behind Cassie unless she initiates otherwise Offer a variety of choices throughout the day (e.g., materials, activities, termination, partners, etc.) When Cassie makes a request for an item activity she can not have, identify an appropriate time and put it on her schedule so she can see when it is coming During task start up, provide Cassie with a prompt to begin and then back away to allow for self initiation When Cassie begins to look around, appear distracted, looks tired, or not respond quickly to request, this signals she is loosing focus; staff should: At the first signs of refusal behavior (e.g., asking questions irrelevant to the situation; saying no, pushing work away) or social seeking behaviors (e.g., laughing loudly at serious situations or when the room is quiet; trying to hug staff and peers; taking during instruction, calling out to peers) staff should: Prompt Cassie request a break using a picture card and vocal request Provide a relaxation choice Bring the task to a close quickly so it can end under positive conditions Provide praise to peers in the area. Use as few verbal prompts as possible. Rely on picture prompts and only when necessary provide short one or two word verbal prompts. A redirection sequence could look like the following: o Show Cassie a picture of the expectation and point to the picture. Make sure to hold the picture in her midline and that she makes eye contact with the picture o Wait 15 seconds for Cassie to respond o Praise cooperation If refusal behaviors (e.g., sliding out of her chair onto floor; kicking staff from a sitting position; saying “no” or “don’t want to”; pushing work onto the floor; walking away from staff; and yelling loudly) or social seeking behaviors (e.g., dropping on the floor and rolling around while laughing) persist following the initial picture prompting staff should: If Cassie does not respond to the initial picture prompting, show and point to the picture again and wait 15 seconds for her to respond If no response, show the picture and provide Cassie with a slight physical nudge on the back of her shoulder or under her elbow to orient her in the direction you want her to go. If she is lying on the floor, first assess that she is in a safe location. If the location is safe, wait her out. Hold the picture where she can see and wait. Avoid eye contact, verbal prompts, and physical assistance. If the location is not safe (e.g., laying outside while students are being dismissed to the busses) and Cassie needs to be moved, call for assistance and work together to assist her to a standing position using proper lifting as instructed by the OT. Do not talk, verbally prompt, or make eye contact. Pull physical assistance away as soon as she is standing and safe. In general, remain calm in appearance and provide Cassie with as little interaction (i.e., verbal and nonverbal) as possible. When interaction is necessary always try non verbal methods first (e.g., picture prompt, pointing). Commitments Parent Commitments: To support implementation of the plan at home, I will: I can contact these staff for help or information: Parent signature(s):_________________________________________________ Staff Commitments: I have read and understand my role in implementing the student support plan. If I need help or have questions, I can contact: Staff Signatures: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ _____________________________________________________________________ Setting Event Interventions Address the Underlying Reasons for Problem Behavior Setting Event Interventions • Purpose: Reduce the NEED for behavior by addressing the underlying reasons why the behavior is occurring in the first place • While some setting event interventions will work quickly, many typically take time to put in place and be effective – Quick working example: reducing demands for the day when the student is sick (“Plan B” day) – Slow working example: building a positive relationship with an adult Questions to Guide Identifying Setting Event Interventions • Does the student need a stronger peer network/social circle? Examples: – Teach social and communication skills for social situations – Enroll the student in extra-curricular activities – Help the parent connect to other parents in the student’s class – Ensure the student is in inclusive settings with opportunities for interactions – Work with teachers to help them facilitate interactions – Develop a student club around a common interest Questions to Guide Identifying Setting Event Interventions • Does the student need to build confidence/self esteem? Examples: – Teach skills that work on cognitively reframe negative perceptions of self – Counseling sessions to learn how to reframe perspective – Work with staff to focus on giving feedback for positives – Find a way to publically recognize the student – Connect the student with a mentor – Engage/enroll the student in leadership building activities for clubs they can excel in Questions to Guide Identifying Setting Event Interventions • Is there a need to build/repair relationships between the student and staff? Examples: – Connect with a mentor – Work with teachers to repair relationship – Work on social skills to express needs and point of view appropriately – Work with staff to provide the student with frequent social support Questions to Guide Identifying Setting Event Interventions • Are there days where a reduced demand/schedule/transition plan is needed (i.e., “Plan B” day)? • Does the student need basics provided (e.g. sleep, food, medical issues addressed)? • Are academic issues being sufficiently addressed? Check-in Check-out (CICO) A Systemic Setting Event Intervention Check In Check Out • What is it? An adult directed monitoring process that gives the student regular feedback on their performance • Why Choose to Use It? – Students whose behaviors are motivated by the need for adult attention; – Students who need help remembering/organizing their responsibilities – Students who need continuous monitoring to stay productively engaged in school routines The Dynamic of the ‘Check’ • Obtaining positive outcomes from CICO is highly dependent on the constructiveness of the ‘check’: – Demonstration of caring and concern – Supportive and encouraging interactions – Constructive and helpful feedback Personnel Needed to Run CICO • Monitor – AM and PM checks – Flexible morning and afternoon schedule – At school every day – Consider • • • • • Teachers assigned to hall duty Guidance counselor Paraprofessional / aide Crisis teacher ISS supervisor (but be sure not to associate ISS with CICO) • Teachers – Daily feedback providers Start Up: Introduce CICO • Introduce CICO to the student – Discuss how CICO works – Introduce student to Monitor – Show student location to check-in and out and where to get a DBR each day – Show student what to complete on DBR (name, date, etc.) – Have student practice Start Up: Introduce CICO • Introduce CICO to staff – Discuss how CICO (fact sheet in handout) – Provide training to monitor and teachers • Interactions and behaviors that demonstrate support, care, and helpfulness • The correct way to use the monitoring tool and provide feedback • Tips for success Monitor Responsibilities • • • • Greets students in the morning Develops a positive relationship with the student Provides student with the day’s DBR Checks student has needed materials for the day – helps problems solve if materials are missing • Provides specific prompts, positive reinforcement and problem-solving • Enters data entry and communicates with intervention team Teacher Responsibilities • Develop a positive relationship with the student • Provide prompts at start of class • Fill out the DBR for each class/transition and provide the student with feedback: – Provide social praise – Use supportive and encouraging interactions – Provide constructive feedback – Problem-solve when necessary • Communicate with the intervention team Daily Process: Step 1 • Student check-in at start of day – Meets with Monitor briefly at designated area – Hands in yesterday’s DBR • Praise if signed by parents • Communicate with coordinator for follow-up if a pattern of not signed by parent occurs – Gets new DBR • Completes basic information (name, date, etc.) – Ensures has all necessary materials • Monitor gives any needed materials – Receives positive prompt for the day Video Clip • Check-in – What did the monitor do well? – How could the monitor have improved this check in? Daily Process: Step 2 • Teacher rates student’s behavior – DBR handed to teacher at start of class (can have designated area on teacher desk for DBR) • Opportunity for prompt about behavior in class/reminder of expectations – Rating occurs at end of each class – Teacher gives feedback and DBR to student • If met goal, praise and write positive comment • If did not meet goal, remind what to do next time and that have clean slate for next class Video Clip • Teacher feedback – What did the teacher do well? – How could the teacher have improved feedback? Daily Process: Step 3 • Student check-out at end of day – Meets with Monitor briefly at designated area – Tally points for day (student or Monitor) – Determine if goal was met • Yes – praise and student receives reinforcer • No – problem-solve for tomorrow – Send copy home with parents • Parents sign and return next day – Recorded and graphed by Monitor Video Clips • Check-out – What did the monitor do well? – How could the monitor improve this check out? Check-in Check-Out for Students with Repeated Behavior Problems Purpose: Check-in Check-out (CICO) is an intervention we are using to help students with repeated behavior problems that are acting out in order to get more frequent contact with adults. A problem identification process was used to determine what are common variables associated with patterns of behavior and subsequently a Student Support Plan was developed to address behavioral needs. The Student Support Plan uses combinations of strategies to address behavior issues, CICO is one strategy that is part of a larger plan for the student. Process: 1. Students start their day with a “check-in” with [insert designated personnel]. During the daily check-in [insert designated personnel]: o Collects the previous day’s daily behavior report (DBR) signed by the parents. o Asks the student to show that they have their agenda book, pens, etc. o Provides the student with a copy of the DBR for the day o Provides the student with positive encouraging words to have a successful day 2. Upon entering the classroom, the student gives their DBR to the teacher. The teacher can take this opportunity to provide a positive prompt about expected behaviors for the class and encouraging words. 3. At the end of class the teacher rates the students’ behavior for the class on the DBR. This is an opportunity to provide the student with feedback about their performance in class. While corrective feedback is important, teachers should also strive to find opportunities to provide positive feedback to students. Teacher/staffs’ consistent involvement in the feedback ratings is critical to the success of the CICO interventions. 4. At the end of the day students “check-out” with [insert designated personnel]. During the checkout, [insert designated personnel]: o o o o Sums the student’s points for the day and determines if the goal was met. Provides the student with positive feedback for times during the day when the student did well, regardless of whether goal was met or not. Conduct a mini problem-solving around any challenges they experienced in the day providing the student with concrete reminders of behavior expectations or strategies the student can use. Prompts the student to bring the DRB home for parents to sign. 5. The students’ points are tracked each day to monitor students’ progress. It is essential that each teacher completes the form every class so students’ progress can be reviewed. 6. Regular progress monitoring reviews will occur and teachers/staff will be invited to provided feedback and participate in monitoring discussions. Please contact [insert designated personnel] , ___________________, if you have any questions. Daily Behavior Report • Lists specific action behaviors that are linked back to school/class expectations • Monitors student progress – 3 point rating system – Student has short and long-term goals Daily Behavior Report – MODEL EXAMPLE Name: ____Johnny Light________ Date: _____January 3__________________ Goal: _____56 points (80%)_______ Earned: ____58 points (83%) – MET GOAL!__ 2 points = Followed expectation BEHAVIOR 1 point = Improvement needed 1st HR 2nd 3rd 0 points = Did not follow expectation 4th Lunch 5th 6th 7th Use polite words 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 Complete and Turn in Homework 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 Follow directions 2 1 0 2 1 0 2 1 0 2 1 0 ----------- 1 0 2 1 0 2 1 0 2 1 0 2 Keep objects to self and 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 2 1 0 in their place Teacher Initials LM LM JK IT RR JK JK TL FR Teacher Comments: Johnny had a great homeroom and 1st period! Johnny was tipping his chair during 2nd period, though he did stop after a warning._____________________________________________________ Johnny ran in the cafeteria during lunch. Difficulty paying attention during 7th period; lots of tipping in chair. Parent Comments: Congrats to Johnny for meeting his goal – yeah!!! We spoke to him about the chair tipping____ _________________________________________________________________________________________________ Parent Signature: ______Rebecca Light________________________________________________ Sample: Daily Behavior Ratings Using a Likert Scale Daily Behavior Ratings Student: Directions: For each target behavior or skill; indicate the score that best reflects how the student performed for that day. Scoring Guide: 0 = Student occasionally engages in this behavior 1 = Student engages in this behavior some of the time 2 = Student engages in this behavior most of the time 3 = student engages in this behavior all of the time Target Behavior or Skill Daily total: Comments: Parent Signature and Comments: Score for Per. 1 Score for Per.2 Score for Per. 3 Score for Per. 4 Score for Per. 5 Score for Per. 6 Score for Per. 7 Score for Per. 8 Score for Per. 9 5 Day Total Becka’s Daily Behavior Report Date: _______________ BEHAVIOR Raise your hand if you have a question Stay on task Keep hands to self Goal: 9 Smiley Faces Reading Math Science Writing Comments: ___________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Parent Signature: _____________________________________________________ Activity • Examine the following DBR for a student just starting CICO • How can we improve this DBR? Daily Behavior Report – NON EXAMPLE Name: Joe Problem 1 point = Great Behavior Date: 1/21/07 0 points = Bad Behavior BEHAVIOR 8:30-10:30 10:30-12:30 12:30-2:30 No talking 1 Did not interrupt teacher 0 1 1 Completed work 1 0 1 Completed work correctly 0 0 0 No insubordination 1 1 1 Teacher Comments: Joe had a bad day in reading class today._______________________________________________ Joe did well in science.______________________________________________________________________________ Joe had some problems in math, but it was better than yesterday._____________________________________________ Point Goal: 15/15 Points Earned: 8/15 = 53% Goal Met: Y / N Watch out for: Students forgetting to check-in or check-out Students losing their DBR Remedy –Ensure location and time are feasible –Determine if it is only occurring when the student did not meet goals –Ask teachers to prompt students at beginning or end of day –Incorporate recognition for checking-in and/or out For younger students –Teachers can hold onto form –Use clipboard –Provide reinforcement at points in day for having form For older students –Give teachers blanks –Staple it into the student’s agenda book –Provide reinforcement at points in day for having form Watch out for: Chronic inconsistent student participation Remedy –Determine if the student really likes adult attention –Determine if student does not get along with Monitor –Ensure academic needs are being met –Decide if an intensive individual assessment and support plan are needed –Teachers and Monitor should not escalate situation Students getting –Focus on next class/tomorrow and strategies that can be upset about low used to meet goal –Ensure that parents are not disciplining for lower ratings ratings or not meeting goal Fading CICO • Once students have reached long-term goal, determine how to fade out CICO: – Introduce self-monitoring – Distribute checks intermittently – For Ex: continue am/pm checks, but instead of the teacher completing the DBR, have the student fill it out Group Activity: Bringing it back to your school • Consider Check-in Check-out as an intervention at your school: – Begin to discuss how you would set up Check in Check out as an intervention • Who might be monitors? • What training would teachers need to know how to correctly do the end of class rating? • What variations might you consider? What Would You Do? • Suggest one setting strategy for each of the following for Kevin: – Rebuilding relationships with staff/Building a positive relationship with an adult – Building Kevin’s confidence/self esteem – Improving academic performance by developing Kevin’s organization skills, preparation skills Antecedent Interventions Prevention Interventions The best offense is a good defense Antecedent Interventions • Purpose: To prevent behavior from occurring by modifying the environment BEFORE behavior occurs: • eliminating the trigger • neutralizing the effect of the trigger • enhancing the environment • Antecedents are fast acting and typical work as soon as they are put in place Modifying Antecedent Triggers • For prominently occurring antecedent triggers identified in the assessment process • Determine modifications that alleviate the stress, difficulty, conflict, etc. associated with the trigger Options for Modifying Antecedent Triggers • • • • Reframe interactions Increase social attention Adapt – neutralize environmental discomforts Provide scaffolds and structure to environments Options for Modifying Antecedent Triggers • Adapt or accommodate work to increase access to the material – – – – – Vary learning modalities Adjust difficulty – challenge level Provide scaffolds and structure to learning activities Accommodate difficulty level Increase motivation & interest Tools to Support Teachers PBSIS Class-Wide Accommodations Organizer Encouraging Antecedent Accommodations • Provide teachers with easy to use ways to organize the needed accommodations and adaptations for students with IEPs • Refer to the PBSIS Accommodations organizer and menu Henrietta Juan Henry Jim Franco Xan-Ping Ziba Kathy Stephen Jose Oscar Marrissa Bill Jerome Marking Period: 2ND Period: 5 Gail Franco Avery Joleesa Staci Jennifer Bob Class: SCIENCE John Areas of Needed Supports Class Wide Learning Profile – Accommodations and Support Needs Listening and Attending Directions X X X nstruction X X X X X Planning, and Organization Work completion X X X X X X Writing assignments Managing tasks Organizing materials Studying & retention Practice & applica. X X X X X X X X X X X X X X Social Relations Positive behavior X ransitions Group work Participation X X X X X X X X X X What Would You Do? • Referring to the list of antecedents in Kevin’s explanatory statement, select four triggers and suggest modifications Replacing Problem Behavior with Socially Acceptable Alternatives Instructional Interventions 104 Teaching Replacement Skills • Purpose: Increase the student’s competence to handle situations that trigger behavior by using socially appropriate skills – Replacement skills must: • match the function of behavior and • be taught using high quality instructional methods Teaching Replacement Skills • Functionally Equivalent Skills: are skills that result in the exact same outcome as the problem behavior, but in a socially appropriate way • Functionally Relevant Skills: are skills that contribute to a students ability to handle a situation, but do not necessarily serve the same function as the problem behavior Skill Selection Example • A student who acts out in class because they are not able to do the work: – Escape function: student has difficulty with sustained attention, task start up, problem solving, and reading. • Functionally equivalent skill: Recognize personal signals and ask to go the bathroom • Functionally relevant skills: Target reading, self instruction to work problems and activity start up Common Replacement Skills • Escape examples – – – – – Take a break Ask for help Identify trigger Problem solving Ask for adaptation or modification • Access examples – Request attention – Schedule an appropriate time to talk with staff – Ask to schedule time for a preferred item – Follow and use a schedule – Use a social script Selecting the Right Skill • Select skills that are a one for one replacement of the behavior – Get attention: Ex: start a conversation – Escape: Ex: request a break • Select skills that improve the student’s general competence to handle the situation – Get attention: Ex: schedule an appointment – Escape: Ex: recognize signs of frustration Selecting the Right Skill: Activity • Referring to Kevin’s explanatory statement: • What skills would you teach Kevin so that he can better handle: – Situations where he does not know what to do? – Situations where he has difficulty handling friendly teasing from peers? – Being able to be more tuned into his own personal triggers? Anticipate Usage Problems • Teach to the Variations – anticipate possible problems the student might have using this skill: – Generate scenarios in which the student would typically use this skill – What might problems might they encounter as they try to use the skill? • E.g., variations in cues across situations • E.g., emotional or social pressure Anticipating Usage Problems: Example: Asking for Help • Review problems on the page – – how will this look across different types of assignments? • Circle the numbers of the problems I’m not sure how to do – how will this look across different types of assignments? • Turn the help card over – – what happens in classes where the teacher might not see the card? • Begin working on the problems I know how to do until the teacher comes over – • what if there isn’t anything the student knows how to do? Anticipate Usage Problems: Activity • Referring to the skill that you identified for Kevin: • Identify the variations or obstacles that Kevin might encounter across different situations as he tries to use the new skills Ensure Sufficient Practice • Model and demonstrate the skill first • Support practice through role play and try outs - Scaffold initial attempts in typical situations - Provide feedback, error correction, and modification Self Monitoring • Two Variations – With a teacher check • Each rate and come to consensus • Debriefing occurs immediately at the end of routine/class/day – Without a teacher check • Student rates/reflects/keep track • Schedule debriefing Self Monitoring With Teacher Check Behaviors Student Teacher I am paying attention Y N Y N I am sitting in my seat with both my feet on the floor Y N Y N Match? Self Monitoring Without Teacher Check Date What Was Happening 1/15 Anxiety Rating 1 2 3 4 5 1/16 1 2 3 4 5 •Gym and I had to play game I’m really bad at 1/17 1 2 3 4 5 •In class, teacher reviewing project requirements • In class, teacher was reviewing assignment Replacement skills are just like any other academic skill – they must be taught directly and systematically using a Model-Practice-Probe -Feedback approach to instruction Instruction should be specified in the plan or in an addendum to the plan 118 The Importance of Instructional Opportunities • A review of the social skills literature suggests positive effects for social skills instruction in about 64% of the studies. • Research suggests a significant relationship between the amount of instructional time for social skills and acquisition outcomes. Studies showing positive effects provided over three times as much instruction as studies not showing effects. Components of the Teaching Plan 1. Introduce the skill during neutral conditions 2. Have the student practice the skill under neutral or simulated conditions 3. Support skill use during typical problem times/situations – guarantee success Step 1:Introduce the Skill During Neutral Conditions • Teach a student to self-monitor internal triggers – Introduce the skill during private conversation – Discussion to elicit concrete examples of how the student feels in target situations – Explain the self monitoring checklist and show how it would be filled out – Debrief and provide feedback Step 2: Practice During Neutral or Simulated Conditions • Teach a student to self-monitor internal triggers – Practice during role play scenarios • Create a variety of scenarios based for the student to role play based on actual occurrences • Sufficiently sample the variation of situations and teach to one situation at time • Debrief and provide feedback Step 3: Support Skill Use During Typical Problem Situations • Teach a student to self-monitor internal triggers – Scaffold skill use during early use • Prepare the teacher(s) to know how to support the student to use the checklist • Prime and pre-correct before going into a situation where the checklist with be used • Debrief and provide feedback Alternative Skill Instruction Plan Skill: Request a break using the sign for break during non-preferred, difficult, and long tasks without adult prompting Initial Introduction: After 6 minutes of working on a neutral task, prompt Cassie to request a break: “Cassie, you’ve been working hard! Let’s take a break. (Model the sign for break). Move the work materials away and have Cassie remain in her seat. Provide her with a neutral squeeze toy. Set the timer for 1 minute. At 40 seconds provide a transition warning: “Cassie when the timer goes off we will start work again.” Provide a second transition warning at 50 seconds. When the timer goes off have Cassie press the stop button and have her put the squeeze toy down. Introduce a highly preferred work task. o Criteria for moving to the next prompt level: Cassie is attentive to the model and shows that she understands the sign means she can stop working. Instruction during Neutral Activities: Continue teaching break during neutral activities. Prompt Cassie to make the sign for break at an intermittent schedule from 6-9 minutes. “Cassie you’ve been working hard! Let’s take a break. Show me break (model sign for break and assist Cassie to make the break sign).” Set the timer for 1 minute and provide Cassie with a neutral squeeze toy. At 40 seconds provide a transition warning: “Cassie when the timer goes off we will start work again.” Provide a second transition warning at 50 seconds. When the timer goes off have Cassie press the stop button and have her put the squeeze toy down. When Cassie returns to work begin interspersing a return to the original task, a new highly preferred task, or a new neutral task in random order. o o Feedback for Corrects: provide social praise “Nice job telling me break Cassie.” And then honor the request Feedback for Errors: interrupt the error immediately and provide physical assistance. Pair with social praise “Nice job telling me break Cassie.” And then honor the request o o Criteria for moving to the next prompt level: Continue using this prompt level until Cassie begins to make the break sign without assistance. Instruction during Non-Preferred and Difficult Activities: Begin to intersperse instruction for break during non-preferred and difficult tasks. At the start of all activities remind Cassie that she can make the sign for “break” when she wants to stop. During neutral activities prompt the break after 7 minutes. For non preferred or difficult tasks begin prompting the break anywhere from 3-5 minutes depending on Cassie’s responses to the task. “Cassie you’ve been working hard! Let’s take a break. Show me break (model sign for break and assist Cassie to make the break sign).” Set the timer for 1 minute and provide Cassie with a neutral squeeze toy. At 40 seconds What Would You Do? • For the skill you identified to teach Kevin, develop a teaching plan that includes the following: – Introduction of the skill – Practice during neutral activities – Support for skill use during typical problem situations 125 Main Points • Hypothesis statements should provide enough detail to create FUNCTION BASED intervention plans that include: – Proactive strategies to prevent behavior from occurring – Instruction to teach replacement skills that effectively compete with problem behavior – Intense responses for appropriate behavior – Neutral responses and natural consequences for undesired behavior • Remember, plan implementers also need support Want more PBSIS? www.njpbs.org