Transcript Slide 1
Topics in Functional Behavior Assessment & Behavior Intervention Planning Kevin Murdock, BCBA, Ph.D. Sponsored by SEDNET on Behalf of the School District of Clay County, Florida August 18, 2008 • Please do not copy or distribute any part of the presentation handouts or the electronic version without my advance permission. • If you wish to use the presentation for training other persons, please email me with a description of your target audience and the goals for the training. Target audience • Educators with advanced or graduate training in behavioral assessment, intervention, monitoring, and ethics, or with certification in Behavior Analysis. • Some of you have many years of experience and extensive training. Some of you are experts who may be qualified to make this presentation yourself. – Please support other participants. • Some of you are newly trained and certified and/or have recently begun your professional careers. • Most of you are probably somewhere in between. • Every participant can give suggestions to improve the presentation by completing the feedback form at the end of the presentation. Broad Objectives • Gain knowledge from rich pool of talent and experience in the room • Suggest future directions for leaders • Stimulate follow-up training • Review – Assess “Maintenance” • Practice Terms and Skills – Build “Fluency” • Generalize – Apply to New Situations • Use tools to enhance your knowledge & skills • Enhance problem-solving “networks” • Avoid “Death by Powerpoint” • Have some fun Objectives: • Consider how RTI, EBD, and FBA-BIPs are related • Discuss features of the new EBD psychological evaluation • Answer “Why do a FBA?” • Address reasons educators resist behavioral assessments & interventions • Explore methods to “triage” FBA-BIP cases versus basic intervention plans “But, wait there’s more!” • Address common problems with behavior definitions, measurement procedures, and information gathering • Practice the selection of effective evidence-based interventions • Examine graphing templates and review data-based decision tips • Consider the complexities of treatment integrity • Work in small groups (“teams”) with interactive tools to make the above processes more efficient General Notes • This presentation is “a work in progress.” – Please send corrections, suggestions, comments, different perspectives, etc. • Terms used in the presentation and handouts: – – – – student = individual, consumer or client parent = legal guardian, primary caretaker educator or teacher = trainer or provider staff BIP = Behavior Intervention Plan, Positive Behavior Intervention Plan (PBIP), Behavior Analysis Services Plan (BASP) RTI and Behavior (RTI-B) • Florida DOE Workgroup is examining core components, necessary infrastructures, systemic and professional development issues, resources, barriers, etc. • Technical Assistance Paper will be produced • 3 Tier model – Schoolwide - universal screening and behavioral systems – Targeted group – progress monitoring and group-based interventions – Intensive, individualized interventions with frequent progress monitoring • RTI is closely tied to effective problem-solving processes Problem Solving/RTI (PS/RTI) is a relatively new approach to solving behavior challenges. However, PS/RTI has produced some significant improvements in academic skills. What documentation is used with the RtI model? • The use of graphs and charts is a basic component of RtI. • In addition, other data collection strategies may be employed at the teacher or building level. Such strategies should produce documentation of a student’s progress or lack of progress (e.g., graphs, charts). 2006 DOE RTI Technical Assistance Paper http://floridarti.usf.edu/floridaproject/faq.html RTI – Illustrated Case Examples Target Behavior: Work Completion (could apply to an Academic or Behavioral Referral) • Thanks to Joe Kovaleski and Ed Shapiro of the PA State-wide RtI Initiative for the original example • Thanks to Michael Curtis for sharing the example The next set of frames show how data may be graphed and used to assess RTI through a Problem-Solving process Yellow colors represent new content on the frame, or questions to consider. Constructing the graph 100 90 80 60 50 40 30 20 10 Weekly measures Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion 100 90 80 60 50 40 30 20 10 Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion 100 90 Benchmark 80 60 50 40 30 20 10 Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 40 30 20 10 Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 40 35 35% represents average Peer Performance in September % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 Top of box represents highest Peer Performance in September (approx. 48%) 40 35 % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 40 35 % 30 Bottom of box represents lowest Peer Performance in September (approx. 27%) 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 40 35 % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 55 % 40 35 % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 55 % 60 % 40 35 % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 55 % 60 % 40 35 % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 55 % 60 % 40 35 % 30 20 10 = Peer Group Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % = Aim Line Expected line of student progress, from Baseline to Achieving Near Benchmark by Year End Case Example: Bob “Bob” - Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 60 % 55 % 40 35 45 % 40 30 35 20 25 23 28 10 = Peer Group = Target Student = Aim Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % “Bob” - Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 60 % 55 % 40 35 45 % 40 30 35 20 25 23 28 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % “Bob” - Correct, Independent Worksheet Completion Tier 1 — Universal Interventions • School-Wide Behavior Lottery 100 • Grade Level Social Skill Training (SST) 90 Benchmark 80 60 50 % 50 60 % 55 % 40 35 Adequate RTI? 45 % 40 35 Did the intervention have sufficient power and time? 10 = Peer Group = Target Student Continue, modify or end intervention? ec D ov N ct O t 0 = Aim Line = Trend Line Fe b 25 23 n 20 Adequate treatment integrity? 28 Ja 30 Se p Percent 70 75 % • Adequate RTI? Yes, the data trend appears to cross or approach the aim line. • Adequate treatment integrity? Yes, according to the teacher’s reports and the consultant’s direct observations of treatment implementation by the teacher. • Did the intervention have sufficient power and time? Apparently good power to cause progress. Apparently sufficient time; numerous data points were used to assess trend. • Continue, modify or end intervention? Continue. Case Example: Jean “Jean” - Correct, Independent Worksheet Completion Tier 1 - Universal • School-Wide Behavior Lottery • Grade Level Social Skill Training (SST) 100 90 Benchmark 80 75 % 60 50 % 50 55 % 60 % 40 35 % 30 25 23 26 20 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 “Jean” - Correct, Independent Worksheet Completion Tier 1 - Universal • School-Wide Behavior Lottery • Grade Level Social Skill Training (SST) 100 90 Benchmark 80 75 % 60 50 % 50 60 % 55 % 40 Adequate RTI? 35 % 30 Adequate treatment integrity? Did the intervention have sufficient power and time? = Peer Group = Target Student Continue, modify or end intervention? ec D ov N ct O t 0 = Aim Line = Trend Line Fe b 10 n 25 23 26 Ja 20 Se p Percent 70 • Adequate RTI? No, the data trend appears to move downward, away from the aim line. • Adequate treatment integrity? Yes. Although the teacher’s reports and consultant’s direct observations initially indicated incorrect and inconsistent treatment implementation, retraining and more frequent monitoring increased the treatment integrity to an acceptable level. • Did the intervention have sufficient power and time? Possibly not enough power. Relatively few data points were used to assess the trend. The downward direction warranted an intervention decision. • Continue, modify or end intervention? Modify. “Jean” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game 100 90 Benchmark 80 60 50 % 50 65 % 60 % 55 % 52 47 40 43 35 % 30 35 25 23 26 27 20 30 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % “Jean” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game 100 90 Benchmark 80 55 % 52 47 40 Adequate RTI? 43 35 % 30 35 20 25 23 26 27 Adequate treatment integrity? 30 Did the intervention have sufficient power and time? 10 = Peer Group = Target Student Continue, modify or end intervention? ec D ov N ct O t 0 = Aim Line = Trend Line Fe b 50 60 % n 50 % 65 % Ja 60 Se p Percent 70 75 % • Adequate RTI? Yes, the data trend crossed the aim line. • Adequate treatment integrity? Yes, according to the teacher’s reports and the consultant’s direct observations of treatment implementation by the teacher. • Did the intervention have sufficient power and time? Apparently good power since there was progress. Numerous data points used to assess trend. • Continue, modify or end intervention? Continue. Case Example: Lynn “Lynn” - Correct, Independent Worksheet Completion Tier 1 - Universal • School-Wide Behavior Lottery • Grade Level Social Skill Training (SST) 100 90 Benchmark 80 75 % 60 50 60 % 55 % 50 % 40 35 % 30 20 25 28 23 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 “Lynn” - Correct, Independent Worksheet Completion Tier 1 - Universal • School-Wide Behavior Lottery • Grade Level Social Skill Training (SST) 100 90 Benchmark 80 75 % 60 50 60 % 55 % 50 % 40 Adequate RTI? 35 % 30 23 Did the intervention have sufficient power and time? = Peer Group = Target Student Continue, modify or end intervention? ec D ov N ct O t 0 = Aim Line = Trend Line Fe b 10 n 25 Adequate treatment integrity? 28 Ja 20 Se p Percent 70 • Adequate RTI? No, the data trend appears to move downward, away from the aim line. • Adequate treatment integrity? Yes, according to the teacher’s reports and the consultant’s direct observations of treatment implementation by the teacher. • Did the intervention have sufficient power and time? Possibly not enough power. Relatively few data points were used to assess the trend. The downward direction warranted an intervention decision. • Continue, modify or end intervention? Modify. “Lynn” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game 100 90 Benchmark 80 60 50 60 % 55 % 50 % 65 % 40 35 % 35 37 36 30 20 25 41 40 28 27 30 23 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % “Lynn” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game 100 90 Benchmark 80 60 50 60 % 55 % 50 % 65 % 40 35 % 35 37 36 30 20 25 41 40 28 27 30 Adequate RTI? Adequate treatment integrity? 23 = Peer Group = Target Student Fe b Continue, modify or end intervention? Ja ec D ov N ct O t 0 n Did the intervention have sufficient power and time? 10 Se p Percent 70 75 % = Aim Line = Trend Line • Adequate RTI? No, the data trend appears to move downward, away from the aim line. • Adequate treatment integrity? Yes, according to the teacher’s reports and the consultant’s direct observations of treatment implementation by the teacher. • Did the intervention have sufficient power and time? Apparently low power. Numerous data points were used to assess the trend. • Continue, modify or end intervention? Modify. “Lynn” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental Tier 3 - Intensive • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game • FBA-BIP •Individualized Behavior Contract • Self-Monitoring Training • Home-School Notes 100 90 Benchmark 80 60 50 % 50 60 % 55 % 62 52 35 37 36 30 20 65 % 57 40 35 % 25 23 41 40 42 40 45 28 27 30 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 80 % 75 % 75 % “Lynn” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental Tier 3 - Intensive • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game • FBA-BIP •Individualized Behavior Contract • Self-Monitoring Training • Home-School Notes 100 90 Benchmark 80 60 50 % 50 60 % 55 % 62 52 35 37 36 30 20 65 % 75 % 57 40 35 % 25 23 41 40 42 40 28 27 30 45 Adequate RTI? Adequate treatment integrity? = Peer Group = Target Student Fe b Did the intervention have sufficient power and time? n ec D ov N ct O t 0 Ja 10 Se p Percent 70 80 % 75 % Continue, modify or end = Aim Line intervention? = Trend Line • Adequate RTI? Yes, the data trend appears to cross or approach the aim line. • Adequate treatment integrity? Yes, according to the teacher’s reports and the consultant’s direct observations of treatment implementation by the teacher. • Did the intervention have sufficient power and time? Apparently good power since there was progress. Numerous data points were used to assess the trend. • Continue, modify or end intervention? Continue. “Raye” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game 100 90 Benchmark 80 60 50 60 % 55 % 50 % 65 % 40 35 % 35 37 36 30 20 25 41 40 28 27 30 23 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 75 % “Raye” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game 100 90 Benchmark 80 60 50 60 % 55 % 50 % 65 % 40 35 % 35 37 36 30 20 25 41 40 28 27 30 Adequate RTI? Adequate treatment integrity? 23 = Peer Group = Target Student Fe b Continue, modify or end intervention? Ja ec D ov N ct O t 0 n Did the intervention have sufficient power and time? 10 Se p Percent 70 75 % = Aim Line = Trend Line • Adequate RTI? No, the data trend appears to move downward, away from the aim line. • Adequate treatment integrity? Yes, according to the teacher’s reports and the consultant’s direct observations of treatment implementation by the teacher. • Did the intervention have sufficient power and time? Apparently low power. Numerous data points were used to assess the trend. • Continue, modify or end intervention? Modify. “Raye” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental Tier 3 - Intensive • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game • FBA-BIP •Individualized Behavior Contract • Self-Monitoring Training • Home-School Notes 100 90 Benchmark 80 60 50 % 50 60 % 55 % 40 35 % 35 37 36 30 20 25 23 65 % 41 40 42 40 41 40 39 41 28 27 30 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 80 % 75 % 75 % “Raye” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental Tier 3 - Intensive • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game • FBA-BIP •Individualized Behavior Contract • Self-Monitoring Training • Home-School Notes 100 90 Benchmark 80 60 50 % 50 60 % 55 % 40 35 % 35 37 36 30 20 25 23 65 % 75 % 41 40 42 40 41 40 39 41 28 27 30 Adequate RTI? Adequate treatment integrity? = Peer Group = Target Student Fe b Did the intervention have sufficient power and time? n ec D ov N ct O t 0 Ja 10 Se p Percent 70 80 % 75 % Continue, modify or end = Aim Line intervention? = Trend Line • Adequate RTI? No, the data trend appears to move downward, away from the aim line. • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? Was there enough objective evidence or repeated measures demonstrating acceptable treatment integrity? • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? If the answer to this question is No Address these questions: • Is the procedure description detailed enough (e.g., what to do, when, where, how much, how long) so that others could replicate it? • Is it agreed upon by all stakeholders? • Is it “do-able” within the classroom routine? – Eliminate any barriers to the intervention – (Re)train staff on the intervention, increase practice opportunities – Increase positive incentives to deliver the intervention – Monitoring the intervention more frequently • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? If the answer to this question is Yes Go to the next frame • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? Yes • Did the intervention have sufficient power and time? Can all of the questions on the next frame be answered affirmatively? • Does the intervention have sufficient “power”? – – – – – – – – Does it fit the student’s culture, ethnicity & gender? Is it based on a complete assessment & sound hypothesis? Is it evidence-based? Were strong effects expected? Is the procedure description detailed enough (e.g., what to do, when, where, how much, how long) so that others could replicate it? Is it agreed upon by all stakeholders? Is it “do-able” within the classroom routine? Is it delivered with sufficient intensity? (e.g., time invested per day/week, direct instructional contact, extent of modifications or supports, frequency of feedback) If RTI was low, were intervention modifications implemented? (e.g., more effective procedure, increased intensity) • Was the intervention delivered for enough time? – Are there enough data points to fairly and accurately assess the trend? – Were the data points stable enough to assess the trend? • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? Yes • Did the intervention have sufficient power and time? If the answer to this question is No Consider: – conducting a more comprehensive assessment – modifying the intervention – extending the duration of the intervention to get stable data and better assess data trends • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? Yes • Did the intervention have sufficient power and time? If the answer to this question is Yes Consider: – conducting a more comprehensive assessment – modifying the intervention – other forms of assessment to answer questions about needs for additional instructional resources, eligibility for special education services, and related questions. – all of the above • Adequate RTI? No, the data trend appears to move downward, away from the aim line. The current Gap Analysis also shows a large discrepancy. • Adequate treatment integrity? Yes • Did the intervention have sufficient power and time? Yes • Continue, modify or end intervention? – Continue the current intervention without changes, or – Modify the intervention and continue intervening! For a student with a behavior challenge, if… • There is inadequate RTI (e.g., the data trend appears to move downward, away from the aim line), and • The current Gap Analysis shows a large discrepancy, and • There is enough objective evidence or repeated measures demonstrating acceptable treatment integrity, and • The intervention appears to have sufficient power & time. Proceed to the next component of the EBD evaluation. • The school team may also consider: – gathering information for a more comprehensive FBA – modifying the intervention • In all cases, the behavioral intervention should be continued or modified. Behavioral interventions should NOT stop when the psychological evaluation begins. Tools for Graphing and Data Analysis • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Graphing Progress tab • Scroll through the templates – select and open one and enter data • Scroll down to: Directions for interpreting graphs and “Response to Intervention” Hot Questions • How long must an intervention be implemented before it is modified or ended? • Interventions should be implemented for a reasonable period of time and with a level of intensity that matches the student’s needs. A reasonable period of time is determined by the local problem-solving team on a case-by-case basis, dependent on the nature of the problem(s), the nature and intensity of interventions, frequency of progress monitoring, and ability to evaluate trends. Source: “What are the general education intervention requirements?” DOE 2008 TAP Emotional/Behavioral Disabilities Hot Questions • How long must an intervention be implemented before it is modified or ended? • When are multiple attempts (e.g., phases) at intervention (or types of intervention) necessary? • What level of progress indicates an adequate versus inadequate response to intervention? • What is the criterion for a successful intervention? • An academic intervention is successful if there is a sustained narrowing of the achievement gap for the struggling learner as demonstrated by data collected through progress monitoring. • A behavioral intervention is successful if there is a reduction in the problem behavior and/or an increase in desired replacement behaviors. Source: 2006 DOE RTI Technical Assistance Paper http://floridarti.usf.edu/floridaproject/faq.html Pre-intervention and progress monitoring data should be collected, and there should be evidence that school, classroom, and small group interventions are effective with the majority of students before implementing individual interventions. The progress of an individual student is compared to school-wide or classroom expectations and peer performance. Peer comparisons should be made with peers of similar gender and ethnicity in order to ensure that E/BD are not attributed to age, culture, gender, or ethnicity (Rule 6A-6.03016(1), FAC.). Source: “What are the general education intervention requirements?” DOE 2008 TAP Emotional/Behavioral Disabilities More Hot Questions • How can we access and/or develop relevant state, district, school, and classroom benchmarks and norms for behavior? Remember this example?... “Raye” - Correct, Independent Worksheet Completion Tier 1 - Universal Tier 2 - Supplemental Tier 3 - Intensive • School-Wide Behavior Lottery • Small Group SST (1X/week) • Grade Level Social Skill Training (SST) • Class-wide Good Behavior Game • FBA-BIP •Individualized Behavior Contract • Self-Monitoring Training • Home-School Notes 100 90 Benchmark 80 60 50 % 50 60 % 55 % 40 35 % 35 37 36 30 20 25 23 65 % 41 40 42 40 41 40 39 41 28 27 30 10 = Peer Group = Target Student = Aim Line = Trend Line Fe b n Ja ec D ov N ct O t 0 Se p Percent 70 80 % 75 % 75 % More Hot Questions • How can we access and/or develop relevant state, district, school, and classroom benchmarks and norms for behavior? • Currently, there seem to be few examples available and they address broad topographies like on-task, compliance, or waits for turn. Where can we get clear procedures for the following?: – selecting relevant replacement behaviors for peer comparison – selecting typical peer groups for norms – establishing local (i.e., district, school or classroom) norms Back to… RTI and Behavior (RTI-B) • PS/RTI-B is closely tied to FBA • FBA is a more comprehensive problemsolving process that can produce better outcomes • Are there alternatives to the FBA and BIP? Basic Intervention Plan Action Start Date Time of Day How Often Location Materials Persons(s) Responsible Supports for Intervention When How Often Persons(s) Responsible Type of Progress Monitoring Start Date How Often Persons(s) Responsible RTI and Behavior (RTI-B) • PS/RTI-B is closely tied to FBA • FBA is a more comprehensive problemsolving process that can produce better outcomes • Are there alternatives to the FBA and BIP? • But, do we know “why” there is a problem? • Hypothesis-driven interventions work best It is helpful to use FBA tools for observation and interviews early in the intervention process, including Tier 1. RTI and Behavior (RTI-B) • PS/RTI-B is a major paradigm shift • With change comes resistance • Survival of the Fittest – Role Shifters versus Dinosaurs – Budget crises are forcing some hard decisions – “Some sacred cows must die” EBD eligibility • What do we write in an EBD psychological evaluation report? DOE 2008 TAP Emotional/Behavioral Disabilities Minimum evaluation components: (a) Review the FBA previously completed to assist in the development of individual interventions. The FBA should identify the conditions under which the behavior is most and least likely to occur, the functions of the student’s behavior, and document the student’s response to implemented interventions. It may be necessary to revise the FBA as part of the evaluation. If a formal FBA has not been completed, one must be completed as part of the evaluation; and, DOE 2008 TAP Emotional/Behavioral Disabilities Minimum evaluation components: (a) Review the FBA previously completed to assist in the development of individual interventions. The FBA should identify the conditions under which the behavior is most and least likely to occur, the functions of the student’s behavior, and document the student’s response to implemented interventions. It may be necessary to revise the FBA as part of the evaluation. If a formal FBA has not been completed, one must be completed as part of the evaluation; and, FBA-BIP Quick Check tool • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Individual Students - FBA tab • Scroll down to: Set of blue colored boxes, column 1, row 3 DOE 2008 TAP Emotional/Behavioral Disabilities Minimum evaluation components: (a) Review the FBA previously completed to assist in the development of individual interventions. The FBA should identify the conditions under which the behavior is most and least likely to occur, the functions of the student’s behavior, and document the student’s response to implemented interventions. It may be necessary to revise the FBA as part of the evaluation. If a formal FBA has not been completed, one must be completed as part of the evaluation; and, DOE 2008 TAP Emotional/Behavioral Disabilities Minimum evaluation components: (a) Review the FBA previously completed to assist in the development of individual interventions. The FBA should identify the conditions under which the behavior is most and least likely to occur, the functions of the student’s behavior, and document the student’s response to implemented interventions. It may be necessary to revise the FBA as part of the evaluation. If a formal FBA has not been completed, one must be completed as part of the evaluation; and, DOE 2008 TAP Emotional/Behavioral Disabilities Minimum evaluation components: (b) Conduct a a psychological evaluation including assessment procedures necessary to identify the factors contributing to the development of an emotional/behavioral disability, which includes behavioral observations and interview data relative to the referral concerns, an assessment of emotional and behavioral functioning, and may also include information on developmental functioning and skills. The psychological evaluation shall include a review of evidence-based interventions that have already been implemented, the student’s responses to those interventions, and the criteria used to evaluate their success; and, (c) a review of educational data…; and, (d) a social/developmental history… Comments on psychological evaluations for EBD: • School Psychologists should not become the “FBABIP Police” • Evaluation report formats are being developed in some school districts (some are still working on SLD formats) • Some districts are waiting on the EBD TAP or more guidance from DOE • Some districts are gradually increasing their requirements for better FBAs and evaluations • When good PS/RTI processes are in place, evaluations should occur infrequently and ample data, intervention details, etc. should be available Why Do Functional Behavior Assessments? • Activity – Common barriers – Common outcomes when there is resistance • Activity – Legal reasons – Really important reasons Go to end of Part A: Crisis management • DOE proposed rule for Reasonable Force (restraint and seclusion) • Last public hearing will occur soon • Refer to schoolwide strategies • Recommend trained and currently certified personnel • Analyze current strategies carefully to identify and minimize any actions that may inadvertently reinforce the problem behavior Crisis management • Transitions may be scheduled to reduce risk and difficulty with safely managing behaviors and to efficiently implement emergency procedures. For example, outside or lengthy transitions may be especially difficult. Additional, trained support staff may be “on call” to assist during crises. • Procedures may be specified for blocking problem behaviors (e.g. open hand blocks, protective pads). Limits may be described so that these procedures are stopped, replaced, or supplemented by other procedures (e.g., X events of forceful behavior in a Y minute period that cannot be blocked by open hand or pad result in additional support, alternative procedures, consultation by specific team members). Crisis management • Procedures may be specified for the application and removal of protective devices (e.g., wraps, cushions, arm pads, helmet). Limits may be described so that these procedures are stopped, replaced, or supplemented by other procedures. Procedures may be included for sanitizing and drying procedures, if needed. • Procedures may be specified for the application, fading, and termination of manual restraints. Limits may be described so that these procedures are stopped, replaced, or supplemented by other procedures. Crisis management • Procedures may be specified for carrying or escorting the student (e.g., from specific indoor or outdoor school settings, from high traffic area, when there is an inclement weather risk, when disrupting an activity, to a specific room, to sit or lay on a mat, bean bag). Limits may be described so that these procedures are stopped, replaced, or supplemented by other procedures. • Procedures may be specified for recording (e.g., start and end times for each event, student responses), sharing (e.g., via graphs), interpreting and making decisions about changes to the above procedures (e.g., modifying, fading, ending). Crisis management • Ideally the school-based team will discuss, role play, and carefully define the procedures to support 100% consistency across all team members. • When a student has a history of dangerous behaviors in the community or home: – Identify the triggers and consequences (FBA) – Develop an intervention plan – Develop procedures to de-escalate and safely intervene in case of an emergency • Note: A crisis management plan is not a substitute for the FBA or PBIP. Complete Parts A, C and D. Crisis management • http://www.specialconnections.ku.edu/cgibin/cgiwrap/specconn/main.php?cat=beha vior§ion=main&subsection=pbsint/con sequence • Scroll to end of page Note: See the roll-over tooltips at: interventioncentral.mysdhc.org Defining behavior • Faulty definitions are a primary reason that many FBA-BIPs fail • Activity – Typical (or wacky) reasons for referral • Defining behavior is not an easy task. • We need clear guidelines on defining behavior with examples. The Mr. Potato Head Rule • If you can prop up the plastic, lifeless Mr. Potato Head toy to do it, it is not a behavior. Mr. Potato Head does not move, so he cannot behave. • If Mr. Potato Head cannot do it, it is a behavior. Focuses on assignment Mr. Potato Head can “focus on the assignment.” So, it is not a behavior. More bad examples (violations of the Mr. Potato Head rule): • Pays attention to assignment • Stays on-task • Head down Good examples: • Scans eyes across text and diagrams, follows text with finger on page, turns pages • Moves eyes to track teacher movement during the lesson • Moves pencil on paper and produces legible responses to assigned work • Responds to direct teacher questions, raises hand, responds when called upon, ask relevant questions, makes relevant comments • Screams obscenity (f—k, s—t) • Slams book on desk, stomps floor • Talks to peers during silent assignments Tools for Selecting and Defining Target Behaviors • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Measurement tab • Click on the links to: • Guide to Selecting a Target Behavior • Guide to Defining a Target Behavior Defining behavior • A primary reason that many FBA-BIPs fail • Activity – Typical (or wacky) reasons for referral • Activity - Define one of the following: – Non-compliance – Anger issues – Off-task – A familiar behavior of one of your students Triage • Not every behavioral referral warrants a FBA and BIP • Target Behavior Prioritization Tool Triage • Not every behavioral referral warrants a FBA and BIP • Target Behavior Prioritization Tool • Establish multiple levels of support and consultation – Schoolwide (for discipline data monitoring and schoolwide behavioral systems) – Grade Level / Departmental (for targeted group interventions) – Individual Student Support (for intensive interventions, FBAs, BIPs, wrap-around services) Triage • Not every behavioral referral warrants a FBA and BIP • Target Behavior Prioritization Tool • Establish multiple levels of support and consultation – Schoolwide (for discipline data monitoring and schoolwide behavioral systems) – Grade Level / Departmental (for targeted group interventions) – Individual Student Support (for intensive interventions, FBAs, BIPs, wrap-around services) • Consulting Behavior Analyst: – Board Certified Behavior Analyst (BCBA) – Florida Certified Behavior Analyst (CBA) – Board Certified Assistant Behavior Analyst (BCaBA) Gathering Useful Info Tools for Measurement • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Measurement tab • Click on the link to: • Guide to Selecting Measurement Methods • Activity: Watch the grocery tantrum video • Go through: – Guide to Selecting a Target Behavior – Guide to Defining a Target Behavior – Guide to Selecting a Measurement Method • Activity: Watch the grocery tantrum video • Go through: – Guide to Selecting a Target Behavior – Guide to Defining a Target Behavior – Guide to Selecting a Measurement Method • Sketch the form on a blank page so you can record some data, or enter data on the form via your computer. • Watch the video again and measure the behavior. • Be ready to share your results with all participants. Wanted! • Good video recordings of student behaviors. • Parent releases are signed and available. • No problems with copyrights or other limitations on use. Suggestions: • Find a drama class. • Promise the students a nominal fee plus letters (for their resumes) verifying they had a part in a professional production. • Get signed releases of all rights. So… how long do you measure the behavior? DOE 2008 TAP Emotional/Behavioral Disabilities • What are the general education intervention requirements? • Interventions should be implemented for a reasonable period of time and with a level of intensity that matches the student’s needs. A reasonable period of time is determined by the local problem-solving team on a case-by-case basis, dependent on the nature of the problem(s), the nature and intensity of interventions, frequency of progress monitoring, and ability to evaluate trends. Tools for Interviewing • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Individual Students - FBA tab • Scroll down to the Structured Interview tools Tools for Observation • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Individual Students - FBA tab • Scroll down to the: Scatter Plot Analysis tools A-B-C Pattern Analysis tools Guess-timating “Why” • The “Summary Statement” • Most FBAs in schools are “descriptive,” since they describe naturally occurring conditions. The resulting hypotheses are guess-timates about the functions of the behavior. • The best hypotheses are confirmed by systematic manipulation and precise measurement, also known as “Functional Analysis.” This is a skill familiar to most BCBAs. Guess-timating “Why” • The “Summary Statement” • Activity – Typical (or wacky) hypotheses Beware wacky hypotheses! • 98% of convicted felons eat bread. • The student’s great-grandfather spent two years in the penitentiary for polygamy. He later became a baker. • More than 90% of violent crimes are committed within 24 hours of eating bread. • The student brings sandwiches to school nearly everyday. • Because of the student’s genetic predispositions, he is more likely to attack classmates after eating bread. Unacceptable descriptions of the Function of Behavior: Descriptions of the Function of Behavior should not include: • unalterable variables • the student’s mental states or traits • other traditional explanations of behavior. Unacceptable descriptions of the Function of Behavior: Personality, psychopathology Disability Thought disorder, cognitive processing deficit, impulse control Bad home conditions, family Past trauma Power, control Revenge Fear of failure Beware misleading websites ! Jefferson County, CO, public school website lists these hypotheses: • Power / Control • Protection/Escape Avoidance • Attention / Affirmation • Expression of Self • Gratification • Justice / Revenge • Do NOT link well to interventions Beware commercially available products ! Architext Architext Architext Architext Architext The Function of the Behavior must be described in a Hypothesis Statement: A hypothesis contains three parts: • the relevant antecedent environmental variables (e.g., “When…” • the target behavior (a brief description, may also describe probability) • the relevant consequence environmental variables (the “function” or purpose of the behavior – “To get the results of…”) Multiple hypotheses may be written to describe: • when the problem behavior is most likely • when the problem behavior is least likely • when the replacement behavior is most likely • when the replacement behavior is least likely Example of a FBA hypothesis: When: the teacher gives the class directions to complete a math problem worksheet (Target behavior): Matthew nearly always (approx. 90% of events) places his hands in his bookbag and plays with his school supplies, trinkets, small toys, cell phone, etc. To get the results of: • delaying initiation of math classwork [social negative reinforcement], • seeing the teacher become exasperated and repeatedly directing • him to begin [social positive reinforcement], • and sometimes being sent to time out in another classroom [social negative reinforcement] • where he may also receive attention from peers [social positive reinforcement] 4 categories of reinforcement that describe the function of a behavior: • Social positive reinforcement • Social negative reinforcement • Automatic positive reinforcement • Automatic negative reinforcement Functions of Problem Behavior Social positive reinforcement (mediated by other persons) Examples: • social attention, communication, praise, reactions • looks - facial expressions • scolding, correction, shouting • hug, holding, calming talk, consolation • access to tangible items or objects • access to tasks or activities Functions of Problem Behavior Social negative reinforcement (mediated by other persons) avoidance (delay) or escape (e.g., reduction, removal, termination) from: • social interactions, requests or demands • tasks or activities (e.g., request to work is stopped, sent to time out, breaks pencil tip to stop writing task) • “aversive” stimuli (e.g., run from big dog) Functions of Problem Behavior Automatic positive reinforcement (not mediated by other persons) • sensory consequences (stimulation) presented after the behavior. Examples: - headbanging (“flashing stars”) - handmouthing (oral and/or finger tactile stimulation) - sexual activity Functions of Problem Behavior Automatic negative reinforcement (not mediated by other persons) • sensory consequences (stimulation) reduced or terminated after the behavior. Examples: – pain (e.g., headbanging dulls toothache) – discomfort (out of seat - sore butt) – hunger – extreme or aversive stimulation (e.g., noise, light, smell, vibration) – anxiety (with observable indications, must rule out other functions) These functions of a behavior are the most difficult to determine: • Automatic positive reinforcement • Automatic negative reinforcement and may require consultation from a Board Certified Associate Behavior Analyst (BCABA) or a Board Certified Behavior Analyst (BCBA) • We’ve covered this part. Designing the Intervention Common Intervention Sources Teachers Encyclopedia of Behavior Management: 100 Problems 500 Plans (The Library Management Motivation and Discipline Series) by Randall S., Ph.D. Sprick There may be some good ideas for intervention here. But beware, the interventions are not linked to the function of the behavior. Select the interventions after you know the function of the behavior. Common Intervention Sources • CHAMPS: a Proactive and Positive Approach to Classroom Management There may be some good ideas for intervention here. But beware, the interventions are not linked to the function of the behavior. Select the interventions after you know the function of the behavior. Replacement Behaviors First, ask: “Do we have enough Functional Behavior Assessment information to confidently answer the question: What is the function of the behavior?” function = • the purpose of the behavior • why the behavior occurs • the category of reinforcement that previously maintained the behavior 4 categories of reinforcement that describe the function of a behavior: • Social positive reinforcement • Social negative reinforcement • Automatic positive reinforcement • Automatic negative reinforcement Prevention Antecedent-based procedures Reduction Consequence-based procedures a Visual Model for Intervention Planning: An adaptation of the Competing Behavior Model • developed by O’Neill et al., 1997 • Displays current variables • Helps with planning an effective intervention Before intervention, specific Triggers Slow Trigger Setting Event Fast Trigger Antecedent Before intervention, specific Triggers preceded the Problem Behavior. Slow Trigger Setting Event Fast Trigger Antecedent Problem Behavior Before intervention, the Problem Behavior Slow Trigger Setting Event Fast Trigger Antecedent Problem Behavior Before intervention, the Problem Behavior was followed by a Reinforcing Consequence (the behavior function). Slow Trigger Setting Event Fast Trigger Antecedent Problem Behavior Reinforcing Consequence The intervention plan may include procedures to STOP, reduce, or weaken the specific Triggers for the Problem Behavior. Slow Trigger Setting Event Fast Trigger Antecedent Problem Behavior The intervention plan may include procedures to STOP, reduce, or weaken the Reinforcing Consequence that followed the Problem Behavior. Problem Behavior Reinforcing Consequence An intervention may be more powerful and long-lasting intervention when it teaches or increases Replacement Behavior(s). This Replacement Behavior may become a more acceptable and efficient way for the student to get the Reinforcing Consequence. Slow Trigger Setting Event Fast Trigger Problem Behavior Antecedent Replacement Behavior Reinforcing Consequence In this example, a descriptive assessment revealed a pattern. Screeching was nearly always followed by the consequence of a frown and a reprimand “Stop that!” (social positive reinforcement) Group lesson in budgeting Setting Event Teacher attends to other student Antecedent Screeches “Hellfire and damnation!” Teacher frowns & says “Stop that!” What Replacement Behavior can be taught to get the same form of this reinforcing consequence (i.e., a frown and a reprimand “Stop that!”)? Group lesson in budgeting Setting Event Teacher attends to other student Antecedent Screeches “Hellfire and damnation!” Replacement Behavior Teacher frowns & says “Stop that!” Instead, a Replacement Behavior may be taught to get a similar form of social positive reinforcement. Group lesson in budgeting Setting Event Teacher attends to other student Antecedent Screeches “Hellfire and damnation!” Teacher frowns & says “Stop that!” Raises hand Teacher smiles & says “May I help you?” However, this similar form of social positive reinforcement consequence may be far less potent than the original form. Group lesson in budgeting Setting Event Teacher attends to other student Antecedent Screeches “Hellfire and damnation!” Teacher frowns & says “Stop that!” Raises hand Teacher smiles & says “May I help you?” It may impractical or unethical to identify Replacement Behaviors to access some reinforcers. It also may be difficult to find acceptable similar forms of reinforcement. Elopes Setting Event Sexual Intercourse with Prostitute Antecedent ? ? It may impractical or unethical to identify Replacement Behaviors to access some reinforcers. It also may be difficult to find acceptable similar forms of reinforcement. Sexual contact with stranger Setting Event Receives money and drugs Antecedent ? ? It may impractical or unethical to identify Replacement Behaviors to access some reinforcers. It also may be difficult to find acceptable similar forms of reinforcement. Burglary Setting Event Access to preferred tangibles (e.g., jewelry) Antecedent ? ? It may impractical or unethical to identify Replacement Behaviors to access some reinforcers. It also may be difficult to find acceptable similar forms of reinforcement. Sells family TV Setting Event Buys and chain smokes cigarettes Antecedent ? ? Can you give some other examples? Setting Event Antecedent ? ? Textbooks that discuss replacing the problem behavior with a desirable behavior: • Alberto & Troutman, 1995, Applied behavior analysis for teachers • Cooper, Heron, & Heward, 1987, Applied behavior analysis • Kazdin, 2001, Behavior modification in applied settings • Miltenberger, 2004, Behavior modification: Principles and procedures Textbooks that recommend strengthening alternative behaviors: • Martin & Pear, 2003, Behavior modification: What it is and how to do it • Sarafino, 2001, Behavior modification • Sulzer-Azaroff & Mayer, 1991, Behavior analysis for lasting change The Fair Pair Rule “choose one or more alternatives to increase for every behavior targeted for reduction" • White, O. R., & Haring, N. G. (1980). Exceptional teaching (2nd ed.). Columbus, OH: Merrill. • Activity: • Read Jolivette et al.: • The Link Between Functional Behavior Assessments (FBAs) and Behavior Intervention Plans (BIPs) Challenges to the Replacement Behavior Rule “A number of textbooks and professional volumes in applied behavior analysis suggest that interventions designed primarily to decrease a problem behavior should routinely be accompanied by efforts to increase the frequency of at least one appropriate behavior. Some sources describe the objective of this tactic as "replacing" the problem behavior… although there may well be good reasons for considering this tactic, their rationales are often not well articulated and may even be unsound. It is also the case that there are good reasons why this tactic may not always be necessary, thus conflicting with an argument for a general rule.” • Johnston, James M. (2006) "Replacing" Problem Behavior: An Analysis of Tactical Alternatives, The Behavior Analyst, 29, 111 Oversimplifications and misunderstandings may unnecessarily constrain or bias decision making about therapeutic options and even limit the effectiveness of interventions. Efforts to reduce the frequency of problem behaviors need not always be accompanied by attempts to establish or strengthen alternative or replacement behaviors. Decisions about whether or how to supplement reduction contingencies by strengthening other target behaviors should be reached only after considering varied rationales in the context of particular clinical features.” • Johnston, James M. (2006) "Replacing" Problem Behavior: An Analysis of Tactical Alternatives, The Behavior Analyst, 29, 111 “…when a single response class decreases in frequency, perhaps to the point that it is rarely observed, some other response classes must increase in frequency. • An organism's repertoire is always "full," and therefore there is no such phenomenon as a behavioral void. In other words, when a problem behavior is targeted for removal from a repertoire, an objective that is probably infrequently attained in any complete sense, there is no hole in the repertoire that then needs to be filled. Time that previously was spent engaging in the problem behavior will now be spent engaging in other behavior that is most likely already in the repertoire. • Which of the many other response classes in a repertoire will occur more often as one occurs less often will depend on an admixture of influences in each case. These factors may include the history of these other behaviors, their relative strength in the repertoire, ongoing establishing operations relevant to the consequences produced by these behaviors, the contingencies presently associated with those behaviors, how the reduction contingencies may change these factors, and how changes in the target behavior influence the environment in ways that might affect particular behaviors.” • For example, if a hypothetical individual with mental retardation engages in episodes of tantrums multiple times each day and this behavior decreases to an average of once a week as the result of an intervention, we may speculate about the other changes in his or her repertoire that might take place as this reduction develops. Certainly most of the time previously spent in tantrums will now be spent engaging in behaviors that result in reinforcement (otherwise he or she would not be engaging in them). These reinforcers will often be different from those that maintained the tantrums, and they will be contingent on other behavior, which will make such behavior more likely over time and which will in turn result in changes in the environment. The particular behaviors that occur instead of tantrums will depend on the relative strength of other behaviors in the repertoire, which is a result of their past and ongoing consequences. The ongoing consequences may well change, however, particularly as the social environment is affected by decreases in tantrums (e.g., staff may now interact differently). These speculations may be taken in different directions, of course, but it should be clear that decreasing problem behavior does not leave a repertoire otherwise unchanged.” Reasons to include Replacement Behaviors in our interventions: • Legal requirements or rules: 65G-4.009 Design, Implementation and Monitoring of Behavior Analysis Services. (4) Behavior analysis services designed by the provider to decrease behavior shall include procedures for increasing replacement behavior. • Opposition to the use of “aversives” (?) • Cultural influences (?) Replacement behaviors achieve the same function as the problem behavior. Example: • When: other students read aloud • Kioko screams loudly • To get the result of: getting the teacher’s immediate attention (social positive reinforcement). Replacement Behavior Examples: • raise his hand • politely say “excuse me” • place a red card on his desk to signal that he wants attention Replacement Behavior Interventions Identify replacement behaviors that: • make the Problem Behavior ineffective and inefficient • require the same or less effort to get the reinforcing consequence • result in getting the reinforcing consequence in the same or less time • gain consistent access to the reinforcing consequence Replacement Behavior Interventions • Teach the replacement behaviors via modeling, role play, prompting, and reinforcement strategies. • Strengthen reinforcers. Pay close attention to the quality, variety, density, frequency & subtlety of reinforcement. • Use more natural and relevant reinforcers. • Fade use of reinforcers as progress occurs. • Teach self-monitoring and self-reinforcement. Replacement Behaviors • are often OVERLOOKED as vital parts of an intervention • should be stated in POSITIVE TERMS • may be HARD TO IDENTIFY & DEFINE Especially for behaviors with these functions: Automatic Positive Reinforcement Automatic Negative Reinforcement • may be HARD TO TEACH TO THE STUDENT (requiring expert skills in prompting, reinforcement, shaping, correction, task analysis, chaining, etc. ) • May require consultation from a Board Certified Associate Behavior Analyst (BCABA) or a Board Certified Behavior Analyst (BCBA) Replacement Behaviors Promising New Direction for Children or Adults with Developmental Disabilities or Severe Language Deficits: • Teaching language skills as replacement verbal behaviors (Sundberg & Partington) A weaker, but sometimes helpful, intervention involves teaching or increasing a Desired Behavior. Slow Trigger Setting Event Fast Trigger Other Desired Behavior Other Reinforcing Consequence Problem Behavior Reinforcing Consequence Antecedent Replacement Behavior The Desired Behavior is followed by a different Reinforcing Consequence. Slow Trigger Setting Event Fast Trigger Other Desired Behavior Other Reinforcing Consequence Problem Behavior Reinforcing Consequence Antecedent Replacement Behavior Desired behaviors • Do NOT achieve the same function (reinforcing consequence) as the problem behavior. • Relying on Desired Behaviors may result in weaker, and sometimes unsuccessful, interventions. Desired behavior types • alternative to the problem behavior, or • incompatible with the problem behavior, or • “coping” skills A nice benefit: When the student increases the time engaged in desired behaviors, there is less time for problem behaviors! Desired Behaviors Alternative behaviors are those behaviors that are simply preferred over the problem behavior. Example: • When: other students read aloud • Kioko screams loudly • To get the result of: getting the teacher’s immediate attention (social positive reinforcement). Alternative Behavior Examples: • staying on task • completing his work independently Desired Behaviors Incompatible Behaviors are those behaviors that cannot occur at the same time as the problem behavior. Example: • When: other students read aloud • Kioko screams loudly • To get the result of: getting the teacher’s immediate attention (social positive reinforcement). Incompatible Behavior Example: • working quietly (“zipped lips”) Desired Behaviors Coping Skills may help a student adjust to, or tolerate the situation. Example: • When: other students read aloud • Kioko screams loudly • To get the result of: getting the teacher’s immediate attention (social positive reinforcement). Coping Skills Examples: • use breathing exercises until a teacher looks at him • count silently while waiting for the teacher to approach him Desired Behaviors New Pivotal responses prepare the student to respond appropriately in a variety of social, communicative, and behavioral situations. Examples: • responsivity to multiple cues • self-initiated activities • self-management • social initiations Pivotal response training has an emerging research base supporting naturalistic training that focuses on motivational procedures including choice, task variation, interspersing maintenance tasks, rewarding attempts, and the use of direct and natural reinforcers. • Activity: • Identify the types of “replacement” behaviors listed on the next frame What types of behaviors are these? • Recognize his emotions. • Manage his anger with deep breathing, counting 1 to 10, and visualization exercises. • Appropriately deal with frustration (e.g., walk away, relax) and refrain from hitting. • Earn contract rewards. • Practice good social skills (e.g., respect the personal space of other persons). • Complete her self-management form. Setting Event Manipulations • Decreasing the M.O. for the Target (Problem) Behavior (M.O. = Motivating Operation) • Increasing the M.O. for the Replacement/Desired Behavior(s) Antecedent Manipulations • Decreasing Cues for the Target Behavior • Increasing Cues for the Replacement/Desired Behavior(s) • Increasing Effort for the Target Behavior • Decreasing Effort for the Replacement/Desired Behavior(s) Teaching Procedures for the Replacement Behavior • Teach (Acquire) • Increase Fluency • Generalize Consequence Manipulations for the Replacement Behavior • Increase reinforcement !!! When designing procedures, focus on reinforcer: • Potency • Quality • Variety • Schedule: density, frequency (check those inter-response times!) See Cool Tools & Ideas for methods to cue reinforcer delivery • Subtlety, natural features Gradually shift from: • contrived, extrinsic, external reinforcers to • natural and social reinforcers (activities, peer & adult attention, etc.) to • self-managed (self-talk/intrinsic) reinforcers – “This looks great. I did well today. I’m learning a lot that will help me later. I’ll mark my chart and reward myself with…” Consequence Manipulations for the Target Behavior • Decrease reinforcement • Punishment (if applicable) Consequence Manipulations for Behaviors Maintained by Social Positive Reinforcement • MO: Deprivation from attention Treatment: Noncontingent attention (NCR) • Maintaining reinforcer: Attention Treatment: EXT (attention) or “planned ignoring” • Behavioral replacement: Treatment: Establish an alternative attention-seeking response (e.g., Functional Communication Training) • Brian Iwata (2006) Functional Analysis and Treatment of Severe Behavior Disorders – March 2-3, 2006 - Orlando Consequence Manipulations for Behaviors Maintained by Social Negative Reinforcement • MO: Aversive stimulation (e.g., demands) Treatment: Noncontingent task removal (NCR). Task alteration (#, difficulty, novelty, etc.). • Maintaining reinforcer: Escape Treatment: EXT (escape), EXT (attention) contraindicated • Behavioral replacement: Treatment: Reinforce earlier responses in the escape chain. Establish an alternative escape behavior (e.g., Functional Communication Training). Strengthen compliance (behavioral momentum). • Brian Iwata (2006) Functional Analysis and Treatment of Severe Behavior Disorders – March 2-3, 2006 - Orlando Consequence Manipulations for Behaviors Maintained by Automatic Positive Reinforcement • MO: Generalized deprivation Treatment: Noncontingent stimulation (NCR) • Maintaining reinforcer: Sensory stimulation Treatment: EXT (sensory) via mechanical devices, blocking, etc. • Behavioral replacement: Treatment: Establish an alternative self-stimulatory response (e.g, DRA – leisure item manipulation) • Brian Iwata (2006) Functional Analysis and Treatment of Severe Behavior Disorders – March 2-3, 2006 - Orlando Consequence Manipulations for Behaviors Maintained by Automatic Negative Reinforcement • MO: Medical condition, discomfort, etc. Treatment: Alleviate condition (NCR) • Maintaining reinforcer: Pain reduction Treatment: N/A (EXT contraindicated) • Behavioral replacement: Treatment: Establish an alternative pain reduction response • Brian Iwata (2006) Functional Analysis and Treatment of Severe Behavior Disorders – March 2-3, 2006 - Orlando Resources at Special Connections Setting event interventions: • http://www.specialconnections.ku.edu/cgibin/cgiwrap/specconn/main.php?cat=behavior§ion= main&subsection=pbsint/setting Antecedent interventions: • http://www.specialconnections.ku.edu/cgibin/cgiwrap/specconn/main.php?cat=behavior§ion= main&subsection=pbsint/antecedent Consequence interventions: • http://www.specialconnections.ku.edu/cgibin/cgiwrap/specconn/main.php?cat=behavior§ion= main&subsection=pbsint/consequence Functional Assessment: Strategies to Prevent and Remediate Challenging Behavior in School Settings (2nd Ed.) by Lynette K. Chandler and Carol M. Dahlquist Chandler and Dahlquist Table of Contents Part I. Introduction to Challenging Behavior and the Functional Assessment and Intervention Model Part II. Conducting a Functional Assessment Part III. Selecting and Implementing Function-Based Interventions Part IV. Functional Assessment Within School Settings References Index Chandler and Dahlquist Table of Contents Part III. Selecting and Implementing Function-Based Interventions Chapter 6 Selecting Setting Events, Antecedent, and Consequence Strategies and Appropriate Replacement Behaviors Chapter 7 Intervention Strategies Related to the Positive Reinforcement Function Chapter 8 Intervention Strategies Related to the Negative Reinforcement Function Chapter 9 General Intervention Strategies Related to the Sensory Regulation/Sensory Stimulation Function Chapter 10 Specific Intervention Strategies Related to the Increase and Decrease in Sensory Regulation/Sensory Stimulation Functions Chapter 11 Strategies to Promote Generalization and Maintenance of Behavior and to Prevent the Development and Recurrence of Behavior More info to gather, and issues to “rule out”: Setting Event(s) Setting Event / M.O. Manipulation(s) ↓ M.O. - Target Beh. ↑ M.O. – Repl./Des. Beh. Antecedent(s) Antecedent Manipulation(s) ↓ Cues – Target Behavior ↑ Cues – Repl./Des. Beh. Other Desired Behavior Other Reinforcing Consequence Target (Problem) Behavior Original Reinforcing Consequence(s) Replacement Behavior(s) Similar Reinforcing Consequence(s) Antecedent Manipulation(s) ↑ Effort – Target Behavior Teaching or Increasing the Fluency of Replacement Beh. ↓ Reinforcement - Target Beh. ↑ Reinforcement – Replacement/Desired Beh. Punishment - Target Beh. (if applicable) ↓ Effort – Repl./Des. Beh. • Activity • Complete the Competing Behavior Path for the following FBA-BIP scenarios • Today is Friday. Ms. Smith, Ann's teacher, always gives the weekly spelling test on Friday first thing in the morning. Ann gets off the bus with a scowl on her face. She is wearing the same clothes that she wore yesterday and her face is dirty. As Ann enters the classroom, all of the other students are sitting quietly at their desks, feverishly studying for the upcoming test. Ann takes her seat and folds her arms across her chest. Ms. Smith says, "Okay everyone! Get out a pencil and a piece of paper. It's time for your spelling test!" Ann immediately hits a smaller boy sitting next to her! Shocked, Ms. Smith sends Ann to time out for hitting the boy. This has happened every Friday for 3 weeks now! • Cara is a smart 6 year old girl. Her teacher, Mr. Irons, is becoming increasingly frustrated with her. Anytime quiet seatwork is given, Cara constantly raises her hand, calls out to Mr. Irons, or gets out of her seat to follow him around the room. Cara always says, "I need help,“ or "But I don't understand." Mr. Irons at first thought that Cara truly needed help. But each time he went to help Cara, she always had the right answer. Mr. Irons spends so much time reassuring Cara of her correct answers that he is beginning to feel bad for the other kids. He wishes he could spend equal time with all of the kids, but the minute he tries to help someone else, Cara is right there with a question or incessantly calling out to him. Mr. Irons just doesn't know what to do. • Josh is a new student in school. His family moved from Utah to Florida this past August in their mini-van and the U-Haul truck. Along the way, both vehicles broke down. The move took three and a half weeks longer than expected. So that meant that Josh was out of school for nearly a month! Once in his new school, Josh seemed like he was adjusting okay. But his teacher, Ms. Notting is concerned. Whenever there is individual work time, Josh is always raising his hand to go to the bathroom or go to get a drink of water or has to go to the nurse because he doesn't feel good. Ms. Notting doesn't want to not let him do these things - it would be cruel if he really does have to go the bathroom or is sick! But Josh isn't getting much work done, so Ms. Notting doesn't know what to do! • When Mr. Mayer gives a writing assignment during Language Arts class, Dave takes forever to get started. Sometimes he whines, complains of a headache, and puts his head down. Lunch follows Language Arts class. As the lunch period approaches, Dave appears to cheer up. He never resists going to lunch or complains of a headache at lunch. Mr. Mayer says he is “fed up with Dave’s bad attitude” and doesn't know what to do about it. He must prepare his students for the upcoming state-mandated writing achievement test. This problem with writing tasks has been happening for 7 weeks of school - and now it is almost time to send out the first progress report card! • John is a bright fellow. He is rambunctious and full of energy. But, his teacher is at her wits end with him. She knows he is completely capable of all she directs him to do, but he never does any of it! Instead, he will sit under a table, roll around on the floor, and sing songs out loud. His teacher always has to go over to John and coax him out from under the table or ask him to please sit still or stop singing. Because she is constantly redirecting John, his teacher feels like she's not being fair to John’s classmates. She's spending so much time trying to get John to behave properly that she fears she may be neglecting her other students. • Does the intervention have sufficient “power”? – – – – – – – – Does it fit the student’s culture, ethnicity & gender? Is it based on a complete assessment & sound hypothesis? Is it evidence-based? Were strong effects expected? Is the procedure description detailed enough (e.g., what to do, when, where, how much, how long) so that others could replicate it? Is it agreed upon by all stakeholders? Is it “do-able” within the classroom routine? Is it delivered with sufficient intensity? (e.g., time invested per day/week, direct instructional contact, extent of modifications or supports, frequency of feedback) If RTI was low, were intervention modifications implemented? (e.g., more effective procedure, increased intensity) Functional Intervention Tips • Test the intervention procedure yourself. This improves the credibility of the BIP (and the BIP designers.) • Consider running the intervention in a limited, controlled setting first. After demonstrating success: – the intervention may be transferred to other settings – it is easier to convince others to use it – consider a multiple-baseline design Punitive Procedures • Often do not address behavioral functions • Only temporarily suppress behavior • Come with many possible undesirable “side effects” • Should usually be avoided, but may occasionally be warranted (“Right to Effective Treatment”) Punitive Procedures • If it walks like a duck, & quacks like a duck…it is a duck! • If it functions as a punisher, it is a punisher, no matter if its called a(n): • emergency procedure • safety procedure • “redirection” procedure Punitive Procedures • BIP must include strong reinforcement procedures • BIP must specify risks v. benefits, special safeguards, limitations, & considerations • BIP must describe previous treatment procedures and give a rationale for selecting the present method among alternatives • BIP must have parent consent Punitive Procedures • Procedures must be based on professional literature • Must comply with ethical & legal restrictions and rules for approval & close monitoring of punishment or “aversive” methods • ALWAYS, FIRST get consultation from someone who is certified in behavior analysis the Complete BIP • Attached FBA Summary • Subtle details about the student to help promote success (likes, dislikes, fears, successful approaches, etc.) • • • • Proactive Component Procedures Educational Component Procedures Functional Component Procedures Crisis Management Procedures, if needed the Complete BIP • Plan to sustain & transfer successes to all relevant settings & persons (maintenance & generalization) • Methods of Staff Training and Support (consider all contingencies operating on staff) • Methods of Monitoring Procedure & Data Reliability • Signatures showing Parental Informed Consent and Team Commitment (buy-in) the Complete BIP • Is technically sound; based on the principles of human behavior • Is written in non-technical jargon. It is easy for any lay person or a new teacher to understand and use. • May include a step-by-step format • Addresses daily routines when problem behaviors are most likely • Specifies intervention settings, schedules, tasks, responsible person(s), timelines, and the author’s name the Complete BIP • Must fit natural routines, be “do-able,” & have “buy-in” (acceptance) by the team • Must realistically allocate and manage necessary resources (time, equipment, consumable reinforcers, other costs, etc.) • If the BIP includes many new procedures, consider a plan to gradually introduce small sets of the procedures in phases • Is integrated with the IEP or Service Plan • Various BIP formats are acceptable Goals and Progress Monitoring Tools for Measurement, Graphing and Data Analysis • interventioncentral.mysdhc.org (there is no www. before the address) • Measuring Progress tab • Graphing Progress tab Treatment Integrity Tools for Intervention Reliability • interventioncentral.mysdhc.org (there is no www. before the address) • Go to the Intervention Reliability tab • Scroll down to the: Training and Monitoring guidelines Low treatment integrity (fidelity) makes it impossible to assess RTI. Measure intervention integrity Measure intervention integrity Measure intervention integrity Measure intervention integrity Measure intervention integrity Measure intervention integrity Measure intervention integrity * Methods for Monitoring Checks: • Consultant Quick Check – Consultant briefly discusses with Teacher and completes Monitoring Check • Teacher Independent – Consultant distributes Monitoring Check form with note requesting its completion and return within a few days. • Consultant Visit - Consultant visits classroom or designated setting (20 minutes minimum), directly observes student, interviews Teacher, and completes separate Monitoring Check • Teacher Independent & Consultant Visit – steps 2 and 3 (above). Consultant adds notes to Teacher’s Monitoring Check instead of completing a separate one • Team Member Check – Consultant arranges for other Team Member(s) to do step 4 Measure intervention integrity * * Planning Dates of Checks • New Interventions may be monitored frequently the first few weeks. • Monitoring frequency may be faded pending satisfactory progress and checks. • Weekly checks are generally recommended as a minimum frequency. Measure intervention integrity Best Practice Measure of Intervention Integrity • Describe procedure in a step-by-step fashion (task analysis). • Include a scoring key. Example: + = Independent, correct performance P = Prompted, correct performance X = Incorrect performance • Observe the intervention, score the implementation, and calculate % of steps with independent, correct performance. • Immediately retrain incorrect steps until performed independently and correctly. • Retrain all steps if less than 80% independent, correct performance. • Graph scores and share with observed staff. • Provide reinforcement to maintain peak performance. Jean S. - Orange Grove School - Feb. 2008 Baseline . 40 Food Stealing 35 30 Point System Plus Behavior Contract (Self-management) started Ritalin 15 mg. Feb. 11 increase Ritalin to 20 mg. Feb. 18 New Teacher Feb. 22 20 Food Stealing Aim Line 15 10Aggression to Others (ATO) 5 0 ATO Aim Line 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 RATE PER DAY 25 PERCENT CORRECT 100 90 80 70 60 50 40 30 20 10 0 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 . Jean S. Intervention Integrity Checks - Feb. 2008 92.0 84.0 78.0 90.0 82.0 94.0 88.0 94.0 M inor BIP Revision Jean S. - Orange Grove School - Feb. 2008 Baseline . 40 Food Stealing 35 30 Point System Plus Behavior Contract (Self-management) started Ritalin 15 mg. Feb. 11 increase Ritalin to 20 mg. Feb. 18 New Teacher Feb. 22 20 10Aggression to Others (ATO) 5 ATO Aim Line 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 0 Jean S. Intervention Integrity Checks - Feb. 2008 . PERCENT CORRECT Food Stealing Aim Line 15 100 90 80 70 60 50 40 30 20 10 0 92.0 84.0 78.0 90.0 82.0 94.0 88.0 94.0 M inor BIP Revision 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 RATE PER DAY 25 Monitor data reliability • Check the behavior definition to see if it can pass the Stranger Test: • The Stranger Test is passed when a “stranger” can read the behavior definition and spot the behavior every time it occurs without any help. • The best Stranger Test is having two or more observers simultaneously observe the student and independently record data. When the data is compared and there is 80% or better agreement, the Stranger Test is passed. • Throughout the intervention data reliability may be assessed to identify and correct any observer drift. • As staff become more proficient with data recording, 90% or better agreement should be achieved. • For more information please research, or consult with someone with training in, data reliability, inter-observer agreement, or inter-observer reliability. Data Reviews and Decision Making Jean S. - Orange Grove School - Feb. 2008 Baseline . 40 Food Stealing 35 30 Point System Plus Behavior Contract (Self-management) started Ritalin 15 mg. Feb. 11 increase Ritalin to 20 mg. Feb. 18 New Teacher Feb. 22 20 10Aggression to Others (ATO) 5 ATO Aim Line 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 0 Jean S. Intervention Integrity Checks - Feb. 2008 . PERCENT CORRECT Food Stealing Aim Line 15 100 90 80 70 60 50 40 30 20 10 0 92.0 84.0 78.0 90.0 82.0 94.0 88.0 94.0 M inor BIP Revision 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 RATE PER DAY 25 Jean S. - Orange Grove School - Feb. 2008 Baseline . 40 AM & PM rehearsals, Differential Reinforcement FR1 Aim Line 35 30 20 15 Mand (request) food 10 5 0 ATO Aim Line 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 RATE PER DAY 25 Jean S. - Orange Grove School - Feb. 2008 Baseline . 40 Food Stealing 35 30 Point System Plus Behavior Contract (Self-management) started Ritalin 15 mg. Feb. 11 increase Ritalin to 20 mg. Feb. 18 New Teacher Feb. 22 20 Food Stealing Aim Line 15 10Aggression to Others (ATO) 5 0 ATO Aim Line 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 RATE PER DAY 25 Jean S. - Orange Grove School - Feb. 2008 Baseline AM & PM rehearsals, Differential Reinforcement FR1 . 40 Aim Line 35 30 20 15 Mand (request) food 10 5 Jean S. Intervention Integrity Checks - Feb. 2008 . PERCENT CORRECT ATO Aim Line 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 0 100 90 80 70 60 50 40 30 20 10 0 92.0 84.0 78.0 90.0 82.0 94.0 88.0 94.0 M inor BIP Revision 2/1 2/2 2/3 2/4 2/5 2/6 2/7 2/8 2/9 2/10 2/11 2/12 2/13 2/14 2/15 2/16 2/17 2/18 2/19 2/20 2/21 2/22 2/23 2/24 2/25 2/26 2/27 2/28 2/29 RATE PER DAY 25 Cool Tools & Ideas To cue when to deliver reinforcers for PDAs and phones: • Countdown timers with alarms • Got Good Stuff ? • Let me know! To cue when to deliver reinforcers Habitchange.com Motiv-aider.com • Approx. $50 To cue when to deliver reinforcers Watchminder www.biof.com • Vibrating alert and/or 30 alarms • Can program custom messages • Approx. $80 To cue when to deliver reinforcers Timetimer.com To cue when to deliver reinforcers Teach the child or adolescent how to use the clock, task completion, etc. to ask for feedback: • “How am I doing?” • “Is this alright?” • “Do you like the way I …?” Functional Assessment: Strategies to Prevent and Remediate Challenging Behavior in School Settings (2nd Ed.) by Lynette K. Chandler and Carol M. Dahlquist Behavior Leadership Team Action Plan • Schoolwide BLT meetings are regularly scheduled on: day (e.g., 3rd Thursday) location time of day length of meeting • Grade Level BLT meetings are regularly scheduled on: day (e.g., 1st and 3rd Tuesday) location time of day length of meeting • Intensive BLT meetings are regularly scheduled on: day (e.g., every Monday) location time of day length of meeting • BLT Member Roles: (may serve multiple roles) S = Schoolwide Discipline Monitoring and Behavioral Systems G = Grade Level / Departmental Consultant (specify grade level) I = Intensive, individualized student supports Recommended Critical Elements: 1. Schoolwide, Grade Level and Intensive Teams established (membership, meeting times, leader, roles, mission) 2. Basic behavioral principles taught/reviewed with staff 3. Existing discipline data system is meaningful, data entered weekly and analysis plan established 4. Discipline referral form updated, if needed 5. Behaviors defined & categorized (minor/major) 6. Discipline referral process established and flow chart developed 7. Develop a Crisis Plan integrated into overall safety plans Recommended Critical Elements: 8. Consequences hierarchy developed (for classroom & office) 9. Expectations developed (3-5 positively stated) 10. Rules developed for specific settings 11. Lesson plans developed for teaching expectations/rules 12. Reward/recognition program established (what, when, how) 13. Plans developed for training staff and students and involving families and community 14. Implementation plan established (what’s going to happen, when, how) 15. Evaluation of BLT activities and outcomes (How are we doing? What needs to be modified, maintained or terminated?) Contact Information • Dr. Kevin Murdock, Ph.D., B.C.B.A. • Hillsborough County Public Schools • Work Phone 813 273-7216 • Work Fax 813 273-7341 • Email: [email protected]