Transcript Slide 1

Building Tertiary Systems of
Support
Terry Bigby, Ed.D.
Material adapted from Illinois PBIS &
Tim Lewis, Ph.D., University of MissouriColumbia
Building Tertiary Systems
of Support
Tertiary Interventions
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Specialized
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Individualized
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Systems for Students
with High-Risk
Behavior
Effective 3-Tiered Academic &
Behavioral Systems for All Kids
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Universal core curriculum/evidence-based instruction
and supports for all students
Universal screening to determine which students
are not meeting benchmarks
Targeted instruction and support that goes
beyond what all students receive
Progress monitoring
Intensive and individualized instruction and
support for students who are still not making
progress
Decision points throughout/data-based decision
making
What is Tertiary Prevention?
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Tertiary Prevention involves a process of
functional behavioral assessment (FBA) and a
support plan comprised of individualized,
assessment-based intervention strategies,
including a wide range of options such as: (1)
guidance or instruction for the student to use
new skills as a replacement for problem
behaviors, (2) some rearrangement of the
antecedent environment so that problems can
be prevented and desirable behaviors can be
encouraged, and (3) procedures for monitoring,
evaluating, and reassessing of the plan as
necessary.
Why Should We Build
Tertiary Systems?
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When universals are not sufficient to impact
behavior
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When students display chronic patterns
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When concerns arise regarding students’
academic or social behavior
The SHIFT
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From factors “outside” our control to
factors of academic or behavioral
“Instruction”
From “What’s wrong with this child?” to
“What supports does this child need in
order to be successful?”
From “child focus” to “a comprehensive
system approach”
Tertiary Systems Prerequisites
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Universals must be well established and in-place
Effective school-wide or universal system of positive
behavior support
Local behavioral competence
Faculty agreement to support all students
Regular leadership team-based review & problem
solving
Discipline/behavior incident data management
system
District start-up resources
Function-based approach
What is function based support?
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Foundations in behavioral theory, applied
behavior analysis, & pbs
Attention to environmental context
Emphasis on “purpose” or function of
behavior
Focus on teaching behaviors
Attention to implementers (adult
behaviors) & redesign of teaching &
learning environments.
Functions
Problem
Behavior
Pos Reinf
Escape/
Avoid
Something
Obtain/Get
Something
Stimulation/
Sensory
Tangible/
Activity
Social
Adult
Neg Reinf
Peer
Behavior Support Elements
Problem
Behavior
*Team
*Specialist
Functional
Assessment
*Problem & alternative behaviors
*Hypothesis statement
*Competing behavior analysis
*Contextual fit
*Strengths, preferences, & lifestyle outcomes
*Evidence-based interventions
Intervention
& Support
Plan
*Implementation support & data plan
Fidelity of
Implementation
*Technical adequacy
*Sustainability plan
Impact on
Behavior &
Lifestyle
Big Ideas
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Understand interaction between behavior and the
teaching environment
Behavior is functionally related to the teaching
environment
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Build Positive Behavior Support Plans that teach
pro-social “replacement” behaviors
Create environments to support the use of prosocial behaviors
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Around individual student need / self-management
Classroom
School-wide
Continuum of Support for
Secondary-Tertiary Level Systems
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Group interventions (BEP, social or academic skills groups,
tutor/homework clubs, etc)
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Group Intervention with a unique feature for an individual
student, (BEP individualized into a Check & Connect;
mentoring/tutoring, etc.)
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Simple Individualized Function Based Behavior Support Plan
for a student focused on one specific behavior (simple FBA/BIPone behavior; curriculum adjustment; schedule or other
environmental adjustments, etc)
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Complex Function-based Behavior Support Plan across
settings (i.e.: FBA/BIP home and school and/or community)
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Wraparound: More complex and comprehensive plan that
address multiple life domain issues across home, school and
community (i.e. basic needs, MH treatment, as well as
behavior/academic interventions) multiple behaviors
Positive Behavior Support
Universal
School-Wide Data Collection and Analyses
School-Wide Prevention Systems (rules, routines, arrangements)
Analyze
Student Data
Targeted
Interviews,
Questionnaires, etc.
Observations
and ABC Analysis
Group
Interventions
Simple Student
Interventions
Intensive
Multi-Disciplinary
Assessment & Analysis
Complex Individualized
Interventions
Team-Based Wraparound
Interventions
Adapted from George Sugai, 1996
© Terrance M. Scott, 2001
Starting Points
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Universals firmly in place
Data used consistently in team meetings
Data decision rules to identify students who
need individual supports
Inventory of existing practices
Create more efficient systems to capitalize on
current practices
Plan for creation of new practices based on
student need
Apply basic logic of SW-PBS throughout (Data,
Systems, Practices)
Equal attention to practices (student support) and systems (adult support)
Why Invest in Universal
Systems of Support First?
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We can’t “make” students learn or behave
We can create environments to increase the
likelihood students learn and behave
Environments that increase the likelihood are
guided by a core curriculum and implemented
with consistency and fidelity across all
learning environments
Building A Tertiary System
Systems
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Data
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Efficient, effective team meetings
Tools for targeted interventions, FBA, BSP
Defined role for specialists in school (e.g., SPSY,
counselors)
Measure outcomes
Measure Process
Practices
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Multiple ways to identify a student
Continuum of interventions
Link between academics and social behavior support
Monitor outcomes
Tertiary Tier: Systems
Systems
1. Team based problem solving
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District, Building @ all 3 tiers
On-going training for team members
Access to technical assistance
2. Data-based decision making system
3. Sustainability focus
 Redefining roles, district-level data review, etc.
4. Systematic Screening
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Beyond ODR’s
IL PBIS Network
Tertiary Tier: Data
Data
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Data used for engagement and action
planning with team
Data tools are strengths/needs based
Multiple perspectives and settings captured in
data
Show small increments of change at team
meetings
IL PBIS Network
Tertiary Tier: Practices
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Multiple ways to identify a student
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Routine review of individual student data
Efficient teacher referral system
Parent referral
Screening tools (e.g. SSBD)
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Look for those students who are often “under the radar”...
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Students who change addresses frequently
Temporary or seasonal farmers or workers in the community
Homeless students
Students in foster care or juvenile service homes
Continuum of interventions
Link between academics and social behavior support
Plan for Integrity of Implementation
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Teaching
Coaching and feedback
Scripts for adults to follow
Data Collection
Follow-up support meetings
Follow up data evaluation
CONTINUUM of SWPBS
Tertiary Prevention
• Wraparound
• School-based MH
Audit
• Function-based support
~5%•
1. Identify existing efforts
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by tier
~15%
2. Specify
Secondary
Prevention outcome for each effort
• Check in/out
3. Evaluate implementation accuracy
• First Steps
• Targeted SS Group
& outcome effectiveness
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4. Eliminate/integrate based on
Primary Prevention
outcomes
• SWPBS
• General
skills
5.social
Establish
• Character education
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~80% of Students
decision rules (RtI)