Transcript Supporting Students with Emotional/Behavioral Disorders through School-wide Positive Behavior Supports Tim Lewis, Ph.D. University of Missouri Center on Positive Behavioral Intervention & Supports www.pbis.org.

Supporting Students with
Emotional/Behavioral Disorders
through School-wide Positive Behavior
Supports
Tim Lewis, Ph.D.
University of Missouri
Center on Positive
Behavioral Intervention & Supports
www.pbis.org
Starting Point….
• Educators cannot “make” students learn
or behave
• Educators 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
The Challenge
• The “core curriculum” is often punishment to
try and reduce problem behavior in school
• However, “punishing” problem behaviors
(without a proactive support system) is
associated with increases in (a) aggression, (b)
vandalism, (c) truancy, and (d) dropping out.
(Mayer, 1995, Mayer & Sulzar-Azaroff, 1991, Skiba & Peterson, 1999)
The Good News…
Research reviews indicate that the most
effective responses to school violence
are (Elliot, Hamburg, & Williams, 1998;Gottfredson, 1997; Lipsey, 1991,
1992; Tolan & Guerra, 1994):
• Social Skills Training
• Academic Restructuring
• Behavioral Interventions
= instructional strategies - “teaching”
School-wide Positive Behavior Support
SW-PBS is a broad range of systemic
and individualized strategies for
achieving important social and
learning outcomes while preventing
problem behavior
OSEP Center on PBIS
Essential Features at the School Level
• Teams of educators within the school
• Data-based decision making
• Instructional Focus
– Teach & Practice
• Acknowledge student mastery of social
skills
– Positive Feedback
Positive
Behavior
Support
Social Competence &
Academic Achievement
OUTCOMES
Supporting
Decision
Making
Supporting
Staff Behavior
PRACTICES
Supporting
Student Behavior
Designing School-Wide Systems for Student Success
Academic Systems
Behavioral Systems
Intensive, Individual Interventions
•Individual Students
•Assessment-based
•High Intensity
1-5%
Targeted Group Interventions
•Some students (at-risk)
•High efficiency
•Rapid response
Universal Interventions
•All students
•Preventive, proactive
5-10%
80-90%
1-5%
Intensive, Individual Interventions
•Individual Students
•Assessment-based
•Intense, durable procedures
5-10%
Targeted Group Interventions
•Some students (at-risk)
•High efficiency
•Rapid response
80-90%
Universal Interventions
•All settings, all students
•Preventive, proactive
Universal School-Wide Features
• Clearly define expected behaviors (Rules)
– All Settings
– Classrooms
• Procedures for teaching & practicing expected
behaviors
• Procedures for encouraging expected behaviors
• Procedures for discouraging problem behaviors
• Procedures for data-based decision making
• Family Awareness and Involvement
Benton Elementary School
I am….
All Settings
Classroom
Hallways
Cafeteria
Bathrooms
Playground
Assemblies
Safe
•Keep bodies
calm in line
•Report any
problems
•Ask
permission to
leave any
setting
Maintain
personal
space
Walk
Stay to
the right on
stairs
Banisters
are for
hands
•Walk
•Push in
chairs
•Place trash
in trash can
Wash hands with
soap and water
Keep water in the
sink
One person per
stall
Use equipment for
intended purpose
Wood chips are for
the ground
Participate in
school approved
games only
Stay in approved
areas
Keep body to self
•Walk
•Enter and exit
gym in an
orderly manner
Respectful
•Treat others
the way you
want to be
treated
•Be an active
listener
•Follow adult
direction(s)
•Use polite
language
•Help keep
the school
orderly
Be honest
Take care
of yourself
Walk
quietly so
others can
continue
learning
Eat only
your food
Use a
peaceful
voice
Allow for privacy of
others
Clean up after self
•Line up at first
signal
•Invite others who
want to join in
•Enter and exit
building peacefully
•Share materials
•Use polite language
Be an active
listener
Applaud
appropriately to
show
appreciation
A
Learner
•Be an active
participant
•Give full
effort
•Be a team
player
•Do your job
•Be a risk
taker
•Be
prepared
•Make
good
choices
Return to
class
promptly
•Use proper
manners
•Leave when
adult
excuses
•Follow bathroom
procedures
•Return to class
promptly
•Be a problem solver
•Learn new games
and activities
•Raise your
hand to share
•Keep
comments and
questions on
topic
Tier II (small group)
• Efficient and effective way to identify at-risk
students
– Screen
– Data decision rules
• Informal assessment process to match
intervention to student need
– Small group Social Skill Instruction
– Self-management
– Academic Support
• Part of a continuum – must link to universal
school-wide PBS system
Tier III (individualized support)
•
•
•
•
When small group not sufficient
When problem intense and chronic
Driven by Functional Behavioral Assessment
Connections to Mental Health and Community
Agencies
• Part of a continuum – must link to universal
school-wide PBS system
Outcomes
FRM S Total Office Discipline Referrals
3000
2500
Total ODRs
2000
1500
1000
500
0
94-95
95-96
96-97
97-98
98-99
99-00
00-01
01-02
02-03
03-04
04-05
05-06
Mental Health Outcomes
• Does School-wide SW-PBS fit within a
comprehensive mental health model of
prevention and intervention?
Minimizing and reducing “risk factors” by
building “protective factors”
Correlation of Risk Variables with EBS Survey
Score
N = 13 Middle Schools
Sprague, Walker, Sowards, Van Bloem, Eberhardt & Marshall, 2001
Pearson R
0.2
0
-0.2
-0.4
-0.6
Free & R Acd Fail
Mobiltiy A&D Crm
ASB
Total
Series1 0.017896 -0.119001 0.115955 -0.291545 -0.513794 -0.376016
Risk Variables
A&D = Alcohol and Drug; ABS = Anti-social Behavior Scale
BALLWIN ACHIEVEMENT PBS
800
70
760
700
60
58.2
600
500
40
405
400
32.5
31
30
302
300
185
200
20
10
100
0
0
2000
2001
2002
YEAR
Office Referrals
Proficient or Advanced on MAP
2003
MAP P ER CE NTILE
N UMBE R OF RE FER RA LS
50
47.4
Tier II & III
Small Group and Individual
Interventions
Supporting Students At-Risk and
those with Disabilities Within Their
Home School
STUDENTS RECEIVING A "BEHAVIOR PLAN"
EIGHT OR MORE REFERRALS
1999/2000 vs. 2000/2001
AVERAGE PERCENT DECLINE IN REFERRALS
20
18
50%
%
NUM BER O F REFERRALS
16
14
12
10
8
6
4
2
0
A*
B
C
D
E
F*
G
H
I
J*
K
STUDENT NAM E
* STUDENT LEFT SCHO O L DISTRICT BEFO RE THE END O F THE ACADEM IC YEAR
REFERRALS 99-00
REFERRALS 00-01
L
M
N
O
P
Comparison of a Social Skill Intervention in
SW-PBS and non SW-PBS schools
SSRS-T Social Skills
Non PBS
PBS
Pre Mean
72.8 (56-86)
78.3 (70-84)
Post Mean
80 (61-103)
90 (77-125)
.11
.04*
P Value
SSRS-T Problem Behavior
Non PBS
PBS
Pre Mean
123.6 (110-138)
124.8 (113-133)
Post Mean
121.4 (102-139)
124.7 (115-138)
.50
.97
P Value
* Significance at the .05 P Value
Classroom Intervention within SW-PBS
• Subject:
– Seven years old
– Identified with EBD and ADHD
• Setting
– General education 2nd grade classroom with 19 other
students
• Concern
– Student exhibits high rates of off-task
– Student shouts out answers and questions and comments
at high rates and often inappropriate
Stichter, J. P., Lewis, T. J., Johnson, N., & Trussell, R. (2004). Toward a structural assessment:
Analyzing the merits of an assessment tool for a student with E/BD. Assessment for Effective
Intervention, 30, 25-40
100
90
M ean Percen t of Teacher Behav io r
80
70
60
50
40
30
20
10
0
Baseline
High Structure
Level 1
Materials Accessiblity
Level 1 & 2
Rules Visible
Level 1, 2 & 3
Assistance Consistent
Follow-Up
Answering Consistent
Does Implementation of SW-PBS Improve
Individual Interventions?
• Illinois “profile” analysis.
– Assessment of intervention effectiveness
Very Low, Low, Med, High, Very High
0
1
2
3
4
– School-wide
– Individual Intervention
Profile Effectiveness Scores
(Illinois Schools 02-03)
Mean Effectiveness Scores
4
t = 11.11 (335) p< .0001
t = 2.30 (27) p < .03
3
N=223
N=38
N=169
2
N=17
1
Partial
Full
Partial
Full
N=169
N=223
N=17
N=38
0
School-wide
Individual
Field Elementary School
SW-PBS and Response to
Intervention with Literacy
Field Elementary School
• High Diversity
– School has 290 students; 50% minority; 20%
English Language Learners; 13% Special
Education
• Instructional leader turnover
• Poverty
– 79% of students live in poverty
• Highly transient population
Field Elementary School
+ Teachers and Staff committed to
increasing academic and social success
of all students
+ A committed Principal who supported
faculty in their efforts to change the
way they taught to improve children’s
lives
Field Elementary School
• Academic Standing
– Only 5% of all students scored proficient in 2005
– Breakdown by ethnicity:
–0% African-American
–18% Caucasian
–0% Students with disabilities
–0% English Language Learners
–7% Students living in Poverty
Field Elementary School
• Literacy
• In 2004–05, 44% students required
intensive support for reading and
writing
• Social Behavior
• In 2003-04 Averaging 10.4 discipline
referrals per day
Positive Behavior Supports
Impact on Behavior
Problems
To 1.6
perper
day
From
10.4
day
MU College of Education —
140 years of discovery, teaching and
learning
Impact on Literacy
• Improved Academic Standing
– In 2007, 27% of Field’s students scored
proficient in 2007 (up from 5%).
– African American: 0% improved to 16%
– Caucasian: 18% improved to 57%
– Students with disabilities: 0% improved to 25%
– English Language Learners: 0% improved to 27%
Why Invest in SW-PBS?
•
•
•
•
•
Change in school discipline system creates an
environment that promotes, teaches, and
acknowledges appropriate behavior
Reduction in problem behavior resulting in less
staff time dealing with problems, more student
time in the classroom
Improved academic performance
Improved social behavior performance
Improved school safety, mental health
connections, and individual interventions
Impact of our SW-PBS Center’s Efforts
To Date
• Over 11,000 schools in the United States
• Working with researchers and educators
in Canada, Australia, and several
countries in Europe
Supporting Students with
Emotional/Behavioral Disorders
through School-wide Positive Behavior
Supports
Tim Lewis, Ph.D.
University of Missouri
Center on Positive
Behavioral Intervention & Supports
www.pbis.org