Transcript Scaling & Sustaining Evidence-Based Practices Glen Dunlap, Steve Goodman, Tim Lewis, Rob Horner & George Sugai OSEP Center on PBIS OSEP Project Directors’ Meeting Washington DC July 16,

Scaling & Sustaining
Evidence-Based Practices
Glen Dunlap, Steve Goodman,
Tim Lewis, Rob Horner &
George Sugai
OSEP Center on PBIS
OSEP Project Directors’ Meeting
Washington DC
July 16, 2007
www.pbis.org
Panel Context & Purpose
• Given expectation that effective evidence-based
intervention should be adopted, early
consideration of implementation sustainability &
outcome durability is becoming more important in
our technical assistance & implementation
efforts.
• Panel purpose is to discuss strategies &
considerations that would stimulate continued &
enhanced demonstration & study of effective
strategies for sustaining accurate implementation
& scaling up our innovative efforts.
Achieving Purpose
Agenda & Panelists
Moderator: Glen Dunlap (USF)
Context: George Sugai (UConn)
Multi-State Lessons: Tim Lewis (MU)
State-Wide Lessons: Steve Goodman (MI DoE)
Future: Rob Horner (UO)
Q&A: Glen Dunlap (USF)
Challenges
How do we…..
• Increase adoption of effective
evidence-based practices?
• Ensure high fidelity of
implementation of EBP?
• Increase efficient, sustained
implementation of EBP?
• Increase accurate, efficient, &
durable institutionalized use of
EBP?
Fixsen “Big Impressions”
• “Policy is….
– allocation of limited resources for
unlimited needs”
– opportunity, not guarantee, for
good action”
• “Training does not predict
action”
Need,
Agreements,
Adoption, &
Outcomes
Local
Demonstration
w/ Fidelity
1.
IMPLEMENTATION 2.
PHASES
4. Systems
Adoption, Scaling,
& Continuous
Regeneration
3.
Sustained
Capacity,
Elaboration, &
Replication
Our objective….
Redesign & support teaching &
learning environments that are
effective, efficient, relevant, &
durable
– Outcome-based
– Data-guided decision making
– Evidence-based practices
– Systems support for accurate & sustained
implementation
Original logic: public health &
disease prevention (Larson, 1994)
• Tertiary (FEW)
– Reduce complications,
intensity, severity of
current cases
• Secondary
(SOME)
– Reduce current cases
of problem behavior
• Primary (ALL)
– Reduce new cases of
problem behavior
It’s not just about behavior!
STUDENT
ACHIEVEMENT
Good Teaching
Behavior Management
Increasing District & State Competency and Capacity
Investing in Outcomes, Data, Practices, and Systems
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
Responsiveness to Intervention
IMPLEMENTATION
W/ FIDELITY
DATA-BASED
DECISION MAKING &
PROBLEM SOLVING
CONTINUOUS
PROGRESS
MONITORING
CONTINUUM OF
EVIDENCE-BASED
INTERVENTIONS
STUDENT
PERFORMANCE
What’s it gonna take to
sustain & expand
accurate implementation
of evidence-based
practices?
EFFICACY V. EFFECTIVENESS
R
E
S
E
A
R
C
H
To
P
R
A
C
T
I
C
E
GENERAL
TEAMING
IMPLEMENTATION
PROCESS:
“Getting Started”
Team
Agreements
Data-based
Action Plan
Evaluation
Implementation
Individual Behavior Support Elements & Process
*Response class
*Routine analysis
*Hypothesis statement
*Function
Problem
Behavior
*Alternative behaviors
*Competing behavior analysis
*Contextual fit
*Strengths, preferences, & lifestyle outcomes
*Evidence-based interventions
Functional
Assessment
Intervention
& Support
Plan
*Implementation support
*Data plan
*Continuous improvement
*Sustainability plan
Fidelity of
Implementation
Team-based
Behavior competence
Impact on
Behavior &
Lifestyle
Individual linked to System
Student
Classroom
School
District
State
Scaling Up: Horizontal V. Vertical Expansion
Organizational Systems
National Federal
State/Region
District
Practice &
Research
Communities
School
SS
SSS SSSS SSSS SSSSSS SSS SSSSSSSSSSSSSSSSSSSS
Schools
PBS Systems Implementation Logic
Funding
Visibility
Political
Support
Leadership Team
Active Coordination
Training
Coaching
Evaluation
Local School Teams/Demonstrations
SUSTAINABLE IMPLEMENTATION & DURABLE RESULTS
THROUGH CONTINUOUS REGENERATION
Continuous
Self-Assessment
Relevance
Valued
Outcomes
Priority
Efficacy
Fidelity
Practice
Implementation
Effective
Practices