Prevent Teach Reinforce: A School-Based Model of Individualized Positive Behavior Support

1. A B RIEF O VERVIEW OF P REVENT , T EACH , R EINFORCE A S CHOOL BASED MODEL OF INDIVIDUALIZED POSITIVE BEHAVIOR SUPPORT Selected slides based on presentation from the 2010 PBIS Leadership Forum Chicago, IL Rose Iovannone, Ph.D., BCBA-D University of South Florida

2. Dunlap, G., Iovannone, R., English, C., Kincaid, D., Wilson, K., Christiansen, K., & Strain, P. (2010). Prevent-Teach-Reinforce: A school- based model of individualized positive behavior support. Baltimore:Paul H. Brookes

3. O BJECTIVES Participants will: Describe the 5-step PTR Tier 3 support model Identify the critical components that enhance the success of Tier 3 behavior supports

4. S TEP 1: TEAMING Purpose: Evaluate strengths and weaknesses of team functioning Outline roles and responsibilities- transdisciplinary Determine a consensus-making process Members (desired) Person with knowledge of student (e.g., Classroom teacher, parent, related service provider, paraeducator,) Someone with expertise in functional assessment, behavioral principles (school psychologist, behavior specialist, counselor, etc.) Someone with knowledge of context/resources (administrator or designee) Tools Classroom Team Survey Work Style Survey (teacher and paraeducator)

5. S TEP 2: G OAL S ETTING Purpose: Identify behaviors of greatest concern to the team and possible replacement behaviors (teach) Prioritize and operationalize behaviors Develop teacher friendly baseline data collection system Targeted Areas: Problem behaviors Social skills Academic behaviors Tools Goal-Setting Form

6. E XAMPLE : O PERATIONAL D EFINITIONS Problem behaviors Screamingloud, high pitched noise heard outside the classroom Hittinganytime Mike touches peers or adults with an open hand, fist, foot, or object while screaming or protesting Replacement/Appropriate Behaviors Express frustration appropriately using Dynamite, pictures, or signs to ask for a break or attention Transition to non-preferred activities: Moving to non- preferred activity and engaging with appropriate verbal expression

7. Example: Goal Setting Decrease Increase Broad Johnny will communicate his wants and needs in an age- appropriate manner Johnny will demonstrate age- appropriate social skills to maintain friends Johnny will increase task engagement time during academic activities Johnny will decrease screaming, kicking furniture, and /or people, and throwing objects to express his wants and needs Johnny will reduce the number of times he screams at and/or throws objects toward other children during group assignments Johnny will decrease screaming and throwing work materials during academic instruction Johnny will verbally express his wants and needs in the classroom by using an inside voice and calm body Johnny will use a calm, normal tone of voice when interacting with his peers during academic work groups Johnny will increase the amount of time he remains in his seat with eyes focused on the teacher and/or work materials during academic assignments Behavior Social Academic

8. S TEP 2 P ART 2: D ATA C OLLECTION S YSTEM Behavior Rating Scale Direct Behavior Rating (DBR)Hybrid assessment combining features of systematic direct observations and rating scales Efficient and feasible for teacher use Provides data for decisions Prioritized and defined behaviors measured Can be used as a perceptual scale or to collect actual direct observational data Can collect frequency, duration, and/or intensity data all on one form Visually displays information

9. Example: Behavior Rating Scale Behavior Tantrum (combination of yell/scream, throw obj., and/or kick/hit) 9+ times 7-8 times 5-6 times 3-4 times 0-2 times 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Screaming Ear-piercing Louder than playground Playground voice Louder than inside voice Soft whimper/squeal 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Verbally Expresses wants and needs 40%+ 30-40% 20-30% 10-20% 0-10% 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Task Engagement >10 min 8-10 min 5-7 min 2-4 min 0-1 min 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 5 4 3 2 1 Date

10. S TEP 3: PTR A SSESSMENT (FBA) PTR Assessment (FBA) Each team member independently answers a series of questions (5+ pages for EACH target) related to: Observed antecedents/triggers of problem behaviors Functions of the problem behaviors Consequences ordinarily associated with the problem behaviors PTR facilitator summarizes input and develops draft hypothesis- based on patterns of response Team reaches consensus Tools Functional Behavior Assessment Checklist Functional Behavior Assessment Summary Table

11. S TEP 3: E XAMPLE A SSESSMENT S UMMARY T ABLE OF P ROBLEM B EHAVIOR Prevention Data (Setting/Antecedent Events) Teach Data (Perceived Function) Reinforce Data (Actual Consequences) Reading, Math Independent activities Group activities Seatwork Transition from preferred activity End of recess, art, music Told no To escape, delay, or avoid To obtain attention from adult Sent to time out Allowed to stay in art and music class Delay in upcoming activities Sent to behavior specialist Tantrum- yell, scream, throw obj., hit

12. S TEP 3: E XAMPLE A SSESSMENT OF A PPROPRIATE B EHAVIOR Prevention Data (Not likely to occur) Teach Data (Alternative Responses) Reinforce Data (Known Reinforcers) Science Recess, art, music When engaged in computer Communicating Seeking attention Requesting wants/needs Transitioning appropriately Expressing emotions Enjoys time with behavior specialist Computer Recess, art, music Prosocial

13. S TEP 3: E XAMPLE H YPOTHESES When. Then As a result Johnny is required to end preferred activities (i.e. recess, art, or music) and begin independent work activities in reading and math Yell, scream, throw objects, and/or hit (tantrum) Able to 1) delay or escape the independent work activities when he is sent to time-out or to the behavior specialists office or allowed to stay in art and music classes, and 2) obtain attention from the behavior specialist. Johnny is required to end preferred activities (i.e. recess, art, or music) and begin independent work activities in reading and math Ask for a break Allowed to delay or escape the independent work activities or allowed to stay in art or music, or obtain attention from the behavior specialist Inappropriate Appropriate

14. S TEP 4: B EHAVIOR S UPPORT P LAN Team selects supports/interventions from each component (P-T-R) Detailed behavior plan developed PTR Facilitator provides training and assistance with plan implementation Implementation fidelity evaluated Tools Intervention Checklist Intervention Scoring Table Behavior Intervention Plan Hypothesis Behavior Intervention Plan

15. Prevent Strategies Specific Strategy steps Environmental Support Johnnys will be given a visual schedule so that he can monitor progress throughout his day toward both preferred and non-preferred activities and to help support him during transitions. His schedule should be set up so that non-preferred activities are not clustered together. 1. In the morning and after lunch, Johnny should review the visual schedule so he knows what to expect 2. As Johnny completes an activity, he should X off the activity or remove the picture icon STEP 4: EXAMPLE Johnnys BSP Curricular Modification Johnny will be given an easy, independent activity, such as a worksheet, to complete upon transitioning to a non-preferred activity or an activity that requires him to wait, such as group activities

16. Teach Strategies Specific Strategy Steps Replacement Behavior Johnny will be taught to communicate his emotions and use a variety of self-calming techniques. Accessing these supports may be referred to as requesting break Steps: Prior to transitioning to a non-preferred activity or at the end of a preferred activity, an adult may prompt Johnny by saying If you start to get upset, you can choose to calm down . As soon as Johnny starts to get upset, prompt him to communicate by saying I need to calm down. Johnny will then be presented with the choice board of calming strategies and the adult will ask him, What do you want ? Johnny will have access to chosen strategy for a short period of time (until calm for 1 min) As soon as he is calm, praise him (e.g., You made a good choice. . Once he is calm, reference his visual schedule and remind him of what he can earn/access once he completes the non-preferred task to aid in the transition back to the previous activity

17. Reinforce Strategies Specific Strategy Steps Replacement Behavior Anytime Johnny says I need to calm down, his choice/break board should be given immediately 1. Praise Mike for communicating ( thank you for telling me what you need.) 2. Provide his choice/break board 3. Allow him access to supports until calm for 1 minute 4. Praise him for calming 5. Praise him for returning to the group

18. Reinforce Strategies Specific Strategy Steps Transition Johnny will earn stars during independent reading and math activities if he transitions and completes his work without tantruming. 1. A social story will be reviewed periodically with Johnny at home and school to remind him that he can earn stars. 2. An adult will check in with Johnny immediately after he successfully transitions to the activity and begins working, every 2-3 minutes during the activity, and when the activity is complete to review Johnnys behavior and ask him if he earned his stars. 3. Stars will be provided and paired with praise when earned and will be stored on his star chart. 4. At a specified time of day, allow Johnny access to his chosen activity (i.e. computer, visiting favorite adult, extra music/art class) if he earned his stars.

19. S TEP 4: P ART 2- PTR I NTERVENTION C OACHING / FIDELITY Provide training to practice the plan without student (30-90 min.) PTR facilitator present first day of implementation with student Provide support in the classroom Model the plan Provide feedback Discuss need for modifications if applicable Tools Training Checklist Fidelity of Implementation

20. E XAMPLE : S AMPLE C OACHING C HECKLIST /F IDELITY FOR M IKE

21. S TEP 5: E VALUATION Is it working? Daily ratings of behavior Continuous progress monitoring BRS Other data collection forms Is it being implemented consistently and accurately? Fidelity ratings Do we need more data? Does the plan need to be modified or expanded? Plan for generalization and maintenance

22. STEP 5: JOHNNY EVALUATION

24. M ATCHING T RIGGERS AND F UNCTIONS TO I NTERVENTIONS AND S UPPORTS Not an exhaustive list but based on components of behavior support plans from PTR chapter 5 A possible resource or starting point when choosing interventions and supports A support for ensuring that we are linking what is learned in the FBA process to choices made in the BSP