Title: Targeted and Intensive Supports at the High School Level:
1- Targeted and Intensive Supports at the High
School Level
- APEX II in New Hampshire
- 5th International Conference on Positive Behavior
Support
- Chicago, Illinois
- March 27, 2008
- JoAnne Malloy, MSW
- Jon Drake, MSW
- Institute on Disability/ University of New
Hampshire
- Maureen Tracey,
- Kathleen Abate,
- Alliance for Community Supports
2AGENDA
- Introduction/Overview
- APEX II Model Elements
- School-wide (Universal) Level
- Secondary (Targeted) Level
- RENEW Intensive Model
- The Relationship between Secondary and Intensive
in a High School
- Case Studies
- Lessons Learned
3Youth with Emotional and Behavioral Disabilities
- 50-60 dropout of high school 10-25 enroll in
post-secondary education
- 30-58 employed post-school
- High rates of MH utilization, poverty,
incarceration
- (Alexander, et al., 1997 Kortering, et. al.,
1998 Lee and Burkham, 1992 Wagner, 1992)
4APEX- Model Assumptions
- School organization and processes are related to
dropout rates (school-wide issues) (Gottfredson,
Gottfredson Hybl, 1993 Bryk Thum, 1989 Lee
Burkham, 2001 Nelson, 1996 Rumberger, 2001
Rutter, 1979) - Behavioral problems in school are associated with
a likelihood of dropping out indicator of risk
- Students with significant emotional or behavioral
challenges require individualized,
community-based transition services in order to
successfully complete high school
5APEX II Model
- To address school-based systems/climate issues
- Positive Behavioral Interventions and Supports
(PBIS) (Bohanon, et. al., 2004 Sugai Horner,
1999)
- Student Leadership Development
- To address issues for students most at-risk
- Rehabilitation for Empowerment, Natural supports,
Education and Work (RENEW) (Eber, Nelson Miles,
1997 Cheney, Malloy Hagner, 1998 Bullis
Cheney, 1999) - 8th to 9th grade transition system and practices
6APEX II GOALS
- Work toward implementing Positive Behavioral
Interventions and Supports (PBIS),
- Provide leadership in the school-wide systems
change process and support the dedication of
staff time to participate in project activities,
- Collaborate with project staff to develop a
systematic transition from the 8th to 9th grade
for at-risk students,
- Collaborate with project staff to develop
individualized school-to-career services for the
most at-risk students using the RENEW model,
and, - Develop and implement a high school student
leadership initiative to focus on school climate
issues.
- 2005 MOUs between districts and NH DOE
7RENEW The Red Zone Component of the APEX II
Project
- For the most at risk students (60 per high
school)
- Model components
- Personal Futures Planning
- Individualized academic programming (creative
solutions and Real World Learning
opportunities).
- Naturally supported employment
- Interagency collaboration and braided funding
- School to Career transition articulation,
including post-secondary education
- Mentoring
8APEX PBIS MODEL
Tertiary Prevention RENEW Intervention
5
Secondary Prevention Specialized Group Systems
for Students with At-Risk Behavior
15
Primary Prevention School-/Classroom- Wide Syst
ems for
All Students, Staff, Settings
80 of Students
9COMPARING YEAR ONE AND YEAR TWOGreen Zone has
gone from 42 to 60 (Target 80)Yellow Zone
has gone from 18 to 13 (Target 15)Red Zone
has gone from 40 to 27 (Target 5)
10Franklin HS Benefits of
APEX and PBIS
56 Reduction in ODRS
11APEX 1 Dropout Rates
12Tier 2 PBIS Functional Assessment Outcomes
- Operational Description of Problem Behavior
- Organized by response classes, behavioral
routines
- Identification of events that reliably predict
occurrence and nonoccurrence of problem behavior
- Immediate antecedents and setting events
- Identification of Maintaining Consequences
- Hypothesis statement(s)
- Direct Observation Data
13A Functional Approach to Behavior Support
- Behavior Support has Been Redefined
- Behavior support is the design of effective
environments.
- Effective environments make problem behaviors
irrelevant, inefficient and ineffective.
14Tier 3 In the High SchoolRENEW Conceptual
Framework
Child Welfare
Education
INTERAGENCY COLLABORATION
SCHOOL-TO CAREER
YOUTH, FAMILY, RENEW
SELF-DETERMINATION
Disability
15RENEW PRINCIPLES
- Self-Determination
- Unconditional Care
- Strengths-Based Supports
- Flexible Resources
- Natural Supports-Community Inclusion
16RENEW IS.
- A flexible, person-centered support
- Driven by the students expressed needs,
interests, and goals
- A service
- RENEW IS NOT.
- A program
- A classroom or school
17RENEW Goals
- High School Completion
- Employment
- Post-secondary Education
- Community Integration
18RENEW Strategies
- Person Centered Planning
- Flexible education programming
- Individualized School-to-Career planning
- Naturally supported employment
- Wraparound services and supports
19Strategies (cont.)
- Mentoring
- Individualized and flexible resource development
(paid and unpaid)
- Community inclusion
- Interagency collaboration
20Where are the Boundaries Between Tier 2 and 3?
- We find that many schools identify too many
students as in need of intensive services until
they learn FBA and function-based interventions.
- Tier 2 question What is needed to help the
student succeed in the school setting?
- Tier 3 question Challenges external to school
are interfering with the students success- what
is needed outside of school?
21Where are the Boundaries Between Tier 2 and 3?
(cont.)
- Every student should have a career plan the
RENEW model is a quality of life intervention
that facilitates the conversation about dreams,
goals, and objectives in the context of what
supports are needed
22Amy Profile
- Lives in Rural Area
- Attends Inner City School (starting at grade 9)
- History of Difficulty with Academics
- High rate of academic failure (passed 3/12
classes)
- In a pattern of Skipping Classes and School
- In a pattern of Detentions and Suspensions
- 2nd Year Freshman (in a freshman homeroom)
- On the track to be a 3rd year freshman
- Claims to belong to the EMO group
23Amys Difficulties
- Challenged by Schoolwork
- Environment
- Inner City School (2500 students)
- 4 buildings
- Large of students in classes
- Difficulty making friends
- Being bullied
24Amys Record Review
- Record Review Revealed
- Difficulty with reading and math since first
grade
- Received Title I services until 3rd grade
- Identified with learning disability 3rd grade
- Verbal IQ 100 Non Verbal 76
- Behavior started to interfere in 8th grade
- 9th Grade significant decrease in behavior and
academics
25At the time of referral Amy displayed the
following behaviors
- Skipping Classes
- Shutting Down/Refusal of work completion
- Telling exaggerated and revealing stories
26Manifestation Meeting Possible Suspension or
Expulsions
- Skipping Classes
- Shutting Down/Refusal of work completion
- Telling exaggerated and revealing stories
27Hypothesis of the Function of the Behaviors
- Skipping Classes
- Shut Downs and Works Refusal
- Exaggerated and Revealing stories
- Escape bullying
- Escape Challenging Academics
- Gain peer adult attention
28 Interventions Before FBA
- Adults talking to Amy about behavior
- Detentions
- Saturday School
- In School Suspension
- Out of School Suspension
29Amy Competing Behavior Pathway
Desired Behavior Appropriately engages in peer
conversation
Typical Consequences Meaningful positive rel
ationships (appropriate attention)
Stays in class
Problem Behavior Swears out loud Skips cla
ss
Triggering Antecedents Makes up stories- enga
ges in negative
reactive behavior
- Maintaining
- Consequences
- Gains attention from peers
- Escapes Setting and negative feelings
Setting Events In class with people who are no
t in her group
- Replacement Behavior
- Does not engage in
- conversation with
- other students
- Pairs up with one
- Student outside of class
30Amy Competing Behavior Pathway
- Desired Behavior
- Prepares for class ahead of time independently
- Completes Work
- Interacts with teacher in positive way
- Typical
- Consequences
- Stays in class
- Positive interaction with Teacher
- Problem Behavior
-
- Shuts down
- Argumentative
- Skips class
- Triggering
- Antecedents
- Difficult Math Concept
- Lack of proper materials
- Maintaining
- Consequences
- Escapes Setting
- Escapes Negative feelings/interactions
Setting Events Math class- more likely if un
prepared
- Replacement Behavior
- Have adult help
- organize before class
- Go to Resource Room
- or trusted adult for help
- Complete 50 of work
31Interventions from FBA
- Smaller Environment (class size and school size)
- Pre-Teaching Academics
- Positive Proactive Adult Attention from
Administration
- DATE that Function-based Interventions Began
32Classes Skipped
33Leaving School Grounds
34Suspensions
35Unexcused Absences
36Amys Data
37Futures Plan Objectives Developed April 10th 2007
38Futures Plan Objectives Developed April 10th 2007
39Jay Background
- Involved in sports and school clubs
- Likes to work
- Excels in math
- Takes leadership roles
- Cares deeply about friends and others
- Lower socioeconomic status
- No high school completion in family history
- Second year freshman
- History of failure
- Family drug use
- Divided family
- Criminal record
- History of fights with other students
- Domestic violence
- Injured last fall in a major car accident
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46Jay In School Supports
- Check and Connect with teacher
- Mentor with police officer
- Universal teacher support
- Medical accommodations
- Updates on academic standing
47Check Connect Self Monitoring Checklist
- Checklist for Keeping Grades Up Goal
- 1. Concentrate 75-80 of the time
- 2. Be patient with teachers
- 3. Be patient with classmates
- 4. Be cooperative
- 5. Do 70 to 80 of the work for all classes
- 6. Talk in class only when necessary (need help,
told to talk, called on)
- 7. Study (for at least 30 minutes) before taking
tests
- 8. Study hard (for at least 10 minutes) for
quizzes
- 9. Bring what I need to for class
- 10. Will receive a C average or better for all
work
- For a successful week, at least 8 out of the 10
tasks above will be completed and goal number 10
must be fulfilled.
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52Jay- Personal Futures Plan Review
53Jays Personal Futures PlanNew Objectives
54Rich
- Background
- Alternative school student
- History of mobility
- Repeated freshman year
- History of academic failure
- History of office discipline referrals
- Divided Family
- Low economic status
- History of drug use
- Relates well with most adults
- Very active, loves martial arts and exercising
- Street smart
- Takes leadership roles
55Rich (cont.)
- Primary Problem Behaviors
- Disrespect to high school staff (not alternative
school)
- Does not do work/apathetic
- Frequent problems with rough housing with other
students
- Distracting to other students
56Richs Competing Behavior Pathway
Desired Behavior 1. Always comes to class on time
2. Engages in class work and student interaction
appropriately/
productively
Maintaining consequences Learns from class exper
iences, develops social appropriate behaviors
Antecedent Asked to do work, Group work, Wh
en transition begins between classes or
activities, interactions with certain peers
Problem Behavior 1. Skips classes 2. Wrestles w
ith others, engages in off task behaviors
Setting event Group Work, Transitions, Missing me
dication
Function Peer attention, Escape from Work, Adult
attention
Alternative Behavior 1. Comes to class 80 of th
e time 2. Engages productively in group activitie
s for the 1st 10 minutes. 3. Take breaks when
he starts feeling the need to exert physical
interactions with peers.
57Rich
- Date that Interventions Began 2/2007
- Interventions Included
- Preteaching serves the need for adult
attention.
- Check in with teacher on progress, rewarded with
time off on Fridays serves the need for adult
attention, escape from work, and peer attention
during the time off. - Private reminders on expectations does not
reinforce the undesired behavior by putting
student in the spotlight in front of peers.
58Richs Function-based Plan
59Richs Function-based Plan
60Rich Personal Futures Plan
- Goals for 1st plan
- Pass classes
- Make an effort to do work
- Take charge of own curriculum with help for his
teacher
- Wrestle with friends outside of school
- Get his license
- Think about a career (massage therapy)
- Goals for 2nd plan
- Pass the rest of his classes
- Get an adult diploma
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64Rich Personal Futures Plan Review
65Student Reflections
- The facilitator really listened to ME and to
what I want
- I trust him/her
- I like the flip charts- it helps me to stay
organized
66Going Forward
- Develop a more organized system for referral and
screening for RENEW services
- Develop a RENEW training manual and data
collection system
- Develop the capacity to provide RENEW services in
many different settings