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This is Felix, an 8 year old boy referred for
episodes involving refusal, tantrums and
fleeing; sent home often.




                                                1
Step One: Problem Identification
    a. Define the problem behavior
    b. Review existing data
    c. Generate list of concerns
    d. Prioritize behaviors for intervention




                                               2
Frequency of Tantrums Over 56 Days




                                         43%            Tantrum
                           57%                          No Tantrum




Initial Problem Identified:
Felix had a tantrum during the first hour
 of the morning 24 times in 56 days.
Peer Difficulties




                          Poke

   Taking Things




                   Hit/Kick




Poke                              9
Hit/Kick                          9
Taking Things                    12

                                      4
Data on Ignoring
16

14

12

10

8

6

4

2

0
             Total          After Recess   On Way To Class       If Redirected       Other




                          After            On Way To             If
     Total                Recess           Class                 Redirected          Other

                     15                8                     5                   2           0



                                                                                                 5
Data Collection Sheet

 Name: _____________________ Teacher______________
 Day__________________ Date__________T ime_________


      Antecedent                    Behavior        Maintaining
                                                    Consequence
    Working                 Ignore Directive        Avoided task
Hard/Fatigued
                                After Recess
    Carry Over                                      Chased
                                 On Way To Class
    Preferred activity
                                 If Redirected      Lots of Attention
   Non-Preferred Activity
                            Peer Difficulties
                                                    Card Turned
                                 Poke

                                 Hit/kick

                                 Taking things


                                                                        6
Tallying Data From All Sheets
                   n=45
      Antecedent                    Behavior       Maintaining
                                                   Consequence
    Working                 Ignore Directive       Avoided task
Hard/Fatigued                    15
         20                     After Recess          35
                                   8
                                 On Way To Class
    Carry Over                                     Chased
                                   5
                                 If Redirected
         11                                            18
                                   2
    Preferred activity      Peer Difficulties      Lots of Attention
                                   30
         4                       Poke                   12
                                   9
                                 hit/kick          Card Turned
   Non-Preferred Activity           9
         10                      taking things           6
                                   12
                                                                       7
Felix
                                                                             No       Days With Social Performances
                                                                           Tantrum
                                                                             5%
                                                                                          Frequency of Tantrums
                                                                                                       19 days
                                          Felix:
                           42 Days of Morning Routine
                                    Tantrums By Time
                      30


                      25                                                                                  Tantrum
                                                                                                            95%
                      20


                      15

20                    10
18
          19   19
16   18                             18        18 Some Points
14                     5                            45%
12
10                                                                                No Points
 8                     0                                                            55%
 6                         8-9:00    9-10:00 10-11:00 11-12:00 12-1:00   1-2:00   2-3:00      3-4:00
 4
 2                     2
 0              Setting Events/Tantrums
                    19 tantrums over 42 days

                                                                                                                    8
Defining Target Behaviors




Directions: Please describe the target behaviors including their frequency, intensity, and results
Student:                         Teacher:                          Class:                   Date:




  Describe what the student’s problem behavior looks like:
  Estimate how often the behavior occurs:
  Describe how intense or severe the behavior is:
  Determine what skills appear to be lacking:




                                                                                                     9
Profile of Student’s Strengths and Needs
       Academic             Movement: Gross/         Emotional             Communication            Social             Medical/               Affinities/              Other
                             Fine/Repetitive                                                                        Vision/Hearing         Special Interests
Strengths
        Math                  Gross Motor is fine      Affectionate             Receptive            Relates well       Vision                 Listening to         VIQ 105
        Listening                                      with adults              language in          with adults        hearing fine           stories              PIQ 129
        comprehens                                                              superior             Interested                                Computers            Good attendance
        ion                                                                     range                in peers                                  Video games          Good memory
        Creative                                                                Has many                                                       Puzzlews             Understands abstract
        Imaginative                                                             ideas and                                                      Creative story-      concepts
        Reading                                                                 wants to                                                       telling
        skills at                                                               share
        grade level




        Challenges
        Writing                  Small motor           Regresses                expressive           doesn’t            ADHD                   Many phobias:
        Language                 challenges            with stress              language             read social        Anxiety                statues, masks,
        expression               (buttons, snaps,      Tantrums                 well below           situations                                bees, soap,
        Reading                  zippers, pencils)     anxious                  average              well                                      Limited range
        comprehensio                                                            serious              tends to                                  of foods
        n below grade                                                           articulation         obssess
        level                                                                   difficulties         over one
                                                                                                     friend
                                                                                                     can’t easily
                                                                                                     share
                                                                                                     inflexible




Data                     Observations                                   Interviews                                                     Attendance
                         Formal Testing                                 Report Cards                                                   Class Assignments
Resources                Work Samples                                   Grade Level Testing                                            Anecdotal Records
                        IEP/Progress Report                             Medical Records                                                Office Discipline Referral

                        OTHER:

                                                                                               10
11
What do we know                                       What do we need to know?                                       How will we get it?
Setting Events            Anxiety                                       When?                                                   Data collection sheet tailored
                          Sleep problems                                Which tasks?
                          Issues negotiating morning routine            Is it lack of skill or is it dislike?
                          Verbal outflow




Antecedents               Transitions                                   Does he handle any transitions well?                    Data collection sheet
                          Change in routine                             Will he transition to anything?
                          Lack of functional support (regression)       Does “loss of pts” bother him?
                          Receiving CRT directive                       Can he do the things we ask of him?
                          Others: bees, statues, masks, hand washing,   Why the regression?
                          public performance                            Directives: Can’t or won’t?




Consequences              Zero points on chart                          Do points/office matter?                                Data collection sheet
                          Sent to office                                Peer reaction?
                          Negative pee reaction                         The activity: can’t or won’t?
                          Ends engagement in activity




Other            POHI certified with speech                             Is this the best diagnosis?                             Psychiatric requested

                                                                        Can he verbalize frustration? Does he have a script?>   Teaching

                                                                        Does he recognize what a good day feels like?




                                                                                                      12
Teacher Data Collection Sheet
  Day___________________
  Date_________________________
  ________
  Morning Routine At School

SLEEP:                                                                              JOBS/Morning Routine:
                                           Before Start of Day:             Beha
                                           Came in Independently:           vior
                                           Yes No                           Char
                                                                            t:

Decent Night’s Sleep Yes No                Difficulty interacting with
                                           peers in hall area:
                                           Yes No
                                                                            Thre
                                                                            e
                                                                            dom
                                                                                    Completed Sequence Alone
                                           Difficulty at locker:
                                           yes no

                                           Verbal Overflow:
                                                                            ains
                                                                            All
                                                                            Zeros
                                                                            War
                                                                                    Did not complete/passive
WAKING UP:                                 Mild Moderate

                                           Morning Routine/Jobs:
                                           complete
                                                                   Severe   ning
                                                                            Give
                                                                            n
                                                                            Thre
                                                                                    Did not complete/resistive
                                           incomplete                       e
                                                                            area
                                           At Carpet:                       s
                                           On time Late                     NOT

On Time   Late   Early                     With Prompts

                                           Group Time:
                                           Participated
                                                                            All
                                                                            Zeros


                                           Yes No
                                                                            Retu
                                                                                    Notes:                       r
                                                                                                                 n


MOOD upon arising:                         Note about “before”
                                                                                                                 t
                                                                                                                 o

                                                                                                                 R
                                                                                                                 o
                                                                                                                 o
                                                  W/O Permission                                                 m


Happy     Hyper Touchy                                                      cam
                                                                                                                 e

                                                                                                                 b
                                                                                                                 a
                                                                                                                 c
                                                  W/O Permission                                                 k

                                                                                                                 r
                                                                                                                 e


Notes About Affect/State Upon Waking Up:                                                                         a
                                                                                                                 d
                                                                                                                 y

                                                                                                                 t
                                                                                                                 o

                                                                                                                 l
                                                                                                                 e
                                                                                                                 a
                                                                                                                 r
                                                                                                                 n
                                                                            still
                                                                                                                 p
                                                                                                                 e
                                                                                                                 r
                                                                                                                 s
                                                                                                                 e
                                                                                                                 v
                                                                                                                 e
                                                                                                                 r
                                                                                                                 a
                                                                                                                 t
                                                                                                                 i
                                                                                                                 n
                                                                                                                 g

                                                                            Note
                                                                                                                 s
                                                                                                                 :




VERBAL OVERFLOW In Car:                                                             TRANSITION INTO BUILDING:

Mild      Med     Severe                                                            Exited Car On Cue            W
                                                                                                                 /
                                                                                                                 O


                                                                                    With “big” Kids              P
                                                                                                                 e
                                                                                                                 r
                                                                                                                 m

                                                                                    With Peers                   i
                                                                                                                 s
                                                                                                                 s
                                                                                                                 i

DROP OFF At SCHOOL:                                                                 Late                         o
                                                                                                                 n



                                                                                    On Time
Exit Independently Some Assistance                                          Staye
                                                                                                                 d


Notes:                                                                              Notes:                       a
                                                                                                                 t

                                                                                                                 s
                                                                                                                 c
                                                                                                                 h
                                                                                                                 o
                                                                                                                 o
                                                                                                                 l

                                                                                                                 a
                                                                                                                 l
                                                                                                                 l

                                                                                                                 d
                                                                                                                 a
                                                                                                                 y




                                           Upon Removal to
                                           Mrs.Smith:

                                           Calmed down
                                           Processed event
                                           Tone of Voice off
                                           Complied w/redirection


                                           Returned to room after
                                           how many minutes?




                                                           13
                                           Notes about removal
Name: Felix
Day___________________                     Date_________
HOME Data Sheet

SLEEP:                                                     JOBS/Morning Routine:

Decent Night’s Sleep Yes No                                Completed Sequence Alone
                                                           Did not complete/passive
WAKING UP:                                                 Did not complete/resistive

On Time   Late   Early
                                                           Notes:
MOOD upon arising:

Happy     Hyper Touchy


Notes About Affect/State Upon Waking Up:




VERBAL OVERFLOW In Car:                                    TRANSITION INTO BUILDING:

Mild      Med     Severe                                   Exited Car On Cue
                                                           With “big” Kids
                                                           With Peers
DROP OFF At SCHOOL:                                        Late
                                                           On Time
Exit Independently Some Assistance
Notes:                                                     Notes:




                                                           14
ANALYZING PATTERNS
Activity:
Analyze the patterns evident in the data collected and record
relevant information below.
                                                Analyzing Patterns



                   Circumstances in which the behavior is most likely:
                    First hour of day
                    When transition into building is difficult
                    When morning routine at home and school is difficult
                    When he sleeps poorly
                    On the day of a public performance
                   Circumstances in which the behavior is least likely:
                    When he sleeps well
                    When he does not procrastinate in AM routine at house or
                   locker
                    When in cooperative, shared group task
                    When his morning routine and transition into school is done
                   independently


                   Possible functions of the behavior
                    To avoid fear (of social performance) which lead to avoidance
                                                              15
Summary (Hypothesis)
                                                      Statement
Problem Definition Revised:




Patterns: What patterns were identified in the data collected (i.e. circumstances in which behavior is most likely or least likely;
possible functions of the behavior)




When this occurs…. (describe                the student does… (describe behavior)       to get/to avoid… (describe consequences)

circumstances)




Moderating Variables: Are there other variables that appear to be affecting the student’s behavior (e.g., medical problems,
curricular issues)?




We can make it better if…




We can make it worse if…




                                                                                                                                   16
•    Prompt compliance      •   Receives contingent
                                              to CRT directive           positive CRT
                                         •    Stay in classroom          attention
                                         •    Engage in              •   Positive peer
                                              classroom activities       attention
                                                                     •   Finishes his work
                                                                     •   Gets Point Chart
                                                                         rewards


                                             Desired Behavior             Consequence

• Anxiety        • Loss of points
• Sleep          • Transitions
  problems       • Public performance                                • Removed from room;
• Fatigue                                •    Tantrum: (i.e.)                                     •   To avoid that which
                 • Change in routine                                 • earn “0” points on chart
• Difficult                                   cry, kick, scream, y                                    he fears, like
                 • CRT Directive                                     • Sent to office
                                              ell, throw                                              individual “public
  morning at     • Lack of functional                                • negative peer reaction
  school and                                  things, adamant                                         performance”
                   support                                           • ends engagement in
  home                                        refusals
                 • Bees, statues, etc.   •    Work/task refusal        activity
• Verbal                                                             • miss social function
  overflow

 Setting Event       Antecedent              Problem Behavior              Consequence                     Function


                                         •    Use self-soothing
                                              coping skills
                                         •    Communicate
                                              frustration
                                              adaptively




                                         Alternative Behavior

                                                                                                                      17
Felix: Completed Modification Tool
Preventative: What environmental adjustments can be used to make the student’s problem   Educative: What skills can be taught to    Functional: How can consequences
       behavior unnecessary?                                                                    replace or meet the same function          be managed to ensure the
                                                                                                as the student’s problem behavior          student receives reinforcers for
                                                                                                and improve his or her ability to          positive behavior, not problem
                                                                                                function more effectively?                 behavior?

 Setting Event Strategies                           Antecedent Strategies                    Behavior Teaching                            Consequence
                                                                                                  Strategies                                 Strategies
Behavior plan initiated                                  Social stories to                      Teach Felix how                     Felix is creative &
   at home to address:                                   help set                               to use a visual                          imaginative; he
   Sleep routines                                        expectations and                       schedule that he                         will receive
   Morning routine                                       ease transitions &                     controls                                 positive
   Transportation to                                     anxiety                                Help him to                              reinforcement
   school                                                Choices given                          develop social                           (verbal praise,
                                                         “If/Then”                              stories for                              earn desired
                                                         statements used                        anxiety provoking                        activities, star
                                                         in giving directives                   situations                               chart, etc.) for
                                                         Visual schedule                        Create a chart of                        his
                                                         that Felix                             feeling “faces;”                         participation in
                                                         manipulates to                         he can then pick                         visual
                                                         enhance feelings                       one that matches                         schedule,
                                                         & control                              his feeling. If                          social stories,
                                                         Select feelings                        frustrated, he                           & coping
                                                         “face” symbol to                       can go to a                              strategy use
                                                         match his current                      designated area                     (e.g. books on tape,
                                                         feeling. Then self-                    to self-soothe                           computers,
                                                         soothe as needed                       Felix likes                              video games,
                                                                                                creative story-                          puzzles, etc.)
                                                                                                telling; slowly
                                                                                                develop this into
                                                                                                public
                                                                                                performance in
                                                                                                the classroom
                                                                                                                                                                        18
Felix’s Completed Behavior Plan
                                                                                       BEHAVIORAL INTERVENTION PLAN SUMMARY

Intervention components: What strategies will be used (based on the hypotheses)?
Goal: 50% decrease in problem behaviors identified                                                                                      ______ See attached implementation plan
Preventative: What environmental adjustments will be used Educative: What behaviors (skills) will be taught to replace                    Functional: How will consequences be managed to insure the student receives reinforcers for positive,
to make the student’s problem behavior unnecessary?                (meet the same function as) the student’s problem behavior and not problem, behavior?
Behavioral plan to be implemented at home to address setting improve his or her ability to function more effectively?                     When the student does . . .               Adults will do . . .
events and establish predictable routines: sleep; morning;         Felix will help develop social stories and use them to decrease
transportation.                                                    anxiety levels.
Social stories will be used to help with transitions and to reduce Manipulation of a visual schedule should enhance Felix’s feelings
anxiety levels.                                                    of control and decrease anxiety levels related to transitions and
Choices will be given.                                             public performances.
If, then statements will be used.                                  Felix will be taught to identify his feelings by using feeling faces
A visual schedule will be implemented to enhance feelings of       and utilize a designated area to self soothe.
control.                                                           Slowly increase Felix’s ability to participate in public performances
Feeling faces will be used to identify feelings.                   by using graduated steps to reduce anxiety.
A designated area will be used for self soothing activities.       Felix likes creative story telling. This may be used to help
                                                                   transition into public performances.
                                                                   ________ goals integrated student’s IEP within the /ISP



                                                                   Acknowledge and encourage Felix to use “Cool Down” spot. Hold
Identifies feelings utilizing feeling faces (i.e. frustration).    up a green card to indicate visual permission.


Exhibits frustration.                                              Use appropriate social story and allow 5 minutes for Felix to
                                                                   adjust.

Follows the preventative and educative components of his plan. Provide reinforcements: Books on tape; computers; video games;
                                                               puzzles; verbal praise.

Completes cool down.                                               Teacher will provide a compliance task which must be completed
                                                                   prior to Felix joining the class activities.

Crisis Management: Are crisis management procedures needed to insure safety and de-escalation of the student’s behavior in emergency situations? X YES      NO
If so, describe strategies:
Proactive:                                                                                             Reactive:
Use behavioral strategies described above.                                                             Ensure safety of students by removing them from the classroom if Felix should
NCI Strategies to be utilized                                                                          tantrum.
                                                                                                       Follow Crisis Plan.

                                                                                                                                                                                                                                  19
Felix’s Completed Behavior Plan
                                                                      (highlighting Crisis Plan)
                                                                                                                       BEHAVIORAL INTERVENTION PLAN SUMMARY


Intervention components: What strategies will be used (based on the hypotheses)?                                                                               ______ See attached implementation plan




Preventative: What environmental adjustments will be used to Educative: What behaviors (skills) will be taught to replace (meet the same function                          Functional: How will consequences be managed to insure the student receives reinforcers for positive, not problem, behavior?
                                                                      as) the student’s problem behavior and improve his or her ability to function more                   When the student does . . .               Adults will do . . .
make the student’s problem behavior unnecessary?                      effectively?
Behavioral plan to be implemented at home to address setting          Felix will help develop social stories and use them to decrease anxiety levels.
events and establish predictable routines: sleep; morning;            Manipulation of a visual schedule should enhance Felix’s feelings of control and
                                                                      decrease anxiety levels related to transitions and public performances.
transportation.                                                       Felix will be taught to identify his feelings by using feeling faces and utilize a designated
Social stories will be used to help with transitions and to reduce    area to self soothe.
anxiety levels.                                                       Slowly increase Felix’s ability to participate in public performances by using graduated
                                                                      steps to reduce anxiety.
Choices will be given.                                                Felix likes creative story telling. This may be used to help transition into public
If, then statements will be used.                                     performances.
A visual schedule will be implemented to enhance feelings of control. ________ goals integrated student’s IEP within the /ISP
Feeling faces will be used to identify feelings.
A designated area will be used for self soothing activities.

                                                                                   Acknowledge and encourage Felix to use “Cool Down” spot. Hold up a green card to
                                                                                   indicate visual permission.
Identifies feelings utilizing feeling faces (i.e. frustration).

                                                                                   Use appropriate social story and allow 5 minutes for Felix to adjust.
Exhibits frustration.

                                                                                   Provide reinforcements: Books on tape; computers; video games; puzzles; verbal
Follows the preventative and educative components of his plan.                     praise.

                                                                                   Teacher will provide a compliance task which must be completed prior to Felix joining
Completes cool down.                                                               the class activities.




Crisis Management: Are crisis management procedures needed to insure safety and de-escalation of the student’s behavior in
emergency situations?       X YES  NO
If so, describe strategies:
Proactive:                                                           Reactive:
Use behavioral strategies described above.                           Ensure safety of students by removing them from the
NCI Strategies to be utilized                                        classroom if Felix should tantrum.
                                                                                                                      20
                                                                     Follow Crisis Plan.
Felix: Monitoring Plan
                              MONITORING PLAN FOR INTERVENTION OUTCOMES

Goal: 50% decrease          Types of Outcomes:                         Methods:                      Timelines:
in frequency of           What Will Be Measured?                How Will It Be Measured?       When/How Often Will It
problem behavior                                                                                   Be Measured?
Decrease in Problem   1. Decrease in frequency of          1.   Tally incidence of tantrums 1. Assess tantrums and
Behavior:                tantrums                          2.   Collect intensity ratings and    office referrals daily
 Tantrums             2. Decrease in intensity of               duration of tantrums             until further notice;
 Anxiety                 tantrums                          3.   Tally compliance to initial      review after one week
 Office referrals     3. Decrease in reported anxiety           teacher directives               then monthly
                      4. Increase in time spent in class   4.   Use ratings on Faces chart    2. Assess anxiety asap
                                                                or Anxiety Thermometer to
                                                                quantify level of anxiety
Increase in         1. Increase in self-soothing       1. Ratio of tantrums to removal        1. Assess with each
Alternative Skills  2. Increase in verbalizing anxiety 2. Anecdotal records                      tantrum
 Self-soothing                                                                                2. Document in writing
strategies                                                                                       as it happens
 Communication/Stor                                                                           3. Meet after one week
y Board device                                                                                   and then monthly
 Choice-making
Other (Lifestyle    1. At home, Felix will follow a    1. Parent report                       1.   Weekly email
Changes)               behavior plan which will help                                               update
                       address expectations and                                               2.   Monthly update
                       routines
                    2. Create visual sequence of
                       tasks for night and morning
                       routines
                                                                                                                    21
Weekly Progress Monitoring Data Collection Form
Felix:                                                                              Week/Date:
Notes




  F
  R
  E
  Q
  U
  E
  N
  C
  Y




         T            O   T             O   T               O    T              O          T            O

             Monday           Tuesday           Wednesday            Thursday                  Friday

                                                            22
Felix monitoring form
                               F
                               R
                               E
                               Q
                               U
                               E
                               N
                               C
                               Y
                                      T        O       T       O       T      O           T      O          T                 O
                                          Monday       Tuesday         Wednesday          Thursday                   Friday




                    Progress Monitoring: Tantrums                                             Progress Monitoring: Office




                                                                                                      Intervention
                                                                                   3.5
                                                                                                       Referrals
     Intervention




8                                                                                    3
7
                                                                                   2.5
6
5                                                                                    2
4                                                                                  1.5
3                                                                                    1
2
                                                                                   0.5
1
                                                                                     0
0
                                                                                   -0.5   Baseline   Week 1                   Week 2   Week3   Week 4   Week 5   Week 6
-1                      Baseline   Week 1     Week 2   Week3       Week 4
                                                                                    -1
Felix
    Felix: Points Earned
    Progress Monitoring
8

7

6

5

4
                                                                 Points (six is possible)
3
                                                                 Linear ( Points (six is possible))
2

1

0




            Date         P oi nts   ( si x   is   possi bl e )
                1- Oct                0
                2- Oct                1
                3- Oct                2
                4- Oct                1
                5- Oct                2
                8- Oct                0
                9- Oct                1
               10- Oct                1
               11- Oct                4
               12- Oct                5
               15- Oct                3
               16- Oct                5
               17- Oct                6
               18- Oct                6
               19- Oct                6
               22- Oct                4
               23- Oct                6
               24- Oct                5
               25- Oct                5




                                                                                 24
Felix’s Completed Behavior
       Plan of Support




            25
The Problem Solving Process
                  Problem
                Identification


    Progress                       Problem
   Monitoring                    Clarification



      Intervention               Problem
        Planning                 Analysis


                                             27
Big Idea: Did the intervention
                          work and what is next?           A schedule for
                                                           ongoing monitoring
                           Data are interpreted, in        of the response to
Step 5.                   relation to predetermined        intervention data is
Progress Monitoring and   criteria, to evaluate the        set.
Evaluation                effectiveness of interventions   Level of ongoing
                          and supports provided.           support necessary
                           Intervention strategies are     for student success
                          adjusted to improve results      is reevaluated.
                          as needed.
Monitoring
• Where are you?
• Where do you want to be?
• You need to see progress
  headed in the right direction!



                                   29
Monitoring
Big Idea: Did the Intervention work and
              what is next?
a) Collect and analyze data to
   confirm or reject the hypothesis.
b) Refine the hypothesis and adjust
   interventions.
c) Continue to collect and evaluate
   data about intervention.
                                          30
a) Collect and analyze data to
   confirm or reject the hypotheses.
b) Refine the hypotheses and adjust
   interventions.
c) Continue to collect and evaluate data
   about intervention.



                                           31
MONITORING PLAN FOR INTERVENTION OUTCOMES



                                      Types of Outcomes:                   Methods:                        Timelines:
Goal
                                     What Will Be Measured?         How Will It Be Measured?   When/How Often Will It Be Measured?



Decrease in Problem Behavior     u




Increase in Alternative Skills




Other (Lifestyle Changes)




                                                                                                                                     32
MONITORING POSSIBLE OUTCOMES OF SUCCESSFUL INTERVENTION
               Possible Outcomes                                              Examples                                                 Documentation
Significant reduction in target behaviors               Aggression decreased to near zero levels; remains in         Frequency count of target behaviors; attendance
                                                        assigned area                                                records

Acquisition of adaptive skills (replacement skills)     Asks for break rather than throwing materials;               Log of activities and breaks requested; length of time
                                                        participates in group games                                  engaged

Improvements across many behaviors; absence of          Improvements in academic performance; medications            Grades; medical reports
side effects                                            discontinued

Reduced need for crisis intervention                    Decreased referrals or decreased use of crisis               Referrals; incident reports
                                                        management

Behavior changes across settings or circumstances       Improvements seen on bus, in cafeteria, with                 Reports from adults in other settings
                                                        babysitter

Participation in integrated community settings          Changes in placement; attends field trips or outings         IEP (time in ESE reduced); schedule of activities


Expansion of relationships and friendships              More frequent phone conversations or outings with            Diary; activity or contact log; reports from peers
                                                        peers; expanded network of social relationships



Increased independence in daily routines                Diminished adult supervision; completed aspects of           Reduced staff-student ratio; schedule or activity log
                                                        daily schedule unprompted

Involvement in broader range of meaningful activities   Participates in broader range of activities (e.g., goes to   Schedule of activities
                                                        movies, art projects)

Personal satisfaction with behavior or lifestyle        Increased smiling; reports satisfaction with changes         Observation and reports




                                                                                                                                                                              33
a) Collect and analyze data to confirm or
   reject the hypotheses.
b) Refine the hypotheses and adjust
   interventions.
c) Continue to collect and evaluate data
   about intervention.


                                            34
Best Practices in Progress Monitoring
             Elements in Progress Monitoring Behavior
1. Visual display should be plotted with time (x-axis) and the dimension of behavior
   (y-axis).
2. Frequency, rate, latency (response delay), duration, percentage correct, responses
   compared with number of opportunities to respond are all things that are
   measurable and can be recorded but must relate to target behavior.
3. Mark Intervention lines.
4. If multiple graphs are used, be sure to have behaviors on the same scale, i.e. Y-axis
   is consistent.
5. Establish baseline data. Baseline data must consist of more than one data point (3-
   7 is average).
6. Plot the goal or aim line. Goal should be based on local norms, research-based
   benchmarks, or classroom/peer comparison.
7. Goals must have an expected timeline to reach the goal. Adjustments to the goal
   (decision rules) can be applied in a flexible manner based on the student’s
   individual needs.
                                                                                  35
Evaluating Examples-
        Good, Better, Best?
• Using the 7-point check system (see
  Elements of Progress Monitoring:
  Handout 44) , what elements of
  progress monitoring are exhibited in
  the following examples?
• Should the intervention change based
  on data? What questions do you
  have?
                                         36
Does this have all the Elements of
                        Progress Monitoring?
                     Is this student improving?                Incidents


            350




            300




            250




            200
frequency




                                                                                                                       Incidents

            150




            100




            50




             0
                  9/12-9/19   9/26-10/9   10/10-11/8   11/9-12/6     12/6/06-   1/16/07-   2/21/07-3/9/07   3/10/07-
                                                                     1/12/07    2/16/07                     4/17/07
                                                        data collection dates
                                                                                                                                   37
Low Tech Example:
Does this have the
  qualities of Best
Practice in Progress
    Monitoring?




                       38
39
a) Collect and analyze data to confirm or
   reject the hypotheses.
b) Refine the hypotheses and adjust
   interventions.
c) Continue to collect and evaluate
   data about intervention.


                                            40
Single-Subject Design




                        41
Pitfalls at this stage (1)
Missing in                            Strategy to Overcome Pitfall
                    Invite all team members and key personnel..
Action (MIA):   

                   Schedule meetings in advance at regular intervals. Planned
The people          Behavior Review Meetings help control anxiety, manage stress
                    level and prevent need for reactive, unpredictable meetings.
that need to       The more severe the problem, the more frequent the meetings.
be at the          Never leave a meeting without having the next meeting
                    scheduled.
meeting are        Be sure that there is commitment from an administrator to attend.
missing            Decide the norms for the group. (If key members are not
                    present, reschedule to be more effective with time?)
leaving no
forum to
regularly
discuss
student
problems.
Pitfalls at this stage (2)
                                  Strategy to Overcome Pitfall
                   Decide roles: facilitator, data person, timer, and note-
Disorganized        taker in advance for the meeting        .
                   Discuss up front the length of the meeting and the end
Meeting:            time. Start and end on time.
                    Use technology like a data projector so that everyone is
Meetings are    
                    looking at the same information at the same time.
endless with       Take group notes so that note-taking is visible either with
                    poster board or computer with data projector.
no agenda and      Leave 15 minutes at the end of the meeting to
                    summarize, assign roles, review action plans.
participants
who are not
sure why they
are there.
Pitfalls at this stage (3)
Where’s the data?
• Meetings with no
  data lead to guessing               Strategy to Overcome Pitfall
                              Data must be ready for the meeting- that
  at the problem when     
                              is, it must be summarized and visually
  making adjustments.         displayed prior to starting the meeting
                              Compare data collected with the problem
• Not reviewing how       
                              statement and goal
  you are collecting         Step back to be sure that you are collecting
                              the right data - does this make sense?
  data - is the
  assessment telling us
  the information that
  we thought we
  wanted when we
  designed it.
Pitfalls at this stage (4)
Failing to intervene or
                                            Strategy to Overcome Pitfall
intervening too
quickly:                      Cornerstone of Progress monitoring is making
                               adjustments based on data.
• Designing                   Determine how much progress is enough before
  intervention with no         making a change.
  baseline.                   Rule of thumb: Collecting data over 4 to 6 weeks
• Either the team is           (progress).
  making changes too          How many data points do you need? Depends - the
  frequently (not              severity of behavior may require an intervention be
                               implemented very quickly.
  enough time to have
  it work) or making          What is the baseline; do we need it or do we have it
                               already? To determine a pattern, 80% of the data
  changes too late.            points should fall within 15% of the mean line or three
• Implementation Dip-          to five data points.
  a reaction by the
  student to the
  intervention that
  usually means the
  behavior gets worse
  before it gets better.
Pitfalls in this stage (5)
                                 Strategy to Overcome Pitfall
                       Have scripts included with the intervention to
Poor integrity of       encourage consistency when the intervention is
                        verbal.
the Intervention
                       Use implementation checklists
–Not implementing      Use signals that are consistent among staff
the intervention        during intervention to make sure that verbal
                        direction and tone are in check.
–Not implementing      Use visual signals to avoid problems in
                        communication when possible.
the intervention       Take attendance and track the frequency of the
the way we              intervention.
designed it to be
done.
Pitfalls at this stage (6)
Lack of a clearly specified goal
• No goal linked to objectives or
  a standard                               Strategy to Overcome Pitfall
• Unclear of what behavior is          Use local norms to determine goal.
  being targeted.                      Do you always aim to zero? What is
                                        a reasonable, realistic goal for a
• Is there a mismatch between           student?
  the intervention and the             Revisit the initial problem and goal
  initially identified need             statement.
• Overlooking the obvious- have
  we overlooked tried and true
  intervention strategies?
• Is there a mismatch between
  the intensity of the behavior
  and the intensity of
  intervention?
Planning for pitfalls
• Based on these pitfalls, what
  concerns do you have for your
  district teams?
• Discuss how you plan to trouble
  shoot pitfalls.



                                    48
Fba.my

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Fba.my

  • 1. This is Felix, an 8 year old boy referred for episodes involving refusal, tantrums and fleeing; sent home often. 1
  • 2. Step One: Problem Identification a. Define the problem behavior b. Review existing data c. Generate list of concerns d. Prioritize behaviors for intervention 2
  • 3. Frequency of Tantrums Over 56 Days 43% Tantrum 57% No Tantrum Initial Problem Identified: Felix had a tantrum during the first hour of the morning 24 times in 56 days.
  • 4. Peer Difficulties Poke Taking Things Hit/Kick Poke 9 Hit/Kick 9 Taking Things 12 4
  • 5. Data on Ignoring 16 14 12 10 8 6 4 2 0 Total After Recess On Way To Class If Redirected Other After On Way To If Total Recess Class Redirected Other 15 8 5 2 0 5
  • 6. Data Collection Sheet Name: _____________________ Teacher______________ Day__________________ Date__________T ime_________ Antecedent Behavior Maintaining Consequence Working Ignore Directive Avoided task Hard/Fatigued After Recess Carry Over Chased On Way To Class Preferred activity If Redirected Lots of Attention Non-Preferred Activity Peer Difficulties Card Turned Poke Hit/kick Taking things 6
  • 7. Tallying Data From All Sheets n=45 Antecedent Behavior Maintaining Consequence Working Ignore Directive Avoided task Hard/Fatigued 15 20 After Recess 35 8 On Way To Class Carry Over Chased 5 If Redirected 11 18 2 Preferred activity Peer Difficulties Lots of Attention 30 4 Poke 12 9 hit/kick Card Turned Non-Preferred Activity 9 10 taking things 6 12 7
  • 8. Felix No Days With Social Performances Tantrum 5% Frequency of Tantrums 19 days Felix: 42 Days of Morning Routine Tantrums By Time 30 25 Tantrum 95% 20 15 20 10 18 19 19 16 18 18 18 Some Points 14 5 45% 12 10 No Points 8 0 55% 6 8-9:00 9-10:00 10-11:00 11-12:00 12-1:00 1-2:00 2-3:00 3-4:00 4 2 2 0 Setting Events/Tantrums 19 tantrums over 42 days 8
  • 9. Defining Target Behaviors Directions: Please describe the target behaviors including their frequency, intensity, and results Student: Teacher: Class: Date: Describe what the student’s problem behavior looks like: Estimate how often the behavior occurs: Describe how intense or severe the behavior is: Determine what skills appear to be lacking: 9
  • 10. Profile of Student’s Strengths and Needs Academic Movement: Gross/ Emotional Communication Social Medical/ Affinities/ Other Fine/Repetitive Vision/Hearing Special Interests Strengths Math Gross Motor is fine Affectionate Receptive Relates well Vision Listening to VIQ 105 Listening with adults language in with adults hearing fine stories PIQ 129 comprehens superior Interested Computers Good attendance ion range in peers Video games Good memory Creative Has many Puzzlews Understands abstract Imaginative ideas and Creative story- concepts Reading wants to telling skills at share grade level Challenges Writing Small motor Regresses expressive doesn’t ADHD Many phobias: Language challenges with stress language read social Anxiety statues, masks, expression (buttons, snaps, Tantrums well below situations bees, soap, Reading zippers, pencils) anxious average well Limited range comprehensio serious tends to of foods n below grade articulation obssess level difficulties over one friend can’t easily share inflexible Data Observations Interviews Attendance Formal Testing Report Cards Class Assignments Resources Work Samples Grade Level Testing Anecdotal Records IEP/Progress Report Medical Records Office Discipline Referral OTHER: 10
  • 11. 11
  • 12. What do we know What do we need to know? How will we get it? Setting Events Anxiety When? Data collection sheet tailored Sleep problems Which tasks? Issues negotiating morning routine Is it lack of skill or is it dislike? Verbal outflow Antecedents Transitions Does he handle any transitions well? Data collection sheet Change in routine Will he transition to anything? Lack of functional support (regression) Does “loss of pts” bother him? Receiving CRT directive Can he do the things we ask of him? Others: bees, statues, masks, hand washing, Why the regression? public performance Directives: Can’t or won’t? Consequences Zero points on chart Do points/office matter? Data collection sheet Sent to office Peer reaction? Negative pee reaction The activity: can’t or won’t? Ends engagement in activity Other POHI certified with speech Is this the best diagnosis? Psychiatric requested Can he verbalize frustration? Does he have a script?> Teaching Does he recognize what a good day feels like? 12
  • 13. Teacher Data Collection Sheet Day___________________ Date_________________________ ________ Morning Routine At School SLEEP: JOBS/Morning Routine: Before Start of Day: Beha Came in Independently: vior Yes No Char t: Decent Night’s Sleep Yes No Difficulty interacting with peers in hall area: Yes No Thre e dom Completed Sequence Alone Difficulty at locker: yes no Verbal Overflow: ains All Zeros War Did not complete/passive WAKING UP: Mild Moderate Morning Routine/Jobs: complete Severe ning Give n Thre Did not complete/resistive incomplete e area At Carpet: s On time Late NOT On Time Late Early With Prompts Group Time: Participated All Zeros Yes No Retu Notes: r n MOOD upon arising: Note about “before” t o R o o W/O Permission m Happy Hyper Touchy cam e b a c W/O Permission k r e Notes About Affect/State Upon Waking Up: a d y t o l e a r n still p e r s e v e r a t i n g Note s : VERBAL OVERFLOW In Car: TRANSITION INTO BUILDING: Mild Med Severe Exited Car On Cue W / O With “big” Kids P e r m With Peers i s s i DROP OFF At SCHOOL: Late o n On Time Exit Independently Some Assistance Staye d Notes: Notes: a t s c h o o l a l l d a y Upon Removal to Mrs.Smith: Calmed down Processed event Tone of Voice off Complied w/redirection Returned to room after how many minutes? 13 Notes about removal
  • 14. Name: Felix Day___________________ Date_________ HOME Data Sheet SLEEP: JOBS/Morning Routine: Decent Night’s Sleep Yes No Completed Sequence Alone Did not complete/passive WAKING UP: Did not complete/resistive On Time Late Early Notes: MOOD upon arising: Happy Hyper Touchy Notes About Affect/State Upon Waking Up: VERBAL OVERFLOW In Car: TRANSITION INTO BUILDING: Mild Med Severe Exited Car On Cue With “big” Kids With Peers DROP OFF At SCHOOL: Late On Time Exit Independently Some Assistance Notes: Notes: 14
  • 15. ANALYZING PATTERNS Activity: Analyze the patterns evident in the data collected and record relevant information below. Analyzing Patterns Circumstances in which the behavior is most likely: First hour of day When transition into building is difficult When morning routine at home and school is difficult When he sleeps poorly On the day of a public performance Circumstances in which the behavior is least likely: When he sleeps well When he does not procrastinate in AM routine at house or locker When in cooperative, shared group task When his morning routine and transition into school is done independently Possible functions of the behavior To avoid fear (of social performance) which lead to avoidance 15
  • 16. Summary (Hypothesis) Statement Problem Definition Revised: Patterns: What patterns were identified in the data collected (i.e. circumstances in which behavior is most likely or least likely; possible functions of the behavior) When this occurs…. (describe the student does… (describe behavior) to get/to avoid… (describe consequences) circumstances) Moderating Variables: Are there other variables that appear to be affecting the student’s behavior (e.g., medical problems, curricular issues)? We can make it better if… We can make it worse if… 16
  • 17. Prompt compliance • Receives contingent to CRT directive positive CRT • Stay in classroom attention • Engage in • Positive peer classroom activities attention • Finishes his work • Gets Point Chart rewards Desired Behavior Consequence • Anxiety • Loss of points • Sleep • Transitions problems • Public performance • Removed from room; • Fatigue • Tantrum: (i.e.) • To avoid that which • Change in routine • earn “0” points on chart • Difficult cry, kick, scream, y he fears, like • CRT Directive • Sent to office ell, throw individual “public morning at • Lack of functional • negative peer reaction school and things, adamant performance” support • ends engagement in home refusals • Bees, statues, etc. • Work/task refusal activity • Verbal • miss social function overflow Setting Event Antecedent Problem Behavior Consequence Function • Use self-soothing coping skills • Communicate frustration adaptively Alternative Behavior 17
  • 18. Felix: Completed Modification Tool Preventative: What environmental adjustments can be used to make the student’s problem Educative: What skills can be taught to Functional: How can consequences behavior unnecessary? replace or meet the same function be managed to ensure the as the student’s problem behavior student receives reinforcers for and improve his or her ability to positive behavior, not problem function more effectively? behavior? Setting Event Strategies Antecedent Strategies Behavior Teaching Consequence Strategies Strategies Behavior plan initiated Social stories to Teach Felix how Felix is creative & at home to address: help set to use a visual imaginative; he Sleep routines expectations and schedule that he will receive Morning routine ease transitions & controls positive Transportation to anxiety Help him to reinforcement school Choices given develop social (verbal praise, “If/Then” stories for earn desired statements used anxiety provoking activities, star in giving directives situations chart, etc.) for Visual schedule Create a chart of his that Felix feeling “faces;” participation in manipulates to he can then pick visual enhance feelings one that matches schedule, & control his feeling. If social stories, Select feelings frustrated, he & coping “face” symbol to can go to a strategy use match his current designated area (e.g. books on tape, feeling. Then self- to self-soothe computers, soothe as needed Felix likes video games, creative story- puzzles, etc.) telling; slowly develop this into public performance in the classroom 18
  • 19. Felix’s Completed Behavior Plan BEHAVIORAL INTERVENTION PLAN SUMMARY Intervention components: What strategies will be used (based on the hypotheses)? Goal: 50% decrease in problem behaviors identified ______ See attached implementation plan Preventative: What environmental adjustments will be used Educative: What behaviors (skills) will be taught to replace Functional: How will consequences be managed to insure the student receives reinforcers for positive, to make the student’s problem behavior unnecessary? (meet the same function as) the student’s problem behavior and not problem, behavior? Behavioral plan to be implemented at home to address setting improve his or her ability to function more effectively? When the student does . . . Adults will do . . . events and establish predictable routines: sleep; morning; Felix will help develop social stories and use them to decrease transportation. anxiety levels. Social stories will be used to help with transitions and to reduce Manipulation of a visual schedule should enhance Felix’s feelings anxiety levels. of control and decrease anxiety levels related to transitions and Choices will be given. public performances. If, then statements will be used. Felix will be taught to identify his feelings by using feeling faces A visual schedule will be implemented to enhance feelings of and utilize a designated area to self soothe. control. Slowly increase Felix’s ability to participate in public performances Feeling faces will be used to identify feelings. by using graduated steps to reduce anxiety. A designated area will be used for self soothing activities. Felix likes creative story telling. This may be used to help transition into public performances. ________ goals integrated student’s IEP within the /ISP Acknowledge and encourage Felix to use “Cool Down” spot. Hold Identifies feelings utilizing feeling faces (i.e. frustration). up a green card to indicate visual permission. Exhibits frustration. Use appropriate social story and allow 5 minutes for Felix to adjust. Follows the preventative and educative components of his plan. Provide reinforcements: Books on tape; computers; video games; puzzles; verbal praise. Completes cool down. Teacher will provide a compliance task which must be completed prior to Felix joining the class activities. Crisis Management: Are crisis management procedures needed to insure safety and de-escalation of the student’s behavior in emergency situations? X YES NO If so, describe strategies: Proactive: Reactive: Use behavioral strategies described above. Ensure safety of students by removing them from the classroom if Felix should NCI Strategies to be utilized tantrum. Follow Crisis Plan. 19
  • 20. Felix’s Completed Behavior Plan (highlighting Crisis Plan) BEHAVIORAL INTERVENTION PLAN SUMMARY Intervention components: What strategies will be used (based on the hypotheses)? ______ See attached implementation plan Preventative: What environmental adjustments will be used to Educative: What behaviors (skills) will be taught to replace (meet the same function Functional: How will consequences be managed to insure the student receives reinforcers for positive, not problem, behavior? as) the student’s problem behavior and improve his or her ability to function more When the student does . . . Adults will do . . . make the student’s problem behavior unnecessary? effectively? Behavioral plan to be implemented at home to address setting Felix will help develop social stories and use them to decrease anxiety levels. events and establish predictable routines: sleep; morning; Manipulation of a visual schedule should enhance Felix’s feelings of control and decrease anxiety levels related to transitions and public performances. transportation. Felix will be taught to identify his feelings by using feeling faces and utilize a designated Social stories will be used to help with transitions and to reduce area to self soothe. anxiety levels. Slowly increase Felix’s ability to participate in public performances by using graduated steps to reduce anxiety. Choices will be given. Felix likes creative story telling. This may be used to help transition into public If, then statements will be used. performances. A visual schedule will be implemented to enhance feelings of control. ________ goals integrated student’s IEP within the /ISP Feeling faces will be used to identify feelings. A designated area will be used for self soothing activities. Acknowledge and encourage Felix to use “Cool Down” spot. Hold up a green card to indicate visual permission. Identifies feelings utilizing feeling faces (i.e. frustration). Use appropriate social story and allow 5 minutes for Felix to adjust. Exhibits frustration. Provide reinforcements: Books on tape; computers; video games; puzzles; verbal Follows the preventative and educative components of his plan. praise. Teacher will provide a compliance task which must be completed prior to Felix joining Completes cool down. the class activities. Crisis Management: Are crisis management procedures needed to insure safety and de-escalation of the student’s behavior in emergency situations? X YES NO If so, describe strategies: Proactive: Reactive: Use behavioral strategies described above. Ensure safety of students by removing them from the NCI Strategies to be utilized classroom if Felix should tantrum. 20 Follow Crisis Plan.
  • 21. Felix: Monitoring Plan MONITORING PLAN FOR INTERVENTION OUTCOMES Goal: 50% decrease Types of Outcomes: Methods: Timelines: in frequency of What Will Be Measured? How Will It Be Measured? When/How Often Will It problem behavior Be Measured? Decrease in Problem 1. Decrease in frequency of 1. Tally incidence of tantrums 1. Assess tantrums and Behavior: tantrums 2. Collect intensity ratings and office referrals daily Tantrums 2. Decrease in intensity of duration of tantrums until further notice; Anxiety tantrums 3. Tally compliance to initial review after one week Office referrals 3. Decrease in reported anxiety teacher directives then monthly 4. Increase in time spent in class 4. Use ratings on Faces chart 2. Assess anxiety asap or Anxiety Thermometer to quantify level of anxiety Increase in 1. Increase in self-soothing 1. Ratio of tantrums to removal 1. Assess with each Alternative Skills 2. Increase in verbalizing anxiety 2. Anecdotal records tantrum Self-soothing 2. Document in writing strategies as it happens Communication/Stor 3. Meet after one week y Board device and then monthly Choice-making Other (Lifestyle 1. At home, Felix will follow a 1. Parent report 1. Weekly email Changes) behavior plan which will help update address expectations and 2. Monthly update routines 2. Create visual sequence of tasks for night and morning routines 21
  • 22. Weekly Progress Monitoring Data Collection Form Felix: Week/Date: Notes F R E Q U E N C Y T O T O T O T O T O Monday Tuesday Wednesday Thursday Friday 22
  • 23. Felix monitoring form F R E Q U E N C Y T O T O T O T O T O Monday Tuesday Wednesday Thursday Friday Progress Monitoring: Tantrums Progress Monitoring: Office Intervention 3.5 Referrals Intervention 8 3 7 2.5 6 5 2 4 1.5 3 1 2 0.5 1 0 0 -0.5 Baseline Week 1 Week 2 Week3 Week 4 Week 5 Week 6 -1 Baseline Week 1 Week 2 Week3 Week 4 -1
  • 24. Felix Felix: Points Earned Progress Monitoring 8 7 6 5 4 Points (six is possible) 3 Linear ( Points (six is possible)) 2 1 0 Date P oi nts ( si x is possi bl e ) 1- Oct 0 2- Oct 1 3- Oct 2 4- Oct 1 5- Oct 2 8- Oct 0 9- Oct 1 10- Oct 1 11- Oct 4 12- Oct 5 15- Oct 3 16- Oct 5 17- Oct 6 18- Oct 6 19- Oct 6 22- Oct 4 23- Oct 6 24- Oct 5 25- Oct 5 24
  • 25. Felix’s Completed Behavior Plan of Support 25
  • 26.
  • 27. The Problem Solving Process Problem Identification Progress Problem Monitoring Clarification Intervention Problem Planning Analysis 27
  • 28. Big Idea: Did the intervention work and what is next? A schedule for ongoing monitoring Data are interpreted, in of the response to Step 5. relation to predetermined intervention data is Progress Monitoring and criteria, to evaluate the set. Evaluation effectiveness of interventions Level of ongoing and supports provided. support necessary Intervention strategies are for student success adjusted to improve results is reevaluated. as needed.
  • 29. Monitoring • Where are you? • Where do you want to be? • You need to see progress headed in the right direction! 29
  • 30. Monitoring Big Idea: Did the Intervention work and what is next? a) Collect and analyze data to confirm or reject the hypothesis. b) Refine the hypothesis and adjust interventions. c) Continue to collect and evaluate data about intervention. 30
  • 31. a) Collect and analyze data to confirm or reject the hypotheses. b) Refine the hypotheses and adjust interventions. c) Continue to collect and evaluate data about intervention. 31
  • 32. MONITORING PLAN FOR INTERVENTION OUTCOMES Types of Outcomes: Methods: Timelines: Goal What Will Be Measured? How Will It Be Measured? When/How Often Will It Be Measured? Decrease in Problem Behavior u Increase in Alternative Skills Other (Lifestyle Changes) 32
  • 33. MONITORING POSSIBLE OUTCOMES OF SUCCESSFUL INTERVENTION Possible Outcomes Examples Documentation Significant reduction in target behaviors Aggression decreased to near zero levels; remains in Frequency count of target behaviors; attendance assigned area records Acquisition of adaptive skills (replacement skills) Asks for break rather than throwing materials; Log of activities and breaks requested; length of time participates in group games engaged Improvements across many behaviors; absence of Improvements in academic performance; medications Grades; medical reports side effects discontinued Reduced need for crisis intervention Decreased referrals or decreased use of crisis Referrals; incident reports management Behavior changes across settings or circumstances Improvements seen on bus, in cafeteria, with Reports from adults in other settings babysitter Participation in integrated community settings Changes in placement; attends field trips or outings IEP (time in ESE reduced); schedule of activities Expansion of relationships and friendships More frequent phone conversations or outings with Diary; activity or contact log; reports from peers peers; expanded network of social relationships Increased independence in daily routines Diminished adult supervision; completed aspects of Reduced staff-student ratio; schedule or activity log daily schedule unprompted Involvement in broader range of meaningful activities Participates in broader range of activities (e.g., goes to Schedule of activities movies, art projects) Personal satisfaction with behavior or lifestyle Increased smiling; reports satisfaction with changes Observation and reports 33
  • 34. a) Collect and analyze data to confirm or reject the hypotheses. b) Refine the hypotheses and adjust interventions. c) Continue to collect and evaluate data about intervention. 34
  • 35. Best Practices in Progress Monitoring Elements in Progress Monitoring Behavior 1. Visual display should be plotted with time (x-axis) and the dimension of behavior (y-axis). 2. Frequency, rate, latency (response delay), duration, percentage correct, responses compared with number of opportunities to respond are all things that are measurable and can be recorded but must relate to target behavior. 3. Mark Intervention lines. 4. If multiple graphs are used, be sure to have behaviors on the same scale, i.e. Y-axis is consistent. 5. Establish baseline data. Baseline data must consist of more than one data point (3- 7 is average). 6. Plot the goal or aim line. Goal should be based on local norms, research-based benchmarks, or classroom/peer comparison. 7. Goals must have an expected timeline to reach the goal. Adjustments to the goal (decision rules) can be applied in a flexible manner based on the student’s individual needs. 35
  • 36. Evaluating Examples- Good, Better, Best? • Using the 7-point check system (see Elements of Progress Monitoring: Handout 44) , what elements of progress monitoring are exhibited in the following examples? • Should the intervention change based on data? What questions do you have? 36
  • 37. Does this have all the Elements of Progress Monitoring? Is this student improving? Incidents 350 300 250 200 frequency Incidents 150 100 50 0 9/12-9/19 9/26-10/9 10/10-11/8 11/9-12/6 12/6/06- 1/16/07- 2/21/07-3/9/07 3/10/07- 1/12/07 2/16/07 4/17/07 data collection dates 37
  • 38. Low Tech Example: Does this have the qualities of Best Practice in Progress Monitoring? 38
  • 39. 39
  • 40. a) Collect and analyze data to confirm or reject the hypotheses. b) Refine the hypotheses and adjust interventions. c) Continue to collect and evaluate data about intervention. 40
  • 42. Pitfalls at this stage (1) Missing in Strategy to Overcome Pitfall Invite all team members and key personnel.. Action (MIA):   Schedule meetings in advance at regular intervals. Planned The people Behavior Review Meetings help control anxiety, manage stress level and prevent need for reactive, unpredictable meetings. that need to  The more severe the problem, the more frequent the meetings. be at the  Never leave a meeting without having the next meeting scheduled. meeting are  Be sure that there is commitment from an administrator to attend. missing  Decide the norms for the group. (If key members are not present, reschedule to be more effective with time?) leaving no forum to regularly discuss student problems.
  • 43. Pitfalls at this stage (2) Strategy to Overcome Pitfall  Decide roles: facilitator, data person, timer, and note- Disorganized taker in advance for the meeting .  Discuss up front the length of the meeting and the end Meeting: time. Start and end on time. Use technology like a data projector so that everyone is Meetings are  looking at the same information at the same time. endless with  Take group notes so that note-taking is visible either with poster board or computer with data projector. no agenda and  Leave 15 minutes at the end of the meeting to summarize, assign roles, review action plans. participants who are not sure why they are there.
  • 44. Pitfalls at this stage (3) Where’s the data? • Meetings with no data lead to guessing Strategy to Overcome Pitfall Data must be ready for the meeting- that at the problem when  is, it must be summarized and visually making adjustments. displayed prior to starting the meeting Compare data collected with the problem • Not reviewing how  statement and goal you are collecting  Step back to be sure that you are collecting the right data - does this make sense? data - is the assessment telling us the information that we thought we wanted when we designed it.
  • 45. Pitfalls at this stage (4) Failing to intervene or Strategy to Overcome Pitfall intervening too quickly:  Cornerstone of Progress monitoring is making adjustments based on data. • Designing  Determine how much progress is enough before intervention with no making a change. baseline.  Rule of thumb: Collecting data over 4 to 6 weeks • Either the team is (progress). making changes too  How many data points do you need? Depends - the frequently (not severity of behavior may require an intervention be implemented very quickly. enough time to have it work) or making  What is the baseline; do we need it or do we have it already? To determine a pattern, 80% of the data changes too late. points should fall within 15% of the mean line or three • Implementation Dip- to five data points. a reaction by the student to the intervention that usually means the behavior gets worse before it gets better.
  • 46. Pitfalls in this stage (5) Strategy to Overcome Pitfall  Have scripts included with the intervention to Poor integrity of encourage consistency when the intervention is verbal. the Intervention  Use implementation checklists –Not implementing  Use signals that are consistent among staff the intervention during intervention to make sure that verbal direction and tone are in check. –Not implementing  Use visual signals to avoid problems in communication when possible. the intervention  Take attendance and track the frequency of the the way we intervention. designed it to be done.
  • 47. Pitfalls at this stage (6) Lack of a clearly specified goal • No goal linked to objectives or a standard Strategy to Overcome Pitfall • Unclear of what behavior is  Use local norms to determine goal. being targeted.  Do you always aim to zero? What is a reasonable, realistic goal for a • Is there a mismatch between student? the intervention and the  Revisit the initial problem and goal initially identified need statement. • Overlooking the obvious- have we overlooked tried and true intervention strategies? • Is there a mismatch between the intensity of the behavior and the intensity of intervention?
  • 48. Planning for pitfalls • Based on these pitfalls, what concerns do you have for your district teams? • Discuss how you plan to trouble shoot pitfalls. 48

Hinweis der Redaktion

  1. Review existing data here????????? Quickly?
  2. Refer to written guideUsing Excel to Create Visual Data and possibly refer them to a handout with all information; data collection
  3. DATA COLLECTION SHEETS!
  4. Handout 4 - Felix
  5. Handout 5 - Felix
  6. Handout 6 - Felix
  7. Handout 7 - FelixReference & Home Data Collection Sheets (2)
  8. Handout 8 - Felix
  9. Handout 9 – Felix
  10. Handout 11 - Felix
  11. Handout 13 - Felix
  12. Handout 13 – Felixrefer to lower section on Felix’s completed Intervention Plan with completed Crisis Management PlanRefer to lower section on Lexi’s Behavior Intervention Plan and have participants complete the Crisis Management Plan
  13. Handout 14 - Felix
  14. Handout 15 - Felix
  15. Handout 42 Monitoring-- Plan for Intervention OutcomeRemind them that this is where we may write a goal that thought about during hypothesis buildingTeach to the form………………….this guides you.
  16. HANDOUT/TOOL: Monitoring Handout 43From South Florida . . . Giving examples of the kind of outcomes you may want to monitor . . . Cannot do everything . . . Choose what you want to see improving!
  17. Monitoring Handout 44
  18. Handout: Elements in Progress monitoring behavior
  19. Handout 45: ChartMary - can refer to the graph paper in the progress monitoring section as a way to take data or graph progress
  20. Mary or Karen