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Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi E-mail: [email protected]

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Page 1: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Development of Behavior Support Plans

Brad A. Dufrene, Ph.D.School Psychology Training Program

Department of PsychologyThe University of Southern Mississippi

E-mail: [email protected]

Page 2: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

• Housekeeping notes & updates

Page 3: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Where are you going, where have you been?

• Folders from 48 students w/ ED were recently reviewed

• Folder reviews focused on IEPs, FBAs, BSPs, and discipline reports

Page 4: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Review Method: BSPBSPs were evaluated using 6 item checklist:

1. BSP present in student’s folder2. Antecedent modifications listed & appropriate3. Reinforcement plan provided & appropriate4. Progress monitoring plan specified5. Evidence of evaluation of integrity of

implemementation6. Data available documenting student response to plan

* Evaluation of each item was conducted using conservative criteria and scoring item as either present or absent

Page 5: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

General Findings

• Of 48 folders reviewed, 33 included students with >1 office discipline referral/behavior incident

• 18 of 33 students (54.54%) with ED and >1 ODR had a current FBA and BSP in their folder

Page 6: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Findings: BSP Review• 28.33% of items scored as present• Items that were most problematic:

– Antecedent & consequent components of BSP were often not tied to FBA

• Moreover, consequent components were rarely specified

– No plan included a systematic plan for monitoring integrity– Rarely did plans include objective data documenting students’

response to plan

• Additional notes:– For some BSPs, there were many antecedent & consequent

components that were the sole responsibility of the student and/or parent

– BSPs were almost always dated the same date as IEP– Rarely was there documentation as to who developed the BSP

Page 7: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Conclusions

• Tremendous amount of progress w/ regard extent to which students with ED have current FBA & BSP

• Some progress noted with regard to content of FBAs and BSPs

• Additional progress needs to be made with regard to content & quality of FBAs and BIPs

Page 8: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Why do kids display problem behaviors in

school settings?Learning History

years of past problem behaviors have served a functional and adaptive role

Adjustment inconsistent environments exacerbate the display of

problem behaviors

Page 9: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Why is competent behavior management important?

• Spend less time managing behavior• Prevent exacerbating existing problems• Insure students’ and others’ safety• Increase students’ self-esteem• Avoid teacher burnout• Increase students’ opportunity to learn• Teach important behavioral skills!

Page 10: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Development of Positive Behavior

Supports

Linking FBA data to Intervention

Page 11: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Levels of Intervention• Level I: Differential Reinforcement

• Providing reinforcement for the display of appropriate behavior

• For example: Allowing the student to obtain a “break” from the situation for displaying appropriate behavior

• Level II: Extinction or elimination of reinforcement– Minimizing reinforcement for the occurrence of inappropiate

behavior• Level III: Response Cost

• Removal of privileges and Time-out• Level IV: Reductive Strategies & Aversives

• Corporal Punishment, Suspensions, Alt Placements• Typical school discipline ladder

Page 12: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Linking FBAs to Intervention:Positive Behavioral Support Plans

“a behavior change program that emphasizes teaching prosocial behaviors to replace a student’s inappropriate behaviors.” (Drasgow et al., 1999)

a plan that views problem behavior as resulting from challenging social situations for which the problem behavior represents a possible solution (Yell, Katsiyannis, Bradley, & Rozalski, 2000)

“not focused on controlling the person, but instead on redesigning the environment and building new skills that make the problem behavior irrelevant, inefficient, and ineffective in the environment” (Drasgow et al, 1999)

Page 13: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Linking FBAs to Intervention:Positive Behavioral Support Plans

“key component of the BIP is the use of multiple proactive strategies aimed at preventing problem behavior before it warrants sanctions.” (Drasgow & Yell, 2001)

“behavioral plans that describe acts of prohibited misconduct and then specific consequences for misbehavior are almost certainly illegal because they are reactive.” (Gorn, 1999)

Page 14: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Essential Components of the Positive Behavioral Support Plan

• Operational Definitions of Target and Replacement Behaviors

• Teaching Strategies for Skill Deficits

• Teacher Training & Support

• Progress Monitoring

• Treatment Integrity

Page 15: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Some Vocabulary• Antecedent-based intervention

– Preventative & proactive– Occurs prior to student engaging in behavior

• Designed to prevent the likelihood of problem behavior & increase the probability of appropriate behavior

• Consequent-based intervention– Reactive– Occurs after student engages in behavior

• Follows behaviors & aimed at increasing/maintaining appropriate behaviors & decreasing inappropriate behavior

Page 16: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Keep in mind…

• There’s more than one way to skin a cat…

• In other words, the are multiple ways to reduce problem behaviors without resorting to punishment– Antecedent manipulations, extinction,

differential reinforcement

Page 17: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Intervention Procedures for All: Toddlers to Teens

• Teaching & routinely rehearsing rules– Develop a few highly generalizable rules,

ensure knowledge of rules by all parties, consistently acknowledge rule following Bx & use corrective teaching interactions for minor disruptive behaviors

• This is the cornerstone of PBIS!

• Differential attention– Attending to appropriate student behavior

w/ positive attention

Page 18: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Intervention Procedures for All: Toddlers to Teens

• Effective instruction delivery/Precision requests– Solicit student’s attention– Deliver “DO” instruction– Praise compliance

*Not used for all request, but rather for times when it is important that the student comply with the request in a short period of time

• Planned ignoring– “Don’t sweat the small stuff”

Page 19: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Interventions Based on Sound Behavioral Principles

• Daily behavior report card

• Home-school note

• Self-monitoring

• Token economies w/ & w/out response cost

» *Conduct periodic preference assessments

Page 20: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Function-Based Interventions• Behaviors maintained by:

– Positive reinforcement: Access to social attention• A: Pre-correction• A: Social skills training • C: Differential attention for appropriate behavior• C: Planned ignoring

– Positive reinforcement: Access to preferred tangible/activity

• A: Pre-correction• C: Differential reinforcement - Token economies w/ & w/out

response cost• C: Premack Principle• C: Withholding reinforcement for inappropriate behavior

Page 21: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Function-Based Interventions• Behaviors maintained by:

– Negative reinforcement: Escape from aversive tasks/situations• A: Skill building for academic/social skill

deficits• A: Instructional level academic tasks• A: Choice• A: Momentum• C: Planned breaks contingent upon

appropriate behavior• C: Withholding reinforcement for

inappropriate behavior

Page 22: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Function-Based Interventions

Behaviors maintained by:

– Negative reinforcement: Escape from social attention

• A: Skill building for social skill deficits• C: Planned breaks contingent upon

appropriate behavior• A/C: Relaxation training: Programming

appropriate replacement responses• C: Withholding reinforcement for

inappropriate behavior

Page 23: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Monitoring Implementation of Interventions

• Develop detailed treatment protocols– Operationally define target behaviors & replacement behaviors– Operationally define important steps in treatment– Include who, what, & where of treatment implementation

• Direct observation– May or may not produce reactivity; but, may also provide valuable

information regarding treatment implementation

• Permanent product review– Sound interventions leave permanent products (i.e., remnants)

• Permanent products include: progress monitoring sheets with data recording, records of preference assessments, treatment protocols, student folders, etc.

Page 24: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

• Behavior Support Plan protocol for Jefferson Parish

Public Schools

Page 25: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Protocol Items

• 1. Persons responsible for implementing plan

• 2. Persons responsible for monitoring integrity of plan

Page 26: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Protocol Items

• 3. Hypotheses/summary statements from FBA

• 4. List & define appropriate replacement BXs

• 5. List & define target behaviors for reduction

Page 27: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Protocol Items• 6. Antecedent procedures

– Account for appropriate & inappropriate BXs

• 7. Consequent procedures– Account for appropriate & inappropriate BXs

• 8. Progress monitoring plan

• 9. Plan for monitoring implementation

Page 28: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Case Examples

Page 29: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Demographic Information

• Joe

• African-American Male

• 4-year-old

• In classroom with 19 other students

• Teacher and Teacher Assistant

Page 30: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Indirect & Direct-Descriptive Methods

• Functional Assessment Informant Record for Teachers (FAIR-T) – Preschool Version

• Direct Observations

Page 31: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-T Preschool Version

• No developmental concerns• No Medications• Social Skills were WNL• Compliance:

– Initial: 3 of 10 adult requests– Final: 6 of 10 adult requests

• Work Completion: 100%• Work Accuracy: 90%

Page 32: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-TPreschool Version

• Primary Target Behavior

• Aggression– Hitting, kicking, choking other students– Rated as unmanageable & very disruptive– Occurred 1-3 times per day

Page 33: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-TPreschool Version

• Antecedents:– Large group activities– Transition periods– Denial of student requests

Page 34: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-TPreschool Version

• Consequences:– Access to preferred activity– Removal of requests– Peer Attention– Teacher Attention*

• * Rated as most frequent occurrence

Page 35: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Direct Observations

• Three 10-minute observations

• Conducted during Center Time or Free Play

• 10-second partial interval recording was used

Page 36: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Direct Observations

• Aggression occurred during an average of 22.78% of the intervals

• Consequent Events:– Attention: 75.61%– Escape: 12.20%– Tangible: 0%

Page 37: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Summary of Direct-Descriptive Methods

• When presented with large group activities & transitions, Joe will display aggressive behavior toward peers to obtain social attention.

Page 38: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Brief Experimental Analysis

• Attention

• Escape

• Tangible

• Contingency Reversal

• reprimand for aggression

• removal from play area

• preferred toy given

• praise given for prosocial behavior

Page 39: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Brief Functional Analysis

0

5

10

15

20

25

30

0.5 1.5 2.5 3.5 4.5

Fre

qu

ency

of

Ag

gre

ssio

n

Tangible for Hitting Attention for Hitting Escape for Hitting Contingency Reversal:Attention for Replacement Behavior

10 Minute Sessions

Page 40: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Intervention

• Effective Instruction Delivery

• Differential Attention for Appropriate Behavior

• Time-Out for Aggression

• 10 min sessions as in previous phase

Page 41: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Functionally-Based Treatment

0

5

10

15

20

25

30

35

40

1 2 3 4 5 6 7 8 9 10 11 12 13

Sessions

Freq

uenc

y of

Agg

ress

ion

Baseline Intervention with Consultant

Withdrawal Intervention with Teacher

Page 42: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Demographic Information

• Jerry

• 15 y/o male

• SPED: Serious Emotional Disturbance

• Substantial deficits in reading fluency

Page 43: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Indirect & Direct-Descriptive Methods

• Functional Assessment Informant Record for Teachers (FAIR-T)

• Direct observations

Page 44: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-T

• Primary target behavior:

– Disruptive classroom behavior

• Includes: Inappropriate vocalizations, out-of-seat, non-compliance, arguing w/ adults & other students

– Rated as unmanageable & very disruptive

– Occurred 1-3 times per day

Page 45: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-T

• Antecedents

– Independent seat work– Language arts activities– Denial of student requests

Page 46: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

FAIR-T

• Consequences

– Teacher reprimand– Peer attention– Referral to office– In school suspension– Out of school suspension

Page 47: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Direct Observations

• A-B-C narrative observations

– Observation 1:• Disruptive behavior (i.e., talking-out, arguing with teacher)

during teacher directed instruction (i.e., language arts lecture) followed by teacher attention (i.e., arguing w/ student)

– Observation 2:• Disruptive behavior during independent seatwork (i.e., talking

out, out of seat, arguing with teacher & students) followed by peer attention, teacher reprimand, verbal altercation w/ teacher, referral to office

Page 48: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Intervention

• Remedial direct-instruction for reading• Effective instruction delivery• Teacher acknowledgment of appropriate behavior (in

private)• Planned breaks for appropriate behavior• Daily behavior report card• Planned ignoring• Social skills training for effective conflict resolution (i.e.,

programming appropriate replacement behaviors)• Transitioned daily report card to self-monitoring

intervention

Page 49: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Results

• Gradual improvement in reading fluency & comprehension

• Moderate improvement in point earnings for daily behavior report card

• Teacher reported decreased occurrence of arguments

• Student reported greater satisfaction w/ school

Page 50: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Checklist for Conducting Legally Correct and Educationally Appropriate FBAs and PBS plans

• IEP team convened to conduct or appoint someone to conduct FBA.

• Persons conducting FBA are qualified.

• Parents are notified in time to provide input on assessment.

• FBA consists of:

– Interviews with relevant parties (parent, teacher, student)

– Multiple direct observations in a variety of settings

– Functional or Experimental Analysis, if necessary

– Summaries of hypothesis statements about function of behavior

• FBA conducted in a timely manner

• IEP team develops an appropriate PBS plan based on FBA.

– Proactive, antecedent strategies

– Relevant consequent strategies, including regular discipline strategies designed to “teach” replacement behaviors

Page 51: Development of Behavior Support Plans Brad A. Dufrene, Ph.D. School Psychology Training Program Department of Psychology The University of Southern Mississippi

Questions???