making it happen! using the science of implementation to guide best practices in pbis december 1,...
TRANSCRIPT
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Making it Happen! Using the Science of
Implementation to GuideBest Practices in PBIS
December 1, 2011Susan Barrett
Implementer Partner, Center on PBIS
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Themes for Today
1) Implementation Science is applicable across our work
2) It’s essential to have consistent leadership at the SU/District level
3) We must address what drivers enable change and are resistance to change
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Outcomes•Understand Implementation Science within
multi-tiered systems of support (MTSS)• Identify the Stages of Implementation and plan
for moving from one stage to the next•Explore a school/SU/District leadership team
structure that fits within your cultural context•Review implementation dips and identify
strategies for overcoming them •Hear from colleagues about how they “Make it
Happen!”•Create an Implementation/Sustainability Action
Plan
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Who’s Here?
•What stage of PBIS implementation are you in?▫Are you exploring? Have you rolled-out?
Have you been implementing for 2+ years?
•What role are you? ▫SU/District Coordinator? Building
Administrator? PBIS School Coordinator? Other?
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“Here is Edward Bear, coming downstairs now, bump, bump, bump, on the back of his head, behind Christopher Robin. It is, as far as he knows, the only way of coming downstairs, but sometimes he feels that there really is another way, if only he could stop bumping for a moment and think of it. And then he feels that perhaps there isn't.” ― A.A. Milne, Winnie-the-Pooh
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Agenda9:00-9:15 Welcome and Opening Remarks9:15-12:00 Presentation and Team Activities:
PBIS and Implementation Science -Overview/lessons learnedStages of ImplementationLeadership Team Infrastructure
12:00-1:00 Lunch1:00-1:30 Deputy Commissioner Remarks
Making it Happen: Panel1:30-3:30 Presentation and Team Activities:
National and Vermont PerspectiveImplementation Dips and StrategiesTeam Action Planning
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www.pbis.org
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www.scalingup.org
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Outcome #1:Understand Implementation Science within a multi-tiered system of support
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SW-PBIS (aka PBIS/RtI) is
Framework
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in order to meet benchmarks.
=
These students get these tiersof support
+
Three Tiered Model of Student Supports
The goal of the tiers is student success, not labeling.
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PBIS: Creating the Conditions for Learning Social Competence &
Academic AchievementSystems Supporting Staff Behavior• Team Approach•Administrator participation•Community of Practice (Skill development and performance feedback)
Data Supporting Decision Making•Office Discipline Referrals•Academic progress•Attendance, truancy•Direct observation•School improvement goal progress•Process tools (fidelity)
Practices Supporting Student Behavior• Define behaviors, expectations, and rules• Teach, model, and acknowledge behaviors, expectations, and rules• Correct behaviors• Consensus/collaboration
SYSTE
MS
PRACTICES
OUTCOMES
DATA
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SW-PBIS Implementation “Infidelity”
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Activity
•As a team:▫Identify one or two things in your SU/District
that helps in your exploration, implementation, or sustainability of PBIS
▫Identify one or two challenges that get in the way of PBIS exploration/implementation/sustainability
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So, what is the Science of Implementing Evidence Based Practices and why is it important?
“Organization is what you do before you do something, so that when you do it, it’s not all mixed up.” ― A.A. Milne
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We must think carefully about our purpose, players, and position to determine priorities and courses of action
(Harn, 2008)“I think you should be more explicit here in step two.”
Then a Then a miracle miracle occurs occurs
Implementing PBIS
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FACT
Students cannot benefit from interventions they do not
experience
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FICTION
Good science (evidence-based practices)
leads to Good practices
(implementation science)
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GAP
Science ServiceIMPLEMENTATION
Science “to” Service
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Implementation Definition
•What do we mean by implementation?
▫“A specified set of purposeful activities at the practice, program, and system level designed to put into place a program or intervention of known dimensions with fidelity.”
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Implementation Science Definition
•Implementation science is universal (like physics, chemistry)
•All human services (and beyond)▫Shared experience & learning▫Rapidly advance implementation best
practices, science, and public policy
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Implementation Science at All Levels
Student
Classroom
School
State
District
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Vermont Implementatio
n Levels
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Lesson 1
What is known is generally not what is adopted
Implementation Gap
There are not clear pathways to implementation
What is adopted often is not used with fidelity and good effect
What is implemented disappears over time and with staff turnover
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Let’s Take a Walk Down Memory Lane…One SU Story
Let’s Take a Walk Down Memory Lane…
One SU Story
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Once Upon a time ...
• In a Vermont Supervisory Union long ago and far away: ▫Four school teams attend the VTPBiS Intro
Forum and get excited about exploring PBIS.
▫Principals ask Superintendent if it would be a problem if their schools participate in the training…answer “go ahead”
▫BEST/Act 230 grant application is completed and funds are approved
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Then…
•Vermont Supervisory Union: ▫ Intent to Implement Agreement is sent from SU to
State indicating…”We are committed!”
▫State level coach is assigned to support SU and schools.
▫Schools receive training and roll-out at the Universal Level. One school becomes an exemplar at this level.
▫All four schools meet SET criteria to move to targeted training and do so.
▫SU PBIS Coordinator has yet to be identified.
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Then…•Vermont Supervisory Union: ▫One year later the new SU Special Education
Administrator is assigned the role of PBIS SU Coordinator.
▫Concurrently, all four schools are chosen to participate in Vermont’s first Intensive PBIS cohort
▫The PBIS SU Coordinator introduces a “new behavior initiative”. A definitive connection with PBIS is not made.
▫School “leadership teams” are required to participate in training for the “new behavior initiative” and the SU puts PBIS in the backseat but not out the door.
▫All four schools decide not to implement Intensive PBIS practices and instead decide to focus on targeted practices
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Then…
Two years later, the PBIS SU Coordinator leaves his position. Both the new behavior initiative and PBIS flounder. All of the buildings say their universal and targeted strategies are not sustaining, however they are committed to staying the course.
THE END!
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Sound Familiar?
Talk amongst yourselves. What are the lessons from this story and how do they apply to your school/SU/district?
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Lesson 2Excellent evidence for what does not work
Implementation by edict/ accountability by itself does not work
Implementation by “following the money” by itself does not work
Implementation without changing supporting roles and functions does not work
Paul Nutt (2002). Why Decisions Fail
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Lesson 3 Two Sides of the Same Coin “What” AND “How”
To successfully implement and sustain the use of any intervention, framework, practice, or program you need to understand:
The WHAT - The “it”. What is the intervention, framework, practice or program (e.g. the Pyramid Model, PBIS, RTI, Literacy)
ANDThe HOW - Effective implementation and sustainability frameworks (e.g. strategies to change and maintain behavior of adults)
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Implementation Science
•An effective intervention is one thing
•Implementation of an effective intervention is a very different thing
• An effective innovation is one thing• An effective evidence-based practice is one thing.
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What Works – The What Works – The Implementation Equation Implementation Equation
Effective Intervention
sThe “WHAT”
Effective Implementati
on The “HOW”
Positive Outcomes
for Consumers
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Evidence-based Interventions
Actual SupportsYears 1-3
Outcomes Years 4-5
Every Teacher Trained
Fewer than 50% of the teachers received some training
Fewer than 10% of the schools used the CSR as intended
Every Teacher Continually Supported
Fewer than 25% of those teachers received support
Vast majority of students did not benefit
Aladjem & Borman, 2006; Vernez, Karam, Mariano, & DeMartini, 2006
Longitudinal Studies of a Variety of Comprehensive School Reforms
Lesson 4 Paying attention to infrastructure is important
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Implementation Science
•Letting it happen▫Recipients are accountable
•Helping it happen▫Recipients are accountable
•Making it happen▫Implementation teams are accountable
Based on Greenhalgh, Robert, MacFarlane, Bate, & Kyriakidou, 2004
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Alice in Wonderland
"Would you tell me, please, which way I ought to go from here?”
"That depends a good deal on where you want to get to," said the Cat.
"I don’t much care where--" said Alice."Then it doesn’t matter which way you go," said the
Cat."--so long as I get SOMEWHERE," Alice added as an explanation.
"Oh, you’re sure to do that," said the Cat, "if you only walk long enough."
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Before you add one more thing….
www.safetycenter.navy.mil
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“Making it Happen” with Resource Mapping
•What are the practices in place at each tier of the triangle?
•Are they evidence-based practices?•How are you measuring effectiveness of practices (data)?
•Who are the service delivery teams/personnel (e.g., graduation coach, PALS teacher, Math Coach)
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Tier 3
Tier 2
Tier 1
TrianglTriangle e
ActivityActivity::
Applying Applying the Three-the Three-
Tiered Tiered Logic to Logic to
Your Your School/SupSchool/Sup
ervisory ervisory Union/DistrUnion/Distr
ictict
Practices, Initiatives, Programs for a FEW
Practices, Initiatives, Programs for SOME
Practices, Initiatives, Programs for ALL
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Who are the staff supporting all of these practices?
•What “support teams or staff” support these practices?
•What are their roles and responsibilities?• Is there any duplication or overlap?•What communication loops and /or
progress monitoring exists among all of these support personnel?
•What’s working and how do we know, got data?
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Schools need to be clear about what interventions they have (and don’t have) in place
Tier 3/Tertiary Interventions 1-5%•_____________________•_____________________•_____________________
Tier 2/Secondary Interventions 5-15%•___________________________•___________________________•___________________________•___________________________•___________________________•___________________________
Tier 1/Universal Interventions 80-90%•________________________•________________________•________________________•________________________•________________________•________________________
Service Delivery Personnel
Adapted from Illinois PBIS Network, Revised May 15, 2008. Adapted from “What is school-wide PBS?” OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports. Accessed at http://pbis.org/school-wide.htm
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Got data?• Take inventory of current data
– Office Referrals- BIG 5– Expulsion and Suspension– Attendance– Nursing Logs– Counselor Logs– Minor incident reports– Benchmark Assessments– GPA– Homework Completion– At-risk factors and other trajectory data for
prevention
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1-5% Tier 3/Tertiary Interventions•___________________________•___________________________•___________________________
5-15%Tier 2/Secondary Interventions•____________________________•____________________________•____________________________•____________________________•____________________________•____________________________
80-90% Tier 1/Universal Interventions•____________________________•____________________________•____________________________•____________________________•____________________________
Schools need to be clear about what interventions they have (and don’t have) in place
Data to measure effectiveness
Adapted from Illinois PBIS Network, Revised May 15, 2008. Adapted from “What is school-wide PBS?” OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports. Accessed at http://pbis.org/school-wide.htm
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Tier 3/Tertiary Interventions 1-5%•_____________________•_____________________•_____________________
1-5% Tier 3/Tertiary Interventions•___________________________•___________________________•___________________________
Tier 2/Secondary Interventions 5-15%•___________________________•___________________________•___________________________•___________________________•___________________________•___________________________
5-15%Tier 2/Secondary Interventions•____________________________•____________________________•____________________________•____________________________•____________________________•____________________________
Tier 1/Universal Interventions 80-90%•________________________•________________________•________________________•________________________•________________________•________________________
80-90% Tier 1/Universal Interventions•____________________________•____________________________•____________________________•____________________________•____________________________
Schools need to be clear about what interventions they have (and don’t have) in placeService Delivery Personnel
Data to measure effectiveness
Adapted from Illinois PBIS Network, Revised May 15, 2008. Adapted from “What is school-wide PBS?” OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports. Accessed at http://pbis.org/school-wide.htm
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Activity
Step 1: Identify all programs/initiatives/common practices by tier
•Tier I- How do you support all children? Core Curriculum- “everyone gets”
•Tier II, III How do you support students who need more support? How do you build on the foundation so that all Tier II, III activities are a natural extension of core curriculum?
Step 2: Identify outcome for each practice. How do you measure effectiveness?(Staff performance) How do monitor progress? (student impact) How do you support teachers? (staff support)How are they linked to School Improvement? (integrated approach)
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Outcome # 2:Identify the stages of implementation and plan for moving from one stage to the next
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Stages of Implementation
•Exploration• Installation• Initial Implementation•Full Implementation• Innovation•Sustainability
Implementation occurs in stages:
Fixsen, Naoom, Blase, Friedman, & Wallace, 2005
2 – 4 YearsOr more
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Stages of Implementation
FocusFocus StageStage DescriptionDescription
Exploration/Preparation Activities
Decision regarding commitment to adopting the program/practices and supporting successful implementation.
Installation Set up infrastructure so that successful implementation can take place and be supported. Establish team and data systems, conduct baseline data, develop plan.
Initial Implementation
Roll-out the practices, work out details, learn and improve before expanding to other contexts.
Full Implementation
Expand the program/practices to other locations, individuals, times- adjust from learning in initial implementation.
Sustainability/Continuous Regeneration
Make it easier, more efficient. Embed within current practices.
Steve Goodman
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Continuous ImprovementExploration
Elaboration
Sustainability
Initial Efforts
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•Learn about PBIS (VTPBiS Intro Forum, www.pbisvermont.org, website, other) •Complete and Submit Intent to Implement Application
•Complete Activities to achieve 100% on Readiness Checklist
Exploration/Preparation Activities
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•Develop school and SU/District leadership team•Attend SU/District/School PBIS Coordinator Orientation•Conduct baseline evaluations and collect baseline discipline data•Attend Team Training (3 or 4 days) •Develop data systems•Develop PBIS Implementation Plan
Installation
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• Roll-out PBIS to staff, students and community
• Use PBIS data systems• Progress monitor implementation efforts
and student outcomes• Develop Policy Enable Practice/Practice
Informed Policy cycles with district leadership team
Initial Implementation
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Initial Implementation
Survive the Awkward Stage: An analogy
Apply for
PBIS
New District Initiative
Today is a book study?
“We already do that.”
Violate Norms
Vote coach off
Be on time
Go to a PLC
Ignore e-mails
Go to Book Study
Dominate conversation
Snow Day!
Late for meeting
Attend District PD
Ignore
Data
File Grievance
Change Practice
Have a “AHA!”
Prep for Meeting
Setbacks may move us back to the previous stage
from Bruce Smith, ViiMfrom Bruce Smith, ViiM
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• Expand implementation to other areas (math, reading, other schools)
• Efficiently organize/distribute resources, technical assistance, & professional development opportunities
• Establish SU/District-wide policy to guide efforts & increase accountability
• Centralize & streamline action planning and decision making
Full Implementation
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SU/District-Wide Approach (continued)
• Allow district administrators to provide reminders and acknowledgements to maintain school efforts
• Collect, summarize, and analyze information/data on-going basis to guide decision making
• Invest in and establish behavioral expertise and competence
Full Implementation
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SU/District-Wide Approach (continued)
• Give priority to identification, adoption, and sustained use of evidenced-based practices
• Focus attention on prevention-based approaches to behavior and reading
• Provide opportunities for school to learn from and support each other’s successes and challenges
Full Implementation
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Through each replication, we become more clear in our implementation efforts
Full Implementation
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“Scaling up is defined as having enough of something so that it is useful. Scaling up is the process of moving from “exemplars” to the “typical.” The process of scaling involves the development of organizational capacity to move from exemplars sustained by extra-ordinary supports, to typical application with typical supports”.
Fixsen et al 2008
Full Implementation
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• Systems adoptions within SU/District• New staff/new year orientation process• Policy Enable Practice/Practice
Informed Policy cycles with SU/district leadership teams
• Efficiency adoption from continuous learning
Sustainability/Continuous Regeneration
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• Teaching New Staff• Who is responsible for training new
staff throughout the year?• Means of instruction• Person-to-person• Written guide• Observations• Video
Sustainability/Continuous Regeneration
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• First do it “right” (fidelity) and then do it “better” (innovate)
• Feedback loops are important• Consultation with:
• Experts• Trainers• Coaches
• Implement and evaluation “adjustments” with fidelity across system
• Systems adoptions within SU/District
• New staff orientation process
• Beginning of school year orientation process
Sustainability/Continuous Regeneration
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Should get easier over time• Handbook
• Describes core features• Expectations and teaching matrix (rules for each
settings)• Teaching plans and teaching schedule• Acknowledgement system• Continuum of consequences for problem
behavior• PBIS Teams (Building, SU/District)
• Regular meeting schedule and process• Regular schedule for annual planning and
training• Annual Calendar of Activities• On-going coaching support for teachers• On-going district support for coaches
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Where are you in implementation process?Adapted from Fixsen & Blase, 2005
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Implementers’ Blueprint
•Self Assessment•More like guidelines•Provides a common language
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District Leadership Team Self-Assessment and Planning
Tool
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Outcome #3:Explore a school/SU/District leadership team structure that fits within your cultural context
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What is a SU/District Leadership Team?
• A team within the school community who can promote funding, visibility, and political support around the initiative while leading and increasing the working capacity of school-wide system.
• SU/District Leadership Team provides the supports to multiple Building Leadership Teams
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Funding Visibility PolicyPoliticalSupport
Training CoachingBehavioral Expertise
Evaluation
LEADERSHIP TEAM(Coordination)
Local School/District Implementation Demonstrations
SWPBS Implementation Blueprint
www.pbis.org
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Funding Visibility Political Support
SW-PBIS Implementers’ Blueprint
• Identify recurring funding sources • 3 to 5 yrs. of support
• Disseminate results to multiple audiences
•Websites•Newsletters•Conferences•Media (TV, etc.)
• Presentations to:
school boards,
departments
• Write into policy
• Connect with key
administrators
LEADERSHIP ACTIVITIES
Policy
• SW PBS Policy statement
developed and endorsed
•Implementation data
and outcomes are
reviewed semi-annually
•Audit of effectiveness
of existing related
initiatives
conducted annually
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Function of SU/District Leadership Implementation Team:
To set up the necessary and sufficient conditions to support school leadership teams to be effective in supporting implementation at the building level
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Various Levels of Leadership Team Work
1. Preparing for and Organization of Leadership Team
2. Creating Readiness for Local Implementation
▫ Developing commitment (priority)
▫ Develop or enhance infrastructure (local team structures)
3. Implementation
▫ Developing implementation capacity
▫ Focus on fidelity
4. Scale-Up/Sustainability
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Who is on the SU/District Leadership Team?
Examples:▫ PBIS SU/District Coordinator▫Superintendent▫Building Principals▫School-based PBIS Coordinators▫Curriculum Coordinator▫Special Education Director▫Community Agency Representative (community mental health, youth service bureau )▫Parent
Variations?
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Major responsibilities of the leadership team
• Completing a self assessment• Creating a 3-5 year action plan• Establishing regularly scheduled meetings• Identifying a coordinator to manage and facilitate• Securing stable funding for efforts• Developing a dissemination strategy to establish
visibility (website, newsletter, conferences, TV)• Ensuring student social behavior is a top priority of
the district• Establishing content expertise to build and sustain
school-wide behavior practices.• Developing a coordinating network (each school
identifies a school coordinator)• Evaluating school-wide behavior support efforts.
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Activity
•With regard to PBIS implementation, in which stage is your building staff and SU/District in?
•Review/complete the VTPBiS Leadership Team Self-Assessment and Planning Tool
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Critical Questions: SU/District Leadership Team• Are the curriculum and supports across
buildings all focused on the same mission and outcome—e.g., meeting district standards? (Common Core, VT Standards?)
• Are all services deployed/distributed in a multi-tier frame consistent with student need and performance rather than based simply on student population in a school?
•Do the student outcome data reflect an efficient and effective implementation system across buildings?
• Can a parent take a student to any building in the local district and realistically expect the same positive outcome for their student?
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Critical Questions:Building-based Team
•Are the curriculum and supports in the building all focused on the same mission and outcome—e.g., meeting SU/District standards?
•Are all services deployed/distributed in a multi-tier frame that is consistent with student need and performance?
• Is the curriculum integrated across the tiers?•Are students engaged with the learning
environment?•Do the student outcome data reflect an
efficient and effective implementation system?
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Activity
•What does a Leadership Team look like within the your SU/District cultural context?
•Complete a SU/District Leadership Team Profile?
•Schedule 1-2 SU/District Leadership Team meetings.
•Discuss agenda items for first SU/District meeting.
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Hear from colleagues about how they Make it Happen!
Panel Presentation
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Where have we been?Where are we now?Where are we going?Nationally and in Vermont
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Number of Schools Implementing SWPBIS since 2000
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Proportion of Schools Implementing SWPBIS by State
August, 2011 11 States with 33% or more of
all schools in the state using
SWPBS
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How did they do that?
Florida Illinois Maryland
•Similarities ? 10 years, funding provided by state department but “housed” outside department of ed, over 600 schools trained
Recognition Program
Major OrganizersPOI, Implementers Blueprint
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Getting StartedCommitment to School Level Implementation
Will this work here?▫ Establish Local Sites in
Multiple Districts▫ Small and Large▫ Urban, Suburban and Rural▫ ES, MS, HS, Alt, JJ
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The Vermont Story
• In February, 2007, four schools in one supervisory union were implementing PBIS.
•Four years later, 103 schools in 43 Districts/SU are implementing PBIS!
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103 VT PBIS Schools as of 6/30/11
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How are we doing?
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How are we doing?
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And...are we having fun yet?
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You bet ya!
• Insert star phot
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Our Challenge!
Support all Vermont schools and supervisory unions who adopt PBIS to build their capacity to:
• implement PBIS with fidelity over time •experience a decrease in problem behaviors,
an increase in instructional time, enhanced staff collaboration, and more informed family engagement.
•experience increased levels of student engagement, inclusion and success in meeting academic and behavioral learning goals.
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Examine implementation dips and identify strategies for overcoming them
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Potential Pitfall #1
•Implementation too loosely defined
Focus on the fun, easy parts!!!
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Opportunity: Define the “it”
•Invest in multi-tiered framework▫Organizing▫Integrating▫Apply same logic to all interventions
•Contextual fit▫Your story
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Multi Tiered Framework is innovation neutral
•Lessons learned are applicable to any innovation
•Language is neutral•Training morphed into activity based▫Resource Mapping▫Gap Analysis
▫ETAG Example- AA County
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Potential Pitfall #2
•Interventions not managed well
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Opportunity: Organizational Opportunity: Organizational HealthHealthAdministrator and Administrator and Leadership Key!Leadership Key!Establish a kind of “haven”- place that
individuals feel safe about reporting concerns, supported by school community and empowered to be a part of the decision making process- “Community of Practice”▫ Tools: Self Assessment, Fidelity Checks,
ODRs, climate surveys, satisfaction surveys▫ Provide data summaries within a week of
return – decide best approach to deliver feedback
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Transparency with
data
Protected time to
work with
faculty
Protected team
planning time
Shared participation
DemonstrateMutual
Respect for
people and ideas
Seek first to
understand…
then to be
understood
Honor agreements for meeting
Each person has equal
voice
Assume
best
intentions
Schedule
PBIS Time
on School
Calendar
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Potential Pitfall #3
•Poor results•Results not known
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Opportunity:
•Data, Data, Data•Social Marketing
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Comparison of SET Implementation and Office Referral Reduction
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30%
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50%
60%
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1E 2E 3E 4E 5E 6E 7E 8E 9M 10M 11M
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Group Cost BenefitOffice Referral Reduction
Across 12 PBIS Schools =5,606 If students miss 45 minutes of instruction for
each Office Referral, 5,606 X 45=252,270 minutes4204.50 hours or
700 days of instructional time recovered!!!!!
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Cost-Benefit Analysis
School name
Average # of Average # of minutes staff need to process referral
5
Number of referrals April 2006 61
Average # of minutes student is out of class due to referral
22
Number of referrals November 2005
132
COST/BENEFIT ANALYSIS WORKSHEET
Enter info below
Robert Moton
Elementary School
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What does a reduction of 850 office referrals and 25 suspensions mean?
Kennedy Middle School
Savings in Administrative time
ODR = 15 min Suspension = 45 min
13,875 minutes231 hours
29, 8-hour days
Savings in Student Instructional time
ODR = 45 min Suspension = 216 min
43,650 minutes728 hours
121 6-hour school days
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Potential Pitfall #4
•The implementation has lost momentum after some period of initial enthusiasm.
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Opportunity: Plan for the Development of the Team/StaffT4 – High Competence, High Commitment –
Fluent and experienced with innovation, and comfortable with their own ability to do it well. May even be more skilled than the coach .
T3 – High Competence, Variable Commitment – Experienced and capable, but may lack the confidence to go it alone, or the motivation to do it well / quickly.
T2 – Some Competence, Low Commitment – May have some relevant skills, but won’t be able to do the job without help. The task or the situation may be new to them.
T1 – Low Competence, High Commitment – Generally lacking the specific skills required for the job in hand, but has the confidence and / or motivation to tackle it.
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Activity
•Review the list of pitfalls on page six in Keeping RtI on Track (VanDerHeyden and Tilly)
•Discuss how you can recognize that they are occurring and what you can do to repair or prevent them from happening.
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Activity• If you are exploring PBIS, review/complete
the Intent to Implement Application Readiness Checklist
• If you are installing PBIS, complete the VTPBiS Universal Action Plan for Sustainability
• If you are fully implementing PBIS, complete the PBIS Leadership Team Implementation Self-Assessment Action Plan.
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