Vishram Singh - Textbook of Anatomy Upper Limb and Thorax.. Volume 1 (1).pdf
Building Capacity in Functional Behavior Assessment in Schools
1. SCHOOL-BASED Cynthia M.
Ander son, R.
FUNCTIONAL Justin Boyd,
Nadia Sampson,
& Anna Mar shall
ASSESSMENT: CAPACITY Univer sity of
Oregon
DEVELOPMENT &
SCALING
Funded in part by
OSEP
2. WHY AREN’T WE “AT SCALE?”
Limited resources
Expertise
Time
Funds
Multiple competing initiatives
Research focus: effective interventions,
little work on how to implement
3. INTENSIVE POSITIVE BEHAVIOR SUPPORT
Goals
Build district and school capacity at Tiers II and III
Identify factors affecting implementation, effectiveness, and
sustainability
Participants
Model districts
2 districts in OR; 8 schools (4 elementary & 4 middle)
Scaling districts
5 districts in OR (28 schools)
4. IPBS
Systems
Technical assistance (district)
Team-based decision-making
Interventions
Tier II
Function-based support
Data/Progress monitoring
Student outcomes
Intervention effectiveness overall
Fidelity of implementation
5. BUILDING CAPACIT Y IN SCHOOLS
Process
Year 1
Progress monitoring team formed
CICO implemented
Year 2
Build capacity of 1-2 individuals in FBA/BSP
Years 3 &4
Train the trainer model of capacity building in schools
7. YEAR 2 FBA TRAINING
Attendees selected by district coach
FTE available to conduct FBA/BSP
Access to coaching
FBA Training varied by district (1/2 day to 2 -day)
1
Typical workshop
FBA interview
ABC observations
Emphasis on ABC relations within routines
Follow-up coaching
9. SAMPLE
Schools in Pacific NW
20 elementary schools
16 middle schools
All schools implementing Tier I of SWPBS with
fidelity
Participants selected by district
Interested in scaling up
District personnel with FTE for coaching/TA
11. Tier III Subscales
BL
T1BL
100.00
T2
80.00
T3
% Features Implemented
60.00 T4
40.00
20.00
0.00
Functional
T3-Assess. T3-Implement.
Implementation T3-Monitor.
Progress
Behavior Monitoring
Assessment
12. EVALUATION OF FBA/BSPS
Participants
School district in Pacific NW
Implementing IPBS for 4 years at scale
Sampling
Requested copies of all FBAs and support plans
26 FBA/BSP*
Most schools had only support plans
“we just talked about the support plan”
Scoring
2 doctoral students
IOA on 24%
13. EVALUATION
12% of support plans had accompanying FBA
FBA summary statements (competing behavior
pathway)
100% identified ABC relation
60% operationally defined problem behavior
Antecedents
94% technically accurate “setting event” or none
94% observable & environmental S+
Consequences
98% observable & environmental variables
90% identified more than one reinforcer
14. SUPPORT PLAN EVALUATION
Components
75% logical antecedent strategy
50% strategy for minimizing reinforcement of target response
89% reinforcement for desired/alternative response
99% contained no contra-indicated strategies…….
When EVERYTHING is a reinforcer any
interventions almost any strategies
will be a match
16. SUMMARY
Documentation of FBA is a problem
May not be accurately identifying function
Support plans
Antecedent & differential reinforcement strong
Contingencies for problem behavior missing
Implementation planning rarely occurs
18. PROPORTION OF POPULATION WITH
REFERRALS
80%
60%
Mean % Change Between Baseline and Year 4
40%
20%
0%
-20%
-40% Implementing
-60% Not Implementing
-80%
-100%
3 4 5 6+
ODRs ODRs ODRs ODRs
19. LESSONS LEARNED
1. District involvement is key
1. District level expertise in function-based support crucial
1.0 FTE for every 4 schools
Evidence-based practice
Data-based decision-making
Building & maintaining capacity
2. Capacity
Tier I and Tier II is feasible
Tier III?
3. Behavior analysis needed in training programs
Notes de l'éditeur
-The empirical and conceptual basis of functional assessment is VERY strong. -Multiple methods of FBA exist (with greater or lesser support however key is skill of implementer)Question: Why do we not see (a) wide-spread use of “good” FBA and (b) effective implementation of support plans--in most schools in the country, with all students needing intensive intervention?
Scaling work now ongoing in IL, MS, MD, and FL
Focus here on the function-based support portion--How we attempted to build capacity--how effective were we?=what did we learn?
Progress monitoring—really hard to move schools away from “admire the problem” to data-based decision makingRequires on-going coaching for about the first 4-6 months
Why match?a. Review of school-wide discipline and academic data suggests that approximately 20% of students require more than Tier 1Elementary school with 400 students==80 students; middle school with 750 students—that is 150 students. Way too many for individualized assessment and intervention. Alternative: package intervention and embed within a multi-tiered prevention system (Gresham, 2004)a) Intensity of intervention is matched to severity of problem; in multi-tiered models prevention is an outcome. Tier I: Prevent, Tier II: Reverse harm, Tier III: reduce harm (e.g., Walker et al., 1996)Point cards are great way to progress monitor at Tier III
Number of schools thus limited by ability to provide follow-up (grant allowed us to have doctoral students help with this)
Completed by outside observers trained in tool; interviews but primarily a review of permanent products (e.g., meeting minutes, copies of support plans)
ISSET—ask coordinator for FBA/BSP—score between 1 and 4 (a lot of them were done by district people or in Eugene, my students!)FBAOperational definitionABC relationTeam have right peopleImplementationIntervention components (multicomponent & linked to hypothesis statement)—missed most; consequence for problem behaviorProgress MonitoringIs there a plan for assessing fidelity and outcomes?
Caveat—small change; talking about 1-3% of populationLooking at proportion