A research based remedy for 1:1 management aides Deborah Whitman BCBA City School District of New Rochelle, NY More and more requests for 1:1 aides from parents and teachers as well as private consultants. Fewer resources Increased pressure to incorporate RTI/PBIS Increased emphasis on research based best practice across all areas Pressure on building and district-wide administrators to control referrals and increase instructional time and student performance due to APPR. Teachers- requesting additional aide support because: ◦ They are concerned about disruption to instructional time ◦ Scores of individual children placed in their class ◦ Perceived less time to work on non-instructional student goals ◦ Influenced by parent and provider concerns Concerned for the safety of their vulnerable children Wanting to maintain control over their children’s school day Influenced by the recommendations of outside consultants Want their children in more the least restrictive environment Parents often rely on the recommendations of private consultants or experts and trust their opinions more than the team in the school Outside consultants are not necessarily current on research based best practice Focus on placement in general education environment at all costs. Districts concerned with litigation often concede to requests without data based information or research. Parents upset with districts when their students graduate from high school but don’t have basic living skills to be functional in the community. Students who do not acquire the skills they need to be independent in their communities. Underutilized staff members who do not have appropriate goals and strategies to help their students meet their objectives towards independence. Learned helplessness on the part of students Students with aides do not develop independent school skills but rather remain over reliant on adult support. (Giangreco, Luiselli & MacFarland, 1997) Students with aides actually get significantly less direct teacher instruction. (Giangreco, Boer & Edelman, 2001; Young et. al. 1997) Students with aides are often isolated from their general education peers. (Angelides, Constantinou, & Leigh 2009) Research indicates that students with aides get significantly less direct instruction from their teachers. Aides tend to over prompt and correct student work before the teacher can see it resulting in less teacher observation of error patterns in students. Student’s turn to aide instead of teacher for instructional support. Without clear end points and goals teachers often become over dependent on the aide and become fearful of any attempt to fade the support seeing it as necessary. Teachers’ can incorrectly see the aide as the “expert” on the student with disabilities which can hinder appropriate research based interventions from being used. Parents become reliant on the aide to give them daily feedback on their child’s behavior often circumventing teacher communication. Parents see the aide as providing safety for their child without providing the child with instruction on managing their own personal safety. Parents often see the aide as the ticket to a mainstream environment regardless of their child’s readiness skills. Independence Skills Plans for all students with management aides or enhanced staffing. Separate Independence plan data collection daily towards determined goals Specific time limits on aide support Daily schedule of when aide is used Monthly review of data Fading plan in place District-wide supervision of independence plans Parent training and support Formal separate document for all students with shared or 1:1 aides. Outlines when exactly ◦ ◦ ◦ ◦ ◦ When the aide is needed What the long term goal is What the short term objective is Specific instructions for aides Accompanying data collection sheet Through the use of independence plans the student’s skill deficits in independence are specifically addressed and instructional goals set rather than simply covering up the issue with an aide. Helps to foster peer relationships rather than isolate Increases executive functioning repertoires for students who are weak in this area Helps prepare students for LRE through skill building. Independence Plans are also an important tool in the transition process even for students who don’t have management aides. Independence plans can help to outline long and short term goals for students in post secondary planning as well as part of their organized set of transition activities. Independence plans are easy for parents and staff to follow. Time /activity or subject for which aide or skill instruction is required Goal for independent skill for this activity Current STO for this goal include start date. Current prompt levels and intervention steps as well as fading procedures Weekly Staff progress initials data Time /activity or subject for which aide or skill instruction is required Goal for independent skill for this activity Current STO for this goal include start date. Current prompt levels and intervention steps as well as fading procedures Weekly progres s data Staff initials Science Class Student will independently attend to instruction and complete all class assignments with <3 prompts from teachers. Student will attend to instruction, complete classroom assignments and follow teacher directions with < 1 prompt per 5 minute period from aide or teacher. Aide will make sure that Student gets set up with his materials and then give him direction to attend to class. Aide will then walk away and assist any other students coming back to Student every minute to redirect him and check that he is on task. Aide will repeat any directions given by the teacher to Student individually and then move away. Aide should not sit next to Student but rather prompt him once and then walk way coming back once a minute to check in. Data to be entered each Friday. DW Social Studies Class Student will independently attend to instruction and complete all class assignments with <3 prompts from teachers. Student will attend to instruction, complete classroom assignments and follow teacher directions with < 1 prompt per 5 minute period from aide or teacher Aide will make sure that student gets set up with his materials and then give him direction to attend to class. Aide will then walk away and assist any other students coming back to student every minute to redirect him and check that he is on task. Aide will repeat any directions given by the teacher to Student individually and then move away. Aide should not sit next to Student but rather prompt him once and then walk way coming back once a minute to check in. Data to be entered each Friday. DW Lunch and recess Student will independently enter the lunch room and sit at a table with peers. Student will enter the lunchroom and sit either at the table with the PAT students or near the table with PAT TA keeping visual contact with him. Transition Class ELA,Math Study Skills NO AIDE REQUIRED Exit Classes NO AIDE REQUIRED TA will keep visual contact with Student who will either sit at Pat table or nearby and TA will make sure that student eats his lunch and remains in the lunchroom sitting appropriately with peers. Time and activity or subject for which aide is required Goal for independent skill for this activity Current STO for this goal include start date. Current prompt levels and intervention steps as well as fading procedures Arrival and morning work 8:309:00am L will independently come into the room, put his things away, put down his chair, take out his notebook and start work. L will perform all steps in morning arrival with <2 verbal prompts and start his morning work <2 verb prompts Aide will give L verbal directions and stay at least 4 feet from him while he carries them out. If he stops aide will ask him to repeat the directions. Do not do it for him, use verbal prompts whenever possible. 9:00-9:40 FLAMPEL L will independently transition to classes, follow teacher directions and participate in all activities. L will transition to class with <2 verbal prompts from staff. L will follow teacher directions with <3 prompts from staff and participate in all activities with < 4 prompts. Aide will remind L to keep his hands and feet to himself and walk in line before leaving, aide will repeat directions given to the group to L and check for understanding, aide will verbally prompt and then step at least 4 feet away. If in a classroom the aide will prompt L and then circle around to other students before returning to him. ELA-part 1 9:4510:00 Read aloud L will sit on the carpet staying in his space, raise his hand, wait to be called on and attend to the teacher independently. Lwill sit on the carpet, raise hand, wait to be called on and attend to the teacher with <2 prompts from aide who will remain at least 6-8 feet away. Aide will sit in a chair at least 6-8 feet away but near L on carpet so that she can prompt him if necessary. Aide should prompt using a gentle touch on the shoulder paired with a verbal prompt as needed. Then move back to chair. Weekly Staff progress initials data Activity or time Prompt level via STO for this activity Number of verbal prompts needed Number of Physical prompts or assistance needed Total prompts (indicate P for physical and v for verbal) Was the STO met for this activity today? The supervisor or CSE chair reviews the independence plan and sets aide support very specifically including: ◦ Specific number of hours based on the plan not just full days ◦ Specific start and end dates for review typically at least once midway through the school year ◦ This helps to limit the effect of “taking something away from the student” Aides are trained in how to keep data on the short term objective in the independence plan and this data is submitted to the case manager or supervisor on a bi-weekly basis and reviewed at least monthly. New short term objectives can be set and the independence plan revised throughout the year. Whenever an aide is assigned to a student a fading plan is part of the independence plan with prompt levels dictated in order to ensure that the student is gaining independence in the areas of need. This is not just true for students with behavioral issues but also for students with physical disabilities as learning to manage their environment is critical to their success after graduation. The cornerstone of successful implementation of independence plans is supervision. The supervisor is responsible for: ◦ Collecting the data and reviewing ◦ Observing the students and checking in with aides and teachers to make sure plans are followed ◦ Collaborating with teachers, teams and parents to review progress and set new objectives ◦ Participate in CSE meetings to review and update plans and facilitate fading procedures. Parents need to be active members of the team Parent collaboration on goals both short term and long term for independence Developing relationships of trust and collaboration towards successful independent skills for the student rather than a combative “giving up services” approach. Collaborate with private providers and consultants rather than take sides. Total Number of Management Aides by Year 35 30 25 20 15 10 5 0 2009 2010 2011 2012 Blue=Total Full time aides Red= total part time hourly aides 2009-2010- 31 full time management aides Serving 47 students, 2 part time hourly aides 2010-2011- 26 full time management aides Serving 42 students, 6 part time hourly aides 2011-2012- 23 full time management aides Serving 38 students, 6 part time hourly aides 2012-2013- 17 full time management aides Serving 34 students, 6 part time hourly aides These significant reductions in management aides have allowed staff resources to be spent on qualified teachers and on research based interventions and support that better serve the students by providing them with real opportunities to reach their goals both in academics and functional skills.