Midland County Strategic Use of Paraprofessional Support Prepared by MCESA CAST Team 2015 PROCESS FOR DETERMINING WHEN A STUDENT REQUIRES PARAPROFESSIONAL SUPPORT Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Flowchart for Requesting Paraprofessional Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Rubric to Determine Need for Special Circumstances Paraprofessional Support . . . . . . . . . . . . . . . . . . . . 4 Special Circumstances Paraprofessional Support “Summary Sheet” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Checklist of Existing Environmental Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7 Paraprofessional Needs Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Documenting Paraprofessional Supports in the Student’s IEP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Monitoring the Use of Paraprofessionals: Increasing Independence for Students. . . . . . . .. …………... . . . ..10 Techniques to Promote Independence and Fading Supports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Ongoing Training for Midland County Paraprofessionals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Initial Data Collection on Increasing Independence Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Plan for Increasing Student Independence and Techniques to Promote Independence…………………………..14 Page 1 of 14 Process for Determining When a Student Requires Paraprofessional Support Paraprofessional assistance is required by some students in order for them to succeed in school. Frequently, IEP Teams are requested to consider the need for paraprofessional support. The following process can be used by IEP Teams as guidance in making decisions regarding paraprofessional support. When dealing with the addition of paraprofessionals, it needs to be determined what the educational benefits are for the students. Recent research and current practice indicates that misuse of paraprofessionals can produce among the results, students becoming over-dependent upon adult support and segregation and isolation of the student from their peer group. (Marks et al., 1999; Giangreco et al., 1997: Mueller, 1997). This planning process applies to any student who requires paraprofessional support for a portion of their school day. The student’s IEP Team should use the process annually, at least in sync with his/her annual review. Assumptions Regarding Paraprofessionals: They are a valuable and necessary resource for students They are not surrogate teachers Support services are to promote independence, no dependence Paraprofessionals assignments should be based on the needs of the student as specified by the IEP Team or Behavior Intervention Plan. Alternatives to Paraprofessional Supports Supplementary aids and services “are the tools or help that is needed to enable students with disabilities to gain benefit from their environment with the general curriculum” (Lipsky & Gartner, 2008). There are a full range of supports that should be considered by the student’s IEP Team (Etscheidt, 2005). These supports may include changes in the educational environment, adaptations or modifications of the curriculum, assistive technology, behavior support plans, and the utilization of supplementary personnel to assist the student (Lipsky & Gartner, 2008). If paraprofessional support is requested, Freschi (1999) encourages team members to first consider alternative supports. Teams should identify what goals they hope to accomplish by assigning a paraprofessional and then determine if these goals can be met in another fashion (Freschi, 1999; Giangreco et al., 1999). Giangreco (2010) lists a combination of alternative options that may provide the necessary supports students need to be successful. Teams should identify when and where supports are needed, and then consider how to provide those supports. Some possible alternatives include: SETT Framework-Assistive Technology Teacher training (e.g. Peer to Peer Supports; Behavior Management) Universal Design for Learning Use of existing school-wide supports The use of a paraprofessional assigned to a class rather than an individual student Different models of delivery Positive behavior supports (e.g. Ross Greene’s Lagging Skills) Peer supports Page 2 of 14 Flowchart for Requesting Paraprofessional Supports STEP 1 Referral Packet STEP 2 Completion of Rubric Completion of Checklist of Existing Environmental Supports Completion of Special Circumstances Paraprofessional Sheet (if applicable) Completion of Paraprofessional Needs Matrix (if applicable) Referral packet is given to district administrator or designee Administrator coordinates team meeting Packet STEP 3 Team Reviews Request STEP 4 Referral packet is copied for team members to review Pre Observation Meeting is held. Roles are assigned Observation schedule is completed Team members conduct observations Team recommendations are made Team representative meets with the parent(s) to discuss team findings/recommendations Team representative attends student’s IEP and presents recommendations Final decisions regarding paraprofessional supports are made by the IEP Team. Observati STEP 5 Team Mtg STEP 6 IEP Team Mtg Page 3 of 14 Special Circumstances Paraprofessional Support Summary Sheet Student: DOB: Eligibility: Date: Teacher: Completed by: Program/School: Title: Check areas of intensive need that might require additional paraprofessional support: Health/Personal Care G-tube feeding* Medication* Suctioning* Food preparation Diaper changing Feeding-full support Seizures* Lifting/Transfers Other: *Specialized physical health care plan or emergency plan. Behavior Behavior plan implementation or documentation Physically aggressive Non-compliant on campus Runs away Self-injurious Other: 1. Areas of Need 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. For each area of need in which further independence is possible, develop an IEP goal & a plan for frequent monitoring for the purpose of fading the paraprofessional support. Other ongoing supports should be noted in the Supplementary Aids and Services page of the IEP. Page 4 of 14 Rubric to Determine Need for Special Circumstances Paraprofessional Support Student: Teacher: Completed by: DOB: Eligibility: Date: Program/School: Title: Mark the box that includes factors that best describe the student in each rubric category that is appropriate. 0 1 2 3 4 Health/Personal Care General good health. No specialized health care, procedures, or medication taken. Independently maintains all “age appropriate” personal care. Mild or occasional health concerns. Allergies or other chronic health conditions. No specialized health care procedures. Medication administration takes less than 10 minutes. Needs reminders to complete “age appropriate” personal care activities. Chronic health issues, generic health care procedures. Takes medication. Health care intervention for 10-15 minutes daily (diet, blood sugar, medications). Requires reminders and additional prompts or limited hands on assistance for washing hands, using bathroom, wiping mouth, shoes, buttons, zippers, etc. Occasional toileting accidents Specialized health care procedure and medication. Limited mobility. Physical limitations requiring assistance (stander, walker, gait trainer or wheelchair). Special food prep or feeding. Healthy or sensory intervention 15-45 minutes daily. Frequent physical prompts and direction assistance for personal care. Requires toilet schedule, training, direct help, diapering. Very specialized health care procedure requiring care by specially trained employee (G tube, tracheotomy, catheterization). Takes medication, requires positioning or bracing multiple times daily. Health or sensory related interventions 45 minutes or more daily. Direct assistance with most personal care. Requires two person lift. Direct 1:1 assistance 45 minutes or more daily. Behavior Follows adult directions without frequent prompts or class supervision. Handles change and redirection. Usually gets along with peers and adults. Seeks out friends Instruction Participates fully in whole class instruction. Stays on task during typical instructional activities. Follows directions with few to no additional prompts Has adult direction but occasionally requires additional encouragement and prompts. Occasional difficulty with peers or adults. Does not always seek out friends but plays if invited. Participates in groups at instructional level but may require additional prompts, cues, or reinforcement. Requires reminders to stay on task. Follows directions, and to remain engaged in learning. Has problems following directions and behaving appropriately. Can be managed adequately with a classroom behavior support plan, but unable to experience much success without behavior support implementation. Serious behavior problem almost daily. Defiant and/or prone to physical aggression which may be harmful to self or others. Requires a Behavior Intervention Plan (BIP) and behavior goals and objectives on the IEP. Requires close visual supervision to implement BIP. Serious behavior problems with potential for injury to self or others, runs away or aggressive on a daily basis. FBA has been completed and the student has a welldeveloped BIP that must be implemented to allow the student to safely attend school. Staff has been trained in the management of assaultive behavior. Page 5 of 14 Cannot always participate in whole class instruction. Requires smaller groups and frequent verbal prompts, cues, or reinforcement. On task about 50% of the time with support. Requires more verbal prompts to follow directions. Requires signing 50-79% of the time. Difficulty participating in large group. Requires low student/staff ratio, close adult proximity, and prompts including physical assistance to stay on task. Primarily complies only with 1:1 directions and monitoring. Abilities and skills require strategies/adaptations not typical for class as a whole, such as: Discrete Trial, ABA, Structured Teaching, PECS or Assistive Technology. Requires signing over 80% if the time. Does not participate in a group without constant 1”1 support. Requires constant verbal and physical prompting to stay in task and follow directions. Regularly requires specific 1:1 instructional strategies to benefit from the IEP. Cognitive abilities and skills require significant accommodations and modifications not typical for the class group. Requires signing 100% of the time. *Optional Supporting Document Checklist of Existing Environmental Supports Student: DOB: Eligibility: Date: Teacher: Completed by: Program/School: Title: A. Classroom schedule: Is there a posted classroom schedule? Yes 1. (If “Yes,” please answer questions below) The following elements are included in the classroom schedule: Times Students Activities 2. The schedule is: Daily Weekly Staff names 2. Picture Student ability to follow the schedule: Independent With indirect verbal or gestural prompts With physical prompts With direct verbal prompts Student use of the schedule: Student carries schedule Inconsistent 4. (If “Yes,” please answer questions Student uses the following format for individualized schedule: Object Icon Photograph Word Inconsistent 3. Locations Other B. Schedule for individual student: Is there an individual student schedule? Yes below) No 1. No Student uses transition cards Student goes to schedule board Teacher carried and shows the schedule Room is arranged with structure to correlate with tasks on schedule: (Check all that apply) Area for one-on-one work Area for independent work Area for group work Area for leisure Not applicable C. Curriculum and Instruction: Are the materials and activities differentiated for the student’s: Chronological age (describe): Ability level (describe): Interest level (describe): 2. Check the curricular domains included in the student’s program: Communications Pre-vocational Domestic skills Self-care 3. Motor skills/Mobility Academics Recreation/leisure Social skills Other: List equipment or devices used/available that may relate to the need for Assistance. (May be low incidence equipment or assistive technology device): Page 6 of 14 4. Describe an activity which is challenging for the student: If appropriate, attach a sample task analysis form used for a challenging activity with the student (see Task Analysis Data: D. Behavior Support: Are there problem behavior(s) interfering with learning of self or others? Yes (If “Yes”, please answer questions below) No Brief description of problem behavior(s): Where behavior(s) typically occur: When behavior(s) typically occur: 1. Student has a Positive Behavior Support Plan/Behavior Intervention Plan: below) No Yes (If “Yes,” please answer questions 2. Behavior plan is based on a Functional Behavioral Analysis (FBA): Yes No In the process Need to initiate 3. How effective is the plan in addressing the student’s needs: Very Moderately Mildly Not at all 4. Describe anticipated level of support to implement plan.(i.e., frequency of reinforcement, prompting, redirection): 5. What supports exist for implementing the plan; i.e., self-monitoring, other adult: *(Please attach Behavior Support Plan/Behavior Intervention Plan): E. Current data systems and collection of data: Are there current data on each IEP objective and/or behavior plan? Yes ( If “Yes”, please answer questions below) No 1. Data records include: 2. Data is collected: 3. Data are summarized: Date Daily Level of independence (prompting needed) Weekly Graphed Monthly Other: Written narrative *Attach sample data collection sheet: see IEP goals and objectives form Page 7 of 14 Other: Task Level of progress *Optional Supporting Document Paraprofessional Needs Matrix: Student Name: Classroom Teacher: Review Date: Date: School: Paraprofessional assigned (if applicable): Unique functional and/or educational needs requiring para-pro support. Activity or the time of day What does the student need assistance with? What can the student do independently? Total amount of time needed for paraprofessional support: Page 8 of 14 What accommodations might permit the student to complete this activity independently? Identify ways to promote positive social interaction and/or independence. What will be the specific responsibilities of the para-pro? Documenting Paraprofessional Supports in the student’s IEP: 1. The IEP team will document on the student’s IEP under “Supplementary Aids and services- Other Supports, accommodations, and Modifications.” Teams should be specific regarding what the paraprofessional is needed for, when this support will be provided, and where the supports are needed. If paraprofessional supports will be provided to a program/class as opposed a specific student, this also may be noted on the “Supplementary Aids and Services- Other Supports, Accommodations, and Modifications” section of the IEP as a support for the teacher. 2. If it is determined that a student needs paraprofessional support in a specific curricular, social, emotional area, an IEP goal should be written to support that need as well. If the paraprofessional is required because of health or personal care needs, an IEP goal is not required. 3. If a paraprofessional is required because of behavioral needs of the student, a Positive Behavior Support Plan should also be in place and noted in the “Supplementary Aids and Services-Add Supports and Modifications to the Environment”. 4. In the Supplementary Aids and Services section of the student’s IEP, document the need for an Increasing Student Independence Plan. This plan will address the monitoring of paraprofessional supports and the plan for increasing student independence fading paraprofessional assistance. Page 9 of 14 Monitoring the Use of Paraprofessionals: Increasing Independence for Students Freschi (1999) encourages teams to set a timeline and establish criteria for when supports will be faded. Paraprofessional supports should always be considered temporary (Giangreco, 2010). All team members, including parents, school staff and the student, should have input into the creation of a fading plan (Giangreco, 2010). All team members, including parents, school staff and the student, should have input into the creation of a fading plan (Giangreco, 2010). Techniques to Promote Independence and Fading Support is available to assist with fading strategies. How to monitor Paraprofessional Support It is common practice in the area of special education that a student is assigned a Paraeducator for consecutive years without reconsideration for the need for service. Seldom is there a re-evaluation of the allocation of time that the paraeducator is assigned to a student. From one year to the next, a student may make considerable progress academically and emotionally. Natural development may promote maturity in areas of self-control, attention and concentration, social skills, and common-sense judgment. Since the inception of the paraeducator as a helpful assistant, there may have been some form of medical intervention, e.g., medication. Such factors may mitigate the original reasons for the paraeducator recommendation. Certainly, chronological age, development, and transition to the next level of education are reasons to reconsider an evaluation for a paraeducator. This re-evaluation is especially critical for transition years to middle and high school programs if the student continues to have a paraeducator with him/her. Paraeducator Monitoring The increasing student independence plan is implemented when a student already has a paraeducator as part of the IEP plan. On a quarterly basis, the paraprofessional, plan should be monitored by a group of professionals. Possible Outcomes There are three possible outcomes at the conclusion of monitoring: 1. The student may continue to require Paraeducator for the entire school day. 2. The student may need the Paraeducator on a reduced basis based on increasing support strategies. 3. The student may not require a paraeducator at all. The Increasing Student Independence Plan: 1.) On a quarterly basis, the case manager will collect data on student’s independence skills and then complete a summary of observations (See Initial Data Collection on Independence Skills form). This summary contains a description of the results from the data that was collected across settings. This summary is a brief overview of the results. 2.) Either via a narrative report or a staffing, results of the observations and data are shared with the parents and the student’s school team. If there are no changes to paraprofessional support during the Page 10 of 14 student’s day, the process is finished with step 2. If the data shows that a decrease in paraeducator support is necessary to promote student independence, the team proceeds to step 3.) If the data has shown the need for a decrease in paraprofessional time, the team collaborates to put together a 6-8 week plan/schedule that will teach the student skills to become more independent (See Plan for Increasing Student Independence Skills and Techniques to Promote Independence). The plan/schedule will spell out durations of time during the day over the course of 6-8 weeks that the student will rely on independence strategies in the school setting. During this 6-8 week time period, the case manager is taking data on student independence. 4.) The team will meet after the 6-8 week time period to make a data based decision if the plan is working to increase student independence. 5.) Depending on the results of the data, the team determines if the process is complete or there is a need to revisit to gather more data. Techniques to Promote Independence and Fading Support: a) b) c) d) e) f) g) h) i) j) k) l) m) n) o) p) q) r) s) t) u) Watch before assisting. Can the student ask for help from teacher or peer? Can the student problem solve on his/her own? Have high expectations for what the student understands or can do independently. Provide consistent classroom schedule (posted, visual, at desk if needed, reinforcement periods included. Teach student how to use it. Start with the least intrusive prompts to get student to respond: Prompt, then back away to allow independent time. Use strengths and weaknesses, like and dislikes Model: guide (watch and assist); check (leave and check back) Teach independence skills (raising hand, asking for help, modeling other students) Encourage age appropriate work habits. See what other students are doing Be aware of proximity. Sit with the student only when necessary Encourage peer assistance and partnering. Teach peers how to help, but not enable Utilize self-monitoring checklists for students Color code materials to assist with organization Use transition objects to help student anticipate/complete transition (i.e., head phones for listening center) Break big tasks into steps Use backward chaining (i.e., leave the last portion of a cutting task for the student, then gradually lengthen the task) Assist in encouraging a means for independent communication (i.e., PECS) Provide positive feedback (be specific to the situation) Ask facilitative questions (“What comes next?” “What are other students doing?” “What does the schedule say?” “What did the teacher say?”) Give choices Page 11 of 14 Ongoing Training for Midland County Paraprofessionals 1. Topics of need regarding trainings - we have come to the conclusion that the following trainings are needed. All trainings will include introduction to evidence based practices within the established domain. Base-training what is behavior, how to support it – functions of behavior, how to keep basic data, and introduction to basic strategies and data recording. Accommodations and Modifications – behaviors you may see when a delay in education is the issue. Introduction to an instructional matrix in addition to other tools to support lagging skills around academics. Communication delay - Behaviors you may see with lagging skills in communication, also to include socialization and lagging skills when communicating with peers as well as adults. 2. To address the above listed trainings the following strategies are presented. -Annual full day trainings to occur on PD days prior to first day of school -Webinars to be made this spring and summer to be accessible for school year 2015/16 and ongoing -Individual trainings could be offered per district and/or per building These trainings will be offered in a curriculum style format so that each training builds upon one another Page 12 of 14 Initial Data Collection on Increasing Independence Form Student Name: _________________________________ Grade: _________________ Observation Date: ______________________________ Case Manager: ________________________________ Summary of Observations: Area of Independence: (1 = low independence, 5 = high independence) English Language Arts 1 2 3 4 5 Math 1 2 3 4 5 Social Studies 1 2 3 4 5 Science 1 2 3 4 5 Art 1 2 3 4 5 Gym 1 2 3 4 5 Spanish 1 2 3 4 5 Lunch 1 2 3 4 5 Recess 1 2 3 4 5 Transitional Times of Day (entry, exit, halls) 1 2 3 4 5 Comments: Page 13 of 14 Plan for Increasing Student Independence and Techniques to Promote Independence Subject Time of Day Duration Technique to Promote Independence Techniques to Promote Independence (This is a guide to help teams start to think of ideas and not intended to be an all-inclusive list) 1. 2. 3. 4. 5. 6. 7. 8. 9. Watch before assisting. Can the student ask for help from teacher or peer? Can the student problem solve on his/her own? Have high expectations for what the student understands or can do independently. Provide a classroom visual schedule with reinforcement periods included if needed. Prompt, then give processing time to allow student to respond Be aware of proximity. Sit with student only when necessary. Encourage peer assistance and partnering. Utilize self-monitoring checklists for students. Color-code to help with organization. Page 14 of 14