Elementary EBD Behavior Intervention Program Model: CARES Cooperation Assertion Respect Empathy Self-Control *The SPPS EBD Program Model CARES uses the BEST (Behaviorally Effective Skills Training), a model based on the Boys Town Education Model and Responsive Classroom developed by the Northeast Foundation for Children, Inc. ** Elements of the model are also based on Positive Behavior Intervention and Support (PBIS) from Robert Horner and G. Sugai. September, 2010 Page 1 The Learning Center is a Federal Setting III, self-contained special education setting for students that demonstrate severe emotional and/or behavioral discrepancies from their general education peers. All classrooms in Learning Center programs follow the behavior management model that is described below. This model is a combination of principles found in the research-based approach, Responsive Classroom*, and the current SPPS model, BEST (Behaviorally Effective Skills Training)*. The model also draws from Positive Behavior Intervention Systems.** The new model is called CARES: Cooperation, Assertion, Respect, Empathy, Self-Control. The CARES model uses a teaching approach to help students increase core behaviors skills that are essential to functioning successfully at school, home and in the community. The CARES model also addresses the safe management of behavior problems including aggressive and potentially harmful behaviors. Using this model, students are treated respectfully and positively. Consistency is very important and it is the responsibility of all staff to be consistent and follow the model. The goal of any behavior management system is to prevent behavior problems. Misbehaviors most often occur during “down time” or when students are not engaged. In order to increase student engagement, school staffs strive to create conditions for positive learning and behavior. In order to do this, teachers and staff must control the following antecedents: Create a classroom community Establish rules and routines Design a schedule and routines Teach, model and practice desired behaviors Minimize downtime Use verbal prompting for behavior Make directions clear and understood Use proximity control Design curriculum and instruction that is engaging Principles of the Responsive Classroom Used in the Model: 1. 2. 3. 4. The social curriculum is as important as the academic curriculum The greatest cognitive growth occurs through social interaction How students learn is as important as what they learn CARES behaviors--Cooperation, Assertion, Respect/Responsibility Empathy and Self-Control 5. Knowing your students is as important as knowing the content you teach 6. Knowing the parents/families is as important as knowing the students 7. The adult community--how the adults work together is as important as their individual competence. Lasting change begins with the adult community. September, 2010 Page 2 Teaching Practices in the Special Education Classroom The following practices are used to teach students the CARES behaviors. The CARES model is about teaching social skills and safely managing misbehavior. 1. Morning Meeting Purpose: Build social skills Build a positive, caring, inclusive community Build academic readiness Begin the day’s academic learning De-escalate potential behavior problems Structure: Occurs daily Students are seated in a circle to build a sense of community Up to 20 minutes in length Students do not bring any materials or items to the group to help them stay focused Order of Components: Greeting: Teach and practice eye contact, pay attention to one another, use appropriate voice and greeting Sharing: Teach attentive listening, focus on sharer, friendly comments, higher order questions Activity: Teach cooperation and team building through games News and Announcement: Review daily schedule, interactive academic learning, skill practice 2. Guided Discovery Students are taught a daily routine and the correct way to use school supplies. These skills are modeled and practiced throughout the school year. If a rule is Not followed it is viewed as an opportunity for learning, not punishment. The skills needed to follow the rule are re-taught and reviewed as needed. 3. Academic Choice Students are given limited choices as much as possible to give them power in an effort to decrease power struggles, teach students to make good choices and to increase interest in learning. September, 2010 Page 3 4. Teacher Language All staff will use language that is positive, clear and respectful. Language is encouraging which means that it will affirm and sustain the children’s use and knowledge of appropriate behaviors. Examples include: “I noticed…” “Way to go!” “I see that…” “How did that feel?” “Thank you for…” The use of empowering language teaches and guides students in appropriate behaviors. Examples include: “Who can remind us…” …”? “Show me what ___ looks like” “I need…” Staff language is a move from… Telling to Asking Judging to Describing Reactive to Proactive Staff speaks to students proactively to help create conditions for success and clearly and calmly redirect students when problems occur. Reminding Language: Remind me how to… Show me how to… I hear talking, this is quiet time. What will you do next? Who remembers how that will look/sound? Think about where you need to sit to give your best attention. What did you notice? Reinforcing Language: I noticed that… What did you notice? Tell me about… That worked. We did it just like we practiced You all came in and got right to work, now we can get started All of you helped out ______ by __________ September, 2010 Page 4 Redirecting Language The rules of the game say… That looks dangerous, show me a safer way. Your friend wants to work, come sit over here. Tell your feet to be still. Our classroom rules state… 5. Classroom Organization Teachers and paraprofessionals organize materials, furniture and displays in ways that are child- centered and encourage students’ independence, cooperation, productiveness and positive behaviors. 6. Parents and Families Classroom staff provides a daily written note home for all students. This note has the Essential Behavior Skills listed and asks for areas where each student did well and what s/he needs to work on the following day. In the space provided, staff can include a personalized note about the student’s overall performance for the day. Staff must remember to utilize positive, non-judgmental language to Efforts should be made to keep parents and families informed and involved. Positive phone calls home, special notes and a classroom event calendar are just some ways in which this can be done. Having a positive relationship with the parent and families of students helps encourage open communication and proactive planning for all students. 7. Interactive Modeling and Concepts New skills and previously taught skills that are being reviewed must be modeled and practiced. Students should see staff modeling the skills and have the opportunity to model for one another. 8. Logical Consequences Consequences should be Respectful, Relevant, and Reasonable. There are three types of logical consequences: "Take A Break": Two places should be designated in the classroom for "take a break". Both areas should neither be isolated nor in the thick of activity. "Take a break" should generally be just a few minutes long and will vary depending on the student’s ability to regain control. When the student has a calm body s/he is invited to return to the class. Staff uses verbal or non-verbal cues to invite the student back to class. September, 2010 Page 5 Staff records the use of each "take a break" for each student in the inclass intervention log. The following are some situations in which a "take a break" would be appropriate when a student: Talks continually to a neighbor during a group activity. Bangs his pencil and drums his hand on the table. Takes extra turns or pays no attention when it isn’t her turn. Makes negative and sarcastic comments. Refuses to work with a partner or participate in a shared project unless she gets her way. Restitution- “you break it, you fix it”: The student must somehow, using words or actions, "set things right". It is important to remember that materials and feelings can both are broken, so it is possible to have to fix one or both things. DO: Use Apology of Action (“What can you do to repair the damage and show you are sorry?”) DON’T: Lecture, blame or, shame Use or use sarcasm or criticism in words, tone or body language. Loss of Privilege: Consequences for student behavior should be logical. In the situation where a behavior requires a loss of privilege, the privilege that is taken away should be the privilege that was abused. For instance, if a student was throwing food in the cafeteria, he/she should have to clean up the mess that was made. If the student was unsafe with scissors, he/she could not use scissors for a short period. When applying consequences, it is important to: Show high expectations that the student learn CARES behaviors Give the student another chance or “fresh start” Re-teach the skill/behavior Use a calm voice and body language When applying consequences, it is important not to: Lecture, blame or shame the student Use sarcasm, criticism or judgmental language 9. Problem-Solving Strategies September, 2010 Page 6 When working with students who have difficulty managing their anger it is necessary for all staff to maintain self-control at all times. Staff must do the following: Teach and model appropriate ways to behavior and handle stress and anger Remain calm at all times Ignore some minor misbehavior that does not contribute to more severe misbehavior Understand that students with severe emotional and/or behavior problems will say and do things to upset staff that should not be taken personally Provide emotional support and a caring attitude toward students When appropriate, ease tension through humor Set consistent limits Understand that the anger that students display is a part of human behavior that all people display but that students must learn to display without losing self-control Provide opportunities for students to calm down and "save face" by avoiding power struggles Positive support and feedback is a strongest means of changing behavior. Research has consistently shown that positive approaches are more effective than negative approaches or the use of punishment. The CARES approach uses a level system to provide consistent, constructive responses to students' behavior problems. There are 4 levels of behavior ranging from "low level" to "bottom line" behaviors. Different levels of Interventions correspond to the level or intensity of the behavior problem a student displays. The response to the behavior matches the severity of the behavior. The behaviors listed are taken from the SPPS Student Behavior Handbook: Rights & Responsibilities. The levels of behavior and corresponding options for Interventions for each level are listed below. September, 2010 Page 7 Positive Behaviors Completing work Walking calmly in hallway Taking a break appropriately Accepting feedback Helping students and staff Ignoring negative behavior Resisting peer pressure Cooperating Taking responsibility for actions 4 to 1: four positives for every negative LEVEL 1- Behaviors Aggression, no bodily harm Bullying, other harassment Cheating Disruptive behavior Student attire Tardiness Threats Truancy Unauthorized/rough use of school property Verbal abuse Willful disobedience LEVEL 2 Behaviors (Intervention Room Referral) Continuing to engage in level 1 behavior. Physical aggression – resulting in bodily harm Discrimination Disruptive behavior to and from school Fighting Gambling Gang activity Harassment (race, creed, sex, marital status, national origin, September, 2010 Positive Feedback Verbal praise Hug, pat on back, high five External reward – treats, points Special privilege Important job Bonus free time Special note home Positive call home LEVEL 1 – Interventions Reminders and redirection Verbal correction Written reflection or apology Seat change Student conference Behavior contract Take a break Restitution Buddy room Loss of privilege Parent Phone Call /conference LEVEL 2- Interventions (Intervention Room Referral) Model the appropriate behavior and practice the appropriate behavior. Act of Apology Working away from the classroom Study Hall Restitution- logical consequence Community Service in the School setting Page 8 age, color, religion, ancestry, status, sexual orientation, or disability) Interference/obstruction Leaving school grounds Racial or Religious threats Sexual threats Theft Willful damage to school LEVEL 3 – Behaviors (Administration referral) Aggression, Physical – Resulting in bodily harm to a staff person or student Fighting requiring the physical intervention of staff members Racial or Religious Violence Possession or use of pyrotechnic device Robbery/extortion Sexual violence Trespassing Chronic Truancy Continual Willful disobedience LEVEL 4 – Behaviors (Administration referral) Alcohol Arson Assault Criminal Act Criminal Act against staff member Criminal Sexual Conduct Disorderly Conduct Drugs or Controlled Substances Fires and False Alarms Hazing Possession of other weapon or September, 2010 LEVEL 3 - Interventions (Administration referral) IEP meeting In-School Suspension Dismissal Referral to outside services LEVEL 4 – Interventions (Administration referral) Parent Guardian notification Short-term suspension Administrative Transfer Interim alternative educational placement IEP meeting Referral to outside agency Police called Page 9 object that is not a firearm and does not meet Minnesota Statute dangerous weapon definition, with no intent Terrorist Threats Bottom Line Behaviors Property Damage Swearing Out of Area Harassment Threatening Physical Aggression Bullying Automatic Consequence Level Drop Possible Consequences Loss of privilege Study Hall Restitution Act of Apology Dismissal/Suspension In-School Suspension * See behavior guidelines September, 2010 Page 10 10. Creating Rules Classroom generates rules as a community. Students are encouraged to brainstorm as many ideas for rules. Teachers will use student language when creating the rules. Teachers rephrase negatively stated rules in positive ways. The teachers and students then categorize rules into 3-5 categories. Students decide on the wording for 3-5 rules (one for each category). Students sign the final rules and they are posted in the classroom. The rules are reviewed daily. Timeline for establishing a Responsive Classroom and to teach CARES Week 1: Teach the signal for silence the first day (Staff should not be talking or directing) Model and practice community and classroom routines Hopes and dreams (include families) Model and practice us of classroom materials through Guided Discovery Democratically establish classroom rules Discuss and review Above and Below the Line behaviors Introduce and teach the use of the level system Introduce CARES skills Week 2: Model and practice the rules as they apply to all aspects of community and classroom life Continue guided discoveries Display rules and Hopes and Dreams Teach the skill of Cooperation Week 3: Teach the skill of Assertion Week 4: Teach the skill of Respect Week 5: Teach the skill of Empathy Week 6: September, 2010 Page 11 Teach the skill of Self-Control January: Review and re-teach After spring break: Review and re-teach Proactive Program Wide Management Systems Program-wide positive behavior support is a systems approach to establishing the whole-program social culture and intensive individual behavior supports needed for programs to achieve social and academic gains while minimizing problem behavior for all students. The programs emphasize four integrated elements: (a) socially valued and measurable outcomes, (b) empirically validated and practical practices, (c) systems that efficiently and effective support implementation of these practices, and (d) continuous collection and use of data for decision-making. These four elements are operationalized by five guiding principles: Invest first in prevention to establish a foundation intervention that is empirically validated to be effective, efficient and sustainable. Teach and acknowledge appropriate behavior before relying on negative consequences. Identify students who need more intense support and provide that support as early as possible, and with the intensity needed to meet the student’s need. Establish a continuum of behavioral and academic interventions for use when students are identified as needing more intense support. Use progress monitoring to assess (a) the fidelity with which support is provided and (b) the impact of support on student academic and social outcomes. Use data for continuous improvement of support. September, 2010 Page 12 1. CARES Cooperation: getting along with others Assertion: asking for help Respect: accepting feedback, handling anger, accepting direction, personal space Empathy: listening, responding to teasing/bully, helping others Self Control: verbal and physical control of body and space 2. Level System What is a level system? The level system is based on individual student behavior and is designed to immediately strengthen positive behavior. It provides daily feedback to student, staff, and parents. There are four main goals of point and level systems: 1. Increasing CARES behaviors 2. Promoting a focus on academic achievement 3. Fostering a student’s improvement through self-management 4. Developing personal responsibility for social emotional and academic performance.1 There are three levels in the level system: LEVEL 3 (Above the line behavior) A student on level 3 is consistently following classroom rules; expectations, being safe, being respectful, and modeling EBS behavior as well as responsibilities expected in general education settings. The student is allowed the most privileges in the classroom including: first choice at many activities or materials, rewards, shopping at school store, running errands with staff, lunch with teacher/staff, playing with others, going outside, playing on the playground and field trips, etc. LEVEL 2 (At the line behavior) A student on level 2 is sometimes following classroom rules, expectations, being safe, and being respectful. A Level 2 student has almost the same privileges as a level 3 students. The only difference is that a level 2 students does not get first choice at activities or materials in the classroom. LEVEL 1 (Below the line behavior) A student on level 1 is not following classroom rules, expectations, being safe, and/or being respectful. A level 1 student does not have very many 1 (Farrell, Smith & Brownell, 1998). September, 2010 Page 13 privileges. The student will have an assigned activity by staff during choice time that provides supervision and structure (making up work, fix it plans, apology of action). A student on Level 1 might not be able to attend noneducational field trips or special programming. How do I know which level a student is on? All students start on level 2 at the start of every week. At the end of each day students/staff will count their points on their sheets and see if they earned enough points to move up a level. They are only allowed to move up one level per day. Students automatically move down to level 1 for bottom line behaviors. Each day student takes a note home that will include information about their current level. What are bottom line behaviors? A bottom line behavior is described as a behavior that is extremely unsafe, poses a threat to harm themselves, or others, and is against school rules. Examples: harming others, sexual harassment, property damage, self-harm, assault and out of area. 2. Out of Class Interventions Being an educational program, the primary focus for all students is always developing academic skills. In order for students to make academic progress, they must be in the classroom participating in learning activities. This is especially true of students whose emotional and behavior problems often get in the way of academic development. Careful consideration must be made when removing a student from the classroom and away from instruction. Only when students are engaged in level 2 or more intense behaviors should removal be considered. Students engaged in "low level" behaviors that do not pose a threat to safety should not be removed from the instructional setting In many cases, students start off engaging in low level or level 1 behavior. The use of de-escalation and/or proactive strategies should be used whenever possible. The CARES model based on Responsible Classroom believes that it is necessary for staff to: • Invest first in prevention to establish a foundation intervention that is empirically validated to be effective, efficient and sustainable. • Teach and acknowledge appropriate behavior before relying on negative consequences. • Identify students who need more intense support and provide that support as early as possible, and with the intensity needed to meet the student’s need. • Establish a continuum of behavioral and academic interventions for use when students are identified as needing more intense support. • Use progress monitoring to assess (a) the fidelity with which support is provided and (b) the impact of support on student academic and social outcomes. Use data for continuous improvement of support. September, 2010 Page 14 Use of Restrictive Procedures (Seclusionary Time-out and Physical Restraint) The majority of problem behaviors that are used to justify seclusion and restraint could be prevented with early identification and intensive early intervention. The need for seclusion and restraint procedures can, in part, be a result of insufficient investment in prevention efforts described above. IMPORTANT CAUTIONS ABOUT THE USE OF RESTRICTIVE PROCEDURES: Seclusionary (i.e., locked) time-out and physical restraint are restrictive procedures that refer to safety procedures in which a student is isolated from others (seclusion) or physically held (restraint) in response to a serious problem behavior. These restrictive procedures are never used without completing a Functional Behavior Analysis (FBA) and a Behavior Intervention Plan (BIP). Restrictive procedures are never used in isolation without a positive BIP to support the acquisition of CARES behaviors. Federal and state laws restrict the use of these procedures and they can only be used when there is an immediate threat to the physical safety of the student or others. Staff must be trained in school district approved procedures for safe restraint and use of seclusionary time-out. A record of every incident of restraint and seclusionary time-out must be maintained. The misapplication and/or abuse of these procedures can place students and staff at risk. Seclusionary time-out and/or manual restrict should never be used: As a planned “treatment” or “behavioral intervention,” rather than as a safety procedure In response to "low level" behaviors that do not pose an immediate threat to safety Without staff receiving prior approved training in using them safely When the risk of injury and harm is increased because seclusion and restraint are implemented by staff who are not adequately trained and/or are not utilizing the required Crisis Prevention Institute (CPI) skills Out of Classroom Time-Out Other de-escalation techniques will be used based on individual behavior intervention plans. This might include walks, sensory breaks, errands, or take a break in a buddy room. All out of class time-outs will be documented in the classroom log. Intervention Room September, 2010 Page 15 Out of class interventions are used only when all in-class interventions have been exhausted. The intervention room is a quiet space outside the classroom. The purpose of the intervention space is to de-escalate the student and use strategies and techniques to assist then in regaining selfcontrol. The intervention room is only effective when the staff and resources are focused on addressing the student’s emotional and behavioral needs in a supportive manner. Professional standards need to be maintained in the intervention space: Talking should be focused on redirecting or processing Avoid personal conversations in front of students Space should remain neutral and calming- minimal distractions It should not be used as break room Taking Students to the Intervention Room When the behavior is willful disobedience then the following steps will be taken: Use a calm voice with few words. Privately ask the student to walk to the intervention room. Provide the student space to make the right decision. If student refuses after the first direction, then staff calmly repeat the direction either privately or nonverbally. Staff remind the student of the consequences of his or her behavior while providing choices to guide them. Ex. “If you go own your own then you will be able to get back to class faster for choice time” Ex. “If you get your time done right away then you will still earn points for math” Ex. “If you keep it small you can………” If the student continue to refuse to go the intervention room it is important that you assess the student and behavior. If the behavior is not disruptive or unsafe continue with steps 1 and 2. If the student is of immediate physical danger to themselves or others then staff will use restrictive procedures (formerly known at conditional procedures). During transition and once in the intervention room staff will member will limit verbal interactions and if possible have no verbal interaction with the student. Escorting staff will immediately sign students in using the intervention sign in sheet. Staff will immediately return to their classroom assignments. September, 2010 Page 16 4. Systematic Supervision Systematic Supervision, based on research that has identified what works well with students, is a method of supervising students and physical spaces that will: Help decrease the problem behavior Increase student cooperation Makes supervisors’ jobs less stressful Systematic Supervision is based on the use of four key skills that increase supervisors’ effectiveness: Being Active an active supervisor means: Moving around constantly in unpredictable, randomized patterns so you can see where student are and what they are doing Scanning with your eyes and ears so you notice positive behaviors and potential problems right away Being Positive a positive supervisor means: Connecting with students by creating a friendly atmosphere and by making an effort to connect with individual student and with students in groups Giving students positive reinforcement when their behavior is appropriate by acknowledging it and letting students know you appreciate it Responding to Problems of students who are behaving in an uncooperative or difficult manner means: Responding to the problem behavior immediately or as soon as possible by speaking privately and respectfully with the student Defining the problem and giving the student a choice to cooperate with a direction, correction and/or a predetermined consequence. If the student chooses not to cooperate, the consequence is carried out consistently. Communicating effectively means: Communicating with students in general, and teaching/discussing rules and expectations regularly Communicating with parents about their children and school rules and expectations, and inviting them to participate in school events and activities Communicating with other staff at staff meetings, through informal contact while working, and by using data collection forms, such as behavior logs, to document and share information about student behavior September, 2010 Page 17 September, 2010 Page 18