Blending Academic RTI and PBS into Integrated Multi-Tiered Systems of Support: Concepts and First Steps Kent McIntosh University of Oregon Grateful acknowledgements to: Co-author Steve Goodman Partnering Districts Bethel School District, OR Tigard-Tualatin School District, OR Conference Committee You Overview Define an integrated MTSS model Show research showing the benefits of integrating PBS and RTI systems into one MTSS Share strategies for integrating academic and behavior practices Tier I Tier II Tier III Information in this presentation comes from: McIntosh, K., & Goodman, S. (in press). Integrated multi-tiered systems of support: Blending RTI and PBIS. New York: Guilford Press. CONTINUUM OF SCHOOL-WIDE INSTRUCTIONAL & POSITIVE BEHAVIOR SUPPORT CONTINUUM OF SCHOOL-WIDE INSTRUCTIONAL & POSITIVE BEHAVIOR SUPPORT Universal Interventions: School-/ClassroomWide Systems for All Students, Staff, & Settings Intensive Individual Interventions: Specialized Individualized Systems for Students with High-Risk Behavior Targeted Interventions: Specialized Group Systems for Students with At-Risk Behavior PBS/MTSS Framework Coaching School Team Data based problem solving Effective interventions School Leadership Implementation From Don Kincaid Features of MTSS (McIntosh & Goodman, in press) Academic RTI • Specific academic assessments and interventions • Use of published curricula selected by school or district • Use of direct assessment of skills • Periodic assessment through benchmarking periods • Focus on grade-level teaming • Described in IDEA as SPED eligibility determination approach • Scientifically-based interventions • Instruction as prevention • Tiered continuum of supports with increasing intensity based on need • Regular screening for early intervention • Use of a problem-solving model and data-based decision rules • Focus on teaming • Emphasis on improving quality of implementation • Embedded into school improvement plan PBS • Specific social behavior assessments and interventions • Use of free materials that are adapted to fit the school’s context • Use of indirect assessment of behavior • Continuous assessment of social behavior with existing data sources • Focus on school-wide teaming • Described in IDEA as school-wide prevention and individual intervention approach What are we talking about when we talk about integrated MTSS? Parallel play What are we talking about when we talk about integrated MTSS? Parallel play Full integration Some Big Ideas about MTSS 1. 2. Integration can be hard But we're all doing the same work Is there a link between academics and behavior? yes. Initial Behavior Challenges Initial Academic Challenges Combined Academic and Behavior Challenges Pathway 1: Pathway 4: Academic Challenges Lead to Combined Challenges Behavior Challenges Lead to Combined Challenges Pathway 3: Pathway 2: Attention Deficits Lead to Combined Challenges Underlying Attention Deficits Academic Challenges Lead to Social Rejection and Combined Challenges Two Causes, Two Solutions 1. “Chaotic Classroom” Theory Access to instruction (Levy & Chard, 2001) MEAP – Grade 4 Reading Assessment 29 Elementary schools in Michigan (reading and behavior support) Over 55% of major ODRs from classroom Probability of scoring below 75% proficient: 78% Under 55% of major ODRs from classroom Probability of scoring above 75% proficient: 75% (Goodman, 2005) Two Causes, Two Solutions 1. “Chaotic Classroom” Theory Access to instruction (Levy & Chard, 2001) Create safe, positive classrooms where instruction can take place Can PBS lead to improved reading performance? Kelm, J. L., McIntosh, K., & Cooley, S. (2014). Effects of implementing schoolwide positive behaviour support on social and academic outcomes. Canadian Journal of School Psychology, 29, 195-212. Change from 97-98 to 01-02 Elem With School-wide PBS 20 15 10 4J School District 5 Eugene, Oregon 0 -5 1 2 3 4 5 6 7 8 9 10 11 12 13 Schools Change from 97-98 to 01-02 Elem Without School-wide PBS 6 4 2 0 -2 Change in the percentage of students meeting the state standard in reading at grade 3 from 97-98 to 0102 for schools using PBIS all four years and those that did not. (Horner et al, 2005) -4 -6 1 2 3 4 Schools 5 6 BC Elementary School Example: Office Discipline Referrals BC Elementary School Example: Out of School Suspensions Student Satisfaction Survey: Grade 4 At school, are you bullied, teased or picked on? 100 90 % many times or all of the time 80 70 60 2008 50 2009 40 30 20 10 0 School District FSA Results 2007-09: Grade 4 Reading Comprehension 100 90 % meeting or exceeding 80 70 60 2008 50 2009 40 30 20 10 0 School District Two Causes, Two Solutions 1. 2. “Chaotic Classroom” Theory Access to instruction (Levy & Chard, 2001) Create safe, positive classrooms where instruction can take place Response to Intervention Theory Repeated academic failure leads to a pattern of problem behavior (Patterson, 1982; McIntosh et al., 2008) Coercive Cycle of Teacher-Student Interactions (McIntosh et al., 2008) Teacher presents student with grade level academic task Student’s academic skills do not improve Student escapes academic task Student engages in problem behavior Teacher removes academic task or removes student Two Causes, Two Solutions 1. 2. “Chaotic Classroom” Theory Access to instruction (Levy & Chard, 2001) Create safe, positive classrooms where instruction can take place Response to Intervention Theory Repeated academic failure leads to a pattern of problem behavior (Patterson, 1982; McIntosh et al., 2008) Provide high-quality academic instruction to prevent failure Can we alter the academic to behavior challenges pathway? (McIntosh, Sadler, & Brown, 2012) Research questions: Do pre-reading scores at the start of kindergarten predict problem behavior in 5th grade? 2. Does response to academic instruction change this risk? 1. ODRs by K DIBELS ISF Score 0.7 Mean ODRs Per Year 0.6 0.5 0.4 Low Risk Some Risk At Risk 0.3 0.2 0.1 0 Grade K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 (McIntosh, Sadler, & Brown, 2012) Risk for Problem Behavior Grade 5: Response to Intervention in Grade K 17% 5% 3% low risk to low risk Fall Kindergarten ISF Winter Kindergarten ISF Conditional Probabilities for 2+ ODRs Risk for Problem Behavior Grade 5: Response to Intervention in Grade K 11% some risk to some risk 8% (0%) Fall Kindergarten ISF Winter Kindergarten ISF Conditional Probabilities for 2+ ODRs Risk for Problem Behavior Grade 5: Response to Intervention in Grade K at risk to at risk 15% 14% (0%) Fall Kindergarten ISF Winter Kindergarten ISF Conditional Probabilities for 2+ ODRs Some Big Ideas about MTSS 1. 2. 3. Integration can be hard But we're all doing the same work We need to integrate our systems to solve the big problems Disproportionality in School Discipline (Losen et al., 2015) http://civilrightsproject.ucla.edu/resources/projects/center-for-civil-rights-remedies/school-toprison-folder/federal-reports/are-we-closing-the-school-discipline-gap A 5-point Intervention to Enhance Equity in School Discipline http://www.pbis.org/school/equity-pbis 5-point Intervention Approach 1. 2. 3. 4. 5. Use engaging academic instruction to reduce the support gap (achievement gap) Implement a behavior framework that is preventive, multi-tiered, and culturally responsive Collect, use, and report disaggregated discipline data Develop policies with accountability for disciplinary equity Teach neutralizing routines for vulnerable decision points http://www.pbis.org/school/equity-pbis Prevent Situations Leading to Disproportionate Discipline Start with a foundation of PBS Improve school climate Increase positive student-teacher interactions Provide instructional alternatives to ODRs and suspensions Ensure Cultural Responsiveness Build PBS systems with input from students, families, and community Use Engaging Academic Instruction Explicit, high rates of OTRs, progress monitoring Integrated MTSS and the Achievement Gap Percent Meeting or Exceeding Standards 100% 90% 94% 81% 84% 88% 80% 94% 11% 28% 24% 66% 67% 83% 36% 70% 60% 91% 43% 47% 50% 52% 40% 30% 38% 37% White 20% Latino 10% 0% 2007-08 2008-09 2009-10 2010-11 2011-12 2012-13 Tigard-Tualatin School District (Chaparro, Helton, & Sadler, in press) Integrated MTSS Successes California Lane & Menzies (2003) Florida Kincaid & Batsche (in press) Michigan Ervin, Schaughency, Goodman, McGlinchey, & Matthews (2006) Ohio Stollar, Poth, Curtis, & Cohen (2006) Oregon Chaparro et al. (in press), Sadler & Sugai (2008) Some Big Ideas about MTSS 1. 2. 3. 4. Integration can be hard But we're all doing the same work We need to integrate our systems to solve the big problems And it's all worth it So…how do we integrate our academic and behavior systems? What do we integrate? (McIntosh & Goodman, in press) Data systems Practices Teaming District Support Training and Professional Development Coaching Is integration our goal? Enablers Systems Features Effective Efficient Integration Equitable Sustainable Goal How to integrate well The key to integrated systems is through integrated thinking Considering the link between academics and social behavior in planning supports 2. Implementing effective practices for both the academic and social behavior domains 3. Integrating where it makes the most sense 1. Considers Tiers of Support when Integrating 1. 2. Because academic RTI and PBIS systems are both organized that way The approach to integrating practices varies based on the specific tier of support Tiered Logic for Integrating Practices Tier I Provide quality instruction in each domain Use the same principles to guide instruction Tier II Utilize existing Tier II academic practices that also provide social behavior support (and vice-versa) Differentiate instruction to add efficient intervention across domains Tier III Fully integrate support based on individual needs Tier I Aims: Maximize success for all students Prevent challenges in each area that could cross over Integration considerations Core instructional principles are shared Efficiency comes from generalization Teaching Academic and Social Behaviors Tell Reteach Behavior change is an instructional process Feedback Show Practice Teach social behavior skills just like academic skills Use positive & negative behavior examples Goal is for students to identify the line between acceptable and not acceptable Regular practice is needed to build skills Provide performance feedback Monitor progress in skills If students have trouble, reteach and provide more practice Principles of effective instruction (academic and social behavior) 1. 2. 3. 4. 5. 6. Focus on big ideas Conspicuous strategies Mediated scaffolding Strategic integration Primed background knowledge Judicious review Coyne, Kame’enui, & Carnine, 2007 1. Focus on Big Ideas Principle Big Ideas Description Reading Example Focus on key Big Ideas of Early and critical Literacy (NRP) components Phonemic Awareness Alphabetic Principle Fluency with Connected Text Vocabulary Comprehension Strategies Behavior Example Social and Emotional Learning (CASEL 5) Self-awareness Self-management Social awareness Relationship skills Responsible decisionmaking PBS Expectations Be safe Be responsible Be respectful Integrated Support Example Directly connect behavioral expectations to academic expectations (e.g., be responsible means engaging in class instruction) handout 2. Conspicuous Strategies Principle Description Conspicuous Directly teaching Strategies strategies used by successful learners Reading Example Behavior Example Teach sounds of individual letters and then blend the sounds together to say the printed word Explicitly teach behavior expectations through examples and nonexamples connected to context, teach routines for responding to problems (e.g., bullying behavior) Integrated Support Example Directly teach academic facilitative behaviors (e.g., attending, engagement responses) 3. Mediated Scaffolding Principle Mediated Scaffolding Description Providing guidance through prompting and fading of prompts Reading Example Pointing to letters for student to sound out and then slide finger across word to say it fast Behavior Example Post behavior expectations as prompt, regular use of expectations as labels to describe behavior Integrated Support Example Prompt what the student should be doing (academic engagement) rather than not doing (problem behavior), schedule instruction to increase successful responding and reduce behavior problems 4. Strategic Integration Principle Description Reading Example Behavior Example Strategic Integration Previous learning applied to new more complex content and contexts Phonemic awareness is combined with alphabetic principle to promote fluency with connected text Behavior expectations are selected and taught to transfer to new settings and contexts (e.g., substitute teacher, field trip) Integrated Support Example Teach students to use skills learned in reading problem solving to apply to social problem solving (e.g., identifying context cues, understanding meaning) 5. Primed Background Knowledge Principle Description Reading Example Primed Background Knowledge Linking current content to prior knowledge and experiences Connect vocabulary instruction to student previous vocabulary and understanding Behavior Example Use student’s previous experiences to better understand rationale for using prosocial behavior Integrated Support Example Make connections from concepts previously learned in one area (e.g., content from story) as background knowledge for another area (e.g., importance of responsibility) 6. Judicious Review Principle Judicious Review Description Planful and periodic review of skills and knowledge Reading Example Behavior Example Review vocabulary terms at end of initial lesson and also periodically based on student performance Review behavior expectations after each school vacation period or before common “spikes” in problem behavior, precorrect before challenging settings Integrated Support Example Monitor student performance within the instructional setting regarding need for review in both behavior AND academic variables Integrated Strategies at Tier I Good classroom management Simonsen, B., & Myers, D., (2015). Classwide positive behavior interventions and supports : A guide to proactive classroom management. New York: Guilford Press. Integrated Strategies at Tier I Good classroom management Teach classroom routines Class Routines School Rules Be Respectful Be Responsible Be Safe Independent Transitions Seat Work Small Group Activities Teacherled Instruction •Eyes on speaker •Listen to each other •Accept each other’s answers •Eyes on teacher •Raise hand before talking •Use whisper voice •Keep 8 inches between yourself and others in line •Raise hand before talking •Turn in work you are proud of •Start right on signal •Put materials away •Read and follow the directions •Complete your own work •Do your part •Use time wisely •Follow along •Listen to teacher instructions •Take notes •Move quickly but safely •Look out for others •Sit with 6 feet on the floor •Stay in your space •Keep objects out of hands •Use materials carefully •Sit with 6 feet on the floor •Keep objects out of hands Sample Lesson Plan Skill Name Getting Help (How to ask for assistance for difficult tasks) Teaching Examples 1. When you’re working on a math problem that you can’t figure out, raise your hand and wait until the teacher can help you. NEGATIVE: raise hand and wave it around or call out 2. You and a friend are working together on a science experiment but you are missing a piece of lab equipment, ask the teacher for the missing equipment. NEGATIVE: skip steps that use this equipment 3. You are reading a passage and don’t know the meaning of a word, ask your neighbor. NEGATIVE: ask your neighbor for the word and then keep talking Student Activity 1. Ask 2-3 students to give an example of a situation in which they needed help to complete a task, activity, or direction. 2. Ask students to indicate or show how they could get help. 3. Encourage and support appropriate discussion/responses. Minimize attention for inappropriate responses. After the Lesson (During the Day) 1. Just before giving students difficult or new task, direction, or activity, ask them to tell you how they could get help if they have difficulty (precorrection). 2. When you see students having difficulty with a task (e.g., off task, complaining), ask them to indicate that they need help (reminder). 3. Whenever a student gets help the correct way, provide specific praise to the student. Integrated Strategies at Tier I Good classroom management Teach classroom routines Use peer-mediated instruction Peer-mediated Intervention (aka Peer Tutoring) Students teach each other Students are paired and take turns as “coach” and “player” Effective on a range of outcomes (Barton-Arwood et al., 2005; Fuchs et al., 2002; Locke & Fuchs, 1995; Sutherland & Snyder, 2007) Academic skills Academic engagement Problem behavior Social standing Peer-mediated Intervention Resources Peer Assisted Learning Strategies http://kc.vanderbilt.edu/pals Free peer tutoring manual (reading fluency) http://interventioncentral.com/htmdocs/interventions/rdngfluency/prtutor.php Integrated Strategies at Tier I Good classroom management Teach classroom routines Use peer-mediated instruction Include social and emotional content in academic lessons Use materials that focus on social problem solving Select content that includes SEL topics in language arts and history Wars and injustices (e.g., The Trail of Tears) Inspiring events (e.g., We’ve Got a Job) Use comprehension questions when reading How do you think that made her feel? (empathy) What do you think is going to happen next? (cause and effect) How could he have done things differently? (problem solving) Integrated Strategies at Tier I Good classroom management Teach classroom routines Use peer-mediated instruction Include social and emotional content in academic lessons Arrange the classroom environment to maximize academic engagement Classroom Decorations (Fisher, Godwin, & Seltman, 2014) Classroom Decorations Children in the highly decorated room… Spent significantly more time off-task Had significantly smaller learning gains (Fisher, Godwin, & Seltman, 2014) Tier II Aims: Provide supplemental (not supplantive) support Can rely on quality Tier I practices for some integrated support Integration considerations What is needed to maximize existing Tier I supports? Efficiency comes from thoughtful selection Types of Student Problems Academic Problems Interrelated Academic and Behavior Problems Behavior Problems Nonrelated Academic and Behavior Problems Reasons Not to Implement New Integrated Tier II Practices 1. 2. 3. More time learning with peers in the general education setting Avoids adding more and more interventions to a fully loaded school Eliminates need to scheduling another set of groups! Smarter Integration Two step process: 1. Place students into instructional groups based on their primary academic needs 2. Add accommodations and differentiation of instruction for social behavior Tier II Accommodations by Function of Problem Behavior Scenario 1. Student engages in problem behavior to obtain adult attention during instruction Possible Accommodations/Differentiation Teach, practice, and acknowledge behavior expectations, with specific focus on appropriate ways to obtain adult attention Provide increased opportunities for student responding and feedback from instructor Arrange the instructional environment so that appropriate adult seeking attention is easy and not disruptive to others (e.g., seating near teacher, help signal for independent work) Enroll in Check-in Check-out (CICO) handout Check-in Check-out (CICO) A program to add: Mentoring by an adult in the school who looks out for the student Structured process of feedback and recognition to a school day Instruction in needed skills School-home communication Built-in monitoring of student progress Tier II Accommodations by Function of Problem Behavior 2. Scenario Possible Accommodations/Differentiation Student engages in Teach, practice, and acknowledge behavior problem behavior to expectations with peers, with specific focus on obtain peer attention appropriate ways to obtain peer attention during instruction Provide increased opportunities for peer mediated instruction (e.g., peer tutoring, group work) Teach peers to ignore misbehavior and acknowledge appropriate prosocial behavior Arrange the instructional environment to minimize peer disruptions (e.g., seating changes) Tier II Accommodations by Function of Problem Behavior 3. Scenario Possible Accommodations/Differentiation Student engages in Briefly teach and practice behavior expectations, and problem behavior to acknowledge with responses that are reinforcing for avoid or escape the student interactions with Provide opportunities for independent structured adults or peers during instruction (e.g., programmed instruction, computerinstruction aided instruction) Teach needed social and emotional skills Tier II Accommodations by Function of Problem Behavior 4. Scenario Student engages in problem behavior to avoid or escape academic tasks Possible Accommodations/Differentiation Develop skills in specific deficit areas o Provide instruction at student success level o Use evidence-based interventions to address deficit areas Add reinforcement system to reward engagement Enroll in Breaks are Better CICO modification Tier II Accommodations by Function of Problem Behavior 5. Scenario Possible Accommodations/Differentiation Student engages in Teach, practice, and acknowledge behavior problem behavior due expectations, with specific focus on appropriate to deficits in classroom behavior academic facilitative Teach specific academic facilitative skills (e.g., behaviors attending, organization, engagement) Enroll in Check-in Check-out (CICO) Integrated Interventions at Tier II Use the Tier II Function-based Intervention Resource Mapping Worksheet handout Tier II Interventions Check-in Check-out Social Skills Club Grief/Loss Group Lunch Buddies X X X X X X X X X X X X X X X X X Features Access to adult attention Access to peer attention Access to choice of alternative activities Options for avoiding aversive activities Options for avoiding aversive social attention Additional structural prompts for ‘what to do’ throughout the day At least 5 structured times each day to receive feedback School-home communication system Option to adapt into a selfmanagement system X X X X X X X Horner & Todd, 2002 Tier II Interventions Open Court PALS REWARDS Read Naturally Features Access to adult attention Access to peer attention Options for avoiding aversive activities Options for avoiding aversive social attention X X X X X X Miller & Goodman, 2012 Tier III Aims: Individualized support Fully integrated intervention plans Integration considerations Integrate support to maximize effectiveness Function-based support is a critical driver of intervention selection Take care to consider both sets of challenges at the same time BSP for Eddie Desired Alternative Typical Consequence Do work successfully w/o complaints Told “good job,” more work, good grades Setting Events Triggering Antecedents Problem Behavior Maintaining Consequences Function Corrected for reading error earlier in period Asked to complete reading assignment Argues, threatens, uses profanity Removed from class Escape academic task Acceptable Alternative Ask for break, ask for help BSP for Eddie Desired Alternative Typical Consequence Do work successfully w/o complaints Told “good job,” more work, good grades Academic Skill Development Reading: decoding words fluently Setting Events Triggering Antecedents Problem Behavior Maintaining Consequences Function Corrected for reading error earlier in period Asked to complete reading assignment Argues, threatens, uses profanity Removed from class Escape academic task Acceptable Alternative Ask for break, ask for help Setting Event Strategies Assess if reading curriculum is at appropriate levelplace in appropriate level Use an intensive, evidence-based reading program (e.g., Reading Mastery, Corrective Reading) Remove peer audience during reading time Antecedent Strategies Teaching Strategies Consequence Strategies Prompt task completion Behavior Skills Strategies Give break & help when requested Make task less difficult Teach and practice alternatives to problem behavior: 1. Ask for break 2. Ask for help Provide reward within 1 min. of starting task (& thin to 3 min., 5 min., 10 min.) Do first activity together Provide different tasks Present choice of which reading items to complete on worksheet Academic Skills Strategies Teach and practice specific academic skills: 1. Decoding skills Minimize rewards for problem behavior (don’t send to timeout without work) Reward desired behavior Resource Materials Integrated Instructional Plan Classroom or grade level handout Resource Materials Team Checklist for Integrating Practices School District handout Big Ideas for Smarter Integration of Practices The main goal of integrated MTSS models is improved effectiveness and efficiency, not integration For Tier I, good instruction in all domains is more important than integrated support For Tier II, provide academic support and then differentiate or accommodate for social behavior For Tier III, conduct functional assessments and build plans from these results Some Big Ideas about MTSS 1. 2. 3. 4. Integration can be hard But we're all doing the same work We need to integrate our systems to solve the big problems And it's all worth it Contact Information Kent McIntosh Special Education Program University of Oregon kentm@uoregon.edu @_kentmc Cannon Beach, Oregon © GoPictures, 2010 Handouts: http://kentmcintosh.wordpress.com Selected References Chaparro, E. A., Helton, S., & Sadler, C. A. (in press). Oregon Effective Behavioral and Instructional Support Systems initiative: Implementation from district and state level perspectives. In K. McIntosh & S. Goodman (Eds.), Multi-tiered systems of support: Integrating academic RTI and school-wide PBIS. New York: Guilford. Gietz, C. & McIntosh, K. (2014). Relations between student perceptions of their school environment and academic achievement. Canadian Journal of School Psychology, 29, 161-176. Goodman, S. D. (2005, October). Implementation of reading and behavior support at the state level. Paper presented at the 2005 PBIS Forum, Chicago, IL. Selected References (cont.) Kelm, J. L., McIntosh, K., & Cooley, S. (2014). Effects of implementing school-wide positive behaviour interventions and supports on problem behaviour and academic achievement in a Canadian elementary school. Canadian Journal of School Psychology, 29, 195-212. Kincaid, D., & Batsche, G. (in press). Florida’s Multi-Tiered Support System for academics and behavior. In K. McIntosh & S. Goodman (Eds.), Multi-tiered systems of support: Integrating academic RTI and school-wide PBIS. New York: Guilford. Selected References (cont.) Merton, R. K. (1968). Social theory and social structure. New York: Free Press. McIntosh, K., Chard, D. J., Boland, J. B., & Horner, R. H. (2006). Demonstration of combined efforts in schoolwide academic and behavioral systems and incidence of reading and behavior challenges in early elementary grades. Journal of Positive Behavior Interventions, 8, 146-154. McIntosh, K., Flannery, K. B., Sugai, G., Braun, D. H., Cochrane, K. L. (2008). Relationships between academics and problem behavior in the transition from middle school to high school. Journal of Positive Behavior Interventions, 10, 243-255. Selected References (cont.) McIntosh, K., & Goodman, S. (in press). Multi-tiered systems of support: Integrating academic RTI and school-wide PBIS. New York: Guilford Press. McIntosh, K., Horner, R. H., Chard, D. J., Boland, J. B., & Good, R. H. (2006). The use of reading and behavior screening measures to predict non-response to schoolwide positive behavior support: A longitudinal analysis. School Psychology Review, 35, 275-291. McIntosh, K., Horner, R. H., Chard, D. J., Dickey, C. R., & Braun, D. H. (2008). Reading skills and function of problem behavior in typical school settings. Journal of Special Education, 42, 131-147. McIntosh, K., Reinke, W. M., Kelm, J. L., & Sadler, C. (2013). Gender differences in reading skill and problem behavior in elementary school. Journal of Positive Behavior Interventions, 15, 51-60. Selected References (cont.) McIntosh, K., Sadler, C., & Brown, J. A. (2012). Kindergarten reading skill level and change as risk factors for chronic problem behavior. Journal of Positive Behavior Interventions, 14, 17-28 Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia Publishing. Sadler, C., & Sugai, G. (2009). Effective Behavior and Instructional Support: A district model for early identification and prevention of reading and behavior problems. Journal of Positive Behavior Interventions, 11, 35-46. Simonsen, B., & Myers, D., (2015). Classwide positive behavior interventions and supports : A guide to proactive classroom management. New York: Guilford Press.