WEBVTT

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Welcome to Unlimited Parenting. This is a podcast

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where we discuss what it's like being parents

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of children with disabilities. You are listening

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to part three of demystifying positive behavioral

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interventions and supports. And today we are

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diving into tier three of the PBIS framework.

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So this is when students need the highest level

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of individualized support. Before We dig in.

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Let's take a quick look at where we've been.

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And if you haven't listened to tiers one and

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two yet, I suggest popping over and listening

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to those first. So tier one, if you want to think

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of PBIS as a triangle, tier one is the foundation.

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It's the bottom piece of that triangle. All students

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get tier one support. Schools teach behavioral

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expectations akin to academics. through modeling,

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practice, and positive reinforcement. Think of

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this as school -wide strategies like behavioral

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expectations posted in the hallway, token systems,

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and keeping those consistent routines. So for

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example, your agenda for the day. And tier two

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is for kids who need a little more. Maybe these

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are kids in small groups. receiving targeted

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supports like check -in, check -out, social skills

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groups, self -monitoring tools, or behavioral

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contracts. Tier 2 helps students who are at risk

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but not yet in need of intensive intervention,

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which might lead you to ask, when would the team

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consider moving them from Tier 2 to Tier 3? What

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is the catalyst? for that escalation up the triangle.

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That is of course going to be very individualized.

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It may look like reviewing two very specific

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sets of criteria. So is the student not responsive

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to tier two goals? At that point, it may be time

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to escalate to tier three and after a review

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of office discipline referral data. So when we

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get to tier three, we're really looking at student

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behavior in frequency and intensity and self

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-harm to themselves and others. So let's talk

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more about top tier, tier three. When the students

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need support that's completely customized to

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their needs. Like I mentioned previously, after

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tier two, a more complex reinforcement system

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is frequently needed to support this individual

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student. and reduce that frequency intensity

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of problem behavior. So remember, like the triangle,

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Tier 3 is up at the top. It is the smallest piece

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of that triangle. So therefore, the smallest

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number of students are being supported there.

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And that roughly translates to between 1 % and

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5 % of students. So out of a school, about 1

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% to 5 % of students haven't responded to Tier

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1 or Tier 2 strategies. and they get escalated

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up to Tier 3. So what might students existing

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within Tier 3, what might they struggle with?

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So those are students who are struggling with

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persistent or intense behavior challenges, intense

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emotional regulation difficulties, potentially

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trauma or mental health conditions, multiple

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suspensions or discipline referrals. Oftentimes

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at Tier 3, and I would say most always at Tier

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3, these students have existing IEPs or 504 plans,

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behavioral intervention plans that include active

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and monitored behavioral goals. Tier 3 is individualized.

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It's based on deep assessments of the student's

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needs. It's collaborative. School teams work

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with families and potentially other mental health

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professionals. to build this plan. It's incredibly

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dynamic. Strategies are adjusted regularly based

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off of the student's progress. And it's supportive.

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It's aimed at skill building, not punishment.

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Evidence -based interventions are utilized to

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teach skills, provide support necessary for students

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to access their core instruction, and participate

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with grade -level peers. You'll notice that as

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a theme throughout all of our podcasts is just

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how Students with disabilities were always general

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education students first, and the goal is always

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to put them in their least restrictive environment

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with the most time with their general education

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peers as applicable to them on an individual

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basis. PBIS is no different from that. The goal

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is always to have the student access core instruction

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and participate with grade -level peers as much

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as applicable for their situation. Now let's

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move on to some of the most common Tier 3 strategies

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that you might find in schools. Remember, strategies

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are always going to work best when the student

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has a hand in crafting them. As a teen, as a

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parent, consider letting the student, the youth,

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lead that meeting. Lead the brainstorming on

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what potential reinforcers may be, when and where

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appropriate. ask for their feedback frequently.

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Studies have shown that youth who are more involved

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in generating their plans have higher outcomes

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and greater success. The number one most common

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tier three strategy would be a functional behavioral

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assessment, often referred to by its acronym

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FBA, or and a behavioral intervention plan referred

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to its acronym of BIP or BIP. The purpose of

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these is to identify the why behind behaviors

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that are occurring and then what skills to teach

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instead. So that might also be phrased as finding

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that if all communication is behavior, what is

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the ABCs, the antecedent, the behavior, the consequence,

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what is causing this behavior? And then what

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are the replacement skills that we can teach

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that the student can access just as quickly as

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they would access the skill that we're trying

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to modify? And that becomes very key. You cannot

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expect a student to do a replacement behavior

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that's one or two, three steps more than the

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behavior that you want to replace. Because when

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a student is activated and they are outside of

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their bodies, with their maladaptive behaviors,

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they are not able cognitively, in some cases,

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to access those three extra steps. So the replacement

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behavior needs to be just as accessible as the

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behavior that you want to replace. The structure

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of an FBA would be that staff gathered data through

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observation, interviews, and tracking. So I'll

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share a little story about an FBA that was conducted

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on my own son. So an FBA really delves into one

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behavior in specific. And I won't bore you with

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the whole seven, eight step process, but essentially

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what it looked like with my son was they were

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trying to figure out why he wouldn't play on

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the playground with his peers anymore. And the

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staff that kind of followed him around at recess,

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at play, to try and figure out what was the antecedent

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behind this behavior. After we had noticed that

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Silas was not playing on the playground with

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peers, which is an activity that he frequently

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engaged in prior. And there was about three days

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where he would not go anywhere near the playground.

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And I and the team and I discussed and requested

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that a functional behavioral assessment be conducted

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because he was having these completely out of

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the ordinary behaviors for him. And he just wouldn't

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go near the playground. And so upon following

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him and kind of assessing the behavior, the staff

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realized that there was a beehive, a hornet's

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nest near the playground. And Silas, my son,

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just wasn't able to communicate what his fear

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was. So he was using behavior to communicate

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that. He wasn't able to access. those executive

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functioning skills to be able to plan or communicate

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or organize. He couldn't access any of that,

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so he was just communicating purely through behavior.

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But through the process of an FBA, we were able

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to ascertain what was the antecedent, and then

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the consequence was he wouldn't play on the playground.

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So if we manipulate the antecedent, if we take

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away the hornet's nest, You'll notice that through

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that manipulation, and manipulation not in its

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derogatory term, but through the changing of

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the antecedent, right, that was able to change

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his behavior. So just keep that in mind. That's

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an example of what an FBA could potentially look

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like. And for a behavioral intervention plan,

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that is created with the information that is

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gathered through a functional behavioral assessment.

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It can be created through other ways, too. But

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in this specific instance, it's being created

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through the information gathered in that functional

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behavioral assessment. It includes strategies

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to prevent challenging behaviors, how to teach

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new skills, how to respond consistently. And

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if you go to, and this will be linked in the

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description box, if you go to SESTA, our state's

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technical assistance center for education, special

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education, you will find. that they have plethora,

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a myriad of resources on behavioral intervention

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plans, on functional behavioral assessments,

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on the competing behavior pathway. If it's related

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to behavior, you name it, they've got it. And

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they would be a wealth of resources you can see.

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Examples of what an unfilled out behavioral intervention

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plan could look like, what the process is for

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conducting an FBA, may also have a parent resource

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section where you can find resources that are

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very well explained and easy to digest information.

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Oftentimes, if you are the parent of a child

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who is needing an FBA, who is needing a behavioral

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intervention plan, you may not be in a place

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where reading heavily academic or heavily jargon

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or lots of abbreviations and acronyms. That may

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not be a space that you find yourself in where

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you can comprehend that information and SESTA

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has done a fantastic job of taking these resources

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and making that content parent friendly. Because

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when you're in a crisis kind of situation like

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that with your child, you're just also not really

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able to access those parts of your brain. How

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could you generalize this for at home? So just

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like we did with tier one and tier two strategies,

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we'll talk a little bit about what you could

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do at home for those home to school connections.

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So for this track patterns, ask what happened

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before the behavior and ask what happened after.

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This can help you and the school team align strategies.

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And again, you'll remember this from the ABCs

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of behavior, the antecedent, the behavior, and

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the consequence. This is another way to engage

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your child, if appropriate, and say, hey, what

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happened right before that? And in this case,

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it may even be more beneficial because the student,

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the child, has been removed from the situation.

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The emotions are de -escalated. They may be able

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to provide you more feedback than they were.

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in the moment with the staff when they were living

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that situation. Another common tier three strategy

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would be wraparound services. Purpose of this

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is to create a holistic support system that spans

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school, home, and community. This could include

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meetings with school staff, mental health providers,

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mental health providers if they are in the community,

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mental health providers if they are at school,

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and family members. shared plans and consistent

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goals across multiple settings, and just to ensure

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or provide resources like counseling, respite

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care, family training. And how this generalizes

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to home, don't hesitate to ask for support for

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services if your child's needs go beyond school.

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You are an equal member of this team with your

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child. Is your child being supported by the YES

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program or the YES system of care? Is that provider

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in those meetings? Are you child and family teaming

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in the community and bringing those individuals

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also into the school for these wraparound meetings?

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If you don't know what the YES system of care

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is or if you don't know what the Youth Empowerment

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Services program is and you'd like to learn more

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about it, you're welcome to reach out to us here

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at iPoll and we'd love to speak about it. Number

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three, one -on -one support. professional or

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behavioral aid, however this looks. The purpose

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of this is to provide real -time support. So

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you might have noticed that that functional behavioral

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assessment seemed to happen later, after the

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incident was occurring for a few days. A one

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-to -one support is going to be there in the

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moment to provide coaching and redirection during

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school activities. So some examples of the support

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they may provide is anticipate and prevent problem

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behaviors. Prompting appropriate behaviors. Using

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their proximity to the student to control and

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provide nonverbal cues. Debrief after incidents

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to reflect and reinforce those coping skills.

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You know, hey, how could you have handled that

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differently? You know, I know that we normally,

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that that was really hard for you. It was really

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hard for you to transition from art back into

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the classroom. What are some of the skills that

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we've learned that you could try next time to

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help you make that move from the classrooms?

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A tip for the home would be to ask the school

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team what strategies their aid at school uses.

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Is it visual prompts? Is it check -ins? Is it

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movement breaks? Is it using proximity? And then

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try using them at home. Number four. intensive

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counseling or social emotional support. The purpose

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of this is to build emotional regulation and

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social skills. This could include daily or weekly

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sessions with a counselor or a therapist, tools

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like breathing exercises, calming spaces, or

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just the development of more emotional vocabulary,

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more language to express. Or it could look like

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explicit teaching of skills like conflict resolution,

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emotional regulation. requesting or manding or

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tacting for breaks, and self -monitoring. And

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this could happen multiple ways. Again, this

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is very individualized. This could be throughout

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the day in natural context or scheduled coaching

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sessions. For a home tip, consider using visuals

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like a feeling thermometer or apps like the Zones

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of Regulation to help your child label and cope

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with emotions. This is not a plug or an ad. I'm

00:15:58.220 --> 00:16:01.240
not being sponsored. But the other day I was

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on Etsy and I saw a pillow that was intended

00:16:04.240 --> 00:16:07.500
for, I assume, a counselor's office or a therapist's

00:16:07.500 --> 00:16:11.299
office. And it was a huge feelings wheel. And

00:16:11.299 --> 00:16:13.539
you would start in the center and say, oh, I'm

00:16:13.539 --> 00:16:16.879
mad. And then from the word mad, it would branch

00:16:16.879 --> 00:16:19.120
out into four different options like frustrated,

00:16:19.379 --> 00:16:22.419
irritated. And then you'd choose whichever one

00:16:22.419 --> 00:16:24.799
you align with. And then it just keeps going.

00:16:25.419 --> 00:16:27.720
so that you can get more and more detailed in

00:16:27.720 --> 00:16:32.179
describing what you're mad really is. Number

00:16:32.179 --> 00:16:36.059
five, last but not least, daily behavior reports

00:16:36.059 --> 00:16:39.399
or journals. These strengthen the homeschool

00:16:39.399 --> 00:16:42.980
connection and assist in providing regular feedback

00:16:42.980 --> 00:16:45.460
so everyone's on the same page. Everyone knows

00:16:45.460 --> 00:16:48.059
what happened at school. Everyone knows what

00:16:48.059 --> 00:16:51.220
happened at home. No one's left wondering, oh

00:16:51.220 --> 00:16:53.779
man, little Johnny looks like he didn't get enough

00:16:53.779 --> 00:16:56.000
sleep last night. You're already going to know

00:16:56.000 --> 00:16:57.340
that because you're going to have read the report

00:16:57.340 --> 00:17:00.200
that said Johnny had a really rough night. He's

00:17:00.200 --> 00:17:02.259
feeling kind of hungry, didn't get a lot of sleep.

00:17:02.740 --> 00:17:06.240
So that they can anticipate and not place those

00:17:06.240 --> 00:17:09.079
demands first thing in the morning. Kind of let

00:17:09.079 --> 00:17:11.480
him ease in and warm up, give him that grace

00:17:11.480 --> 00:17:15.759
that allows him to be his best self or her. What

00:17:15.759 --> 00:17:18.220
does the parents role look like in tier three?

00:17:19.440 --> 00:17:21.480
I want to remind you again, I know I've said

00:17:21.480 --> 00:17:23.539
it before, but you're not just the parent, you're

00:17:23.539 --> 00:17:26.619
the partner. You're a leader in your child's

00:17:26.619 --> 00:17:29.299
success. And here are some tips to make Tier

00:17:29.299 --> 00:17:33.480
3 work for you, the IEP team, the 504 team, the

00:17:33.480 --> 00:17:36.160
wraparound team, and your child. Number one,

00:17:36.200 --> 00:17:39.259
be at the table. Presence is important. Attend

00:17:39.259 --> 00:17:41.960
the FBA, the Functional Behavioral Assessment,

00:17:42.299 --> 00:17:44.539
the BIP, the Behavioral Intervention Plan, the

00:17:44.539 --> 00:17:47.500
IEP, the Individualized Education Plan. Attend

00:17:47.500 --> 00:17:51.549
those meetings. 504s. Share what works at home.

00:17:51.789 --> 00:17:55.349
Ask what's working at school. Ask for updates

00:17:55.349 --> 00:17:59.829
and what's changed. Ask for training. It's okay.

00:18:00.049 --> 00:18:03.869
It's encouraged to ask for coaching and how to

00:18:03.869 --> 00:18:08.009
use behavior tools. Stay connected. Use that

00:18:08.009 --> 00:18:11.910
communication notebook and email. Use ClassDojo,

00:18:12.109 --> 00:18:16.069
ParentSquare, anything like that. Ask for updates.

00:18:16.150 --> 00:18:18.089
Send updates throughout the day. Send an update

00:18:18.089 --> 00:18:21.950
in the morning. And lastly, advocate. If something

00:18:21.950 --> 00:18:26.450
isn't working, speak up. This is a team effort.

00:18:26.750 --> 00:18:30.410
What about generalizing Tier 3 supports to home

00:18:30.410 --> 00:18:34.170
and community? Tier 3 will only work if students

00:18:34.170 --> 00:18:37.250
can use these new skills beyond the classroom.

00:18:37.829 --> 00:18:40.049
Here's how to help your child carry these supports

00:18:40.049 --> 00:18:42.569
into everyday life. Implement visual schedules.

00:18:43.390 --> 00:18:46.049
Just like at school, a morning or evening routine

00:18:46.049 --> 00:18:48.869
with pictures or checklists can reduce anxiety

00:18:48.869 --> 00:18:54.150
and improve independence. I love and stand by

00:18:54.150 --> 00:18:57.470
a good checklist. They help me feel more grounded

00:18:57.470 --> 00:18:59.410
so I can only imagine what that could feel like

00:18:59.410 --> 00:19:01.730
for a child too. Continue to reinforce replacement

00:19:01.730 --> 00:19:05.849
behaviors. If the school is helping to teach

00:19:05.849 --> 00:19:09.130
your child to ask for a break, using a specific

00:19:09.130 --> 00:19:13.859
way, maybe using a card or... flipping a token

00:19:13.859 --> 00:19:17.519
over or whatever the case may be. Practice that

00:19:17.519 --> 00:19:21.980
at home too. Create a calm down corner. Include

00:19:21.980 --> 00:19:24.440
familiar tools like a fidget, a weighted blanket,

00:19:24.740 --> 00:19:27.200
emotional charts, or that emotional pillow from

00:19:27.200 --> 00:19:30.660
Etsy. Again, not sponsored. Finally, use a daily

00:19:30.660 --> 00:19:33.859
rating sheet. Let your child reflect with you

00:19:33.859 --> 00:19:39.349
on their day. What worked? What was hard? A little

00:19:39.349 --> 00:19:42.670
pro tip, encourage your child to select how they

00:19:42.670 --> 00:19:46.250
felt and then you select what you thought and

00:19:46.250 --> 00:19:49.170
then provide reflections. Remember, letting the

00:19:49.170 --> 00:19:52.589
child advocate for themselves first promotes

00:19:52.589 --> 00:19:57.089
that sense of resilience and allows us to access

00:19:57.089 --> 00:19:59.829
those greater outcomes. What about in the community?

00:20:00.829 --> 00:20:04.529
Prep your child ahead of time. Lean into social

00:20:04.529 --> 00:20:07.869
stories or role play before going to new places.

00:20:08.559 --> 00:20:11.339
or even established places that maybe don't work

00:20:11.339 --> 00:20:15.079
out so well. For example, what about the dentist?

00:20:15.519 --> 00:20:17.900
Do you have a social story for going to the dentist

00:20:17.900 --> 00:20:20.319
or maybe some specific sensory tools that you

00:20:20.319 --> 00:20:22.960
can lean heavily into for the dentist? Is there

00:20:22.960 --> 00:20:26.000
any kind of reward for the post -dental day?

00:20:26.259 --> 00:20:29.440
Lean into first -then language. That could look

00:20:29.440 --> 00:20:32.799
like, first we go to the store, then you have

00:20:32.799 --> 00:20:37.390
iPad time. Or you could do yes -then. Yes, we're

00:20:37.390 --> 00:20:40.069
going to the store. Then you get to have iPad

00:20:40.069 --> 00:20:46.910
time. Identify safe exits or helpers. If you're

00:20:46.910 --> 00:20:49.930
in public, let your child know where they can

00:20:49.930 --> 00:20:52.950
go or who they can ask for help in public places

00:20:52.950 --> 00:20:57.849
if appropriate and if they are able to. So for

00:20:57.849 --> 00:21:00.069
example, I tell my children, if you're out in

00:21:00.069 --> 00:21:03.170
public and for whatever reason we get separated,

00:21:03.549 --> 00:21:06.460
knock on wood. I always tell them to look for

00:21:06.460 --> 00:21:09.119
a mom with kids. So that could be something that

00:21:09.119 --> 00:21:12.500
you could lean into. And always partner with

00:21:12.500 --> 00:21:15.299
after school providers, coaches, daycare staff.

00:21:16.180 --> 00:21:19.039
Share strategies that work because consistency

00:21:19.039 --> 00:21:23.299
is key. Here's a pro tip. Make it your goal to

00:21:23.299 --> 00:21:29.099
use the same language across all settings. So

00:21:29.099 --> 00:21:31.839
if your school says, ready, set, respectful.

00:21:32.680 --> 00:21:36.400
Try using those phrases at home. Try and have

00:21:36.400 --> 00:21:39.619
after -school providers use those phrases. Grandma

00:21:39.619 --> 00:21:41.940
and grandpa are using those phrases. Anyone who

00:21:41.940 --> 00:21:45.420
has routine, consistent access using the same

00:21:45.420 --> 00:21:48.519
phrases. As we wrap up, I just want to emphasize

00:21:48.519 --> 00:21:53.039
that Tier 3 isn't about control. It's about understanding

00:21:53.039 --> 00:21:57.500
and meeting the child where they are. With individualized

00:21:57.500 --> 00:22:01.700
plans, Strong homeschool partnerships, community

00:22:01.700 --> 00:22:06.299
partnerships, and consistency across all settings.

00:22:07.099 --> 00:22:10.099
Kids can learn the tools they need to thrive

00:22:10.099 --> 00:22:13.880
and be successful. Thank you so much if you've

00:22:13.880 --> 00:22:17.200
stuck through us throughout this entire PBIS

00:22:17.200 --> 00:22:21.019
series. Tier 1, a strong foundation for all,

00:22:21.140 --> 00:22:24.500
the bottom of the pyramid. Tier 2, targeted support

00:22:24.500 --> 00:22:27.980
for some, the middle of that pyramid. And Tier

00:22:27.980 --> 00:22:32.480
3. intensive, individualized supports for a few.

00:22:33.240 --> 00:22:37.200
Remember, if you take nothing from any of this,

00:22:37.319 --> 00:22:49.339
it's that all behavior is communication. Thank

00:22:49.339 --> 00:22:51.619
you so much everyone out there for listening

00:22:51.619 --> 00:22:55.390
in and know that if you are in Idaho or planning

00:22:55.390 --> 00:22:58.569
on moving to Idaho, and have questions on systems

00:22:58.569 --> 00:23:02.130
or services for children with disabilities, please

00:23:02.130 --> 00:23:04.910
consider reaching out to us on our website at

00:23:04.910 --> 00:23:10.970
ipulidaho, that's I -P -U -L, idaho .org, or

00:23:10.970 --> 00:23:16.970
by calling us at 208 -342 -5884. Be sure to tune

00:23:16.970 --> 00:23:20.769
in next time. Until then, this has been Unlimited

00:23:20.769 --> 00:23:22.650
Parenting. Thanks for listening!
