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Tier 3 Behavior Support Team for Internalizing Behaviors

The Behavior Support Team at TTSD focuses on reducing special education referrals, suspensions, and expulsions through early intervention strategies. The team serves all disability categories and aims to support students with internalizing behaviors, particularly girls experiencing mental health difficulties. Tier 3 support includes personalized plans and behavior coaching. Learn more about our mission and strategies at TTSD.

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Tier 3 Behavior Support Team for Internalizing Behaviors

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  1. TTSD Behavior Support Team Tier 3 Referrals For Internalizing Behaviors

  2. Our History… The BST was created five years ago in response to an equity issue: The over-representation of Latinos who are suspended or expelled from TTSD.

  3. Our mission: Intervene early in order to: • Reduce referrals to special education • Reduce suspensions and expulsions • Reduce the need for restrictive educational placements

  4. Which students does the team serve? • Regular Ed (often providing support that is not available otherwise) • Special Ed • Focus on k-8 (expanding into the HS this year) • All Disability categories • Focus on externalizing behaviors.

  5. Why so few girls? • Many girls are “internalizers:” • Depression • Withdrawal • Disengagement • School Refusal / Absenteeism • Self-harm • The intent was that these students would be served through Care Coordination / Community Mental Health Partners…

  6. Isolate Race . . .

  7. Internalizingvs. Externalizing

  8. Internalizing Behaviors Focus Group: • School Counselors, Psychologists, Behavior Team, and Care Coordination • Met in December, 2013; January 2014; and March 2014 • Decided to focus on both boys and girls. • Discussed current interventions • Developed a list of simple strategies that can be implemented by EBIS teams.

  9. Elementary • Teachers report concerns about children who are withdrawn, lonely, sad, disengaged - “lost girls.” • Frequent visits to the health rooms. • High absenteeism due to illness, somatic complaints and/or school refusal. • By 4th-5th grade some students begin skipping school.

  10. Middle School 3 Categories: • Students who attend classes, but are disengaged. Some of these students may act out when “triggered,” but are normally very quiet. • Students who attend school, but don’t attend classes. • Students who do not attend school.

  11. Causes • Mental Health Difficulties: • Depression • Anxiety • Social Skills Deficits • Learning Difficulties • Bullying • Home / Family Stressors

  12. Tier 3: 1-5% Tier 2: 20% Tier 1: 80%

  13. EBIS Team Strategies • Identify • Support

  14. Tier 1 • Identification: EBIS team reviews school-wide data such as: • Attendance • Grades • Health room visits • Teacher or peer nominations • Supports: EBIS teams implement building-level interventions such as: • Teacher mentors (i.e. Teachers choose one student from their own class or another classroom to reach out to on a daily or weekly basis.) • Parent consultation

  15. Tier 2: • Identification: EBIS teams consider previous attendance, truancy and grade data, as well as: • K-5: Screener such as the internalizing section of the Systematic Screening for Behavior Disorders Form – teachers complete and turn in to EBIS teams • Family history – kids with older siblings who have had difficulty with attendance, other familial factors, mental health needs, etc. • Truancy • Supports: • Mentoring programs • Enrollment in clubs, sports, or other activities • Small groups – lunch bunches, social skills groups, etc. • Care Coordination / Mental Health Referrals • CARE Team Focus Students

  16. Tier 3 • Develop Tier 3 Support Plan • Consider referral for Care Coordination • Consider referral to the Behavior Support Team for behavior coaching.

  17. Individualized Plan Components • Emotional Regulation, Coping, and Social Skills Instruction • Increase Social Connectedness • Assist with Organization and Work Completion • Communication Between Home, School, and Community Mental Health

  18. Tier 3 Includes Coaching Coaching:

  19. Two Key Strategies: • Persistence • Communication

  20. “Test Students” • Twality Middle School • 2 Girls, 1 Boy • Hazelbrook Middle School • 2 Girls, 2 Boys

  21. Articles / Resources http://online.wsj.com/news/articles/SB10001424052748703989304575503893436045302 http://www.nasponline.org/families/schoolrefusal.pdf http://www.aboutourkids.org/articles/understanding_school_refusal https://pacificnwpublish.com/products/Absenteeism-&-Truancy:-Interventions-and-Universal-Procedures.html

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