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Susan Keith and Pam Sikorski are CPI Global Professional Instructors.

 

Together they have over 20 years of experience teaching the Nonviolent Crisis Intervention® training program, and they share a commitment to promoting positive behaviors and helping to improve the quality of care for all, in all settings.


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Secondary Prevention: Tier 2 in the Positive Behavioral Interventions and Supports (PBIS) Framework

Susan Keith 06.30.2011 | 3 comments

Secondary Prevention: Tier 2 in the Positive Behavioral Interventions and Supports (PBIS) Framework

The Positive Behavioral Interventions and Supports (PBIS) framework is made up of three areas of prevention: primary (or universal), secondary, and tertiary. This post is the second in a series of three, and examines the second level, secondary prevention.

 


In the previous blog posting, we discussed the primary/universal level of PBIS supports. This time, let’s think about the secondary prevention strategies you utilize, which make up tier 2 in the framework. These are defined as specialized group systems for students with at-risk behavior. This tier targets approximately 15–20% percent of the school population as groups showing at-risk behaviors.

 


Secondary interventions rest on the first level of primary prevention, school-wide and classroom systems. Without school-wide prevention, we can't reliably identify students in need of targeted interventions. These tier 1 systems must be in place and used consistently and with fidelity by all staff.

 


Interventions from tier 2 of the framework can be effective in working with this at-risk group of students. Approximately 10–15% of students will respond to the targeted group interventions. Tier 2 small group interventions are strategies and procedures put into place to support a group of students who display similar needs or deficits as identified through the data. These interventions may include:

 

Read more about Positive Behavioral Interventions and Supports on our Knowledge Base page.


• Check, Connect, and Expect—This intervention provides for systematic and frequent reinforcement and encouragement for positive behaviors by the staff so that the individual receives high rates of immediate feedback.
• Mentoring—This may be done by staff or peers.
• Coaching.
• Daily progress reports.
• Self-management training—Social stories may be helpful here.
• Social Skills Club—This can benefit all students.
• Student Check In-Check Out in a feedback loop with teachers and parents.
• Ticket/token systems that serve as incentives for and recognize demonstration of pro-social behaviors.

 


It’s important to consider how to customize our strategies in order to be culturally competent, person-centered, and age-appropriate. Strategies for pre-kindergarteners in an elementary building wouldn’t look or sound like the applications used on a high-school campus.

 

Parallel concepts from the Nonviolent Crisis Intervention® program for individuals that are exhibiting challenging behaviors at this level include the CPI Verbal Escalation ContinuumSM, limit setting, and Precipitating Factors.

 

What are your thoughts on these connections? What kinds of things are you doing for secondary prevention? Do you have success stories with the examples above?
 



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Comments
Aaron 1/25/2012 11:56:35 AM | Report abuse
Great Article! These are some good ideas for Tier 2 interventions. I totally agree with you that implementing interventions with a high degree of fidelity is important. Check-In-Check-Out has indeed been very successful in the many schools I've seen it implemented. It's also important to have a solid Tier 1 level of interventions in place before going to Tier 2. Without building on the tiers, like you pointed out, all interventions will fail.
PBISWorld.com

mahdee 12/20/2011 1:33:35 PM | Report abuse
Hi,
I have been working with behavior problem youth (severely emotionally disturbed)and adults (developmentally disabled) for 29 years. On my website I have some information on how to deal with behavior issues and how to implement a PBS using various programs such as excel to look for patterns and how to write behavior objectives. If anyone or organization is interested in taking a look at my work, please contact me. mahdee7@hotmail.com
I began using PBS in 1983 while working with adolescent Eskimos with behavior problems and developmental disabilities in Alaska. It is a very effective method especially when working with low functioning non-verbal individuals. I am glad it is getting recognition nationwide.

jimmy carter 7/13/2011 1:20:50 PM | Report abuse
We use reading as rewards. positive reinforcement like picking out a book from BooksAMillion, Dirt cheap or our Church Book Store. Simple things like picking out ice cream or which movie we will watch on movie nite.

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