Center for Evidence-Based Practice: Young Children with Challenging Behavior

Building a Behavior Support Team | Person-Centered Planning | Functional Behavioral Assessment | Hypothesis Development
Behavior Support Plan Development | Monitoring Outcomes | Synthesis of the Research | Case Studies

 

   Building a Behavior Support Team
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Positive Behavior Support (PBS) begins by building a behavior support team of key individuals and stakeholders who are most involved in the child’s life. Team members collaborate in multiple ways in order to develop, implement, and monitor a child’s support plan. The collaborative process of PBS includes the following steps:

Step 1: Team building and goal setting

Step 2: Gathering information (functional assessment)

Step 3: Developing hypotheses (best guess)

Step 4: Teaming to build behavior support plans

Step 5: Implementing, monitoring, evaluating outcomes and refining plans

All these steps are essential to successful teaming and in developing a Positive Behavior Support Plan. When developing a behavior support team one must ask the following questions:

WHO are the key stakeholders and individuals in this child’s life?

WHY is collaborative teaming a key element of PBS for this child?

WHAT do we need to do to make this a successful collaborative experience that will benefit the child and family?

HOW are we going to promote the active participation of the family and all team members in the behavior support planning process?

WHO are the key stakeholders and individuals in this child’s life?

Potential team members include anyone who the family or teacher feels knows the child well and will be a part of the behavior support process. Parents and family are absolutely essential to the PBS teaming process. The goal is to create a team that represents all of the adults who will interact with the child in the natural environment. When that occurs, the team will be able to develop a behavior support plan that can be used across environments. Plans that are consistent across environments are more likely to be effective and new skills are more likely to be learned and generalized. Other potential members can include therapists, administrative staff, program consultants or resource professionals, and possibly even other key stakeholders (such as, extended care providers, individuals who transport the child, or even medical professionals).

WHY is collaborative teaming a key element of PBS for this child?

Collaborative teaming is based on the idea that all team members have contributions to the development, implementation, and monitoring of a behavior support plan. When the family is a part of the process from the beginning, and are encouraged to participate in the PBS process from functional assessment to plan implementation, they are more likely to “buy in” to the support plan and implement the plan with fidelity. In addition, the parents will learn to view behavior as purposeful and may be able to develop support strategies as their child moves to new settings or situations. Because collaborative teaming is a key element in PBS, the family builds a large foundation of knowledge about why their child uses problem behavior and a better understanding of how to teach their child new skills to use in place of problem behavior. The family is better able to use problem-solving skills in the future to support their child. Collaboration is a gift of family empowerment. (click here to link to strategies for teaming with families)


WHAT do we need to do to make this a successful collaborative experience that will benefit the child and family?

Collaboration is delicate process. Success is achieved when all team members are actively involved in the behavior support process and when each team member feels that their contributions are valued and important. Effective teaming relies on good leadership. The leader of the team is the one who facilitates active participation from team members and reflects on the family’s goals and voice in those instances where the family members choose not to lead the team. A leader is always open-minded and is able to take on the perspective of the other team members and facilitate discussions so that everyone’s voice on the team is heard. Collaborative teaming needs to be a cooperative experience and result in a commitment to develop and implement the written plan (i.e., behavior support plan).

Teaming works best when there is open communication between team members, goal setting, teaching within natural environments, use of family strengths, monitoring of progress, and family involvement beyond meetings. Goal setting as a team should include a shared vision for the child and a belief that goals can and will be accomplished. Goals are written in such a way that skills can be taught within daily activities and routines in natural environments. This will not only allow for generalization of skills but also increased opportunities for teaching.

When setting goals for the child, it is also important to build upon family strengths. Family members are important contributors to the child’s team and thus should be commended for their abilities and ideas. Using the family’s strengths can give the family a sense of accomplishment, empowerment, and success. For instance, various family members come to a team with strengths such as, special talents (artistic, a skilled writer, computer knowledge, athleticism); resourcefulness (ability to tap into the community, good at recycling, researches topics); optimism (cheers others on, believes in one’s self, hopeful); and organizational skills.

When building a collaborative team it is important to use facilitation techniques to promote active participation (e.g., round robin, group graphics) during team meetings. All team members should also be aware of the facts that the PBS process takes time, PBS can be a difficult process the first time it’s used, that team members have differing skills and/or approaches, there are varying learning styles amongst team members, and there may be competing factors that influence team members. Awareness of these issues can allow the team to better develop a Behavior Support Plan for the child. When discussing plan development, family members and the other team members should identify routines and activities that are problematic for the child through a process called Functional Assessment and Hypothesis Development. Once a team completes a Functional Assessment on the child, they collaborate to develop a Behavior Support Plan.

A Behavior Support Plan should be written in easy-to-understand language and “fit” with routines, activities, and values of the family and teaching staff. Once a plan is constructed the team should write an Action Plan (click here to link to a Collaborative Action Plan Form) of who will produce the various components needed to implement the plan. Components (such as reminder signs, checklists, and tip sheets) need to be easy to use and easy to remember, otherwise the plan will be difficult to implement with fidelity. The plan must also accommodate competing demands on the teaching staff and family. If the individuals implementing the plan feel that it is too difficult or does not fit within the child’s everyday activities, then inconsistencies in implementation may occur. Mini-plans are sometimes developed around difficult routines or activities. For instance, a mini-plan can be written for a tooth brushing routine that may consist of preventions, new skills for the child to learn, and how the adults will respond around the child brushing his or her teeth. The mini-plan still fits within the Behavior Support Plan but really addresses a specific routine or activity.

Prior to the implementation of a plan, everyone on the team needs to understand the plan and agree that the strategies and approaches within the plan are appropriate. Begin implementation when all pieces of the plan have been developed. This includes a method for monitoring outcomes. Forms to monitor outcomes should be simple and user-friendly (Click here to link to measuring outcomes). The entire team should feel the outcomes that the team is measuring are of value. Dates need to be scheduled to check-in with the team do discuss progress or needed amendments. (Click here to link to “Evaluating the Support Plan”)


The following are Principles of a Collaborative Relationship:

Building Rapport & Respect for the Person

Team members need to establish a relationship with the members on the child’s team. Establishing this relationship relies on building on and recognizing strengths of the entire team. Rapport and respect involves showing an awareness of the dynamics in the child’s various environments, using easy to understand language rather than jargon and appreciating differences of opinions and perspectives. Showing respect for diverse cultures and asking the other team members for input also contributes to building and establishing a good teaming relationship and good rapport.

Sensitivity to Context

The team should be aware of the broader ecology of the educational setting and home. Actions, along with classroom and home dynamics are influenced by the environment and each other. Team members should ask themselves: Are their limited resources at this center or program? Do families have intense needs? Is “time” an issue? Team members should acknowledge these challenges and keep them in mind in planning strategies with the team.

Commitment to Evolving Growth and Change
Team members need to be sensitive that change and growth is a process. Change and growth may involve a learning curve for all team members. Team members need to be given the time to process new information and build their fluency at using this approach. Some team members will feel comfortable with the change and growth. Other team members may need to be convinced the process will have a positive effect or may be cautious about the change and need to be given time to understand the new information they are learning. Also, team members may have had past experiences that will influence how they perceive the growth or change. Both negative and positive past experiences can impact how team members view a situation or suggestion.

Mutuality of Shared Goals

It is important that the entire team has a “shared vision”. The “team leader” should lead the team in the sharing of goals throughout the process and explicitly state long-range goals for children, families, and the program. An emphasis should be placed on meaningful outcomes.

Open Communication
The team leader should promote honest expression, use active listening, and encourage dialogue about the process, family/staff concerns, and emotions. The team leader should ask the team members to identify the most effective way to communicate between meetings (i.e., phone, email, in person, fax, or mail) to ensure collaboration and shared information.

(Click here to link to “Talking with Families About Problem Behavior Do’s and Don’ts”)


HOW are we going to team to promote involvement of the family and all team members?

How a team gathers to meet and collaborate around a child’s problem behavior can really “set the stage” for the tone of the teaming experience. It is extremely important to take into account that individuals come to the table with various backgrounds, knowledge and perceptions. Creating a sense of unity is important. A team can only work successfully when all the players not only have a shared vision but a sense of being an important contributor to the team.

There are steps a team leader can take to promote a positive collaborative experience. Meetings should occur in a comfortable location and at times that are convenient for both the educational/professional staff and the family. When teams gather to meet, members should talk in terms that all on the team understand; de-jargon the process. The room should be arranged to facilitate an equal exchange. Circular tables lend to this well, as there is not a person who sits at the “head of the table”. Agendas are helpful in facilitating a smooth and efficient meeting. It is important to have a clear start and a planned agenda. Often, effective teams will generate an agenda that is distributed prior to the meeting so that team members have to time review and add to or delete agenda items as needed. (Click here to link to Collaborative Team Meeting Notes)

During the team meeting, roles are assigned such as: timekeeper, facilitator, recorder, and jargon buster. Role assignment encourages the team to stay on track with the meeting agenda and enables team members to be actively involved in the meeting. Role assignment also portrays a message that everyone on the team is important and time is valued and appreciated. As individuals on the team share information and ideas, the group listens with respect and all information discussed at the meeting is understood to be confidential.

The team develops a plan of action during the meeting. An Action Plan is then written to denote what actions are going to be taken, the steps involved to complete each actions step, who is responsible for each step, and the timeline for the action step to be completed. (Click here to link to “Collaborative Action Planning Form”) The facilitator ensures group participation through the use of teaming strategies(Click here to link to “Strategies for Teaming with Families”) and by giving an opportunity for all on the team to speak and reflect on the meeting once the meeting is coming to a conclusion. (Click here to link to “Collaborating with Families: Building Capacity”) As the meeting is drawing to a close, the team decides on the next team meeting date.


Building a Behavior Support Team: Collaborating with Families Additional Resources

Bailey, D.B., McWilliam, P.J., Winton, P.J. Simeonsson, R.J. (1992). How do we involve families in team meetings and decision-making? In D.B. Bailey, P.J. McWilliam, P.J. Winton, & R.J. Simeonsson, Implementing Family Centered Services in Early Intervention: A Team-Based Model for Change, Cambridge, MA: Brookline Books.

Briggs, M.H. (1993). Team talk: Communication skills for early intervention teams. Journal of Childhood Communication Disorders, 15(1), 33-40.

DeBoer, A. (1995). Working together: The art of consulting and communication. Longmont, CO: Sopris West.

Dunst, C.J., Johanson, C., Rounds, T., Trivette, C.M., and Hamby, D. (1992). Characteristics of parent-professional partnerships. In S.L. Christenson & J.C. Conoley (Eds.), Home-school collaboration: Enhancing children’s academic and social competence. (pp.157-174). Silver Spring, MD: National Association of School Psychologists.

Fox, L., Benito, N., & Dunlap, G. (2002). Early intervention with families of young children with autism spectrum disorder and problem behavior. In J. Lucyshyn, G. Dunlap, & R. Albin (Eds.), Families and positive behavioral support: Addressing the challenge of problem behavior in family contexts (pp.251-270). Baltimore: Paul H. Brookes.

Friend, M., & Cook, L. (1992). Interactions: Collaboration skills for school professionals. New York: Longman.

Harry, B., (1992). Cultural diversity, families, and the special education system: Communication and empowerment. New York: Teachers College Press.

Lucyshyn, J. M., Dunlap, G., & Albin, R. W. (2002). Families and Positive Behavior Support. Baltimore: Paul H. Brookes.

Melaville, A. & Blank, M. (1993). Together we can: A guide for crafting a profamily system of education and human resources. Washington, DC: Department of Education.

Rainforth, B. & York-Barr. (1997). Collaborative Teams for Students with Severe Disabilities: Integrating Therapy and Educational Services (2nd ed.). Baltimore: Paul H. Brookes Publishing Co.

Senge, P., Roberts, C., Ross, R., Smith, B., & Kleiner, A. (1994). Learning to work together: The fifth discipline fieldbook. New York: Doubleday.

Snell, M.E. & Janney, R. (2000). Teachers’ Guides to Inclusive Practices: Collaborative Teaming. Baltimore: Paul H. Brookes.

Thousand, J. & Villa, R. (1992). Collaborative teams: A powerful tool in school restructuring. In R. Villa, J.S. Thousand, W. Stainback, & S. Stainback, (Eds.), Restructuring for caring and effective education (pp. 73-108). Baltimore, MD: Brookes Publishing Co.


Websites:

Family Involvement in Functional Assessment,
http://fifa.fmhi.usf.edu

Center on the Social and Emotional Foundations of Early Learning,
http://csefel.uiuc.edu/

Center for Evidence-Based Practice: Young Children with Challenging Behavior,
http://www.challengingbehavior.org

Family Guided Approaches to Collaborative Early-intervention Training and Services,
http://www.parsons.lsi.ku.edu/facets

Individuals with Disabilities Education Act (IDEA),
http://www.fape.org/pubs/idea_training_materials.htm#IDEA

Kansas In-service Training Systems: Establishing Effective Early Childhood Teams
http://kskits.org/html/packets/teamingpacket.html

Building a Behavior Support Team | Person-Centered Planning | Functional Behavioral Assessment | Hypothesis Development
Behavior Support Plan Development | Monitoring Outcomes | Synthesis of the Research | Case Studies

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