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The Wraparound Process as a TertiaryTier 3 Intervention

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Title: The Wraparound Process as a TertiaryTier 3 Intervention


1
The Wraparound Process as a Tertiary/Tier 3
Intervention
  • Diane McDonald
  • Technical Assistance Coordinator, Illinois PBIS
    Network
  • Omar Castillo
  • Principal, Lukancic Middle School
  • Kathy Batistich
  • Student Resource Team Leader, Lukancic Middle
    School
  • Joan Noonan
  • Counselor, Lukancic Middle School

2
Session Overview
  • This session will describe the process of
    wraparound building a child and family team,
    identifying strengths and needs of the child and
    family, developing an action plan, and using data
    to guide the wrap team. Participants will learn
    the four phases of wraparound and become familiar
    with the Wraparound Integrity Tool (WIT).

3
Positive Behavior Interventions SupportsA
Response to Intervention (RtI) Model







  • Tier 2/Secondary
  • Tier 3/
  • Tertiary

Small Group Interventions (CICO, SSI, etc)
ODRs, Attendance, Tardies, Grades, DIBELS, etc.
Group Interventions with Individualized Focus
(CnC, etc)
Daily Progress Report (DPR) (Behavior and
Academic Goals)

Simple Individual Interventions (Simple FBA/BIP,
Schedule/ Curriculum Changes, etc)
Competing Behavior Pathway, Functional
Assessment Interview, Scatter Plots, etc.

Multiple-Domain FBA/BIP

SIMEO Tools HSC-T, RD-T, EI-T
Wraparound
Illinois PBIS Network, Revised May 15,
2008 Adapted from T. Scott, 2004
4
What Do we Know about the Tertiary Level
  • Requires real talent and skills (Rob Horner)
  • Applies Art (of engagement) and Science (of
    interventions)
  • Needs to happen sooner for many
    students/families
  • Gets tougher with each system failure
  • Requires thinking differently with kids and
    families
  • Is easier in schools proficient with school-wide
    PBIS
  • Includes system/practice/data components

L. Eber 2005
5
Planning at the Tertiary Level
Individualized Planning
Supports Across Multiple Life Domains
The Art of Engagement Family Voice Blending
Perspectives
Science of Interventions Data-Based
Decision-making via FBA SIMEO
Team-Building Home, School and Community
6
WHAT IS WRAPAROUND?
  • PROCESS NOT A SERVICE
  • Wraparound is a commitment to create services and
    supports on a one kid at a time basis for youth
    with complex needs and their families.
  • Wraparound is an important component of PBIS
  • Wraparound integrates community supports
  • Basic Hypothesis If the needs of a child and
    family are met, it is likely that the child and
    family will have a good, or at least improved
    life.

7

Wraparound
  • used with individual youth
  • plans reflect voice, priorities of youth and
    family
  • based on unique youth and family needs
  • culturally relevant teams and plans
  • built upon youth, family and provider strengths
  • uses traditional and non-traditional
    interventions
  • encompasses multiple life domains
  • resources are blended must be flexible
  • services are planned, implemented, and evaluated
    by a team
  • team supports youth, family and providers
  • unconditional - if the plan doesnt work, change
    the plan

8
Needs based interventions will
  • Change the environment around the situation
    rather than waiting for the person with the unmet
    need to do the changing
  • Help build skills for the child and the childs
    supporters (family, teachers, neighbors,
    relatives, etc.)
  • Access existing resources when there is fit,
    avoid existing resources when there is not

9
Important to Remember
  • A wrap plan would be an addition to universal
    and secondary interventions.
  • Sometimes a secondary intervention can be enough.

10
Why do Wraparound?
  • Provide support to children and families
    experiencing difficulties in home, school and/or
    community
  • Access full range of supports in the life of the
    child and family
  • Surround the child and family with a TEAM
  • Utilizes data to guide decision making
  • Provide supports and services to deflect children
    and families from more intensive services or more
    restrictive placements.

11
Life Domain Areas
  • Educational
  • Physical needs/living situation
  • Family attachment
  • Safety
  • Socialization
  • Cultural/spiritual
  • Emotional/psychological
  • Health
  • Legal

12
Wraparound Made Simple
  • Identify a child (at risk? data?)
  • Get commitment from child and family
  • Who is on your team?
  • Find the strengths
  • Identify and prioritize needs
  • Put together an ACTION plan (data??)
  • Implement
  • Follow up, change plan as needed, celebrate
    successes

13
Four Phases of Wraparound Implementation
Wraparound Integrity Tool (WIT)
  • Phase I Team Preparation
  • Get people ready to be a team
  • Complete strengths/needs chats (baseline data)
  • Phase II Initial Plan Development
  • Hold initial planning meetings (integrate data)
  • Develop a team culture (use data to establish
    voice)
  • Phase III Plan Implementation Refinement
  • Hold team meetings to review plans (ongoing data
    collection and use)
  • Modify, adapt adjust team plan (based on data)
  • Phase IV Plan Completion Transition
  • Define good enough (Data-based decision-making)
  • Unwrap

14
Data-based Decision-making
  • Can teams use data to prioritize needs, design
    strategies, monitor progress of the
    child/family team?
  • more efficient teams, meetings, and plans?
  • less reactive (emotion-based) actions?
  • more strategic actions?
  • more effective outcomes?
  • longer-term commitment to maintain success?

15
Tertiary Supports at Lukancic Middle School
  • PBIS Summer Leadership Conference
  • Omar Castillo, Principal
  • Kathy Batistich, Student Resource Team Leader
  • Joan Noonan, Counselor

16
Lukancic Middle School
  • 4th Year as a PBIS School
  • 75 Staff Members
  • 600 Students
  • 49 White
  • 14 Black
  • 30 Hispanic
  • 3 Multi-Racial
  • 44 Low-income

17
Communication
  • PBIS at all Staff Meetings
  • Regular Team Meetings
  • Communication between the three tier teams
  • PBIS at all Institute Days
  • PBIS Dean Quarterly Information
  • PBIS Celebrations

18
Administrator Support
  • Principal and Assistant Principal on PBIS Teams
  • Both on Universal Team
  • Both on Secondary Team
  • Principal on Secondary Behavioral Team
  • Assistant Principal on Secondary Academic Team
  • Principal on Tertiary Team

19
The Tertiary Level of the triangle
85
10
5
Something we just DO!
20
  • The focus of the Tertiary Team is all about
  • L-I-N-K-I-N-G
  • FAMILIES, TEACHERS, CAREGIVERS, and SERVICE
    PROVIDERS into one consistently developed and
    carefully monitored service plan.

21
  • As a result of the Tertiary Approach, we can
    help students be successful by developing an
    individualized, comprehensive plan that crosses
    home, school, and community.

22
The students at the Tertiary Level of
intervention often qualify for WRAPAROUND
23
Who qualifies for WRAPAROUND?
  • Students whose needs are sudden or have continued
    over time despite interventions.
  • Students who participate in special or regular
    education.

24
  • WRAPAROUND is also used when a students
    emotional needs are high, yet there is a lack of
    parental buy-in with the student and/or with the
    school.

25
  • In order to engage families, it is important
    to allow parents to choose a meeting location
    that feels good, safe, and non-threatening to
    them.

26
  • Once the family identifies the WRAPAROUND Team,
    individualized plans can be made to promote the
    students success.

27
  • After needs are identified and a plan is
    developed, DATA is collected in order to measure
    the success of the interventions.
  • Data includes grades, ODRs, ISS, OSS
    Attendance

28
  • From that data, we can see what needs must still
    be met along with the progress of the student.
  • This data can be shared and celebrated during
    Team meetings.
  • Parents can feel listened to, students can
    belong, and educators can ignite the flames of
    success!

29
Lucy
  • Lucy presented in 6th grade as an average student
    but was often involved in middle school drama.
  • She received 1 ODR for fighting and was suspended
  • Counselor met with Lucy on an individual basis
    and developed a relationship with a family.

30
Lucy continued
  • By 7th grade, Lucy grades are sliding and has 11
    referrals for theft, disrespect, obscenities,
    aggressive behavior, insubordination, disruption
    in classroom, tardies, chronic misbehavior.
  • Interventions team meetings, individual
    counseling, parent conferences, phone calls home,
    cease and desist contract, family was seeking
    outside psychiatric care for Lucy

31
Lucy continued
  • By 8th grade, Lucy returned to school having been
    hospitalized for mental health issues.
  • Family was overwhelmed financially and
    emotionally
  • Parents did not want psychiatric diagnosis
    disclosed to staff.

32
Reason for Referral to Tertiary
  • Suffering from visual, auditory and tactile
    hallucinations which impacted Lucys ability to
    stay in class.
  • Lucy was vomiting throughout the building and
    using multiple physical complaints to avoid
    class.
  • Lucy was provoking other students and initiating
    fights leading to suspension from school.

33
Function of Behavior
  • Attention from peers and staff
  • Desire to fit in and make friends
  • Avoidance of classes particularly Math and
  • P.E.
  • Big Need Lucy needs to feel safe, successful
    and fit in at school.

34
Lucys Strengths
  • Lucy has a strong desire to succeed academically.
  • Lucy enjoys spending time with staff members.
  • Lucy is very close with her family.
  • Lucy is very kind and compassionate
  • Lucy has strong social skills and likes to help

35
Who are the team members
  • Student
  • Parents
  • School Nurse
  • Assistant Principal
  • Teacher
  • Guidance Counselor
  • School Psychologist
  • Student Resource Team Leader

36
Interventions
  • Journal
  • BR breaks splash face, drink of water, rubber
    band snap to cope with hallucinations.
  • Picked 2 go to people in the building (teacher,
    school psychologist)
  • Monitor schedule to avoid a certain student
  • Tutoring
  • Knitting Group

37
SIMEO Graph
38
Transition to High School
  • Met social worker and guidance counselor at the
    high school.
  • Developed a transition plan
  • Small group tour of the high school
  • Presented her MAP to the high school team (hopes,
    dreams, aspirations)
  • Continue in smaller setting to start

39
Lessons learned
  • Labeling can be counterproductive
  • Not to enable students behavior while still
    providing support.
  • More developed secondary interventions needed
  • I want you to do something!

40
Contact Information
  • Lukancic Middle School
  • Valley View 365U School District
  • 725 Normantown Road
  • Romeoville, IL 60440
  • (815)886-2216
  • (815)886-2264 Fax
  • Omar Castillo castilloo_at_vvsd.org
  • Joan Noonan noonanjl_at_vvsd.org
  • Kathleen Batistich- batistichkm_at_vvsd.org
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