PBS Team Training Action Plan revised dec 2010 by 52S4R6

VIEWS: 23 PAGES: 6

									                               SAMPLE
           School-Wide Positive Behavioral
              Interventions & Supports:
                      Action Planning Guide
Date: 06-04-2004 District: Swamp City District Contact: Joan Smith
School: S.S. Enterprise Elementary        Address: 1201 N. Third St.
Phone: 225-219-7364                       Fax: 225-342-0938
Team Leader: Kara Hill
Principal: H. Houdini          E-mail: hhoudini@la.gov
Asst. Principal: B. Bird       E-mail: bbird@la.gov
Facilitator working with team: Fred Rogers
Our Team Meetings are Regularly Scheduled on:
Day of Week: Tuesday (2nd and 4th of Month)             Time of Day: 2:30pm
Location: Media Center                                  Length of Meeting: one hour

Establish a Team Goal or Purpose:
 To facilitate positive behavior change in our students and staff. To increase instructional
time through the development of effective, proactive, education-oriented interventions that
   result in reductions in the number of inappropriate behaviors by students and staff.

PBIS Team Members
      Names                     Role            Phone                     Email
                            Team Leader
     Kara Hill                                    578-2298             karahill@lsu.edu
                           Beh. Specialist
 Michelle Botos                                   578-2298            Mbotos1@lsu.edu
                                Time
Catherine Landry               Keeper             578-8444             landryc@lsu.edu

Shannon O’Connor              Recorder            342-3640            soconnor@uno.edu
                               Snack
  Wendy Allen                  Master             578-8444              wallen@lsu.edu
                                Data
  Monica Ballay               Specialist          342-3640             mballay@lsu.edu
                School-Wide Positive Behavioral
                   Interventions & Supports
               ACTION PLANNING GUIDE
School: _____________________            Address: _______________________
Phone: __________________                Fax: __________________
Team Leader: _____________
Principal: __________________            E-mail: ____________________
Asst. Principal: ______________          E-mail: ____________________
Facilitator working with team: ________________
Our Team Meetings are Regularly Scheduled on:
Day of Week:                                    Time of Day:
Location:                                       Length of Meeting:

Establish a Team Goal or Purpose:




PBIS Team Members
      Names               Role              Phone                    Email
                 School-Wide PBIS: Specific Action Plan
               Include the development, implementation, and management activities of your plan.
                        All critical elements should be addressed within your action plan.
Critical                                                            Who is        When         When will When will
Element                     Action/Activity                      responsible?    will it be      it be   we evaluate
                                                                                 started?     completed?     it?

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                     Critical Elements                          8. Existing discipline data system is meaningful, data entered
    1. PBIS Team established                                    weekly and analysis plan established
         Membership, meeting times, leader, roles, etc.        9. Discipline Referral Process
         Integrate any existing committees on behavior into          Define & categorize minor/major behaviors
            one.                                                      Develop minor infraction form
    2. Basic behavioral principles taught/reviewed with staff         Discipline referral form compatible with LDE
    3. Expectations developed (3-5 positively stated)                 Discipline referral process established and flow chart
    4. Rules developed for specific settings                             developed
    5. Lesson plans developed for teaching expectations/rules   10. Effective Interventions for Rule Violations
    6. Reinforcement System is established (what, when, how)         Intervention hierarchy developed (classroom & office)
    7. Faculty Involvement                                           Protocol for handling rule violations established
         Strategies for sharing data                           11. Implementation plan established
         Procedures to get staff input and feedback on plans   12. Evaluation of PBIS activities
         Staff Reinforcements                                       Implementation Assessment
                                                                     Verification of self-report
Critical                        Who is       When         When will When will
Element    Action/Activity   responsible?   will it be      it be   we evaluate
                                            started?     completed?     it?

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