Decision Making about Effective Behavioral Support: A Guide for Educators

Timothy J. Lewis, Ph.D.

University of Oregon

In Cooperation with: Office of Special Education Programs, U.S. Department of Education, The Council for Exceptional Children, and The National Center to Improve the Tools of Educators

Overview

Few issues in education raise emotions as much as the issue of school "discipline." Frequent newspaper accounts continually remind the public of the extreme behavioral issues that confront schools today. The issue becomes even more complex when children and youth with disabilities are brought into the picture. Faced with the pressing issue of challenging behavior in schools, educators are forced to create systems to deal with the problems. Unfortunately, educators often engage in "discipline" practices that do not change behavior, and in fact, may exacerbate the problem.

The purposes of this handbook are to provide a method to evaluate current discipline practices and a strategy for making decisions about adopting or adapting behavior change strategies from the professional literature. Throughout this paper, the focus is on educating all students, including those with disabilities and children and youth who would be viewed as "at-risk" due to chronic or habitual patterns of problem social behavior. Issues, themes, and strategies within the document were shaped by the participants at the recent Office of Special Education Programs Projector Director's meeting held in Washington, DC, July, 1995 (Lewis, 1995).

Within this document, an important distinction between "best" practice and "promising" practice is made (Peters & Heron, 1993). Best practices refer to those procedures for which replicated data-based studies have been conducted. Promising practices refer to those procedures that may have theoretical support, but have limited or no empirical evidence to support their use. When developing discipline practices, educators are encouraged to adopt best practice. If promising practices are used, special attention in monitoring implementation and student outcomes is warranted.

Following a brief description of terms, the remainder of this handbook addresses six questions developed to guide decision making about adopting instructional strategies and curricula (Carnine, 1995): (a) are the approach and it's outcomes clearly defined?, (b) what evidence exists that the approach is effective?, (c) is an accountability process built into the approach?, (d) is the approach sustainable?, (e) is the approach equitable?, and (f) are the costs of the approach and its implementation reasonable? While the above questions were developed with academic instruction and curricula in mind, the questions are equally appropriate in decision making about discipline procedures. In addition, a brief discussion of legal and policy, and cultural issues surrounding the use of behavior reduction procedures with students with disabilities is provided.

Terms

The term discipline has typically been linked with negative or punishing consequences when used within the context of schools. However, for the most part, the research community is in consensus in advocating that schools move beyond traditional "punishment" types of discipline. Researchers recommend schools develop broader, proactive, positive school-wide systems (e.g., Colvin, Kameenui, Sugai, 1994; Sugai & Homer, 1994). To that end, the term "effective behavioral support" will be used throughout this paper in place of discipline. Effective behavioral support refers to a system of school-wide processes and individualized instruction designed to prevent and decrease problem behavior and to increase and maintain appropriate behavior. The following figure provides an overview of essential features of effective behavioral support practices (Lewis, 1995).

Key Features of Effective Behavioral Support

Are the Approach and It's Outcomes Clearly Defined?

In developing effective behavioral support, several component strategies should be adopted and shaped to meet individual school needs. This potentially necessitates piecing together a social behavior curriculum from several sources (e.g., several social skill curricula or behavior reduction strategies). Critical to the selection of any approach is the relationship to the larger school goal. For example, if the school's goal is to "create a positive learning environment for diverse learners," then the approaches adopted should lead to this outcome. Over reliance on punishment procedures such as in-school suspension may reduce the level of problem behavior in the school, but it does not enable the school to reach it's goal (i.e., creating a positive learning environment for all students). In assessing the clarity of potential approaches and their related outcomes, the following should be considered: (a) what is expected form teachers, (b) what is expected form the administrator, (c) what is expected form the student, and (d) are expected outcomes linked directly to the intervention.

What is Expected From Teachers

While it is tempting to place all responsibility for behavior on the student's shoulders, the reality is that teachers and staff play a critical role in creating effective behavioral support. When analyzing potential procedures, expected staff behavior should be outlined to the point that all staff know exactly how to implement the approach, how to respond to student behavior, and where to get assistance if needed. For example, if social skill instruction is to be effective, we know the teacher must provide appropriate demonstrations of skills, arrange practice opportunities, and provide feedback on student performance (Sugai & Lewis, 1995). Mechanisms to include all staff should be outlined or developed for the specific approach under considerations. If the approach under investigation is vague or does not provide sufficient information to replicate, additional information, or alternative approaches, should be examined.

What is Expected From the Administrator

As indicated above, effective behavioral support procedures should be implemented by all staff in the same manner to provide a unified school-wide approach. Critical to the success of any school-wide system is administrator support. While most procedures do not outline specific administrator tasks, any new approach adopted typically requires training, monitoring, and possibly reformatting. Therefore, the administrator's role in implementing an effective behavioral support system should be three fold. First, the administrator should provide leadership and communicate to all staff the importance of establishing positive school-wide systems. Second, the administrator should determine what resources are necessary to provide staff with training and planning time. Finally, the administrator should continually monitor the plan to make sure all staff are participating and to provide any additional training or planning time as the need arises.

What is Expected From the Student

Social behaviors should be defined in such a manner that all students understand what is expected. For example, if the school team creates the rule "be cooperative," students should be clear on what "being cooperative" looks like across school settings. Students should also have a clear understanding of what is acceptable and unacceptable behavior and the associated outcomes of each (as determined by the building team). When developing effective behavioral support strategies, determine whether the intervention under review:

Are Expected Outcomes Linked Directly to the Intervention?

In developing effective behavioral support procedures, it is important to analyze the match between what the investigators or published program authors did and what happened to student behavior. Procedures should provide a logical fit between intervention and outcomes as well as data to support intervention effectiveness. For example, in conducting research on the effectiveness of teaching social skills, most investigators directly measure outcomes by observing students during times when skills should be used (e.g., recess). It is also common practice to ask others to evaluate change they may see in student behavior following an intervention. The question one should ask, does the observation and/or report actually measure student demonstration of the skill taught? One would not give a test of long division following an instructional unit on multiplication. Most teachers would give a test of multiplication problems. The same principle should apply for social behavior. If the goal of your instruction and intervention is to increase prosocial skills, for example "time on task," then select those interventions for which there is demonstrated effect on increasing "time on task."

Seems fairly straight forward and yet, it is not uncommon to find research that relies on indirect measures of intervention effectiveness. Studies that directly measure the behavior the effective behavioral support procedure is interested in changing should be given more weight in final decision making than those studies that rely on secondary sources of information regarding outcomes. Outcomes that match the larger school goals are also preferred.

In Summary

What Evidence Exists that the Approach is Effective?

Throughout this handbook an emphasis has been placed on adopting best practices, those for which data clearly support a change in social behavior. Each of the six guiding questions encourages the reader to examine the existing evidence before adopting a practice. The following provides a brief overview of some of the more prevalent approaches to managing challenging behavior at the individual student and school-wide levels. Each area is further sub-divided by key questions that should be addressed when reviewing potential strategies for inclusion in effective behavioral support. This overview is provided as a starting point and is not meant to provide complete information for decision making. Building teams are encouraged to examine the sample references, as well as others, before final decisions are made.

Best Practices: Individual Behavior Change

What strategies reduce problem behavior? There are multiple best practices focusing on behavior reduction strategies. However, several behavior reduction strategies commonly found in schools today often lack empirical support for it's use. The following table provides a brief overview of common behavior reduction strategies, a definition, a summary of the current empirical support, and sample references.

Procedure

Definition

Empirical Support

Sample References

Differential Reinforcement

Positive reinforcement is given following displays of appropriate behavior, reinforcement is withheld following displays of inappropriate behavior.

Empirical evidence continues to be generated demonstrating its effectiveness in both decreasing problematic behavior and increasing appropriate behavior. Teacher must be able to control source of reinforcement to be effective.

Deitz & Repp, 1983; Iwata & Vollmer, 1992

Time Out

Students lose access to sources of positive reinforcement for a brief period of time.

Time out has been proven an effective behavior reduction strategy provided certain pre-requisite conditions are in place. For example,"time-in" must be reinforcing to the student and the procedure cannot be used during times or activities the student finds aversive or undesirable.

Barton, Bruelle, & Repp, 1987; Harris, 1985; Noll & Simpson, 1979; Zabel, 1986

Overcorrection

Students practice an appropriate alternative behavior, either through repeated practice of a replacement behavior or restoring a damaged environment.

Overcorrection has proven effective in reducing problem behavior. However, at present, there are limited demonstrations of the effectiveness of overcorrection across populations and behaviors.

Doke & Epstein, 1975; Foxx & Azrin, 1972; Simpson & Sasso, 1978

Delivery of Aversives

Students are given an aversive consequence following inappropriate behavior.

Positive effects have been noted in reducing harmful behaviors such as self-injury. Potential harmful side effects (e.g., aggression) also are a strong possibility when aversives are used.

Carr & Loaas, 1983; Favell et al., 1982

Corporal Punishment

Students are given an aversive consequence that impacts one of the body's senses (e.g., touch, taste) following inappropriate behavior.

There is limited support regarding the effectiveness of corporal punishment in reducing problem behavior.

Council for Children with Behavioral Disorders[CCBD], 1990

Exclusion and Suspension

Student is removed from school for a specified period of time following inappropriate behavior.

There is limited support regarding the effectiveness of expulsion and suspension in reducing problem behavior.

CCBD, 1989

What strategies increase appropriate behavior? Two types of interventions are summarized within this section, interventions that focus on directly teaching appropriate behaviors, and interventions that focus on changing the instructional environment to support appropriate behavior. Much of the current research uses a combination of the two strategies.

Procedure

Definition

Empirical Support

Sample References

Social Skill Instruction

Directly teaching social behavioral skills. Typically through teacher instruction, demonstrations and role plays.

Large data base demonstrating the & effectiveness in bringing new behavior to fluency, limited data demonstrating generalization and maintenance effects without direct intervention.

Lewis, Sugai, Mercer, & Heilman, 1995; Sugai & Lewis, 1995

Differential Reinforcement

Positive reinforcement is given following displays of appropriate behavior, reinforcement is withheld following displays of inappropriate behavior.

Effective in decreasing problematic behavior and increasing prosocial alternatives.

Deitz & Repp, 1983; Iwata & Vollmer, 1992

Functional Communication Training

After it is determined "why" a student demonstrates problem behavior, teach an appropriate "replacement" behavior that serves the same function for the student.

Several demonstrations of effectiveness in increasing the use of pro- social alternative behavior. Majority of research conducted with students with developmental disabilities.

Arndorfer & Miltenberger, 1993; Carr & Durand, 1985; Cooper, Wacker, Sasso, Reimers, & Donn, 1990; Lewis & Sugai, 1996a, 1996b

Instructional Modifications

Altering the general education curriculum to increase success, engaged time, and completion of tasks.

When paired with direct teaching (e.g., social skills, functional communication training), effective in reducing problem behavior and increasing appropriate behavior.

Dunlap, Kern Dunlap, Clarke, & Robbins, 1991; Kern, Childs, Dunlap, Clarke, & Falk, 1994; Munk & Repp, 1994

Self-management

Student implements self-monitoring, self-instruction, and self-reinforcement.

Effective strategy when paired with other direct teaching or environmental manipulations.

Hughes & Lloyd, 1993; Seabaugh & Schumaker, 1994

What problem & appropriate behaviors are targeted for intervention? A wide variety of problem (e.g., aggression, self-injury, tantrums) and appropriate (e.g., requests for assistance, problem solving, anger management) behaviors have been targeted. The current research base is best characterized as focusing on single or combination of single behaviors versus larger response classes of problem and appropriate behavior (Lewis & Sugai, 1996b).

How are interventions selected? Two methods of selection appear within the literature. The first simply focuses on decreasing problem behavior by implementing a consequence following the occurrence of problem behavior (e.g., time out if the student hits peers). The second focuses on first assessing "why" students display problem behavior through the use of "functional assessment." Functional assessment examines the relationship between problem behavior and classroom events that happen prior to and immediately following. Common patterns or sequences of problem behavior and classroom events suggest why a student may display problem behavior, or what "function" the behavior serves the student. For example, if problem behavior is more common during math, the behavior may function to avoid or "escape" math (e.g., student is sent to office for disrupting class). On the other hand, if the student's peers laugh and encourage the student to be disruptive, the disruptive behavior may function to gain attention. The outcome of functional assessment is to teach the student an appropriate alternative or replacement behavior, or arrange the environment to promote appropriate behavior, that results in the same function (Lewis & Sugai, 1996a, 1996b).

How is generalization and maintenance of behavior change promoted? Data are mixed across the various strategies designed to reduce problem behavior and increase appropriate behavior. The majority of reviews indicate that to promote generalized responding, direct interventions across settings, time, and persons are needed (Chandler, Lubeck, & Fowler, 1992; Lewis et al., 1995).

Are there strategies that are more appropriate with specific behaviors, age groups, or categories of disabilities? Recent research in the area of functional assessment indicates that the function of the problem behavior appears to be of more importance in determining appropriate behavior change strategies than type of behavior, age of student, and category of disability.

Best Practices: School Wide

At present, there is limited research on the implementation of school-wide behavior change procedures. School-wide proactive discipline plans however, are often cited within the professional literature as best practice (e.g., Lewis, Chard, & Scott, 1994; Peacock Hill Working Group, 1991; Sugai & Homer, 1994). To date, school-wide systems should be viewed as a promising practice. Confidence in a school-wide system can be gained by using interventions that have evidence to support their use at the individual student level (e.g., social skill instruction). When assembling best practices into a comprehensive school-wide system, or when evaluating school-wide programs, consider the following questions:

In Summary

Is an Accountability Process Built into the Approach?

As outlined previously, effective behavioral support should adopt best practices that are clearly defined with outcomes that match the school's goals. While a mark of good research is its ability to be replicated with similar outcomes, schools should not assume equal results at face value. While intervention and data collection analyses do not need to be implemented with the same rigor as research, a feedback mechanism should be put into place to insure success. School administrators should take on the responsibility to oversee data collection and decision making processes. In addition, if data indicate interventions are not working due to incomplete or inconsistent implementation, administrators should make sure training and additional resources are available. Feedback systems should be targeted at the teacher and student level. Decisions about continuing, modifying, or abandoning any procedure should be based on data and made by the building team.

Teacher variables. The first level of accountability should be at the teacher or instruction level. Once effective behavioral support interventions or strategies are developed, implementation should be carefully monitored, especially in their initial use. For example, a simple checklist of key features of an adopted strategy could be developed. Teachers could then be observed by peers and feedback given via the checklist on key teaching behaviors (see checklist below for example). By evaluating instruction, data-based decisions can be made about the interventions effectiveness.

For example, if the intervention does not show change in student behavior, and yet the data indicate building staff are implementing procedures correctly, a change in intervention is probably warranted. Without the data on teaching, school's run the risk of prematurely abandoning a potentially effective strategy (i.e., student behavior is not changing because the intervention is not being implemented appropriately).


Promoting Positive & Effective Learning Environments

Classroom Checklist

Instruction

_Advanced organizers given
_Specific explanations and clear instructions given
_Lesson well paced
_Student attention maintained throughout lesson
_Opportunity for student practice
_Frequent and detailed positive feedback given to students
_Appropriate error correction and review strategies employed

Classroom Management

_Precorrects given
_Active positive interactions with students
_Positive feedback given to students
_Smooth transitions between lessons/activities
_Differential reinforcement used appropriately
_Non Instructional time is kept to a minimum
_Positive predictable. orderly learning environment maintained
_Classroom rules posted and enforced consistently and equitably
_Individual behavior change strategies implemented appropriately

Student Variables. The next level of accountability are student outcomes. Given the large investment of time and energy required to develop effective behavioral support, it is important to make sure it is working. The most reliable way to check for success is through direct observation. For example, based on instruction, develop examples of appropriate behavior for each school rule (e.g., using neutral or positive language during class discussions is a way to show "respect"). The key is to count behavior directly related to the objectives of the effective behavioral support intervention. Larger school goals can be measured through procedures such as office referral counts or staff and parent survey.

In Summary

Is the Approach Sustainable?

The first question to ask in determining sustainability is, "are the proposed effective behavioral support procedures practical?" Practical should be determined in terms of:

If the answers to the above are largely negative, that does not preclude effective implementation, but does create barriers that must be addressed by the team. Other factors should also be considered in determining the sustainability of effective behavioral support. The most important factor is the presence of a monitoring and decision making process. Developing and implementing effective behavioral support systems may be costly in terms of time and needed assistance, however, if schools monitor teacher and student outcomes, the data should show that the investment is producing desired outcomes. If desired outcomes are not evident, then a process to make data-based decisions should occur early on to reduce the amount of effort put into non-effective strategies.

In Summary

Is the Approach Equitable?

One of the major premises in developing school-wide effective behavioral support is that it will provide a consistent, proactive structure to insure student success. This does not mean a single strategy will be used for all students nor does it mean success will be defined in the same terms for all students. Rather, a collection of strategies should be used, and individual plans should be developed for students with "chronic" challenging behavior patterns, to meet the school's larger social behavioral goals. To make sure effective behavioral support provides an opportunity for all students to be successful, consider the following:

Once again, the focus on any effective behavioral support structure should be directly related to the school's larger goal or mission. To that end, the system should incorporate interventions that allow most students to meet the school's goal and develop individually based interventions to assist those students who do not.

In Summary

Are the Costs of the Approach and its Implementation Reasonable?

Unlike academic curricula that carry financial costs associated with texts and other materials, effective behavioral support costs are typically assessed in terms of staff time and energy. The bottom line formula in determining "reasonable" is the cost of time an intervention takes to develop, implement and monitor weighed against student outcomes. The final formula the school develops for gauging what is "reasonable" will depend on several variables. It is important to first consider some givers:

Once an effective behavioral support system is in place, it is essential to monitor the program on an on-going basis. While upfront costs may seem overly expensive, the long term outcomes (e.g., improved student behavior, less staff time spent on behavior, more time spent engaged in academics, increase student achievement) should prove the costs worthwhile.

In Summary

Legal and Policy Issues

Legal and other policies often impact what behavior change procedures are used, or not used, in schools. The intent in including the following topics is not to engage in a debate on the use of certain procedures (see Repp & Singh, 1990; Sprague & Homer, 1991), rather, to make school districts aware that these policies influence both research and application of discipline and effective behavioral support procedures.

What legal implications exist in the use of common discipline procedures?

A recent memorandum from the U. S. Department of Education responds to frequently asked questions regarding the rights of students with disabilities and schools' authority to implement procedures such as expulsion and suspension (Heumann & Hehir, 1995). For example, in determining the appropriateness of suspension/expulsion, the critical question to answer focuses on the rule infraction and its relation to the student's disability. If it is determined the rule infraction (non-firearm infractions) is related to the child's disability, the school district may initiate a change in placement but may not expel the student beyond ten school days (Heumann & Hehir, 1995).

How do cultural/ethnic issues impact the use of discipline procedures?

When reviewing best practice literature for potential effective behavioral support strategies for use with culturally diverse student populations, critical questions should be asked concerning the subjects and procedures used in the study such as (a) were normative standards used to assess culturally diverse students?, (b) did the sample include culturally diverse children? (Utley, 1995), and (c) were issues of treatment acceptability explored among teachers and community members of culturally diverse students? (Sprague & Homer, 1991).

Conclusion

Schools can no longer assume children will enter classrooms ready to learn, understand social expectations, and comply with school rules. Schools can also be confident that the threat, or implementation, of suspension and other traditional discipline procedures are not going to reduce problem behaviors. Schools can assume that to be effective in reducing challenging behavior will require rethinking current practices. While developing effective behavioral support in place of traditional discipline procedures are time consuming and often difficult, the alternative (i.e., increasing problem behavior, teacher attrition) is even more costly in the long run.

Throughout this handbook a team-based approach to dealing with challenging behavior is advocated. Effectively changing problem behavior is beyond the expertise of a single special or general educator. Providing a school-wide unified approach to dealing with challenging behavior meets several objectives. First, students with disabilities who display challenging behavior can be more successful in the school environment where support structures are in place. Second, students who are not identified as disabled, but present challenging behavior, receive "specialized" services via individual teaching interventions in addition to the school-wide support structures. Finally, by building a system with a prevention focus, the severity of later problem behavior may be lessened. Educators are encouraged to adopt best practices, while at the same time, adapt best practices to meet individual school and student needs. This, of course, requires that educators do their homework prior to selecting interventions and carefully monitor implementation and student outcomes to make sound data-based decisions. Other suggestions for developing effective behavioral support systems outlined in this document, and an overview of the six critical questions in a checklist format, are provided below.

Critical Questions to Shape Decision Making about Existing and Potential Effective Behavioral Support Procedures

Are the approach and its outcomes clearly defined?

Yes / No

All Staff understand what is expected of them and how to implement effective behavioral support interventions?

Yes / No

Strategies that clearly state expected student behaviors, provide opportunities to practice new skills, and have a feedback system built in are adopted?

Yes / No

Only those strategies with data-based and logical linkage between the intervention and outcomes are adopted?

What evidence exists that the approach is effective?

Yes / No

Consequent/punishment based procedure are used sparingly?

Yes / No

Proactive instructional strategies such as social skill instruction, differential reinforcement, and instructional modification to increase appropriate behavior are used?

Yes / No

Functional assessment strategies are used in individual intervention selection?

Yes / No

Are best practices (strategies with empirical evidence) given preference over promising practice?

Is an accountability process built into the approach?

Yes / No

Data are used to guide decisions about keeping, abandoning, or modifying procedures?

Yes / No

Data collected are simple, tied directly to procedures and responsibility for collection shared by all staff?

Is the approach sustainable?

Yes / No

Adequate time, technical assistance, and administrator support are available?

Yes / No

Monitoring system to insure sustainability is in place?

Is the approach equitable?

Yes / No

Proactive, positive school rules established?

Yes / No

All students held accountable to school rules?

Yes / No

Teaching and support interventions implemented at the school-wide and individual student level to insure all students can successfully meet school rules?

Are the costs of the approach and its implementation reasonable?

Yes / No

Comparison of time spent with current system to new system undertaken?

Yes / No

Final analysis of reasonableness factors in the benefits to students and staff?

Acknowledgements

The author would like to thank the working group from the OSEP Project Director's meeting (July, 1995) for their valuable input and guidance in shaping this document and to my colleagues from the University of Oregon, Geoff Colvin, Randy DePry, and Tary Tobin, for their valuable feedback.

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