©Terrance M. Scott, 2004 1
PBIS Planning Worksheet
School: Date:
Team Members:
Team Planning and organization
Systemic Organization, Structure, and Buy-in
Considerations – Team must:
- be representative of staff and have active administrative involvement and support
- gather baseline information about school climate and issues
- present PBS to school stakeholders (staff, faculty, parents, etc.)
- achieve agreement to move forward among critical mass of school (80% rule of thumb)
- insure the availability of funds and resources to support the process
PBIS Survey Items: Team Planning and Organization #1-11
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps / Who and When
School-Wide Implementation I
(Non-Classroom)
Consensus: Adoption of Agreed Upon Strategies (rules, routines, arrangements)
Considerations – school must:
- meet as a whole to discuss PBS implementation
- determine who, what, when, where, and why of problem behavior
- develop 3-5 positively stated “big ideas” as school expectations
- determine what the school-wide rules will be in connection with larger school-wide expectations (create matrix connecting rules to big ideas)
- determine routines and arrangements that must be in place to make plan work school-wide (i.e., transitions, supervision, numbers, etc.)
- develop procedures and put into place for responding to emergencies
PBIS Survey items: School-Wide Implementation I #1-10
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps /
Who and When
School-Wide Implementation II
(Non-Classroom)
Developing Teaching Plans
Considerations - School must:
- plan to teach expectations via the matrix (school-wide expectations and the related example behaviors by location)
- teach examples directly (model, demonstrate, practice) in each location / context
- develop plans to encourage, prompt, and remind students on a very regular basis
- develop plans for revisiting expectations as indicated by data
- see that school-wide expectations are taught in classrooms
PBIS Survey items: School-Wide Implementation II #1-5
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps /
Who and When
School-Wide Implementation III
(Non-Classroom)
Encouragement Procedures: Tied to School-Wide Rules
Considerations – School must:
- determine procedures for naturally acknowledging appropriate behaviors in the school at large and in the classroom
- determine if, what, when, and how artificial reinforcers will be used
- determine how reinforcement might be individualized for specific students or behaviors
- evaluate their ability to deliver reinforcement in a consistent manner
PBIS Survey items: School-Wide Implementation III #1-5
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps /
Who and When
School-Wide Implementation IV
(Non-Classroom)
Discouraging Misbehavior: minor consequences and office referrals
Considerations – School must:
- determine procedures for responding to inappropriate behaviors
- teach consequences for inappropriate behavior
- determine a continuum of possible consequences relative to the seriousness of behavior (e.g., office vs. classroom response)
- determine what behaviors warrant a formal discipline referral vs. a report
- evaluate their ability to deliver negative consequences in a consistent manner
- teach techniques for defusing disruption without excluding student from class
PBIS Survey items: School-Wide Implementation IV #1-5
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps /
Who and When
School-Wide Implementation V
(Non-Classroom)
Monitoring Plans: Developing a School-Wide Monitoring System
Considerations – School must:
- must develop system for monitoring student behavior across all areas of the school
- develop specific school-wide goals that can be measured by school data
- regularly update and graphically display data
- collect not only office referral data but other information to help evaluate the culture of the school and degree of “lifestyle change”
PBIS Survey items: School-Wide Implementation V #1-5
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)Action Plan: Implementation Steps /
Who and When
School-Wide Implementation VI
(Non-Classroom)
Formative Evaluation Procedures
Considerations – School must:
- develop data-based decision rules by which to evaluate their progress
- evaluate the implementation of the plan using the PBIS survey or SET
- develop a process for team to evaluate data on a monthly basis
- see that team evaluates objectives by data and make decisions in accordance with data
- see that team evaluates data for new problem issues
- see that team evaluates data to identify students at risk of larger failure
- see that data-based decisions are reported to entire school
PBIS Survey items: School-Wide Implementation VI #1-5
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)Action Plan: Implementation Steps /
Who and When
Classroom Systems
Behavior Support Systems Individualized by Classroom
Considerations – Classrooms must:
- teach expectations in a direct manner
- formulate expectations in matrix to connect to school-wide “big ideas”
- develop reinforcement procedures
- develop procedures for responding to inappropriate behavior and emergencies
- develop routines and arrangements to facilitate student success
- monitor behavior and make decisions based on data
PBIS Survey items: Classroom Systems #1-15
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps /
Who and When
Individual student Systems
Interventions for challenging students: Initial considerations
Considerations – School must:
- determine criteria and procedures for identifying students in need of small group or individualized interventions
- develop process for referring students
- develop a meeting protocol, time, and location
- use structured forms to keep meetings efficient and effective
- develop staff fluency with a range of simple intervention alternatives
- identify and serve small groups of students in social skills group instruction
- identify persons to assist with more formal assessment and intervention procedures
PBIS Survey items: Individual Student Systems 1-12
Our Needs – what do we need to have in place to make this happen and what are the priorities? (number needs to the left in terms of priority)
Action Plan: Implementation Steps /
Who and When