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Page 1: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

ì

BootCamp

PresentedbyCAPTAINLeadership

Page 2: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Cadremembers:

•  NominatedbySELPAs,RegionalCenters,andFamilyResource/FamilyEmpowermentCenters

•  Willreceivetrainingthroughourannualsummit

•  WilllearnabouttheNPDC-ASDandCAPTAINtrainingmaterials

•  WillassistwiththestatewidedistribuFonoftheEBPsbyprovidingsupportandtraininglocally

•  Who’shere?Kahoot

WelcomeNewCadreMembers!

Page 3: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

CAPTAIN is amulFagencynetworkdeveloped tosupport the understanding and use of Evidence-BasedPracFcesforindividualsaffectedbyAuFsmSpectrumDisorderacrossthestate.

WhatisCAPTAIN?

Page 4: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

CAPTAINVideo

Page 5: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

CAPTAINVision

Develop a statewide training and

technical assistance network

with a focus on

Evidence-Based Practices

for individuals impacted by ASD

inclusive of stakeholder agencies who will disseminate

information at a local level.

Page 6: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Goal 1: Increase knowledge about ASD and EBPs through systematic dissemination of information Goal 2: Increase implementation and fidelity of EBPs in schools and communities Goal 3: Increase interagency collaborations to leverage resources and standardize a process for using EBPs

CAPTAINGoals

Page 7: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

1.  Complete “ASD Across the Lifespan” online class through Coursera (New members only)

2.  Complete annual CAPTAIN online survey

3.  Participate in annual CAPTAIN Summit

4.  Participate in local CAPTAIN collaborative meetings/activities to implement local plans (at least quarterly)

AllCadreMust..

Page 8: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  ProvidetrainingsforyourRegionalCenterstaff,families,and/orproviderson”OverviewofASD,CAPTAINandEBPsforASD”(atleast4peryear)

•  MeetwithyourRCLeadershiptodiscusswaystoincreaseunderstandinganduseofEBPsandImplementaFonofRegionalPlans

•  ParFcipateinquarterlyRegionalCenterASD/BehaviorSpecialistregionalmeeFngs

•  ParFcipateinsemi-annualRegionalCenterASD/BehaviorSpecialiststatewidemeeFngsandreportbacktoClinicalDirectors

AdditionalRegionalCenterRequirements

Page 9: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  Share information with your support organization staff about CAPTAIN, EBPs for ASD, and LTSAE resources so that they may assist with information dissemination (Does not need to be a formal training, but Cadre must commit to sharing with their staff)

•  Act as a LTSAE ”Deputy Ambassador,” which includes assisting with Regional Milestones Brochure development and dissemination to support child find

Additional Federally and State Funded Parent Support Organization Cadre Requirements

Page 10: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  ProvidetrainingsforyourSELPAon”OverviewofASD,CAPTAINandEBPsforASD”(atleast1peryear)

•  Provide 3 trainings on specific EBPs

•  Provide implementation coaching for 3 teachers/programs within your SELPA using implementation checklists and coaching process OR train 3 additional coaches on CAPTAIN model of training and coaching EBPs for ASD

•  Meet with SELPA leadership to discuss and plan for local implementation of Regional Plans

Additional SELPA Requirements

Page 11: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

AdditionalRequirementsforPreserviceTeacherEducators

•  ShareinformaFonaboutCAPTAINandEBPsforASDwithyourdepartmentsothatotherteachereducatorsatyourinsFtuFonareabletointegrateinformaFonintotheirteaching

•  IncludeOverviewofCAPTAIN,ASDandEBPsintoappropriatecoursework

•  ProvideopportuniFesforteachercandidatesinyourprogramtotakespecificEBPtrainingmodulesandusefidelitychecklists(duringobservaFonsoraspartoftheirownfieldwork/studentteaching)

Page 12: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  ArepracFcesforwhichthereisscienFfically-basedresearchthatdemonstratesefficacyforindividualswithASD

•  RelyontheapplicaFonofrigorous,systemaFc,andobjecFveprocedurestoobtainreliableandvalidknowledgeforintervenFonandeducaFonalacFviFesandprograms

WhatareEvidence-BasedPractices?

Page 13: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  TreatmentsforASDaremorediversethananyotherknowndisability

•  TreatmentclaimsrangefromamelioraFontorecovery

•  ManyintervenFonswithliZleornoscienFficevidencearerecommendedforindividualswithASD

WhyEvidenceBasedPractices?

Page 14: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements
Page 15: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  IsaCalifornialawpassedin1969,thatgivespeoplewithdevelopmentaldisabiliFestherighttoservicesandsupportsthatenablethemtoliveamoreindependentandnormallife

•  TheLantermanActiscodifiedintheWelfareandInsFtuFonsCodeandhasbeenamendedseveralFmessinceitspassage,including…

TheLantermanDevelopmentalDisabilitiesAct

Page 16: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Welfare&InstitutionsCode4686.2(b)

EffecFveJuly1,2009…regionalcentersshall:(1)OnlypurchaseABAservicesorintensivebehavioralinterven8onservicesthatreflectevidence–basedprac.ces,promoteposi8vesocialbehaviors,andamelioratebehaviorsthatinterferewithlearningandsocialinterac8ons…”

Page 17: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

HealthandSafetyCodeSection1374.73

(c)(1)(C)(iii)ProvidesintervenFonplansthatuFlizeevidence-basedpracFces,with

demonstratedclinicalefficacyintreaFngpervasivedevelopmentaldisorderorauFsm.

Page 18: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Multi-tieredSystemofSupports(MTSS):AComprehensiveFrameworkforImplementingCCSS

www.mydigitalchalkboard.org

Page 19: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

TheprinciplesofUniversalDesignforLearning(UDL)provideaframeworkforeducatorstouse:•  mulFplewaystoteachthecontent•  mulFplewaysforstudentstodemonstrate

knowledge•  mulFplewaystoengageALLlearners

ImplementingEBPsAlignsWithUDL

Page 20: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

UsingUDLFrameworks&EBPsforAutism

ì  Therearemorethan104,573studentswithASDinCAPublicSchoolsandthatnumberissteadilygrowing(CDE,2017)

ì  MorethanhalfofstudentswithASDhavecogniFonintheaveragerange(CDC,2016)

ì  StudentswithASDcanbesupportedinaccessingthegeneraleducaFoncurriculumandtheCAStateStandardswiththeuseofUDLandEBPsforAuFsm

Page 21: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

EBPsforASDintheUDLGuidelines

Page 22: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  775researchstudiesreviewedby

NaFonalStandardsProjectfromNaFonal

AuFsmCenter,Phase1(NSP1)

•  Includedresearchfortheyears:

1957-2007

•  In2009,idenFfied11Established

Treatments

www.nationalautismcenter.org

SystematicReviewsoftheLiteratureforEvidenceBasedPractices(EBPs)

Page 23: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  2ndReviewbyNaFonalStandardsProject,NaFonalAuFsmCenter,Phase2(NSP2)

•  351arFcles(ages0-22)and27arFcles(ages22+)•  IncludedstudiesiftheintervenFonscouldbe

implementedinorbyschoolsystems,earlyintervenFon,home,hospital,vocaFonal.and/orcommunity-basedprogramsorinclinicsehngs

•  Reviewedstudiespublishedinpeerreviewedjournalsbetween2007andFebruaryof2012

•  In2015,14EstablishedIntervenFonsUnderAge22;1EstablishedIntervenFonAge22+

SystematicReviewsoftheLiteratureforEvidenceBasedPractices(EBPs)

Page 24: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  175researchstudiesreviewedby

NaFonalProfessionalDevelopment

Center(NPDC)

•  Includedresearchfortheyears:

1997-2007

•  In2010,idenFfied24EBPs

http://autismpdc.fpg.unc.edu/

SystematicReviewsoftheLiteratureforEvidenceBasedPractices(EBPs)

Page 25: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

ìTheNationalStandardsProject-Phase2(NSP2)OverallFindingsforIndividualsUnderAge22

• 14EstablishedInterventions

• 18EmergingInterventions

• 13UnestablishedInterventions

Page 26: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

14ESTABLISHEDINTERVENTIONS(forindividualsunderage22)

Page 27: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

18EMERGINGINTERVENTIONS

(forindividualsunderage22)

Page 28: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

13UNESTABLISHEDINTERVENTIONS(forindividualsunderage22)

Page 29: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

NSP2Example

Page 30: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Only1Established

Page 31: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

http://csesa.fpg.unc.edu/

AnotherResourceforOlderIndividualswithASD

Page 32: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  In2014,27EBPs:•  2ndreviewbyNPDC(Mar2014)•  Included22years,1990-2011

•  29,101possiblestudiesè456studies•  RCT,quasi-experimental,singlecase

design•  Strengthofevidenceforassessment•  Basedonnumber&typeofstudiesusing

eachEBP

hZp://auFsmpdc.fpg.unc.edu/node/21

NationalProfessionalDevelopmentCenter

Page 33: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

27Evidence–BasedPractices(2014)Antecedent-basedintervenPons

CogniPvebehavioralintervenPon

DifferenPalreinforcement

Discretetrialtraining

Exercise

ExPncPon

FuncPonalbehaviorassessment

FuncPonalcommunicaPontraining

Modeling

NaturalisPcintervenPons

Parent-implementedintervenPon

Peer-mediatedinstrucPon/intervenPon

PictureExchangeCommunicaPonSystem™

Pivotalresponsetraining

PrompPng

Reinforcement

ResponseinterrupPon/redirecPon

ScripPng

Self-management

SocialnarraPves

Socialskillstraining

Structuredplaygroups

Taskanalysis

Technology-aidedintervenPon/instrucPon

Timedelay

Videomodeling

Visualsupports

Page 34: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  DefiniFonoftheintervenFon

•  AgerangeofparFcipants

•  Typeofoutcomesithasgenerated

•  CitaFonsforthespecificarFclesthatprovidetheevidencefortheefficacyofthepracFce

FactSheetsAvailableforAllofthe27EBPs

Page 35: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements
Page 36: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

HowtoSelectEBPs?CAPTAINRecommends:

•  Use27EBPsfromNPDC

•  Use14EstablishedIntervenFonsforAges0-22fromNAC

•  Use1EstablishedIntervenFonforAges22+fromNAC

Page 37: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

SelectingEBPs

Page 38: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

•  EBPsareusedtoadvancegoalswhichareFedtostandards

•  Ask:Whatisourgoal/objecFvetargeFng?•  ConsiderthespecificIEPgoalsandrelated

objecFves

•  Ask:WhatareouropFons?•  Lookatthedomainthatthespecificgoalrelates

to

SelectinganEBP

Page 39: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

27EBPsMatrixAvailableontheCAPTAINWebsite

EnglishandSpanish!www.captain.ca.gov

Page 40: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

www.captain.ca.gov

Page 41: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

www.captain.ca.gov

Page 42: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Next,makeadecisionbasedon:

•  Theskillsbeingtaught

•  Yourprofessionalwisdom

•  Thelearner’slearningstyle

•  Thelearner’stemperament

•  Thelearner’sinterestsandmoFvators

•  Supportsalreadyinplace

•  Historyofwhathasandhasn’tworked

SelectinganEBP

Page 43: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

SelectingEBPs

Page 44: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Goal:Lucia(age8)willrespondtopeer’squesFonsandcommentswitheyecontactandappropriatephrasesorsentences.

Whatisthegoaltarge.ng?

Whataretheop.ons?

Let’sPractice!

Page 45: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements
Page 46: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

GoalAttainmentScaling

ì  Anevidencebasedtooltomeasureprogressmadeonagoalorbenchmarkfor:ì  Anindividualì  Agroupofindividuals

ì  Adatacollectiontoolthatallowsforprogresstosummarizedanddocumented

ì  Notasubstituteforgoals(orotherobjectivebenchmarks)-it’sasupplement

Page 47: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

MonitoringProgress

ì  GoalAZainmentScalingassistsinmonitoringprogressoflearningaskillormonitoringthebehaviorofalearner

ì  ProgressisgaugedusingtheGASatregularpointsthroughouttheyear

ì  Itisimportanttoestablishtheindividual'spresentlevelofperformancetosetgoalstowardsspecific,clear,andobservableoutcomes

ì  TheGASisusedtodetermineisthelearnerisbenefiFngfromtheuseoftheEBP

Page 48: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

GoalAttainmentScaling:GASCurrent Level of Performance (0)

Initial Objective (1)

   #

Secondary Objective (2)

  ## ##

Expected Level of Outcome (3)

  #### 

Exceeds Expected

Outcome (4)

 #####

Page 49: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

PriortoDevelopingGAS

ì  Gatherindividual’sgoals

ì  Identify3prioritygoalsforeachtargetclientorstudent.Selectbasedongoalsthat:ì  Mustbeanareaoffocusfortheentireyearì  Mustbeobservableandmeasurableì  Mustbeagreeduponbyteam

ì  Update/collectdataonpresentlevelofperformance

Page 50: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

DevelopingGAS

1.  Writetheannualgoal(expectedlevelofoutcome)onGASform

2.  WritethepresentlevelofperformanceofGASform

3.  DeterminethebenchmarksonGASform

4.  DeterminethesomewhatmorethanexpectedlevelonGASform

Page 51: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

DevelopmentofScaling

ì  5Pointrangeofperformanceforstudents:ì  CurrentLevelofPerformance(0)ì  IniFalObjecFve(1)ì  SecondaryObjecFve(2)ì  ExpectedLevelofPerformance(3)ì  ExceedsExpectedLevelofPerformance(4)

Page 52: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Example:Eric

ì  EricisahighschoolstudentwithauFsm,fullyincludedinthegeneraleducaFoncurriculum

ì  Eric’sgeneraleducaFonteachersaresomewhatfrustratedwithEricbecauseheasksanexcessivenumberofoff-topicquesFonsduringclass.ThisdisruptstheflowofinstrucFonandannoyspeersandteachers

ì  QuesFonsinclude:ì  DoyousFlllikeme?Yesorno?ì  Doyoulikemyshirttoday?ì  HaveyouseenthenewepisodeofSiliconValley?

Page 53: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Eric

ì  Erichasanannualgoalthatreads,“ByMay2017,Ericwillaskteachersnomorethan5quesFons(onorofftopic)duringagivenclassperiodin6periodsovera3dayperiodasmeasuredbyobservaFonanddatacollecFon.”

ì  DatawascollectedanditwasdeterminedthatEricasksanaverageof41off-topicquesFonseveryclassperiod.

Page 54: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Example:John

ì  Johnisa52yearoldmanwithauFsmwhoworksatadayprogramduringthedayandlivesaloneinasupportedlivingcommunity.

ì  Athishome,Johnhasrecentlyrefusedtofollowstaffrequestsforhimtochangehisclothes,brushhisteeth,andtakeshowers.Whenstaffasksthisofhim,hewillescalatefromsaying,“no”,throwingitems(cups,books)atstaffunFltheyleavehisroom.

ì  HishygieneisaffecFnghissocialopportuniFeswithotherclientsandstaffatthedayprogramarereporFnghissmellisnottolerable.

Page 55: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

John

ì  Currently,Johnisabletoreadatabout2NDgradelevel

ì  Johnhasmanyitemsheenjoyssuchassoda,puzzles,snacks,papertowriteleZers,andtotalkwithhissisteronthephone.

Page 56: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

YourTurn!

ì  Selectoneoftheseexamplesì  Ingroupsorindividually,filloutaGASform(andselectoradjustthegoal)

ì  Shareback

Page 57: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

GASActivity

Ericì  Highschoolstudent

ì  Fullyincluded

ì  Asksanexcessivenumberofoff-topicquesFonsduringclass,disrupFngtheflowandannoyingpeersandteachers

ì  “ByMay2017,Ericwillaskteachersnomorethan5quesFons(onorofftopic)duringagivenclassperiodin6periodsovera3dayperiodasmeasuredbyobservaFonanddatacollecFon.”

ì  Baseline:41off-topicquesFonseveryclassperiod

Johnì  Johnisa52yearoldmanwithauFsmwho

worksatadayprogramduringthedayandlivesaloneinasupportedlivingcommunity

ì  RefusingtoparFcipateindailyhygienerouFne

ì  Isthrowingitemsatstafftogetthemtoleavehisroom

ì  HishygieneisaffecFnghissocialopportuniFeswithotherclientsandstaffatthedayprogramarereporFnghissmellisnottolerable

ì  Baseline:JohnwillparFcipateinhisdailyhygieneonceonceaweek

Page 58: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

“IsThisExtraWork?”

No-ì  Goalsarealreadywritten

Yes,but-ì  Addinghigherbenchmarksiseasyandcanbefun!ì  Youcanreflectgreatergrowththancanbereasonablyexpectedin1year

ì  Processoftenresultsinmorefocusedteachingì  Canhelpalleviatedifferencesintheviewsofteammembers

ì  Isveryvaluableasatooltodemonstrateclasswide,agencywide,orspecificservicewideresults

Page 59: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

HowShouldPeopleLearnAbouttheEBPs

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Briefs

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NPDC-ASDBriefPackagesForEvidenceBasedPractices(EBPs)

BriefPackageensuresfidelityandconsistsof:

•  Overviewofpractice•  Evidence-baseforpractice•  Stepsforimplementation•  ImplementationChecklist•  DataCollectionForms

Page 63: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

Evidence-BasedPracticeBrief

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AutismFocusedInterventionResourcesandModules:AFIRM

ì  Designedtohelpyoulearnthestep-by-stepprocessofplanningfor,using,andmonitoringEBPswithlearnerswithASDfrombirthto22yearsofage

ì  Ineachmodule:ì  KeycomponentsofanEBPincludingvariouswaystouseitì  BehaviorsandskillsthatcanbeaddressedusingthepracFceì  Astep-by-stepprocessforapplyingthepracFceì  Downloadableresources

Page 67: Boot Camp - captain.ca.gov · and/or providers on ”Overview of ASD, CAPTAIN and EBPs for ASD” (at least 4 per year) ... to Clinical Directors Additional Regional Center Requirements

ProfessionalDevelopmentCertificate

CerFficateTrackì  Caseexamples

demonstraFngtheuseoftheEBP

ì  MulFmediapresentaFon

ì  Pre-testrequired

ì  Post-assessmentrequired

ì  EvaluaFonrequired

Non-CerFficateTrackì  Caseexamples

demonstraFngtheuseoftheEBP

ì  MulFmediapresentaFon

ì  Pre-testrequired

ì  Post-assessmentopFonal

ì  EvaluaFonopFonal

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afirm.fpg.unc.edu

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SELFLEARNINGMODULESFORTODDLERS!NPDC-ASDEarlyStartWebsitehttp://asdtoddler.fpg.unc.edu

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UsetheseQuickLinksontheCAPTAINwebsitetoaccesstheseEBPresources!

www.captain.ca.gov

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How Can I Help Support People In Implementing These EBPs With Fidelity?

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ìCoaching Principles and Practices

NaFonalProfessionalDevelopmentCenteronAuFsmSpectrumDisorders.(2010,October)Coaching:PrinciplesandPrac8ces.

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Training Outcomes Related to Training Components

Training Components

Training Outcomes

Knowledge of Content

Skill Implementation

Classroom Application

Presentation/ Lecture

Plus Demonstration in Training

Plus Practice in Training Plus Coaching/ Admin Support Data Feedback

10% 5%

30% 20%

60% 60%

95% 95%

Joyce & Showers, 2002

0%

0%

5%

95%

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Qualities of an Effective Coach

ì  Competent

ì  Focuses on others perspectives/interests

ì  Support others ideas objectively without immediate judgment

ì  Collaborates to determine which evidence based practices guide the work with the student

ì  Addresses aspects of the issues/concerns

ì  Adapts to take advantage of a spontaneous learning situation

ì  Creates a caring relationship in which ì  challenges are viewed as opportunities for growth ì  successes are celebrated

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Underlying Assumptions

ì  Practitioners have good skills but can increase their skills.

ì  Practitioners establish new skills or refine existing skills through self evaluation.

ì  Practices can change using data and observational feedback.

ì  Coaching is a cyclical process.

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Open vs. Closed Questions

Open Question Starters ì  Tell

ì  How

ì  Describe

ì  What

ì  Why

Closed Question Starters ì  Are

ì  Do

ì  Have

ì  Should

ì  Will

ì  Would

ì  Can

Open questions are incompatible with closed questions

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Coach

ì  Engages in focused conversation

ì  Observes

ì  Uses questioning and communication skills to empower the partner to reflect on practices

ì  Helps partner to incorporate evidence based practices

ì  Shares knowledge, expertise and guidance

ì  Provides direction in ì  Targeting evidence-based practice ì  Identifying data collection methods ì  Interpreting performance

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Coaching Log

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CoachingProcess

1.  Pre-observaFonConference

2.  ObservaFon

3.  Post-ObservaFonConference

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Pre-observation Conference Inviting Partner’s Role

ì  State the purpose ì  Negotiate coaching target ì  Agree on observable partner and student behavior ì  Negotiate data recording ì  Negotiate dates/times for observation and post-observation

conference

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Pre-observation Conference Coach’s Role

ì  Complete coaching log

ì  Guide selection of coaching target

ì  Verify understanding through questioning

ì  Introduce mastery and maintenance criteria

ì  Identify and confirm the recording method

ì  Summarize the pre-observation conference

ì  Negotiate dates/times for observation and post-observation conference

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Video Example- Pre-Observation Conference

http://autismpdc.fpg.unc.edu/coaching/videos/igloo

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PracticePre-ObservationConference

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Observation Inviting Partner’s Role

ì  Provide a location for the coach to view the target behavior

ì  Provide observation space

ì  Create barrier-free access to data collection area

ì  Provide and test recording materials and take sample data

ì  Prepare students for coach’s arrival

ì  Prepare plan to be implemented if a student talks to the coach

ì  Begin lesson at agreed upon time

ì  Do not signal or include coach in lesson

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Observation Coach’s Role

Etiquette ì  Arrive and leave at the

agreed upon time ì  Follow the agreed upon

script if a student attempts to engage coach

ì  Do not signal or talk to the partner during observation

ì  Do not participate in lesson

Activities ì  Collect data ì  Summarize data ì  Complete observation

portion of the coaching log ì  Provide copy of data to IP

before postobservation conference

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Coaching Log

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Post-observation Conference Inviting Partner’s Role

ì  Review data and data summary collected during observation

ì  Make self-evaluative statements based on the data ì  Suggest methods to enhance skills ì  Finalize action to improve performance ì  Negotiate date/time for next preobservation conference

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Post-observation Conference Coach’s Role

ì  Present data, data summary, and notes ì  Solicit self-evaluative statements ì  Suggest/prompt IP to develop solutions ì  Suggest/prompt IP to develop a plan of action based on the

data ì  Provide feedback on the IP’s performance ì  Invite discussion and sharing of ideas ì  Decide on future plans ì  Schedule next pre- observation conference/observation ì  Complete coaching log

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Coaching Log

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Video Example: Post-Observation Conference

http://autismpdc.fpg.unc.edu/coaching/videos/igloo

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Video:SchoolAdministratorsReflectonCoaching

ì  hZps://www.youtube.com/watch?v=91GXpCOZPNA

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PotentialBarrierstoCoaching

•  AdministraFveSupport

•  Time

•  CoachingSkills

Ifthesearenotinplace,

coachingisunlikelytosucceed

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SomeTips:RecruitingtheBestCandidates

ì  StartwithwillingparFcipants

ì  Askforvolunteerstoworkwithyouonthisproject

ì  Havepastrecipientshelptorecruitnewrecipients

ì  Testyournewcoachingskillsandrolloutonatrustedrecipientwhowillgiveyoufeedbackandhelpyoudeveloptoo

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SomeTips:SetExpectations

•  InvolveAdministraFon

•  HaveathreewaymeeFngwith

Admin,CoachandRecipient–  AdminstatesthegoalsofcoachingandexpectaFonsofbothcoach

andrecipient–  HaveparFcipantsmakeacommitment(wriZen)

•  ClarifytherelaFonship–  NotevaluaFve,rathersupporFve

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CoachingTools

•  CAPTAINClassroomObservaFonForm

•  CAPTAINEBPSurvey

•  EBPTrainingsand/orAFIRMModules

•  BriefsandImplementaFonchecklists

•  GASgoals

•  Coachinglogs

•  CoachingManual

www.captain.ca.gov

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CAPTAINClassroomObservationFormCAPTAIN'Classroom'Observation'Form''

Classroom(Structure( 2((80'9'100%'proficiency)'

1((60'9'80%'proficiency)'

0((less'60%)'

Classroom'is'clean,'well'organized'and'clutter'free' ' ' 'Areas'of'the'classroom'are'clearly'labeled'and/or'structured'so'that'students'and'staff'know'what'expectations'are'within'each'area' ' ' 'Students'are'seated'in'a'way'that'minimizes'distractions'and'maximizes'focus' ' ' ''Visual(Supports( ' ' 'Prominently'displayed'overall'classroom'schedule'that'indicates'both'staff'and'student'activities'is'posted'where'anyone'can'view' ' ' 'Individual'student'schedules'are'created'to'support'transitions'and'work'completion' ' ' 'Schedule'is'used'in'a'way'that'reduces'dependence'on'adult'prompts'and'unnatural'cues' ' ' 'Schedule'use'is'consistent'throughout'the'day'and'in'a'variety'of'settings'(where'appropriate)' ' ' 'Changes'in'schedule'are'taught'and'implemented'when'necessary' ' ' 'Visual'supports'are'matched'to'the'student’s'ability'and'skills' ' ' 'Work'systems'are'used'to'teach'students'how'to'begin,'work'through,'complete'and'then'transition'to'next'task'independently' ' ' 'Number'and'type'of'work/tasks'increase'with'student’s'ability'to'stay'on'task'and'follow'the'work'system' ' ' ''Functional(Communication(and(Positive(Behavior(Supports(( ' ' 'Functional'communication'systems'are'set'up'to'provide'opportunities'for'student'to'make'requests,'express'choice,'and'respond'to'adult'instructions'(without'substantial'prompting)'

' ' '

Classroom'routine'promotes'opportunities'for'student'to'communicate'using'his/her'“own”'communication'system' ' ' 'Student'communication'is'responded'to'promptly'by'staff'in'an'appropriate'manner'' ' ' 'Functional'communication'systems'are'conventional'so'peers'and'“untrained”'listeners'can'comprehend'the'student' ' ' 'Help,'Wait'an'Break'are'being'taught'systematically'' ' ' 'Prevention'strategies'such'as'choice,'pre9warning/pre9teaching,'opportunities'for'movement,'selection'of'rewards'by'student'and'use'of'student'specific'accommodations'are'used'to'prevent'behavior'problems''

' ' '

A'sufficient'ratio'of'positive'feedback'to'correction'feedback'is'used'(4:1)' ' ' 'Response'interruption/redirection'is'used'to'address'behavior'problems'early'in'the'escalation'cycle' ' ' ''

Teaching(Strategies( ' ' 'A'variety'of'evidenced'based'instructional'strategies'are'used'and'are'based'on'the'skills'being'taught'and'the'individual'needs'of'the'student'(list'EBPs'below)'

' ' '

Systematic'and'planned'instruction'is'linked'to'the'student’s'IEP'goals'and'areas'of'identified'need'and'skills'are'consistently'taught'across'instructors'and'settings'

' ' '

Reinforcement'is'being'delivered'in'a'timely'manner'and'is'based'on'student'preference'assessments' ' ' '

Reinforcement'systems'are'visually'mediated'(token'systems,'behavior'contracts,'first/then'structure,'etc.)'when'appropriate' ' ' 'Prompt'hierarchies'are'being'correctly'implemented'and'responses'are'documented'to'reduce'prompt'dependence' ' ' '

Data'is'being'collected'and'is'used'to'inform'instruction'and'monitor'student'outcomes' ' ' ''

'

'

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Training Outcomes Related to Training Components

Training Components

Training Outcomes

Knowledge of Content

Skill Implementation

Classroom Application

Presentation/ Lecture

Plus Demonstration in Training

Plus Practice in Training Plus Coaching/ Admin Support Data Feedback

10% 5%

30% 20%

60% 60%

95% 95%

Joyce & Showers, 2002

0%

0%

5%

95%

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UsingEBPsinYourInserviceTrainings

DisseminaFon:ì  TargeteddistribuFonof

informaFonandintervenFonmaterialstoanaudience

ImplementaFon:ì  Useofstrategiesadoptedby

anidenFfiedgroupofpracFFoners,performedwithfidelity

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ImplementationScience

ì  The study of methods that influence the integration of evidence-based interventions into practice settings

ì  Uses common frameworks, principles, and best practices to study and improve implementation of evidence‐based or evidence‐informed practices in the real world

http://nirn.fpg.unc.edu

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What are the research informed practices we should use in professional development?

1.  Selection procedures of content and trainees

2.  Core components of the training are defined

3.  Pre Assessment of core components

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What are the research informed practices we should use in professional development?

4.  Discussion opportunities included throughout the presentation

5.  Demonstrations included within the training (e.g., video and/or live modeling/demonstrations)

6.  Practice opportunities with feedback (e.g., hands on practice, role playing)

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What are the research informed practices we should use in professional development?

7.  Post Assessment of Core Components o  Use this data to revise training/identify gaps to

improve effectiveness of training o  Share the data with appropriate coaching staff

and project leadership team o  Analyze Post Assessment results and determine

what changes are needed to improve effectiveness of the professional learning event and/or drive the subsequent technical assistance support, monitoring and scaffolding

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What are the research informed practices we should use in professional development?

8.  Provide follow up coaching using Implementation Checklists to support fidelity of EBP

9.  Identify and use data that directly links use of EBPs to student outcomes (e.g. GAS goals)

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CaseStudy:DiscussSteps1-3

TwoCAPTAINCadretrainersgottogethertodiscusswhichEBPtheywantedtodevelopaworkshopfor.TheyspentaconsiderableamountofFmeintheirplanningmeeFngdiscussingtheteachersintheirdistrict,whatseemstobeworkingandnotworkingandifanyoftheteachershadexpressedanyinterestinlearningmoreaboutaspecificEBPswhichledthemtoulFmatelychooseVisualSupports.

TheyproceededtogivethetrainingandattheopeningtheyexplainedthatthistrainingwasgoingtocovertheEBPknownasVisualSupports.TheyalsoaskedforaraiseofhandstoseewhohadheardoforknewabouttheEBPVisualSupports.

In this Case Study example: ì  Didthetrainersdosteps1–3?ì  Ifnot,whichstepdidtheyleaveout?Howcouldtheyimprovetheirprocess?

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How Did CAPTAIN Leaders Apply These

Practices Today?

Step 1: Needs Assessment: We looked at the CAPTAIN Survey data

Step 2: Core Components: We identified core components and designed this workshop

Step 3: Pre Assessment: We developed the pre assessment questions based on the core components of this training

Steps 4 – 6: Discussion, Demonstration and Practice with Feedback: We infused these into this workshop to allow participants to develop knowledge and skills

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How Did CAPTAIN Leaders Apply These

Practices Today?

Step 7: Post Assessment: We will use the Post Assessment data from this workshop to provide additional support and we will change any components that data reveal are necessary for future workshops

Step 8: Follow Up Coaching and Support: We have developed the CAPTAIN Trainers Checklist to support your fidelity and self evaluation in the future.

Step 9: Data on Outcomes: We will include questions on training practices in Annual CAPTAIN Survey and compare results year to year

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CAPTAIN Trainers Checklist

PREPLANNING CHECKLIST FOR DESIGNING EVIDENCE BASED PRACTICE PROFESSIONAL DEVELOPMENT

COMPLETED Step 1 Conducted Needs Assessment of Audience

Step 2 Identified Core Components (Learning Objectives)

Step 3 Developed Pre Assessment to Evaluate Knowledge of Core Components

Step 4 Created Workshop to Include Multiple Opportunities for Discussion about the Core Components

Step 5 Created Workshop to Include Multiple Opportunities for Demonstration (video and/or live modeling)

Step 6 Created Workshop to Include Multiple Opportunities to Practice with Feedback related to the Core Components

Step 7 Developed Post Assessment to Evaluate Knowledge of Core Components Inclusive of Plans for Addressing any Reteaching or Modifications to the Training That Are Indicated by Data

Step 8 Established Coaching Model that Emphasizes Fidelity of Use of Newly Learned Practice(s)

Step 9 Developed Data Systems to Link Use of Training Content to Student Outcomes

SUMMARY DATA FROM PRE AND POST ASSESSMENTS

Pre Assessment Average Post Assessment Average

Commonly Missed Questions: Reteaching/Coaching Notes: Revisions Needed:

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Quiz

ì  BootcampObjecFvesKahoot

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WrapUp

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