Multi-Tiered System of Support Worksheets for Youth and Family/Staff Supports

These worksheets detail multi-tiered systems of support for youth and family/staff, emphasizing tiered interventions and universal supports. Adapted from the Illinois PBIS Network, they provide a framework for implementing positive behavioral interventions and supports.

• Supportive practices
• Youth interventions
• Family engagement
• Tiered support
• Positive behavior

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1. Reflections Systems Data Practices Details Strengths Needs

2. Multi-Tiered System of Support Worksheet: Youth Supports Tier 3/Intensive Interventions ___________________________ ___________________________ ___________________________ Tier 3/Intensive Interventions ___________________________________ ___________________________________ ___________________________________ Tier 2/Targeted Interventions _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ Tier 2/Targeted Interventions ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ Tier 1/Universal Supports _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ Tier 1/Universal Supports___ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ Adapted from Illinois PBIS Network, Adapted from What is school-wide PBS? OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports.

3. Multi-Tiered System of Support Worksheet: Family/Staff Supports Tier 3/Intensive Interventions ___________________________ ___________________________ ___________________________ Tier 3/Intensive Interventions ___________________________________ ___________________________________ ___________________________________ Tier 2/Targeted Interventions _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ Tier 2/Targeted Interventions ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ Tier 1/Universal Supports _________________________________ _________________________________ _________________________________ _________________________________ _________________________________ Tier 1/Universal Supports___ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ Adapted from Illinois PBIS Network, Adapted from What is school-wide PBS? OSEP Technical Assistance Center on Positive Behavioral Interventions and Supports.

4. Reflection Worksheet Framework for Student Intervention Delivery Practices for a Few Practices for Some Practices for ALL

5. Necessary Conversations Tier 1 Leadership Conversation System Conversation Systems Conversation Tier 2/3 Brief Problem-Solving Conversation Tier 2/3 Committee for Special Education & IEP/504 Teams Tier 3 Person- Centered Planning

6. Necessary Conversations Template Leadership Conversation/s Tier 1 System Conversation/s Systems Conversation/s Tier 2/3 Brief Problem-Solving Conversation/s Tier 2/3 Committee for Special Education & IEP/504 Teams Tier 3 Person- Centered Planning

7. Adult Acknowledgment Matrix What When Where Who Type High Frequency In the moment, predictable (ex. Tickets, Positive Notes, Staff Mtg. Shout-Outs , etc.) Redemption of high frequency (ex. menu, drawings) Unpredictable/Intermittent (ex. surprise, random use of tickets, unplanned opportunity) Long-term Setting-wide Celebrations Improved climate/connections, setting-wide target met (ex. Grade-level reward, Staff lunch)