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�How Matching to Need �can lead to �Adaptations�or �Expanding our Tier 2 Toolbox

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1

Establish a representative T2 leadership team

2

Develop a collaborative process for identifying students

3

Evaluate, select and adopt culturally appropriate tier 2 practices

4

Develop a process to install selected practices

5

Develop procedures to train staff and students; partner with families and community

6

Develop an equitable process for matching student need to practices

7

Develop a process for progress monitoring, data-based decision rules

8

Develop procedures for modifying/ adjusting implementation

9

Develop evaluation routines for fidelity and outcome data

10

Document and share routines, practices, and policies

Tier 2 FOUNDATION STEPS

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Common Tier 2 Interventions

Check In/ Mentoring

Skills Groups

Counseling Groups

Classroom Interventions

  • Check in (with an adult)
  • Check in Check Out (CICO-BEP)
  • Check and Connect (Mentoring + Monitoring)
  • Social / Emotional skills (e.g., self-regulation)
  • Coping skills (anxiety, depression)
  • Academic / organizational skills
  • CBT
  • Enhance social skills instruction in the classroom (CW-FIT)
  • SEB curriculums, lessons on classroom ‘survival’ skills)
  • Therapeutic focus
  • Topic specific (e.g., grief, trauma, gender identity)
  • Diversion programs

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Empirically-Supported Tier 2 Interventions

EXAMPLES

1. Check-in Check-out (CICO)

2. Check and Connect (Mentoring/ Monitoring / Goal setting)

3. SAIG – Social Academic Instructional Groups (“skills”) groups

    • Classroom skills
    • Organizational skills
    • Social / Emotional skills

SSIG - Social Skills Intervention Groups

4. Mentoring

5. REP – Resilience Education Program (CBT+CICO)

6. Class-wide Function-Based Intervention (CW-FIT)

7. MU Classroom Problem Solving Manual (Tier 2/3 in the classroom)

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DISCUSSION: T2 Practices

Based on your inventory, where would you like to dive in?

  • Classroom Supports across the Tiers
  • CICO modifications;
  • Social Skills alignment;
  • REP
  • Check and Connect

10 minutes

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Strengthening Classrooms across Tiers

  • FACTS (Tier 2 or 3)

  • MU Classroom Problem Solving Manual (Tier 2/3 in the classroom)

SEB Academy Classroom Resources

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BREAKOUT ROOM ACTIVITY: �TIER 2 IN THE CLASSROOM

Preview page 5

20 minutes

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CICO + �Adaptations to CICO

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Checking in on CICO

And intervention modifications

Practices

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CICO TIPS

Don’t enroll every student on CICO (but consider enrolling 5-10%!)

Enroll students who like attention from teachers

Don’t start every student with their own personalized card

Don’t leave students on it forever

Fade students of with self-management

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1

2

3

4

5 W’S OF TIER 2 MODIFICATIONS

Modify who is offering the intervention (e.g., preferred adult, peer)

Modify where the intervention is occurring (e.g., classroom, SP office)

Modify what is being offered (e.g., intervention type)

WHO

WHERE

WHAT

Modify when it is being offered (e.g., frequency, intensity)

WHEN

Modify WHY the intervention (e.g., consider FUNCTION, consult data)

WHY

5

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CICO Modifications��Self-Management�Peer Attention �Integration with Social Skills �Escape-Maintained �With Academic Supports��

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�SELF-MONITORING

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TEACH SELF-MANAGEMENT

Self-Management: the ability of an individual to make changes in her/his environment that result in changes to her/his behavior

🡪 Often implemented in conjunction with other interventions (e.g., CICO) with varied levels of teacher support or scaffolding

🡪 Can be used to:

    • Maintain behavior change once interventions are faded  
    • Support the overall goal of CICO - to teach students to self-manage their behavior 

(Cheney & Yong, 2014; Cooper, Heron, & Heward, 2007; Crone, Hawken, & Horner, 2010; Miller, Dugrene, Olmi, Tingstrom, & Filce, 2015; Skinner, 1953).

Self-management can be used as a stand-alone intervention, or as part of the fading process for students who have responded positively to intervention

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BENEFITS OF SELF-MANAGEMENT

Addresses problem behaviors privately

Reduces adults’ efforts

Promotes generalization and maintenance of behavior change

Efficient! A few self-management tactics can address many behaviors

Works for a wide-ranging population

As effective as other external strategies

Contributes to a more efficient and effective classroom environment

Students who are successful can be peer leaders or ambassadors for others

Self-management is an ultimate goal of education: an important skill to teach!

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MOVING TOWARDS SELF-MANAGEMENT: CICO

Teach student to rate their behavior (self-evaluation)

Compare student & teacher behavior ratings 🡪 discuss discrepancies and reinforce for accuracy

Once accuracy is established, reinforce for behavior (rather than accuracy)

Continue self-evaluation; add self-reinforcement & fade check-in (1x/day)

Continue to fade CICO

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CICO FORM (DAILY PROGRESS REPORT): REVIEW�

CICO Form

Name: ________________ Date: ______________

2 = great 1= OK 0= hard time

Safe

Responsible

Respectful

Check In

2 1 0

2 1 0

2 1 0

Before

Recess

2 1 0

2 1 0

2 1 0

Before

Lunch

2 1 0

2 1 0

2 1 0

After Recess

2 1 0

2 1 0

2 1 0

Check Out

2 1 0

2 1 0

2 1 0

Today’s goal:

Today’s total points:

Comments:

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EXAMPLE: SELF-MONITORING, TRADITIONAL PAPER & PENCIL

Traditional Self-Monitoring

Technology-Based Self-Monitoring (TBSM)

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EXAMPLE: TECHNOLOGY-BASED SELF-MONITORING (TBSM)

I-Connect

SCOREIT

CellF-Monitoring

Respond in the Chat:

What strategies have you used to SM your students? What students would respond to SM? How will you plan for this?

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Considering Function�and Skill

When selecting appropriate Tier 2 practices

Practices

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Modifications: Consider Function!�

Function

Intensified CICO

SAIG

Academic Seminar

Mentoring

FBA/BIP

Access to Adult Attention

Access to Peer Attention

Access to Tangible

Avoiding Peer Attention

Avoiding adult Attention

Work Avoidance

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EXAMPLE: MODIFYING CICO FOR STUDENT WITH PEER ATTENTION-MAINTAINED BEHAVIOR

  • Have student check in with a peer
  • Consider an older student or a student that has completed self-management phase.
  • Modify reinforcement system so that they earn time with a peer / friend
  • Earn access to work or engage in free time

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EXAMPLE: BREAKS ARE BETTER

  1. Similar CICO Routines
    1. Check in with coordinator to review expectations, ensure materials ready for the day
    2. Hand in DPR to teachers, feedback at the end of each class/subject
    3. Check out at the end of the day

  • Modifications
    • Can request a predetermined # of brief (e.g., 2 minute) breaks throughout the day, recorded on DPR
    • During breaks, students can engage in approved activity (e.g., drawing, books, alternative assignments)
    • Break routines taught and reinforced

Escape Motivated CICO

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Activity

Morning Check-in

Feedback

Break Tracker

Afternoon Check-out

Points Possible

2

Up to 2 per Expectation

1 per feedback session

2

How Points are Earned

Student attends Check-in (1) and has materials

Meet behavioral and academic expectations

Taking breaks appropriately when needed

Attended check-out and (1) and have teacher(s) ratings (1)

What students would respond to BrB? How will you plan for this?

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EXAMPLE: ACADEMIC MODIFICATIONS TO CICO

    • E.g., planner use & maintenance, notebook organization, goal setting for academic/ social behaviors, tracking progress, test taking, study strategies (Swain-Bradway & Horner, 2010)
    • If using CICO, have students have 3 to 5 minute academic skills practice at end of day during check-out

Modify goals to address academic organization needs

Modify plan to address academic needs

Refer to academic interventions team

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EXAMPLE: CICO PLUS ACADEMIC SUPPORTS

How could you modify your CICO DPR to add academic expectations and behaviors?

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INTEGRATION WITH ADDITIONAL INTERVENTIONS�(Eber, 2016)

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ACTIVITY: CICO Modifications

  1. Discuss CICO modification options
  2. Add those that you think you might want to incorporate to your inventory
  3. Discuss how/when to implement

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DISCUSSION: CICO Modifications

  1. What modifications might you adopt?

  • What steps do you need to take to incorporate this modification for students and staff?

  • How can you standardize these modifications for efficiency?

5-10 minutes

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Social Skills Groups�Aligning with Critical Features

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SOCIAL SKILLS GROUPS

Social Skills Training includes direct instruction of appropriate social behavior. Instruction can be delivered to small targeted groups of students. Direct instruction includes modeling of appropriate behavior, feedback on behavior, and opportunities to practice appropriate behavior.

(Hawken et al., 2009)

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SOCIAL SKILLS INSTRUCTION: FEATURES

  1. Increased positive adult contact
  2. Direct social skills training
  3. Direct link to school-wide behavioral goals and expectations
  4. Frequent feedback (daily or weekly)
  5. Increased home-school communication
  6. Plans for generalization and maintenance
  7. Positive reinforcement contingent on meeting skill-based goal

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SOCIAL SKILLS INSTRUCTION WORKS!

Research conducted on social skills interventions demonstrates positive outcomes across ages, level of support needs, and types of skill deficits, especially when specific strategies are included to program for skill maintenance and generalization

(e.g., Gresham, Sugai, & Horner, 2001; Lane, Menzies, Barton-Arwood, Doukas, & Munton, 2005; Miller, Lane, & Wehby, 2005; Quinn, Kavale, Mathur, Rutherford, & Forness, 1999; Ray and Elliott, 2006)

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SOCIAL SKILLS GROUP FEATURES

Few Students, High Rates of Adult Attention

Situated Learning

Systematic, Explicit Instruction

Modeling

Sequencing Positive & Negative Examples 

Rehearsal & Problem Solving with Feedback 

School-to-Home Communication

Self-Assessment & Recording

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CONSISTENCY BETWEEN TIER 2 STRATEGY & SW EXPECTATIONS

Do Tier 2 interventions use the language of Tier 1 supports?

Can materials for Tier 2 interventions align with Tier 1 supports?

Can Tier 1 acknowledgment practices be included in Tier 2 interventions?

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ALIGNMENT EXAMPLE��

Infraction

Failure to Comply

Inappropriate Language

Tardiness

Linked SW Expectation

Responsible

Respectful & Reflective

Responsible

What You Want The Student To Do

Cooperate with instructions & directions timely

Use appropriate words to express sentiment (e.g., considerate, polite, kind, professional, etc.)

Be in seat when bell rings

Social and Emotional Skills to Teach

  • Asking for help
  • Active listening
  • Paraphrasing understanding
  • Managing frustration (e.g., positive self-statements, deep breaths)
  • Stop-think-act
  • Managing disappointment
  • Turning the conversation
  • Making a complaint
  • Reframing negative thoughts
  • Managing transition time
  • Planning ahead
  • Self monitoring
  • Using conversation enders (e.g., “catch you later”)

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STUDENT OPPORTUNITIES TO PERFORM & GET FEEDBACK

How will staff model appropriate behavior?

How will the environment be organized to provide regular opportunities for skill practice & feedback?

How will staff be trained to do these activities?

How does your school support student social skill practice across school settings?

Outside of planned lessons?

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Daily Progress Report (DPR) Sample

EXPECTATIONS

1st block

2nd block

3rd block

4th block

5th block

6th block

7th block

Be Safe

2      1      0

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

Be Respectful

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

Be Responsible

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

2        1        0

Total Points

Teacher Initials

Walk to class�Keep hands to self

Use appropriate language�Raise hand to speak

Bring materials �Fill out assignment notebook

Mark will hold up a yellow card to indicate needing a break

Individualized Student Card for Mark �(FBA/BIP)

Replacement behavior

Mark will keep hands to self

Possible behaviors taught in previous SAIG groups

Mark will fill out assignment notebook

Social Academic Instructional Groups

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EXAMPLE BEHAVIOR LESSON PLAN

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PACKAGED CURRICULUM

  • Second Step

(Grades PreK-8)

  • Thinking, Feeling, Behaving

(Grades 1-12)

  • Tough Kids Social Skills

(Grades 3-7)

  • Walker Social Skills Curriculum

(Grades 6-12)

  • Skills Streaming

(Grades Prek-12)

  • Stop & Think Social Skills

(Grades Prek-8)

  • Passport

(Grades 1-12)

  • I Can Problem Solve

(Grades PreK-6)

  • Aggression Replacement Training
  • Academic Seminar

(Grades 5-12)

All of the above examples can be used to develop universal behavior lesson plans.

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MILWAUKEE SAIG (SOCIAL ACADEMIC INSTRUCTIONAL GROUP) CURRICULUM

  • Free access
  • Based on Skill Streaming & other evidence-based methods
  • Scripted Lessons:
    • Emotional Management Skills
    • Classroom Survival Skills
  • All levels: ES/MS/HS

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MISSOURI SOCIAL SKILLS INTERVENTION GROUPS (SSIG)

  • Resources to support installation of social skills groups

  • “Logistical” considerations

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Application to other �SKILLS GROUPS

Emotional regulation (e.g., coping skills, problem solving skills)

Focus areas (e.g., grief, divorce, girls groups on friendships)

Diversion groups (e.g., bullying, substance use)

Are there other focus areas for skill development?

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ACTIVITY: Social Skills Groups

  1. To what extent do your skills groups align with T2 critical features?
  2. Are there places for standardization?
  3. How will/do you support Tier 1 social skills instruction?

1

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DISCUSSION: Social Skills Groups

  1. What do you have in place?
  2. What steps do you need to take to standardize groups?
  3. What steps do you need to take to complete the inventory for your skills groups (e.g., entry and exit criteria)

5-10 minutes

  1. What logistics need to be considered to support installation of this practice?

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Check & Connect

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Check & Connect

Target population: students who show warning signs of disengagement from school, grades K-12

    • Poor attendance, behavioral challenges, and/or low grades

(http://checkandconnect.umn.edu/model/default.html)

Check & Connect features:

Building a trusting relationship between the student and a trained mentor

Students are followed for at least 2 years

Focus on home-school relationship

Check: mentors systematically monitor student performance data (e.g., absences, tardies, ODRs, grades)

Connect: mentors provide individualized interventions to help students solve problems, build skills, and enhance competence

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Research Outcomes

  • Of the dropout prevention interventions reviewed by the U.S. Department of Education’s What Works Clearinghouse, Check & Connect is the only program found to have strong evidence of positive effects on staying in school

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Student Outcomes

Increase in:

Attendance

Persistence in school

Credit accrual

School completion rates

Decrease in:

Truancy

Tardies

Behavioral referrals

Dropout rates

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Check & Connect Video

  • https://youtu.be/D93gwDLLUic

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Check and Connect Mentors

Builds long-term relationships with students (2 years); support can be 2-3 students or one dedicated staff member supporting from 30-50 students

Supports student engagement and goal setting

Tracks progress weekly across indicators

Individualizes interventions based on data

Connects and collaborates with families

Collaborates with outside agencies

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Check & Connect Resources

Check & Connect Manual

Training options to support implementation with fidelity

    • Asynchronous trainings available

Check & Connect App

    • Progress monitoring
    • Assess fidelity and impact

Manual and additional information, including implementation options and funding tips, on website

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RESILIENCE EDUCATION PROGRAM

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RESILIENCE EDUCATION PROGRAM (REP)

Tier 2 intervention for students with internalizing disorders (anxiety & depression)

Combination of CICO & Cognitive Behavioral Instruction

For elementary & middle school students (Grades 4-8)

Initial evidence to support (e.g., Allen, Kilgus, & Eklund, 2019)

Free materials!

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REP: TWO COMPONENTS

  • Cognitive Behavioral Instruction (CBI)
    • Five lessons, taught across five weeks
    • Small-group format (3-5 students)
    • Focus on key skills
      • Coping skills
      • Cognitive restructuring
      • Problem-solving skills

  • Modified Check In/Check Out (CICO)
    • Check in and out with a mentor each day
    • Teacher feedback throughout the day regarding skill use and other positive behaviors
    • Connection with parents

REP

CBI

CICO

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REP: CORE CHARACTERISTICS

  • Efficiency
    • Takes only a few weeks
    • CICO: few minutes per day for teachers and mentors
    • CBI: 30-45 two times per week

  • Relevance
    • Includes intervention elements already being used in schools

  • General
    • General CBI applicable to both depression and anxiety

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REP: THEORY

  • CBI
    • Student-oriented
    • Instruct key social-emotional skills

  • CICO
    • Ecologically-oriented
      • Educators
      • Parents and caregivers
    • Prompt and reinforce student use of those skills

CBI

School

Home

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OVERVIEW OF REP

Check-In/Check-Out

CICO occurs for 10 weeks; Students receive increased adult attention and performance feedback along with reinforcement of coping skills

Small group CBI Lessons

Small group lessons occur 2x/week for 5 weeks; students learn coping and problem-solving skills

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MODIFIED CICO

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CICO Procedures

Typical CICO

  1. Morning check in with REP mentor
  2. Teacher feedback and praise throughout the day

Daily Progress Report (DPR)

  1. Afternoon check out with REP mentor
  2. Home-based reinforcement
  3. Progress monitoring via DPR
  4. Self-monitoring (fading)

Modified Components

  1. Modified DPR targets
    1. Skills aligned with CBI
    2. Other positive behaviors
  2. Students self-rate their mood throughout the day

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CICO PROCEDURES

Teacher Feedback & Praise

  • At the end of each activity…
    • Teacher rates student behavior
      • CBI-aligned behaviors
      • Positive replacement behaviors (need to select)
    • Delivers praise
    • Minimizes attention to inappropriate behavior
    • Student rates his or her mood
      • Behavior <–> Mood

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COGNITIVE-BEHAVIORAL INSTRUCTION

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REP INTERVENTION: CBI LESSONS

Say-Show-Do Direct Instruction Model:

    • Define key skill and explain importance
    • Provide steps for using the skill
    • Model steps for using the skill
    • Role-play opportunities
    • Goal-setting and homework

Team building and introduction

Identifying strong feelings

Using cognitive restructuring

Using coping skills to manage emotions

Using problem-solving strategies

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SETTING UP YOUR GROUP

Size of Group

3 to 5 students ideal

2 or 6 students possible, but challenge

Number of Weeks

Can be done in 5 weeks

6 weeks better if content runs over

Lesson Format

Two 30-minute lessons each week

One 45-50 minute lesson once a week

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REP LESSON FORMAT

  • General objectives
  • Concepts taught
  • Materials needed
  • SAY
    • Provide direct instruction and definition of concepts covering
  • SHOW
    • Provide examples through modeling and/or video demonstration
  • DO
    • Provide opportunity for students sharing and acting out examples
  • Generalize
    • Homework
  • Summary

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These materials are freely available for download and available for use with students in Grades 4-8 who may be demonstrating early signs of internalizing concerns (e.g., anxiety, depression). ��Curriculum includes manuals for delivering the 5-week Cognitive Behavioral Instruction (CBI), Student Handbooks to accompany the CBI, and a Resilient Families manual to engage parents/caretakers. ��All free here!