Tier Three

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Tier 3 Individualized Intensive Interventions
 5-10% of children  Children with severe and persistent challenging

behavior  Assessment-based intervention that results in individualized behavior support plans  Caregivers are provided with resources and supports to effectively intervene and guide a child’s behavior and support development

Tier 3 : Intensive Interventions to Address Severe Child Behavior Problems Not Responsive to Tier 1 and Tier 2
 Example: Toddler is engaging in severe and persistent challenging

behavior such as stereotypy, self-injurious behaviors, biting others and has not responded to Tier 1 and 2 intervention

 Intensive Child-Focused Interventions:
 For older toddlers (Functional Assessment, Positive Behavior

Support)  Parent is a team member and actively involved

 Intensive Caregiver-Child Focused Interventions need to continue:
 Baby is showing persistent gaze aversion or shut-down

behaviors when caregivers attempts to engage  Toddler is not showing basic building blocks for social reciprocity (joint attention)
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Tier 3: Individualized Intensive Interventions
 Comprehensive assessment and interventions
 Focuses on continued Tier 2 skill building for child and

caregiver

 Functional Assessment and behavior support

plans  Teaming with mental health professionals

Tier 3 assessment
The Focus/Examples of measures  Continue monitoring child social-emotional behavior  Increase monitoring frequency with the SEAM; IPCI  Continued close look at parent-child behavior during interaction  Functional Assessment- child behavior in context

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Tier 3: Functional Assessment
An assessment of the child’s behavior in context  Antecedents  Consequences  Child Preferences Positive behavior support plan

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We make it a point to celebrate small successes.

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