Montana Behavioral Initiative School Recognition System
Application for recognition must be completed by the site MBI Team and submitted to the Recognition Committee by the MBI Team’s assigned MBI Consultant. Recognition status will be awarded at MBI Summer Institute.
2013 Summer Institute Recognition Ceremony Letter
MBI School Recognition System
The Montana Behavioral Initiative would like to recognize MBI Teams for all of the time and effort it takes to successfully implement MBI at their sites. To accomplish this, MBI has created a multi-tiered recognition system. This system reflects the status of MBI implementation as teams build capacity to consistently and effectively offer positive behavior interventions and support at each of the three tiers.
Each application includes all the practices, systems, data and outcomes criteria that are required for each level of MBI implementation status. The cover letter for each level outlines directions for the completion and submission of the application. Please run a copy of the cover letter that accompanies the recognition level you are applying for, and use it to guide you through the application process.
Methods of Documentation are available for each level and can be downloaded directly from the RESOURCE LIST or at www.pbis.org. Please call your consultant for clarification if you have further questions.
Applications may be submitted prior to receiving this year’s SET scores but will be dependent upon the results as determined by the site assigned MBI Consultant. Applications need to be given to the MBI Consultants no later than May 30, 2013. Recognition status levels will be announced during the Wednesday morning session of MBI Summer Institute.
Bronze
Annual MBI Action Plan
Annual MBI Action Plan Example
Silver
Annual MBI Action Plan
Annual MBI Action Plan Example
MBI Classroom Action Plan
MBI Classroom Self-°©‐Assessment Tool with Cover Page (Action Plan and Summary for Improvement)
Classroom Effective Practice Planning Checklist
“Great 8” Mini-Modules are available under Training Materials on the MBI Website
Gold
Annual MBI Action Plan
Annual MBI Action Plan Example
MBI Classroom Action Plan
MBI Classroom Self-°©‐Assessment Tool with Cover Page (Action Plan and Summary for Improvement)
Classroom Effective Practice Planning Checklist
Benchmarks of Advanced Tiers(BAT) (Download from www.pbis.org)
TierII Interventions Assessment Tool (Download from www.pbis.org)
Missouri(MO) BAT Action Plan Template
Missouri(MO) BAT Scoring and Results Spreadsheet (Graphing Tool)
Intervention Essential Features
Student Outcomes Template
CICO Action Plan
Tier2/Tier3 Systems Guiding Questions
Tier2/Tier3 Intervention Tracking Tool
Sample Student Support System Tracking Sheet
Teacher Nomination Form Sample1
Teacher Nomination Form Sample2
“Great 8” Mini-Modules are available under Training Materials on the MBI Website
Platinum
Annual MBI Action Plan
Annual MBI Action Plan Example
MBI Classroom Action Plan
MBI Classroom Self-°©‐Assessment Tool with Cover Page (Action Plan and Summary for Improvement)
Classroom Effective Practice Planning Checklist
Benchmarks of Advanced Tiers(BAT) (Download from www.pbis.org)
TierII Interventions Assessment Tool (Download from www.pbis.org)
Missouri(MO) BAT Action Plan Template
Missouri(MO) BAT Scoring and Results Spreadsheet (Graphing Tool)
Intervention Essential Features
Student Outcomes Template
CICO Action Plan
Tier2/Tier3 Systems Guiding Questions
Tier2/Tier3 Intervention Tracking Tool
Sample Student Support System Tracking Sheet
Teacher Nomination Form Sample1
Teacher Nomination Form Sample2
“Great 8” Mini-Modules are available under Training Materials on the MBI Website
Additional resources under silver recognition level list may be helpful as well
MBI Bronze School
Site can document:
- Practices:
- Universal expectations in place
- Matrix in place and expectations taught
- Recognition system in place
- Data collection system in place

Site can document:
- Systems:
- Active administrator who attends team meetings regularly
- Representative team and trained site facilitator
- Regular (at least monthly) MBI team meetings
- Minutes are taken during MBI meetings to record topics and decisions
- Information shared with staff regularly
- Data collection system
- Action planning
- Problem-solving process

Site completes:
- Data:
- Self-Assessment Survey (SAS) (1x/year)
- Team Implementation Checklist (TIC)(2x/year)
- School Climate Survey (SSARB/My Voice/Other)(1x/year)
- Collection/management/sharing of ODR/BIR and other outcome data to monitor Tier I implementation and classroom implementation
- SET conducted at site by outside observer and/or Benchmarks of Quality (BoQ) conducted at site

- Site achieves at least an 80%/80% on the School-wide Evaluation Tool (SET) Score
- Site can document impact of universal implementation with outcome and implementation data

MBI Silver School
Site can document:
- Practices:
- Universal expectations in place
- Matrix in place and expectations taught
- Recognition system in place
- Data collection system in place
- Implementation of effective classroom practices

Site can document:
- Systems:
- Active administrator who attends team meetings regularly
- Representative team and trained site facilitator
- Regular (at least monthly) MBI team meetings
- Minutes are taken during MBI meetings to record topics and decisions
- Information shared with staff regularly
- Data collection system
- Action planning
- Problem-solving process
- System/procedures to document Effective Classroom Practices (“Great 8”) trainings

Site completes:
- Data:
- Self-Assessment Survey (SAS) (1x/year)
- Team Implementation Checklist (TIC)(2x/year)
- School Climate Survey (SSARB/My Voice/Other)(1x/year)
- Collection/management/sharing of ODR/BIR and other outcome data to monitor Tier I implementation and classroom implementation
- SET conducted at site by outside observer and/or Benchmarks of Quality (BoQ) conducted at site

- Outcomes:
- Site scores at least 80/80 on two consecutive School-wide Evaluation Tool scores or scores 90 or above on (BoQ)
- Classroom teachers have included components of Effective Classroom Practices (“Great 8”) modules in their teaching
- Site data (implementation and outcome) is reviewed for at least two consecutive years and shows improvement/ maintenance for Tier 1 and classroom level interventions and supports

MBI Gold School
Site can document:
- Practices:
- Universal expectations in place
- Matrix in place and expectations taught
- Recognition system in place
- Data collection system in place/Office Discipline Referral (ODR) procedures are developed
- Results from Benchmarks of Advanced Tiers (BAT) are analyzed and used for action planning
- Minimum of 2 research-based small group interventions are in place for students

Site can document:
- Systems:
- Active administrator who attends team meetings regularly
- Representative team and trained site facilitator
- Regular (at least monthly) MBI team meetings
- Minutes are taken during MBI meetings to record topics and decisions
- MBI team meeting minutes are shared with staff regularly
- Data collection system
- MBI team action plan
- Problem-solving process
- System/procedures to document Effective Classroom Practices (“Great 8”) trainings
- Tier 2 team with consistent membership is in place and meets at least twice a month
- Tier 2 process is communicated to all staff
- Tier 2 team has mechanism to identify students who require additional academic and/or social behavioral support
- Process is in place to select which Tier 2 interventions are appropriate for referred students
- Tier 2 team uses data-based decision making to fade, continue, modify or intensify supports for identified participants
- Tier 2 team shares data & decisions regarding interventions and outcomes with appropriate staff at least quarterly
- Tier 2 team has mechanism for monitoring Tier 2 outcome data

Site completes:
- Data:
- Self-Assessment Survey (SAS) (1x/year)
- SET conducted at site by outside observer and/or Benchmarks of Quality (BoQ) conducted at site
- Team Implementation Checklist (TIC)(2x/year)
- School Climate Survey (SSARB/My Voice/Other)(1x/year)
- Collection/management/sharing of ODR/BIR and other outcome data to monitor Tier I implementation and classroom implementation
- Benchmarks of Advanced Tiers (BAT)(1x/year)
- Site scores at least 80/80 on two consecutive School-wide Evaluation Tool scores or scores 80 or above on (BoQ)

- Outcomes:
- Site data (implementation and outcome) is reviewed for at least two consecutive years and shows improvement/maintenance for Tier 1, classroom level, and Tier 2 interventions and supports

MBI Platinum School
Site can document:
- Universal Expectations in place
- Matrix in place and universals taught
- Recognition system in place
- Data collection system in place
- Addressing of effective classroom practices
- Tier II interventions in place
- Tier III interventions in place

Site can document:
- Representative team/site coach
- Regular meetings
- Minutes
- Information shared with staff
- Data collection system/data sharing
- Action planning/problem solving
- System/procedures for addressing classroom MBI systems
- System/procedures for Tier 2 interventions
- System/procedures for Tier 3 Interventions

Site completes:
- Self-Assessment Survey (1x/year)
- School Climate Survey (1x/year) (SSARB/My Voice/Other)
Site can document collection/ management/sharing of outcome and implementation data to monitor Tier I, classroom level, Tier II, and Tier III implementation
- Maintain implementation/outcome data (Tier I/Tier II)
- Outcome/implementation data collected for Tier III (i.e., BAT, I-SET)

Multiple implementation and outcome data sources show improvement/maintenance (at least 2 years of data required for comparison) across all three tiers

