Observe Challenging Behavior Minor Behaviors Major Behaviors (Requests for Support)* Complete Major Referral Utilize Teacher Form and Send Student Is the behavior a Strategies to to Office (Call Office to Minor or Major Support/Address the Have Student Escorted if event? Challenging Behavior Needed) and Write a Minor Referral if Challenging Behavior is: 1) Aggression that Minor Behavior Major Behavior Results in Physical Events Events Pain or Harm to Defiance Defiance For Early Learners Disruption Physical Aggression (Pre-K/K), Request Another Person or 2) Physical Aggression Disruption Intentionally Injuring Administrator Support Tardy Inappropriate Self in Manner that Language in Classroom (Do Not May Cause Harm Inappropriate Language Harassment Send Child to Office) Property Damage Bullying Technology Violation Fighting Tantrums Theft Inconsolable Crying Technology Violation Self-Injury Property Damage Complete a Minor Repetitive Behavior Tobacco Administration Social Withdrawal Drugs Addresses Behavior Referral if Challenging Running Away Weapons with Student and Behavior is Persistent Alcohol Follows Through with and Unresponsive to Running Away the Use of Multiple Appropriate Strategy Strategies Over a Period of Time. Minor Referrals Should Not Administration Managed Be Written if It Is the Strategies First Instance of Conference with Student Occurrence (Unless it Family Contact is Behavior Mentioned If the Challenging Individual Instruction in the Box Above) Behavior is Severe Loss of Privilege and/or the Teacher In-School Suspension Out of School Suspension Feels Like Additional Time in Office Support Is Needed for Time Out the Student Before Bus Suspension Three Minors are Expulsion Once there are three or Completed, Contact more minor referrals, the PBIS Coach the PBIS Coach will meet with the Teacher to Develop a Support Plan to Implement with the Student Teacher Managed Strategies Student Conference Offer Choice Prompting Loss of Item/Privilege Family Contact Modeling Re-Teach/Practice Change Seat Re-Direct Behavioral Momentum Verbal Reminder Provide Physical Comfort *Please note minor referral forms should be written only to document a pattern of Time with Teacher Time in Different Class persistent challenging behavior that leads to Time with Support Staff Physical Guidance students and teachers receiving additional Peer Mediation Time Out support. They should not be used as a discipline function, but as a tool for support.