Top Banner
Updated TLC Bullying Prevention and Intervention Plan 2016 - 2018 1 The Learning Center for the Deaf Bullying Prevention and Intervention Plan 2016 - 2018 Table of Contents Page 1. Priority Statement 2-3 2. Definitions 3-4 3. Prohibition Against Bullying and Retaliation 4-5 4. Leadership 5-6 5. Training and Professional Development for Faculty and Staff 6-8 6. Education that Supports Bullying Prevention 8-12 7. Reporting Bullying or Retaliation 12-15 8. Investigative Procedures 15-17 9. Determination and Further Reporting Procedures 17-19 10. Collaboration with Parents 19 11. Problem Resolution System 19-20 12. Access to Resources 20-21 13. Relationship to Other Laws 21 14. Flow Chart 22 15. Bullying Report & Investigation Forms 23-26 The Learning Center for the Deaf Our mission is to ensure that deaf and hard of hearing students achieve their full potential in an educational environment where language and communication are keys to building competence, character, and community.
26

The Learning Center for the Deaf Bullying Prevention and ...

Jul 20, 2022

Download

Documents

dariahiddleston
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 1

The Learning Center for the Deaf

BullyingPreventionandInterventionPlan2016-2018

TableofContents

Page

1. PriorityStatement 2-3

2. Definitions 3-4

3. ProhibitionAgainstBullyingandRetaliation 4-5

4. Leadership 5-6

5. TrainingandProfessionalDevelopmentforFacultyandStaff 6-8

6. EducationthatSupportsBullyingPrevention 8-12

7. ReportingBullyingorRetaliation 12-15

8. InvestigativeProcedures 15-17

9. DeterminationandFurtherReportingProcedures 17-19

10. CollaborationwithParents 19

11. ProblemResolutionSystem19-20

12. AccesstoResources 20-21

13. RelationshiptoOtherLaws 21

14. FlowChart 2215.BullyingReport&InvestigationForms 23-26 TheLearningCenterfortheDeafOurmissionistoensurethatdeafandhardofhearingstudentsachievetheirfullpotentialinaneducationalenvironmentwherelanguageandcommunicationarekeystobuildingcompetence,character,andcommunity.

Page 2: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 2

PlantoAddressBullyingPreventionandInterventionTheLearningCenterfortheDeaf

SECTION1: PriorityStatementSinceitsinception,TheLearningCenterfortheDeaf(TLC)hasstriventobeasafeplacefordeafandhardofhearingstudentstolearnandgrowandbelong.TLC’scommitmenttobeacomprehensiveschoolforalldeafandhardofhearingchildrenbringswithitaccompanyingresponsibilitytoprovideapositivelearningenvironmentforthisdiversityoflearnersandtosupportthehealthydevelopmentofeach“wholechild.”TLCisabilingualschool(AmericanSignLanguageandEnglish)dedicatedtoengagingstudentswithinanaccessibleandeffectiveeducationalenvironmentwherestudentsknowtheyarevalued,whereallmembersofthecommunityunderstandtheirresponsibilitytopromoteapositiveschoolclimate,andwherestudentscanachievethehighestqualityofeducationinpreparationforpost-secondaryopportunities,freefromdistractionorharm.TLC’stwomajordivisions(MariePhilipSchool,PreK-12andWaldenSchool)offermultiple,flexibleoptionsforourstudentstolearnandgrowandbeparticipantsinastronglearningcommunity.Thesetwoschoolsareunitedbehindasingularvisiontoassurethatallstudentsachievetheirfullpotentialandthatourstudents’linguistic,emotional,cognitive,anddevelopmentalneedscontinuetoberichlysupported.Inordertoachievethesesharedaspirations,TheLearningCenterfortheDeafisdedicatedtofosteringarespectfulschoolculture,whichisfreefromharassment,bullyingandcyber-bullyingofanykind.Tothisend,theschoolwilltakespecificstepstocreatethesafestenvironmentpossibleforallstudentswithintheschoolcommunity,andtoprovidestudentsandfaculty/staffwiththeskills,knowledge,andstrategiestopreventorrespondtobullying,harassmentand/orinappropriateteasing.Communitymembersareexpectedtotreateachotherwithrespect,fullyawarethatactsofbullying,harassment,cyber-bullying,andintimidationareprohibitedonschoolgrounds,inschoolbuildings,orinanyschoolrelatedactivities.Thissharedcommitmentisanintegralpartofourcomprehensiveeffortstopromotelearning,andtopreventandeliminateallharmfulanddisruptivetargetedbehaviorthatcanimpedeastudent’slearningprocess.Weunderstandthatmembersofcertainstudentgroupsanddifferentiatingcharacteristics,suchasstudentswithdisabilities,studentsfromdifferentethnicorreligiousbackgrounds,studentswhoaregay,lesbian,ortransgender,socioeconomicstatus,physicalappearance,and/orhomelessstudents,orbyassociationwithapersonwhohasorisperceivedtohaveoneormoreofthesecharacteristics,maybemorevulnerabletobecomingtargetsofbullying,harassment,orteasing.Theschoolwillensurethatfacultyandstaffhavetheawarenessand

Page 3: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 3

toolstotakespecificstepstocreateasafeandsupportiveenvironmentforthosepopulationswithintheschoolwhomaybevulnerabletobullying.ThefollowingBullyingPreventionandInterventionPlanisacomprehensiveapproachtoaddressandpreventissuesofviolencewithinourschool.ThisPlanestablishesacommonapproachtoprevent,intervene,andrespondtoincidentsofbullying,cyber-bullying,andretaliationshouldtheyoccur.TheDirectorsofeachprogramareresponsiblefortheimplementationandoversightofthePlan.

SECTION2: DefinitionsAggressor: Astudentorschoolmemberwhoengagesinbullying,cyber- bullying,harassment,orretaliation.Bullying: AsdefinedinM.G.L.c.71,§370,is: Therepeatedusebyoneormorestudentsofawritten,verbal,or electronicexpressionoraphysicalactorgesture,orANYcombination thereof,directedatatargetthat: (1)Causesphysicaloremotionalharmtothetargetedindividual(s)or tothetarget’sproperty;

(2) Placesthetargetinreasonablefearofharmtohimselforofdamagetohisproperty;

(3) Createsahostileenvironmentatschoolforthetarget(4) Infringesontherightsofthetargetatschool;or(5) Materiallyandsubstantiallydisruptstheeducationprocessortheorderly

operationofaschool.Cyber-bullying: Bullyingthroughtheuseoftechnologyorelectronicdevices, suchascellphones,computers,pagers,videophones,andthe Internet.Itincludes,butisnotlimitedtoemail,texting,instant messages,andInternetpostings.Cyber-bullyingistreatedas multiplecountsofbullyingbytheLaw,sincenumerousother individuals,throughthefar-reachingeffectsoftechnology,can observeitrepeatedly.(seeM.G.L.c.71,§370foradetailedlegal definitionofCyber-bullying.)HostileEnvironment: Asituationinwhichbullyingcausestheschool environmenttobeaffectedbyintimidation,ridicule,or insultthatissufficientlysevereorpervasivetoalterthe conditionsofastudent’seducation.IncidentReport: Astandardformusedtoreportincidentsofbullying, harassment,orretaliation.Theformprovidesaplaceto

Page 4: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 4

documentallegations,describeactionsobserved,andlist witnesses,etc.Retaliation: Anyformofintimidation,reprisal,orharassmentdirected againstastudentorcommunitymemberwhoreportsbullying, providesinformationduringaninvestigationofbullying,or witnessesand/orhasreliableinformationaboutbullyingthat hasoccurred.CommunityMembers: Includes,butisnotlimitedto,educators,administrators, counselors,residentialstaff,nurses,clinicians,foodservice personnel,coaches,advisorstoafterschoolactivities, classroomassistants,parents,andBoardmembers.Target: Astudent(orstudents)whohasbeensubjectedtobullying, cyber-bullying,harassment,intimidation,orretaliation.SECTION3: ProhibitionAgainstBullyingandRetaliationConflictanddisputemayoccurfrequentlyinschoolsbutarenotalwaysharmful.Bullyingandcyber-bullyingdifferfromconflict.Thesebehaviorsareharmfulone-wayabusebehaviors.Insituationswherebullyingoccurs,thereisrepetition,powerimbalance,andanintentiontoharm.Bullyingisdefinedasaconscious,willful,deliberateandrepeatedhostileactivityperpetratedbyanaggressorwhodominants,invariousways,towardsthetarget.Actsofbullying,cyber-bullyingorretaliationareabsolutelyprohibitedandwillleadtodiscipline.Actsofbullyingareprohibited:

(1) Onschoolgroundsandpropertyimmediatelyadjacenttoschoolgrounds(2) Ataschool-sponsoredorschool-relatedactivity,event,function,whetheronoroff

schoolgrounds(3) Onabusorvanorothervehicleownedby,used,orleasedbyTLCoronaschool

districtvehicletransportingastudenttoorfromTLC(4) Throughtechnologyoranyelectronicdevicethatbelongsto,isusedorleasedby

TLC;or(5) Anyactsofintimidation,threat,bullying,cyber-bullyingatalocation,activity,

functionorprogramthatisnotschool-related, •iftheactcreatesahostileenvironmentatschoolforthetargetor witness(es) •iftheactinfringesontheirrightsofthetargetatschool,or

Page 5: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 5

•iftheactmateriallyandsubstantiallydisruptstheeducationprocessorthe orderlyoperationoftheschool.Reportsofbullyingorretaliationmaybemadeanonymously.Itisimportanttonotethatnodisciplinaryactionwillbetakensolelybecauseofananonymousreport.

Retaliationagainstapersonwhoreportsbullyingorwhoprovidesinformationduringaninvestigationisalsoprohibited.NothinginthisPlanrequirestheschooltostaffanynon-schoolrelatedactivities,functions,orprograms,norisitintendedtopreventtheschooladministrationfromtakingdisciplinaryactionagainstastudentforanactionthatdoesnotmeetthedefinitionofbullyingasdefinedearlierbutis,nonetheless,unsafeorinappropriateatschool.

SECTION4: LeadershipLeadershipatalllevelsplaysanessentialroleinsustainingarespectfulcommunity.Allmembersofthiscommunityareexpectedtotreateachotherinacivilmannerandwithrespectfordifferences.ThisexpectationisanintegralpartofTLC’scommitmenttopromoteapositivelearningcommunityandtoeliminateharmfulordisruptivebehaviorthatcanimpedethelearningprocess.Eachstudent,facultyandstaffmemberisexpectedtotakeactsofbullyingseriously.TheAdministrativeandSupervisoryteamswillberesponsibleforsettingpriorities,assessingneedsandresources,andforstayingup-to-datewithcurrentresearchonbullyingpreventionandeffectiveresponsestobullying.Theirresponsibilitiesalsoincludethefollowing: -Ensurethatfacultyandstaffreceivetraininginthesecriticalareas, -MaintainanInternetsafetypolicy, -Determineappropriatecurriculumandapproachestoteachstudents aboutbullying,cyber-bullying,harassment,andtheprohibitionagainst retaliation, -Involveandinformparents/guardiansandprovideparentinformation materialsinlanguagesotherthanEnglish,asneeded, -Receiveandrespondtoreportsonbullying, -Maintainaprocessfortrackingandrecordingincidents,

Page 6: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 6

-Collectdepartmentandschool-widedataonbullyingtocontinuallyassess theproblemandtomeasureimprovedoutcomes, -ReviewandupdatethePlanyearly,ormorefrequently, -Reviewandamendstudentandstaffhandbooksannually,asneeded,Atleastonceeveryfouryearsbeginningwiththe2015-2016schoolyear,TLCwilladministeraDepartmentofElementaryandSecondarydevelopedstudentssurveytoassessschoolclimateandtheprevalence,natureandseverityofbullyingonourschool.Additionally,TLCwillreportannually,bullyingincidentdatatotheDepartmentofElementaryandSecondaryEducation.SECTION5: TrainingandProfessionalDevelopmentforFacultyandStaff1)FacultyandstaffwillreceiveacopyofthiswrittenPlanuponhireandannually,thereafter.ThePlanwillalsobeavailabletofacultyandstaffinAmericanSignLanguage.2)NewHires:AllnewemployeeswillberequiredtoparticipateinafoundationaltrainingonPreventingBullyingandImplementingInterventionStrategies.Thistrainingwillfocusontheimportanceofconsistentresponsestoactsofbullyingandaclearunderstandingthatbullyingisnotconflict,butinsteaditisaone-wayabusebehaviorwherethereisrepetition,powerimbalanceandanintentiontoharm.3):OngoingProfessionalDevelopment:Thegoalofprofessionaldevelopmentistoestablishacommonunderstandingoftoolsnecessaryforstafftocreateaschoolclimatethatpromotessafety,civilcommunication,andrespectfordifferences.Everyyear,thereafter,duringthefirstweekofschoolbeforestudentsarrive,allstaffincludingeducators,administrators,schoolnurses,clericalsupportpersonnel,maintenanceteam,coaches,andclassroomassistantswillreceiverefreshertrainingonTLC’sBullyingPreventionandInterventionPlan,instructiononthelawsandregulationsthatapplytobullyingandretaliation,identifyingbullyingbehavior,reportingprocedures,IEPconsiderations,researchregardingspecificgroupsofstudentswhomaybeatahigherriskforbullying,strategiestopreventbullying,andinterventionsthatareeffective.Professionaldevelopmentwillbuildtheskillsofstaffmemberstoprevent,identify,andrespondtobullying.AsrequiredbyM.G.L.c.71,§37O,thecontentofschoolwideanddistrictwideprofessionaldevelopmentwillbeinformedbyresearchandwillincludeinformationon:

(a)developmentally(orage-)appropriatestrategiestopreventbullying;(b)developmentally(orage-)appropriatestrategiesforimmediate,effective

interventionstostopbullyingincidents;(c)informationregardingthecomplexinteractionandpowerdifferentialthatcantake

placebetweenandamonganaggressor,target,andwitnessestothebullying;

Page 7: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 7

(d)researchfindingsonbullying,includinginformationaboutspecificcategoriesofstudentswhohavebeenshowntobeparticularlyatriskforbullyingintheschoolenvironment;

(e)informationontheincidenceandnatureofcyberbullying;and(f)Internetsafetyissuesastheyrelatetocyberbullying.

Professionaldevelopmentwillalsoaddresswaystopreventandrespondtobullyingorretaliationforstudentswithdisabilitiesthatmustbeconsideredwhendevelopingstudents’IndividualizedEducationPrograms(IEPs).Thiswillincludeaparticularfocusontheneedsofstudentswithautismorstudentswhosedisabilityaffectssocialskillsdevelopment.AdditionalareasidentifiedbyTLCforprofessionaldevelopmentinclude:• promotingandmodelingtheuseofrespectfullanguage;• fosteringanunderstandingofandrespectfordiversityanddifference;• buildingrelationshipsandcommunicatingwithfamilies;• constructivelymanagingclassroombehaviors;• usingpositivebehavioralinterventionstrategies;• applyingconstructivedisciplinarypractices;• teachingstudentsskillsincludingpositivecommunication,angermanagement,and

empathyforothers;• engagingstudentsinschoolorclassroomplanninganddecision-making;• maintainingasafeandcaringclassroomforallstudents;and• engagingstaffandthoseresponsiblefortheimplementationandoversightofthePlan

todistinguishbetweenacceptablemanagerialbehaviorsdesignedtocorrectmisconduct,instillaccountabilityintheschoolsetting,etc.andbullyingbehaviors

Oncemoreduringtheyear,allstaffwillparticipateintrainingsonthesafeuseoftheInternet,cyber-bullyinganditseffect,alongwithstrategiesforsupportingthosestudentswhosedisabilityaffectssocialskilldevelopment(i.e.,Autismorinefficientlanguageabilities,etc.)andcanleadtosignificantandharmfulpowerdifferencesbetweenandamongstudents.Thistrainingwillbedoneineachdepartmentandwillfocusonage-appropriateconcernsthatapplytothestudentsinthatdepartment.CertifiedASL/Englishinterpreterswillbeavailable,asneeded,forallfacultyandstafftrainings.4)EmbracingDiversity:TheLearningCenterfortheDeafhasanactiveandestablishedschool-wideBilingualandBi-MulticulturalCommitteecomprisedoffacultyandstafffromallprograms.Thiscommitteeservesasaresourceforprofessionaldevelopmentactivitiesthatcansupportouranti-bullyingefforts.Thefollowingprofessionaldevelopmenttrainingshavebeenidentifiedasimportantinestablishingacommonunderstandingofhowtocreateand

Page 8: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 8

sustainaschoolculturethatpromotessafety,civilcommunication,andrespectfordifferences: •Cross-culturalcommunicationandunderstanding •Promotingandmodelingtheuseofclearandrespectfullanguage •Fosteringanunderstandingandrespectfordiversityanddifference •Buildingrelationshipswithfamilies •Engagingstudentsinplanninganddecision-making •Buildingclassroommanagementskills •FurtherdeepeningourunderstandingofDeafcultureWehavehadanactiveschool-wideDiversityCommitteecomprisedoffacultyandstafffromallprograms.Asoneofourneedsassessmenttasks,weplantoexplorethere-implementationofthiscommitteeincontinuingthestrengthofourvisionofengagingstudentswithinanaccessibleandeffectiveeducationalenvironment,withmulticulturalanddiverseapproachesandrolemodels.SECTION6: EducationthatSupportsBullyingPreventionTheLearningCenterfortheDeafiscommittedtoimplementingacomprehensiveapproachtoestablishingasafeschoolenvironment.Thisincludesdirectteachingatallgradelevels,alongwith: •Settingclearandhealthyboundariesforstudentsandstaff •Teachingaboutdiversityanddifferences •Establishingclassroomroutinesthatprovidestructure •Usingpositivebehavioralsupports •Encouragingadultswithintheschooltoestablishpositiverelationships withstudentsandtosetgoodexamplesforsocialinteraction •Modeling,teaching,andrewardinghealthyandrespectfulbehaviors •Creatinganenvironmentthatencouragesproblemsolving,collaboration, teamwork,andpeacefulconflictresolution •UsingtheInternetandelectroniccommunicationsafely •Supportingstudents’socialandemotionaldevelopment

Page 9: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 9

•Encouragingstudents’interestsandparticipationinnon-academicareas andextracurricularactivitiesthathelpthemtobuildupontheirstrengths.CurriculumandapproachesTLCunderstandsthatanti-bullyinginstructionandconceptsdealingwithrespectmustbeintroducedearlyinachild’slifeandconsistentlyaddressedthroughoutastudent’sdevelopmenttowardadulthood.TLCalreadyusesseveralevidence-basedcurriculaandapproachestohelppromoteasafeschoolenvironmentandiscurrentlyresearchingothers.PreschoolandKindergartenThefocusoftheEarlyChildhoodCenter(ECC)istofosterlanguagedevelopmentwhichallowschildrentomaximizedevelopmentacrossotherdomains(e.g.cognitive,social/emotional,andself-help).Manyyoungsterscometoourschoolatage3withlittleornoage-appropriatelanguageskills.Clearlanguageandhighlyvisual,“hands-on”approacheshelpstomaketheseimportantconceptsrealtoouryoungeststudents.TheECChasadoptedanti-biaseducationinsupportofthisfocus,andinconjunctionwithourchild-centered,project-basedemergentcurriculumin2016.BelowisanoverviewofthecoregoalsofAnti-BiasEducation:THEFOURCOREGOALSOFANTI-BIASEDUCATION(From:LouiseDerman-Sparks&JulieOlsenEdwards,2010.Anti-BiasEducationforYoungChildren&Ourselves.WashingtonDC:NationalAssociationfortheEducationofYoungChildren.p.xiv.)

• Anti-BiasEducationGoal1:Eachchildwilldemonstrateself-awareness,confidence,familypride,andpositivesocialidentities.

• Anti-BiasEducationGoal2:Eachchildwillexpresscomfortandjoywithhumandiversity;accuratelanguageforhumandifferences;anddeep,caringhumanconnections.

• Anti-BiasEducationGoal3:Eachchildwillincreasinglyrecognizeunfairness,have

languagetodescribeunfairness,andunderstandthatunfairnesshurts.

• Anti-BiasEducationGoal4:Eachchildwilldemonstrateempowermentandtheskillstoact,withothersoralone,againstprejudiceand/ordiscrimination.

Eachofthesefourgoalsinteractswith,supports,andamplifieseachoftheothergoals.Theyareappropriateforchildrenofallagesandbackgrounds.Byembeddingthesefourgoalsinto

Page 10: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 10

thedailyfabricoftheECC,wepromoterespectandinclusion,andhaveadevelopmentallyappropriatemeans,congruentwithourfocus,toapproachunfairnessifandwhenitarises.ElementaryAsindicatedinthePreschoolandKindergartensection,theAnti-BiasEducationcurriculumisalsoimplementedattheElementarylevel,in2016.Anti-BiasEducation(ABE)isavalues-basedcurriculumthatpromotesunderstanding,respectingandembracingdifferences.Inthisapproach,allindividualsandfamiliesarerecognizedandtheenvironmentisrichwithlearningmaterialsthatrepresentvariousculturesandtraditions.Withinaninclusive,respectfulschoolsociety,childrendevelopself-awareness,apositivegroupidentity,andcomfortwithhumandiversity.Membersofthecommunitydevelopanincreasedconfidenceinproblemsolvingskillsandlearntoidentifyandactagainstbias,allowingstudentstoreachtheirfullestpotentialascompetentandcaringcitizens.Additionalcurriculumandresourcesareused: TheResponsiveClassroom-TheResponsiveClassroom(TRC)isanapproachtoelementaryteachingthatemphasizessocial,emotional,andacademicgrowthinastrongandsafeschoolcommunity.Itisusedthroughouttheelementarydepartmentsalongwithindividualsocialskillstrainingandweeklysmallgroupsthatfocusonpro-socialbehavior.Thisapproachprovidesregularopportunitiesforstudentgroupmeetingswhereissuesthatarisearediscussedandpositivebehaviorsaremodeled.TRCutilizesparenthandoutsthatofferinsightandrecommendationstoparentsinsupportingpositivesocialbehavior.Sevenprinciples,asdescribedinTRC’sliterature,informedbytheworkofeducationaltheoristsandtheexperiencesofpracticingclassroomteachers,guideTheResponsiveClassroomapproach: •Thesocialcurriculumisasimportantastheacademiccurriculum. •Howchildrenlearnisasimportantaswhattheylearn:Processand contentgohandinhand. •Thegreatestcognitivegrowthoccursthroughsocialinteraction. •Tobesuccessfulacademicallyandsocially,childrenneedasetof socialskills:cooperation,assertion,responsibility,empathy,andself- control. •Knowingthechildrenweteach-individually,culturally,and developmentally-isasimportantasknowingthecontentweteach. •Knowingthefamiliesofthechildrenweteachandworkingwith themaspartnersisessentialtochildren'seducation. •Howtheadultsatschoolworktogetherisasimportantastheir

Page 11: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 11

individualcompetence:Lastingchangebeginswiththeadult community.StepstoRespect-StepstoRespect(STR)wasadoptedatTheLearningCenterfortheDeafin2004.Itisanevidence-basedprogramthataddressesissuesofbullyingdirectlythroughlessonunits,videos,posters,andactivitiesandisusedingrades1-6.TheStepsToRespectcurriculumteacheselementaryandmiddleschoolstudentstorecognize,refuse,andreportbullying,howtobeassertive,andstrategiestobuildfriendships.STRalsohasaparentcomponentwithmaterialsthataresenthomeaschildrenprogressthroughthevariousunitsthroughouttheyear.FacultyandstafffromvariousdepartmentsoftheschoolhaveparticipatedinStepstoRespecttrainings,andtogetheruponitsinitialimplementation,theydevelopedcommonreportinglanguageandprocedures.TheMichiganModelforHealthRevisedCurriculumisusedinourelementarygradesatTLC.TheMichiganModelforHealthisacomprehensiveandsequentialhealtheducationcurriculumthataimstoprovideschool-agedchildrentheknowledgeandskillsneededtopracticeandmaintainhealthybehaviorsandlifestyles.Itprovidesage-appropriatelessonsaddressingthemostserioushealthchallengesfacingschool-agedchildren,includingsocialandemotionalhealth;nutritionandphysicalactivity;alcohol,tobaccoandotherdrugs;personalhealthandwellness;safety;andHIV.Eachgradelevelincludesactivitiesandlessonsthatteachstudentsskillsfordealingwithbullyingsituations.TheMichiganModelforHealthfacilitateslearningthroughavarietyofinteractiveteachingandlearningtechniques.Skilldevelopmentthroughdemonstrationandguidedpracticeisemphasizedresultinginthedevelopmentofpositivelifestylebehaviorsforstudentsandfamilies.SECONDARYSCHOOLMiddleSchoolStudents(Grades6-8)StudentsparticipateinHealthclassthroughoutthemiddleschoolyears.Inthisclass,opportunitiestodiscussvariousissuesofsocialrespectandresponsibilityareincludedwithinthecurriculum.IntheMiddleschoolyears,SecondStep,ananti-bullyingcurriculumdevelopedbythesamecompanythatpublishesStepstoRespectistaughtduringhealthclass,sinceFall2011.GetReal,isanothercomprehensivecurriculumtaughtinthemiddleschoolageclassrooms,whichaddressesmanyaspectsofphysical,emotionalandpersonalhealth.Specificunitsaddressdiversityanddifferences.Middleschoolcounselorsareinplaceandmeetoftenwithstudentsforsmallgroupdiscussionsaboutsocialbehavior,bullying,anddifferencesinsociety,Deaf/hearingcross-culturaltopics,andconflictresolution.

Page 12: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 12

HighSchoolStudents(Grades9-12)AllhighschoolstudentsareenrolledinHealthclassforonefullyear.Thisclassprovidesabroadoverviewaddressingmanyissuesofpersonalhealth,mentalhealth,andself-awareness.Bullyingandcyber-bullyingareaddressedthroughMassachusettsAggressionReductionCenter(MARC)HighSchool’scyber-bullyingcurriculum.ThehighschoolalsosponsorsastudentGay/Lesbian/Straight/Alliance(GLSA)groupthatmeetstoplanandhostdiscussionsandactivitiesrelatedtospecificareasofdiversity.Severalassembliesareofferedeachyearonissuesofdiversityanddifference,Deafculture,andcross-culturalcommunication.Counselingstaffmembersworkindividuallywithstudentsorwithsmallgroupstoaddressissuesofconflict,diversity,bullying,andharassment.MARC’shighschoolcurriculum,andcyber-bullyingcurriculumandtheSecondStepareutilizedatthehighschoollevel.Curriculummodelsinvestigatedmustmeetthefollowingcriteria:•Mustincludeaparentcomponent•Mustbeage-appropriateandnotbeoverlyreliantuponreadingmaterial,only.Videos,“hands-on”activitiesandvisualswouldbemoreeffectivewithourstudents.•Mustdirectlyaddressbullyingandcyber-bullyingprevention•Musthavebeenevaluatedthroughresearchandhaveoutcomesdata,whichdemonstratesapositiveimpact•Ifpossible,itwouldbedesirabletohaveevidencethatithasbeenusedeffectivelywithdeafandhardofhearingpersons.

SECTION7: ReportingBullyingorRetaliationDespiteallpreventive,educational,andpro-activemeasures,thereexiststheveryrealconcernthatbullying,harassment,andorretaliationmaystilloccur.Thefollowingsectionprovidesguidancetofaculty,parents,studentsandstaffastohowTLCexpectsitscommunitytoproceedwhenthisharmfulbehavioroccurs.Bullying,harassmentandretaliationwillnotbetoleratedatTLC.EachschoolfacultyorstaffmemberisrequiredtoreportimmediatelytotheSupervisororAdministratoranyinstanceofbullyingorretaliationthathe/shebecomesawareoforwitnesses.Reportsmadebystudents,parents,guardians,orotherswhoarenotstaffmembers,maybemadeanonymously.Reportsofbullyingorretaliationmaybemadeby

Page 13: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 13

staff,students,parents,guardians,orothers,andmaybesigned,oral,orwritten.Oralreportsorreportsmadeusingsignlanguagemustthenberecordedinwriting.Theschoolwillhaveseveralresourcesavailabletotheschoolcommunitytoreportbullyingorretaliationincluding,butnotlimitedto,anIncidentReportForm,andtheregularschoolmailingaddresswhereanyadministratorcanbereached.BlankcopiesoftheIncidentReportFormwillbeavailableinthemainofficeofeachprogram,throughschoolcounselors,inthenursingoffices,andincludedineachstudent/parenthandbookprovidedannually.ThesehandbookswillbeprovidedinotherprevalentlanguagesusedbyfamiliesatTLCotherthanEnglish.Atthestartofeachschoolyear,newhandbooksaredistributedtostudentsandparents/guardians.TLCwillincludeineachhandbook,ateverylevel,adescriptionofthereportingproceduresandresourcesavailable,includingthenameandcontactinformationofthesupervisororadministrator.AcopyoftheIncidentReportFormwillbeincludedinthehandbook.Thisinformationwillalsobeprovidedannuallytostaffandplacedontheschoolwebsite.Reportsofbullyingorretaliationmaybemadeanonymously,NOdisciplinaryactionwillbetakenagainstastudentorstaffonthebasisofananonymousreport.

Page 14: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 14

Page 15: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 15

ReportingbyFacultyandStaffFacultyandstaffmemberswillreportimmediatelytoasupervisorifhe/shewitnessesorbecomesawareofbullying,harassment,orretaliationinvolvingastudent.Thisrequirementtoreportdoesnotlimittheauthorityofthestafftorespondtobehavioralordisciplinaryactionsconsistentwithschoolpoliciesandproceduresforbehaviormanagementanddiscipline.ReportingbyStudents,Parents,Guardians,andOthersTheschoolexpectsstudents,parent/guardians,orotherswhowitnessorbecomeawareofbullying,harassment,orretaliationinvolvingastudenttoreportittoasupervisororadministrator.Reportsmaybemadeanonymously,butnodisciplinaryactionwillbetakenagainstanallegedaggressorbasedsolelyonthebasisofananonymousreport.Parents/guardiansandothersmayrequestassistancefromastaffmembertocompleteawrittenreport.Studentswhobelievethattheyarethetargetsofbullying,observebullyingbehavior,orwhohavereasonablegroundstobelievethatbullyingistakingplace,areexpectedtoreportincidentseitherverballyorusingtheTLCIncidentReportForm.Studentswillbeprovidedsafe,private,andage-appropriateassistancetoreportanddiscusstheincidentwithastaffmemberorsupervisor.Ifaverbalreportismade,thesupervisororadministratorwillassistthestudentincompletingtheform.Employees,parents,orstudentsshouldraisegenuineconcernsassoonaspossibleandmakereportsatanytimewithoutfearofreprisal.Studentswhoknowinglymakeafalseaccusationofbullyingorharassmentshallbesubjecttopossibledisciplinaryaction.

SECTION8: InvestigativeProceduresThefollowingarestandardguidelinesforrespondingtoareportofbullyingorretaliation.Allcomplaintswillbetakenseriously.Theseguidelineswillbeadaptedasnecessarytorespondasappropriatelyaspossibletothecomplaint.Thesupervisororadministratorwillinvestigatepromptlyanyandallreportsofbullying,harassment,orretaliation.Insodoing,considerationwillbegiventotheinformationavailable,includingthenatureoftheallegationandtheagesofthestudentsinvolved.Allstudentsareaffordedthesameprotectionsregardlessoftheirlegalstatus.Thesupervisororadministratorwillremindtheallegedstudentaggressor,target,andwitnessesofimportancetotheinvestigation,theirobligationtobetruthfulandthatretaliationagainstsomeonewhoreportsbullyingorprovidesinformationduringabullyinginvestigationisstrictlyprohibitedandwillresultindisciplinaryaction.

Page 16: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 16

Pre-Investigation:Beforefullyinitiatingtheinvestigation,thesupervisororadministratorwill,amongotherthings,determineifthereisaneedtotakeimmediatestepstosupportand/orprotecttheallegedtargetfromfurtherpotentialincidentsofconcern.Intakingsuchaction,therightsofboththeallegedtargetandtheallegedaggressormustbetakenintoaccount.Possibleadjustmentstotheschoolenvironmentorincreasedsupervisionwillbeconsidered,ifneeded,toenhancethetarget’sfeelingofsafety.Allstepstakenintheinvestigativeprocedureshallberecorded.InvestigatoryProcess:Investigationswillbeconductedasquicklyaspossibleandfollowallapplicablelawsandregulations.Duringtheinvestigation,students,staff,witnesses,parents/guardians,andotherswillbeinterviewed,asnecessary.Confidentialitywillbemaintainedtoprotectthereporter,witnessesand/orintervieweesregardingabullyingsituation.Theinvestigatorwillseektodeterminethebasisofthecomplaint,gatheringinformationfromthecomplainantincluding: •Whatspecificallyhappened? •Whocommittedtheallegedact? •Wasthehurtfulactionrepetitive? •Didtheactioncreateorfosterapowerimbalancebetween2youngstersor groupsofstudents? •Whowaspresentorwhomayhaverelevantinformation? •Isthereanyevidencetoconsider? •Whendidtheevent(s)occur? •Wheredidtheevent(s)occur?Itishelpfultohavethefactsinwriting.Ifageappropriate,thecomplainantwillbeaskedtosignanddatethewrittencomplaint.Ifthecomplainantcannotorchoosesnottosign,theinvestigatorwillrecordtheallegations,readthem,oruseASLtorestatethemaloudtoconfirmaccuracyandsign/datethedocumenther/himself.InterviewsOncetheallegationsareestablished,theinvestigatorwillgatherallevidence.Thiswilllikelyincludeinterviewswiththeallegedaggressor,witnesses,parentsand/orstaff.Interviewsmaybeconductedbythesupervisororadministrator,andinconsultationwiththeschoolcounselor,asappropriate.ASLinterpreterswillbeusedwhennecessary.

Page 17: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 17

Sincebullyingisconsideredaviolentact,thetargetandaggressorwillneverbeinterviewedtogetherorrequiredtointeractthroughmediationduringaninvestigation.AllinvestigationswillbeconsistentwithcurrentschoolpoliciesandproceduresTotheextentpossible,giventheresponsibilitytoinvestigateandaddressthematter,theinvestigatorwillmaintaintheconfidentialityofthecomplainantandthewitnesses.Thesupervisororadministrator,upondeterminationofaviablereport,willpromptlycontacttheparents/guardiansofthestudentwhohasbeenanallegedtargetandtheparentsoftheallegedaggressor.Theadministratormayonlydiscloseinformationtoaparentabouthis/herownchild.Eachstudent’sLEAwillalsobecontacted.SECTION9: DeterminationsandFurtherReportingProceduresSchoolpersonnelmustweighallofthefactsandcircumstancesobjectivelytodetermineiftheallegedeventsoccurredandifachargeofbullyingorretaliationissubstantiated.If,afterinvestigation,bullyingorretaliationissubstantiated,thesupervisororadministratorwilltakestepsreasonablycalculatedtopreventrecurrenceandtoensurethatthetargetisnotrestrictedinparticipatinginschoolorinbenefitingfromschoolactivities.Thefollowingincludesproceduresforrestoringthetarget’ssafetyandassessingtheneedsofthetarget.Thesupervisororadministratorwill: 1)determinewhatremedialoradaptiveactionisrequired,ifany,and 2)determinewhatresponsiveactionsand/ordisciplinaryactionsare necessary.Aswiththeinvestigation,theresponsewillbeindividuallytailoredtothecircumstances,takingintoaccountthenatureofthebehaviorandtheagesofthestudentsinvolved.Therangeofdisciplinaryactionsforstudentswhohavecommittedactsofbullyingorretaliationwillbeinaccordancewiththeschool’sdisciplinarypoliciesasdetailedinStudentHandbooks.Disciplinaryactionwilltakeintoaccounttheneedtobalanceaccountabilitywiththestudent’sageandtheneedtoteachappropriatebehavior.Thereexistsarangeofage-appropriatedisciplinaryactionsthatmaybeused,asidentifiedineachdepartment’shandbookandinaccordancewithadministrativedisciplinarypoliciesandapplicablestateandfederallaws.Dependinguponthecircumstances,thesupervisororadministratormaychoosetoconsultwiththestudents’teacher(s)and/orschoolcounselor,andthetarget’soraggressor’sparentsorguardians,toidentifyanyunderlyingsocialoremotionalissue(s)thatmayhavecontributedtothebullyingbehaviorandtoassessthelevelofneedforadditionalsocialskillsdevelopment.Opportunitiesforindividualskillbuildingorworkingincollaborationwithschoolcounselors,teachers,andparentstohelpreinforcethedevelopmentofpositivesocialskillsmaybeappropriateresponsesforindividualstudentsandisencouraged.Thistypeof

Page 18: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 18

referralprocesswillbeofferedtothetarget,theaggressorandthefamiliesofeachtheseindividuals.ReportingtoParentsorGuardiansTheprincipalordesigneewillpromptlynotifytheparentsorguardiansofthetargetandtheaggressorabouttheresultsoftheinvestigationand,ifbullyingorretaliationisfound,whatactionisbeingtakentopreventfurtheractsofbullyingorretaliation.Allnoticetoparentsmustcomplywithapplicablestateandfederalprivacylawsandregulations.Becauseofthelegalrequirementsregardingtheconfidentialityofstudentrecords,theprincipalordesigneecannotreportspecificinformationtothetarget’sparentorguardianaboutthedisciplinaryactiontakentowardanotherstudentunlessitinvolvesa“stayaway”orderorotherdirectivethatthetargetmustbeawareofinordertoreportviolations.Schoolpersonnelmay,however,shareinformationabouttheprocessthatwasfollowedleadingtoadeterminationofwhetherbullyingdidoccur,whatgeneralmeasuresarebeingtakentoprotectthetargetfromfurtheractsofbullyingorretaliation,andwhatisbeingdonetoensurethatthetargetisreassured.Whenithasbeendeterminedthatbullyinghasoccurred,aseparatenoticewillbesenttotheparents/guardiansofthetargetandtheaggressoroutliningtheactionsthatwillbetakentopreventfurtherincidents.Pursuanttoregulations,immediatenotification,tolawenforcementwilloccurwhencriminalchargesmaybefiledagainsttheaggressor.TheprincipalordesigneeshallinformtheparentorguardianofthetargetabouttheDepartmentofElementaryandSecondaryEducation’sproblemresolutionsystemandtheprocessofaccessingthatsystem,regardlessoftheoutcomeofthebullyingdetermination,asexplainedinSection11.ReportingtoAdministratorsofAnotherSchoolorSchoolDistrictIfthereportedincidentinvolvesstudentsfrommorethanoneschool,public/charterschool,non-publicschool,approvedprivatespecialeducationdayorresidentialschool,orcollaborativeschool,thesupervisororadministratorfirstinformedoftheincidentwillpromptlynotifybytelephonetheprincipalordesigneeoftheotherschool(s)oftheincident,sothateachschoolmaytakepromptandappropriateaction.ReportingtoLawEnforcementTLChasastrongandlong-standingrelationshipwithlocallawenforcementpersonnel.Theyarefamiliarwithourcampusandseveralhavetakensignlanguageclasseswithourinstructors.TLCconsiderstheserelationshipsessentialtothewellbeingofourstudents.TheadministratorwillnotifythelocalPoliceDepartmentifhe/shehasareasonablebasistobelievethatcriminalchargesmaybewarrantedandwillcooperatefullyinanysubsequentpoliceinvestigations.

Page 19: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 19

Ifanincidentoccursonschoolgroundsandinvolvesaformerstudentundertheageof21yearswhoisnolongerenrolledattheschool,theadministratorwillcontactthelocallawenforcementagencypromptly,ifhe/shehasreasonablebasistobelievethatcriminalchargesmaybepursuedagainsttheaggressor.ReportingtotheExecutiveDirectorofTheLearningCenterfortheDeafAregularsummaryreportofinvestigationswillbeprovidedtotheExecutiveDirectortobesharedwiththeBoardofDirectors,whenappropriate.SECTION10: CollaborationwithParentsParentEducationandResourcesTheLearningCenterfortheDeafbelievesthatparentsandfamiliesareachild’sprimaryteachersandthatthestudentsbenefitmostwhenschoolandhomeworkcollaborativelyaspartners.TheLearningCenterfortheDeafwilloffereducationprogramsandcurriculumresourcestoparentsandguardiansthatfocusonhowfamiliescansupportwaystopreventbullyingandcyber-bullying(andgeneralon-linesafety)andprovideinterventionstrategiesthatcanbeimplementedathome.Programsandresourcesmaybeofferedincollaborationwiththeexistingparentgroupsandbydepartments.TLCwillprovideresourcesforparentsontheschoolwebsite,includingspecificinformationaboutonlinesafetyandthepotentialthreatsofcyber-bullying.NotificationRequirementsTheschoolwillinformparentsandguardiansaboutthecurriculabeingusedthataddressanti-bullying,thedynamicsofbullyingaswellasgeneralon-linesafetyandcyberbullying.TLCwillalsomakeavailabletheexcellentinformationforparentsthatareprovidedinthevariouscurriculaalreadyinuse.Writtennoticewillbesenthomeeachyearaboutthestudent-relatedsectionsoftheBullyingPreventionPlan,alongwiththeschool’sAcceptableUsepolicyfortheInternet.ThesewillbeprovidedlanguagesotherthanEnglish,asneeded.ThecompletePlanwillbepostedontheschool’swebsite.AllschoolhandbookswillincluderelevantsectionsofthisPlan.SECTION11:ProblemResolutionSystemChapter86oftheActsof2014amendedSection370ofchapter71oftheGeneralLawstoinclude(g)(v):TheplanshallinformparentsorguardiansofthetargetabouttheDepartmentofElementaryandSecondaryEducation’sproblemresolutionsystemandtheprocessfor

Page 20: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 20

seekingassistanceorfilingaclaimthoughtheproblemresolutionsystem.Thisinformationwillbemadeavailableinbothhardcopyandelectronicform.Anyparentwishingtofileaclaim/concernorseekingassistanceoutsideofTheLearningCenterfortheDeafmaydosowiththeirdistrictandDepartmentofElementaryandSecondaryEducationProgramresolutionSystem(PRS).Thatinformationcanbefoundat:http://www.doe.mass.edu/pqa,emailscanbesenttocompliance@doe.mass.eduorindividualscancall781-338-3700.HardcopiesofthisinformationisalsoavailableintheDirectorofMariePhilipSchool’soffice.SECTION12: AccesstoResourcesTheLearningCenterfortheDeafrecognizesthattheunderlyingneedsoftargets,aggressors,andfamiliesmustbeaddressedinatrulyrespectfulenvironment.Theschoolisalsoawareofthelimitedresourcesavailabletothosewhoaredeaforhardofhearingandwhowouldbenefitfromcounseling,socialwork,ormentalhealthservicesinthelargercommunity.Atleastonceeveryfouryearsbeginningwith2015-2016schoolyear,TheLearningCenterfortheDeafwilladministeraDepartmentofElementaryandSecondarydevelopedstudentsurveytoassesstheschoolclimateandalongwiththeprevalence,natureandseverityofbullying.ThesesurveysresultswillbeusedtoassesstheeffectivenessofbullyingpreventioncurriculaandinstructionthatIrequiredunderthebullyingpreventionandinterventionstatute.Additionally,TLCwillreportbullyingincidentdataannuallytotheDepartment.SchoolResourcesBeyondeducationinourclassrooms,TLChasaschoolcounselingstaffthatisskilledandpreparedtoworkwithstudentsandfamiliestoprevent,interveneearly,andtorespondeffectivelytobullying.Thisteamislinguisticallyandculturallycompetentinworkingwithyouthwhoaredeafandhardofhearing,andtheyhavedevelopedstrongrelationshipswiththecommunityresourcesthatareavailabletohelp,includingWaldenCommunityServices(formerlyknownas‘Wraparound’)gearedspecificallyforthosefamilieswithadeaforhard-ofhearingmemberwhoneedadditionalsupport.TLCalsoemploystheskilledservicesoftwoBehaviorAnalyststohelpdesignthebroadestrangeofappropriateresponsespossiblewithinourschoolsetting.Thismayincludefunctionalbehavioralassessment,individuallydesignedbehaviorplans,and/orconsultationtoclassroomstaff.SpecialEducationRequirementsThefacultyatTLCwillconsiderandaddresstheneedsofthosestudentswho,bynatureofadisabilityorweaksocialskillsdevelopment,maybeespeciallyvulnerabletobecomingatargetofbullyingorharassmentbasedonactualorperceiveddifferentiatingcharacteristics

Page 21: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 21

(I.e.race,color,religion,ancestry,nationalorigin,sex,socioeconomicstatus,homelessness,genderidentitymental,physicalordevelopmentaldisability)orbyassociationwithapersonwhohasorisperceivedtohaveoneormoreofthesecharacteristics.Addressingtheseneedswillbeaccomplishedprimarilythroughthestudent’sIEPprocess,incollaborationwiththechild’seducationalteam.Skill-building,socialskillsawarenessandinstruction,languageandvocabularybuilding,self-advocacyskills,andaplantoreduceproblembehaviorscouldallbeconsideredasappropriatesupport.SECTION13: RelationshipstoOtherLawsConsistentwithstateandfederallaws,andthepoliciesoftheschool,nopersonshallbediscriminatedagainstinadmissiontothisapprovedspecialeducationschoolorinobtainingtheadvantages,privilegeandcoursesofstudyofthisschoolonaccountofrace,color,sex,religion,nationalorigin,orsexualorientation.NothinginthePlanpreventstheschoolfromtakingactiontoremediatediscriminationorharassmentbasedonaperson’smembershipinalegallyprotectedcategoryunderlocal,state,orfederallaw,orschoolordistrictpolicies.Inaddition,nothinginthePlanisdesignedorintendedtolimittheauthorityoftheschoolordistricttotakedisciplinaryactionorotheractionunderM.G.L.c.71,§§37Hor37H½,otherapplicablelaws,orlocalschoolordistrictpoliciesinresponsetoviolent,harmful,ordisruptivebehavior,regardlessofwhetherthePlancoversthebehavior.

Page 22: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 22

Page 23: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 23

TheLearningCenterfortheDeafBullyingPreventionandInterventionReportForm

1.NameofReporter______________________________________________________________________________

(Note:Reportsmaybemadeanonymously,butnodisciplinaryactionwillbetakenagainstanallegedaggressorsolelyonthebasisofananonymousreport)

Checkifyouare:qatargetofthebehavior qthereporter(notthetarget)Checkwhetheryouarea:qstudent qstaffmemberqparent qadministrator qOther__________Howdoyoupreferwecontactyou?_________________________________________________

2.InformationabouttheIncident: •NameofTarget(s)______________________________________________________________Elem/Secondary/WS (Personwhoisthesubjectofthebehavior)•NameofAggressor_____________________________________________________________Elem/Secondary/WS (Personwhoisengagedinthebehavior)Whendidtheincident(s)occur?Time?_________£ BeforeSchool£ Morning£ Lunch£ AfterSchool£ Evening£ Other LocationofIncident(s)______________________________________________________________£ Hallway£Restroom£ Classroom£ Cafeteria/Gym£ Outdoors£ Residence£ Other 3.Witnesses(Listpeoplewhosawtheincidentorwhohaveinformationaboutit) Name______________________________________________________________ qStudent qStaffqOther_______________________ Name_____________________________________________________________

qStudent qStaffqOther_______________________ Name_____________________________________________________________ qStudent qStaffqOther_______________________

4.Describethedetailsoftheincident(Bespecificandcontinueonbackofformtofullyexplainwhateachpersondidorsaid.) CompleteBothSidesOfForm

Page 24: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 24

TheLearningCenterfortheDeafBullyingPreventionandInterventionIncidentReportForm(page2)

SignatureofReporterorPersonfillingoutthisForm Date____________________

FormGivenTo:_______________________________Position:__________________Date:______ADMINISTRATIVEUSEONLYInvestigationAssignedto:________________________________________________________Date:___________________Title_____________________________________________________________________________

Page 25: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 25

TheLearningCenterfortheDeaf InvestigationReportForm

1.Investigator(s)_____________________________________________Position:______________ ____________________________________________________________2.Interviews(Mustbeconductedseparately) q InterviewedAggressorName:____________________________________Date:____________ q InterviewedTarget Name:____________________________________Date:____________ q InterviewedWitness#1Name____________________________________Date:____________ qInterviewedWitness#2Name____________________________________Date:____________ qInterviewedWitness#3Name____________________________________Date:___________3.Anypriordocumentedincidentsbytheaggressor? qYES qNO •Ifyes,haveincidentspreviouslyinvolvedatargetoratargetgroup? qYES qNO •ArethereanypreviousfindingsofBullyingorRetaliation? qYESqNO4.SUMMARYofINVESTIGATION (Pleaseattachadditionalpagesordiagramsasneeded)

Page 26: The Learning Center for the Deaf Bullying Prevention and ...

UpdatedTLCBullyingPreventionandInterventionPlan2016-2018 26

TheLearningCenterfortheDeaf InvestigationReportForm(page2) CONCLUSIONS 1.FindingsofBullyingorRetaliation? q YES q NO__Bullying Incidentdocumentedas_________________________________Retaliation Disciplinereferralmadetowhom?_______________________2.CONTACTSMADE q Target’sParent/Guardian Date:_________________Time________________ q Aggressor’sParent/Guardian Date:_________________Time________________ q DistrictLiaison Date:_________________Time________________ q LawEnforcement Date:_________________Time________________

3.ACTIONTAKEN

q LossofPrivileges q Detention q Suspensionq CommunityService q Otherq Education/Researchq LetterofApology q Referral_____________________ 4.DescribeSafetyPlanning Follow-upwithTargetscheduledfor_____________________InitialReport/Datereported:_____________________Follow-upwithAggressorscheduledfor:______________________SignedandForwardedtoPrincipal:________________________________Date:_________ReportforwardedtotheDirectorofEducationon:___________________