Discrimination/Harassment/Hazing/Intimidation/ Bullying (DHHIB) Allegations Report
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1 What is the victim s name? What is the name of person(s) alleged in engaging in the problem behavior? On what date did the alleged DHHIB incident occur? Which SUSD school do those involved in this incident attend? I am a Teacher Parent Student Staff I know about this incident because I Witnessed it first hand Was told about it from a student Was told about it from a parent Other (please explain): Did anyone else witness these alleged behaviors? Please provide names. Did anyone use the bullying prevention strategies (e.g., Expect Respect)? YES NO NOT SURE
2 Check all DHHIB behaviors you are reporting: Cyber-Bullying, Electronic Bullying, or Sexting: Use of electronic communication technology to embarrass, humiliate, spread rumors, threaten or intimidate. Sending sexually explicit images, even consensually, may be considered as distribution of child pornography which is a felony. In such instances, schools should contact Pupil Services Department at , or Selma Police Department at (559) Disability Bullying: The act of treating someone negatively because of actual or perceived disability. Emotional, Psychological, Relational or Social Bullying: The act of blackmailing, defaming, extorting, humiliating, intimidating, isolating, manipulating friendships, ostracizing, rating or ranking personal characteristics, rejecting, terrorizing, or using peer pressure. Indirect Bullying: The use of intimidation to cause physical or psychological harm on a third party. A person who engages in indirect bullying is sometimes referred to as the instigator or shot caller. Hazing: Pressured to participate in an expected activity to join a group that humiliates, degrades, or risks emotional or physical harm. Nonverbal Bullying: The use of gestures, leering, posting threatening graffiti or graphic images, posturing, stalking, staring, or property destruction to demean, distress, or frighten. Physical Bullying: The intentional act of beating, biting, fighting, hitting, kicking, poking, pushing, shoving, spitting, or tripping to cause or attempt to cause physical discomfort, injury, or pain. Racial/Ethnic/Religious Bullying: Bias based on ancestry, culture, ethnicity, language, nationality, race, religion, or skin color. Intergroup conflict may occur within or between socially constructed subgroups, such as between first-and-second-generations of the same ethnic group. Bullying that targets ancestry, culture, ethnicity, language, nationality, intergroup conflict, requiring systemic interventions. Sexualized Bullying: Unwanted or demeaning conduct or comments directed at or about an individual on the basis of actual or perceived gender, sex, sexual behavior, sexual orientation, or other related personal characteristics, with the intention to humiliate. Anti-gay and sexist epithets are forms of sexualized bullying. Sexualized bullying should also be evaluated by the guidelines of the Selma Sexual Harassment Policy. Verbal Bullying: Hurtful gossiping, making rude noises, making threats, name-calling, spreading rumors, or teasing to cause emotional or psychological harm.
3 The alleged incident took place: School Bathroom School Classroom School Hallway School Playground School Cafeteria School Stairwell School Library School Locker Room School Gym School Parking Lot School Sponsored After-School Activity School Sponsored Field Trip Non-School Activity Text Messages / Computer Related How long do you suspect this DHHIB has been going on? Please write a short summary of the incident. Include the names of the person(s) who allegdley engaged in bullying behavior (you may attach additional pages to this report): I can be reached at (phone # or address) optional:
4 Staff Responses to Minor Bullying Problem Behavior Responding to Reports of Problem Behavior When any problem behavior is reported, follow this specific response: Reinforce the student for reporting the problem behavior (i.e. "I'm glad you told me.") Ask who, what, when and where. Ensure the student s safety. o Is the bullying still happening? o Is the reporting student at risk? o Fear of revenge? o What does the student need to feel safe? o What is the severity of the situation "Did you tell the student to stop?" (If yes, praise the student for using an appropriate response) "Did you walk away from the problem behavior?" (If yes, praise student for using appropriate response) When the Student Does it Right Adults initiate the following interaction with the Perpetrator: Reinforce the student for discussing the problem behavior (i.e. "Thanks for talking to me.") "Did tell you to stop?" o If yes: "How did you respond?" o If no: Practice the 3 step response. "Did walk away?" o If yes: "How did you respond?" o If no: Practice the 3 step response. o Practice the 3 step response. o The amount of practice depends on the severity and frequency of problem behavior Scott, Horner, Stiller, R. (2009.) Bully Prevention in Positive Behavior Support. Retrieved August 30, 2012, from
5 California Legal Updates On October 9, 2011, Governor Brown signed into law Assembly Bill (AB) 9 and AB 1156, two bills aimed at preventing student bullying in schools. AB 9 The Safe Place to Learn Act, codified in Education Code section 234 et seq., requires school districts to adapt a policy that prohibits discrimination and harassment based upon disability gender, nationality, race or ethnicity, religion, sexual orientation, or association with a person or group with one or more of a student s physical or mental health; investigating such complaints of discrimination and harassment. The policies must be publicized to students, parents, district employees and members of the public, and must be posted in all schools and offices. AB 9 amends the Safe Place to Learn Act, requiring school district policies prohibiting discrimination and harassment to also prohibit intimidation and bullying based upon the same actual or perceived characteristics. The process for receiving and investigation such complaints now requires school personnel who witness discrimination, harassment, intimidation or bullying based upon the characteristics listed above to take immediate steps to intervene when safe to do so. The process must also include a timeline to investigate and resolve complaints and an appeal process. The California Department of Education will develop a model handout. The amendments are operative on July 1, AB 1156 As of July 1, 2012, California schools are now required to address the issue of bullying in a proactive manner. AB 1156 provides a focus on the following: 1) embedding policies and procedures for the purpose of preventing bullying,2) providing guidance on inter district attendance agreements for victims of bullying, 3) providing consistency in defining bullying, and 4)the potential impact of mandated costs on schools and the Commission on State Mandates role in determining costs. AB1156 addresses bullying in three different contexts. First, the bill amends Education Code sections 32261, and to add bullying to school safety and crisis response plan training. Second, AB 1156 amends Education Code section and the definition of bullying for the purpose of student discipline. Under AB 1156, bullying means any severe or pervasive act, including written or electronic communications, including but not limited to sexual harassment, hate violence, or harassment threats or intimidation, that causes: a student to fear harm to his or her person or property; substantial harm to a student s physical or mental health; substantial interference with a student s academic performance; or substantial interference with a student s ability to participate or benefit from school services, activities or privileges. Finally, AB 1156 amends Education Code section 4660 regarding agreements for interdistrict attendance. If a student has been a victim of an act of bullying by a student of the school district or residence, as determined by personnel o either the school district of residence or the school district of proposed enrollment, the student victim must be given priority for interdistrict attendance under any existing interdistrict attendance agreement, or in the absent of an agreement must be given additional consideration for the creation of an interdistrict attendance agreement. AB 1156 is effective July 1, 2012.
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