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Positive Behavior Support Across the Lifespan
Rachel FreemanUniversity of Kansas
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Kansas Mental Health & Positive Behavior Support www.kmhpbs.org
Kansas Institute for Positive Behavior Supportwww.kipbs.org
Today’s Presentation
• What is Positive Behavior Support (PBS)?
• How does it fit within different organizations?
• How is it currently being used in Johnson County?
• What resources are available to learn more about PBS?
What is Positive Behavior Support?
• Strategies, tools, and processes used to prevent problem behavior and improve quality of life– Teaching and reinforcing positive social
and communication skills– Changing routines and settings in ways that
support positive social behavior• Systems change in schools and
organizations to prevent problem behavior
Positive Behavior Support Across the Lifespan– Aaron is a college sophomore who was in a car accident
that resulted in a Traumatic Brain Injury
– Samantha is a 9-year old with Autism who enjoys staying active but sometimes has trouble communicating with others
– Ursula is a 79-year old who has been diagnosed with Alzheimers
– John is a high school student who is skipping school and has joined a local gang
– Alisha is an 8 month old infant who has experienced a number of serious illnesses
– Andrew is a 30-year old man diagnosed with schizophrenia who is moving into his own home for the first time. 4
Definition of Positive Behavior Support
• Positive behavior support is the integration of – Valued outcomes– Behavioral and biomedical science– Validated procedures– Systems change
In order to enhance quality of life and prevent problem behavior
Note: PBS plans require our teams and those supporting adults to change their behavior
Positive Behavior Support: Three-tiered Model of Prevention
Intensive, Individual Interventions* Children with intense needs* Assessment-based* High Intensity
Targeted Group Interventions* Some children (at risk) * High efficiency
System-wide Interventions* All children* Preventive, proactive*Broad community focus
Adapted from Sugai, 2002
Community-wide Behavior Support Systems
80-90%
School-wideBehavior Systems
5-10%
1-5%
Implementation of PBS Across Organizations
• School-wide Positive Behavior Support/Multi-tier Systems of Support
• Early Childhood PBS-Program-wide PBS• Children and Family Services
– Foster Care– Family Preservation
• Mental Health: Center-wide Positive Behavior Support– School-based Mental Health– Family Support
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Implementation of PBS in SystemsOrganization-wide Planning• Supporting adults living in the community• Supported EmploymentNursing Homes/Elder CareFacility-wide Positive Behavior Support• Juvenile correctional facilities• Special education settings• Psychiatric Residential Treatment
Facilities/Hospitals
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Examples of School-wide Positive Behavior Support in Johnson County:
Gardner/Edgerton School District
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Establishing Consistent Behavioral Expectations across all levels
Teaching Matrix
All Settings
Bathroom/ Commons/ Hallway
Bus Cafeteria Classroom School grounds/ Special events
Library/ Computer lab/ Computer time
Safe -Walk to where you are going. -Keep hands to self. -Keep property clean. -Report danger.
-Walk on the correct side of the hallway. -Keep lines 2-wide or less.
-Stay in your seat. -Keep hands and other objects inside the bus. -Keep hands/feet/stuff out of aisle.
-Stay seated unless dumping tray. -Walk to and from lunch line.
-Walk to/from your desk. -4 on the floor. -Use materials appropriately.
-Walk to and remain in your seat during event. -Report danger. -Sit on bleachers. -Walk in aisles.
-Walk. -Ask for assistance if you are unable to solve a problem.
Prepared -Bring your materials/what you need. -Use your inside voice.
-Take care of business. -Have a hall pass when needed.
-Use your inside voice.
-Bring only what you need on bus. -Stow belongings in appropriate space.
-Bring only what you need to the lunchroom. -Know your lunch code.
-Come to class on time with all necessary materials. -Be ready to learn.
-Come ready to cheer on the Mustangs! -Be positive. -Have your ride home arranged.
-Bring only what you need to these areas. -Know your username and password.
United -Work together to reach goals. -Help others. -If you see a need, help meet it. -Be kind. -Recycle.
-Report messy conditions or vandalism. -Pick up/throw away trash. -Hold door for others, help carry stuff, keep halls clear.
-Be aware of others and bus driver. -Set a positive example for each other.
-Help your table mates to leave a clean table. -Everyone pick up all trash.
-Work as a team with your classmates. -Cooperate with others. -Encourage one another.
-Show your Mustang Pride! -Recognize achievements of both teams.
-Be sure laptops are plugged in. -Log off/shut down laptops completely. -Carry lap tops “lunch tray” style. -Books returned in book drop. -Push your chairs in. -Inside voice. -Keep materials clean. -Report book or computer damages.
Respectful -Follow directions. -Wait your turn. -Give everyone a chance. -Use your manners. -Keep things clean. -Be considerate.
-Leave these places cleaner than you find them.
-Follow directions/requests of bus driver. -Inside voice.
-Follow directions of lunch supervisors. -Throw your trash away. -Inside voice. -Raise your hand to get supervisor’s attention.
-Follow directions of your teacher. -Listen to who is speaking without interrupting. -Raise your hand to speak. -Take care of materials.
-Be positive as you cheer the ‘Stangs to victory! -Say “excuse me” if someone is in your way.
-Follow directions of the adult in this area. -Clean up your area. -Return materials to the proper location. -Log off computers.
Self-Control -Keep your hands/feet/belongings to yourself. -Inside voice. -Stay on task. -Problem-solve. -Make good choices.
-Keep hands/feet to yourself. -Keep materials/property off of the walls. -Do not jump or hang from doorways.
-Keep hands/feet to yourself. -Inside voice. -Stay seated.
-Keep your food on your tray. -Inside voice. -Keep hands/feet/food to self.
-Keep your hands/feet to yourself. -Raise your hand to speak. -Wait your turn to speak/share ideas.
-Keep your hands/feet to yourself.
-Follow directions of crowd supervisors.
-Keep your hands on your computer only. -Inside voice. -Follow technology agreement.
Mental Health Center Expectations
Entering Center
Therapy Session
Group Therapy Hallway Bathroom
Respect Others
Use inside voice
Share limited seats
Share your feelings
Let others share Stay to right
Respect Environment & Property
Pick up items you are no
longer usingPut chair back at the table
Pick up items and put them
awayPut trash in trash can
Respect Yourself
Respect others space
Express your opinion
Share your ideas
Give yourself time to think
Washing your hands
Respect Learning
Be ready for session
Be open to new ideas
Participate in discussion
Go directly to and from therapy
Return to session
promptly
Remember toflush
Let others pass
Community CollaborationTeach expectations where children spend time in the community• Public library• Youth groups• Swimming poolIdentify concerns that impact multiple organizationsIdentify areas of where problems are likely and work together to intervene & measure progress
KS Middle School Example Average Referrals Per Day Per Month 2009‐2013*
*data shown is through January 23, 2013
Middle School Triangle
2009-2010 2012-2013
Examples of Positive Behavior Support in Kansas
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Kansas Mental Health & Positive Behavior Supportwww.kmhpbs.org
Mental Health Centers Implementing Positive Behavior Support
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Mental Health & Positive Behavior Support
• Mental Health center teams are meeting to embed PBS
• Individual professionals participated in intensive training
• Goals for Centers– Embed positive behavior support by working smarter– Assess primary, secondary, tertiary prevention at the community
level
• Interagency teams formed by region– Individual PBS plans are currently being implemented – Share information with the state about barriers and strengths
related keeping children in their communities– Create regional action plan
• Identify regional champions of PBS– Continue facilitating interagency meetings 23
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Kansas Institute for Positive Behavior Supportwww.kipbs.org
KIPBS Training System and Capacity Building
Intensive, Individual Interventions* Children with intense needs* Assessment-based• High Intensity• Appropriate for professionals acrossagencies and systems
Adapted from Sugai, 2002
Community-wide Behavior Support Systems
80-90%
School-wideBehavior Systems
5-10%
1-5%
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PBS-Kansaswww.pbskansas.org
Mission: PBS Kansas promotes the use of proactive evidence-based strategies to meet the social and emotional needs of all Kansans by partnering across systems to enhance behavioral expertise and use new and existing resources in an efficient, effective manner.
Vision Statement: Healthy relationships built by Positive Behavior Support (PBS) enhance the quality of life across the life span.
Positive Behavior Support in Kansas in the Northeastern Region
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Regional Interagency Teams(Multiple Centers, Child/Families, Education, I/DD,
Juvenile Justice, Children and Family Services, etc.)
Interagency Planning Team (Individualized)
(Mental health, Child/Families, Education, I/DD, Juvenile Justice,
CFS)
Child and Family
Regional Interagency Planning: Kansas Mental Health & PBS Project
Statewide Interagency Teams(Mental Health, Education, Child/Families,
Intellectual and Developmental Disabilities (I/DD), Juvenile Justice, Children and Family Services
(CFS) etc.)
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Northeastern Kansas Regional Interagency: First Steps
Participants: Douglas, Johnson, Wyandotte• 4 School Districts• 3 Mental Health Centers• Johnson County Developmental Supports• Johnson County Department of Corrections• Department of Corrections• Correctional Facility Starting Tier 1 • Missouri Statewide School-wide Positive Behavior Support Leader• Psychiatric Residential Treatment Facility (PRTF) Reporting PBS
Efforts (KVC)• Missouri Statewide School-wide Positive Behavior Support• University of Kansas
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Goals Identified for Northeastern Interagency Team
• Create a common language of prevention• Identify opportunities to facilitate home, school,
community behavioral plans• Leverage resources • Establish a website for the region to share
– Training materials– Updates on implementation– Resources– Local News
Contact Kris Matthews to join this important team ! [email protected]
It Takes a Community to Raise a Child….
Discussion Questions• What have you learned from the Children’s Council that can help us as we work on regional action planning?
• How can we share information about positive behavior support in the community– Websites– Meetings
• Are there ways in which the interagency PBS work can intersect with this council?
Positive Behavior Support Resources
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Introductory Positive Behavior Support Materials
Awareness Segments: Kansas Mental Health and PBS • www.kmhpbs.org• Check with your local mental health center for
more informationPositive Behavior Support: A Briefhttp://www.pbskansas.org/htdocs/brief/index.htmlPositive Behavior Support Stories • http://www.kipbs.org/new_kipbs/familyInfo/exam
pleStories.html36
School-wide Positive Behavior Support:Kansas School-wide Positive Behavior Supportwww.swpbs.orgTechnical Assistance Center on Positive Behavioral Interventions & Supports:www.pbis.orgUnderstanding Behavior Module:http://serc.gws.uky.edu/pbis/A Framework for Safe and Successful Schools• http://www.nasponline.org/resources/framework-
safe-and-successful schools.aspxmh_SC.2011.LE%20revised9.pdf
Early Childhood
• TACSEI Six Step PBS Process http://www.challengingbehavior.org/explore/pbs/process.htm
• Center for Evidenced Based Practice: Young Children with Challenging Behaviorhttp://challengingbehavior.fmhi.usf.edu
• Center on the Social and Emotional Foundations for Early Learninghttp://www.vanderbilt.edu/csefel/practicalstrategies.html
Mental Health & Alternative Settings
Kansas Mental Health & Positive Behavior Support• www.kmhpbs.orgVideo about PBS in alternative settings• http://www.pbis.org/swpbs_videos/pbs_video-
youth_involved.aspxPBIS at the Illinois Youth Center-Harrisburg• http://www.pbis.org/community/juvenile_justice/case_exa
mples.aspx Systems of Care Toolkits• https://www.childwelfare.gov/management/reform/soc/co
mmunicate/initiative/soctoolkits/strategicplanning.cfm#phase=pre-planning
Intensive TrainingKansas Institute for Positive Behavior Support• www.kipbs.org
National Resources• Association for Positive Behavior Support
www.apbs.org
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