Positive Behavior Support Across the Lifespan

Full text

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Positive Behavior Support Across

the Lifespan

Rachel Freeman

University of Kansas

1

Kansas Mental Health & Positive Behavior Support

www.kmhpbs.org

Kansas Institute for Positive Behavior Support

www.kipbs.org

(2)

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?

(3)

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

(4)

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

(5)

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

(6)

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-wide

Behavior Systems

5-10%

1-5%

(7)

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

(8)

Implementation of PBS in Systems

Organization-wide Planning

• Supporting adults living in the community

• Supported Employment

Nursing Homes/Elder Care

Facility-wide Positive Behavior Support

• Juvenile correctional facilities

• Special education settings

• Psychiatric Residential Treatment

Facilities/Hospitals

(9)

Examples of School-wide Positive

Behavior Support in Johnson County:

Gardner/Edgerton School District

(10)

Establishing Consistent Behavioral

Expectations across all levels

(11)

Teaching

Matrix

All

Settings

Bathroom/

Commons/

Hallway

Bus Cafeteria

Classroom

School

grounds/

Special events

Library/ Computer

lab/

Computer time

S

afe

-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.

P

repared

-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.

U

nited

-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.

R

espectful

-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/reques ts 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.

S

elf-Control

-Keep your hands/feet/belongin gs 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.

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Mental Health Center Expectations

Entering

Center

Therapy

Session

Therapy

Group

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 using

Put chair back

at the table

Pick up items

and put them

away

Put trash in

trash can

Respect

Yourself

others space

Respect

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 to

flush

Let others

pass

(13)

Community Collaboration

Teach expectations where children spend

time in the community

• Public library

• Youth groups

• Swimming pool

Identify concerns that impact multiple

organizations

Identify areas of where problems are

likely and work together to intervene &

measure progress

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(16)

KS

 

Middle

 

School

 

Example

 

Average

 

Referrals

 

Per

 

Day

 

Per

 

Month

 

2009

2013*

*data

 

shown

 

is

 

through

 

January

 

(17)
(18)
(19)

Middle School Triangle

(20)

Examples of Positive Behavior Support

in Kansas

(21)

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Kansas Mental Health & Positive Behavior Support

www.kmhpbs.org

(22)

Mental Health Centers Implementing

Positive Behavior Support

(23)

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

(24)

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Kansas Institute for Positive Behavior Support

www.kipbs.org

(25)

KIPBS Training System and Capacity

Building

Intensive, Individual

Interventions

* Children with intense needs

* Assessment-based

• High Intensity

• Appropriate for professionals across

agencies and systems

Adapted from Sugai, 2002

Community-wide Behavior

Support Systems

80-90%

School-wide

Behavior Systems

5-10%

1-5%

(26)
(27)

PBS-Kansas

(28)

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.

(29)

Positive Behavior Support in Kansas in

the Northeastern Region

(30)

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.)

(31)

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

(32)

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 ! krismat@ku.edu

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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

 

(35)

Positive Behavior Support Resources

(36)

Introductory Positive Behavior

Support Materials

Awareness Segments: Kansas Mental Health

and PBS

• www.kmhpbs.org

• Check with your local mental health center for

more information

Positive Behavior Support: A Brief

http://www.pbskansas.org/htdocs/brief/index.html

Positive Behavior Support Stories

• http://www.kipbs.org/new_kipbs/familyInfo/exam

(37)

School-wide Positive Behavior Support:

Kansas School-wide Positive Behavior Support

www.swpbs.org

Technical Assistance Center on Positive

Behavioral Interventions & Supports:

www.pbis.org

Understanding Behavior Module:

http://serc.gws.uky.edu/pbis/

A Framework for Safe and Successful Schools

http://www.nasponline.org/resources/framework-safe-and-successful

(38)

Early Childhood

TACSEI Six Step PBS Process

http://www.challengingbehavior.org/explore/pbs/

process.htm

Center for Evidenced Based Practice: Young

Children with Challenging Behavior

http://challengingbehavior.fmhi.usf.edu

Center on the Social and Emotional

Foundations for Early Learning

http://www.vanderbilt.edu/csefel/practicalstrategi

es.html

(39)

Mental Health & Alternative Settings

Kansas Mental Health & Positive Behavior Support

• www.kmhpbs.org

Video about PBS in alternative settings

http://www.pbis.org/swpbs_videos/pbs_video-youth_involved.aspx

PBIS 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#ph

ase=pre-planning

(40)

Intensive Training

Kansas Institute for Positive Behavior

Support

www.kipbs.org

National Resources

• Association for Positive Behavior Support

www.apbs.org

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References

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