positive behavior support across the lifespan rachel ......positive behavior support across the...

Positive Behavior Support Across the Lifespan

Rachel FreemanUniversity of Kansas

1

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

7

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

8

Examples of School-wide Positive Behavior Support in Johnson County:

Gardner/Edgerton School District

9

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

20

21

Kansas Mental Health & Positive Behavior Supportwww.kmhpbs.org

Mental Health Centers Implementing Positive Behavior Support

22

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

24

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%

26

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

29

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.)

30

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

31

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

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

35

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

40