Positive Behavior Support Across the Lifespan



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Positive Behavior Support Across the Lifespan Rachel Freeman University of Kansas Kansas Institute for Positive Behavior Support www.kipbs.org Kansas Mental Health & Positive Behavior Support www.kmhpbs.org 1

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: Threetiered Model of Prevention Community-wide Behavior Support Systems Intensive, Individual Interventions * Children with intense needs * Assessment-based * High Intensity Targeted Group Interventions * Some children (at risk) * High efficiency School-wide Behavior Systems 1-5% 5-10% 80-90% System-wide Interventions * All children * Preventive, proactive *Broad community focus Adapted from Sugai, 2002

Implementation of PBS Across Organizations School-wide Positive Behavior Support/Multitier 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 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 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 Respectful Self-Control -Work together to reach goals. -Help others. -If you see a need, help meet it. -Be kind. -Recycle. -Follow directions. -Wait your turn. -Give everyone a chance. -Use your manners. -Keep things clean. -Be considerate. -Keep your hands/feet/belongin gs to yourself. -Inside voice. -Stay on task. -Problem-solve. -Make good choices. -Report messy conditions or vandalism. -Pick up/throw away trash. -Hold door for others, help carry stuff, keep halls clear. -Leave these places cleaner than you find them. -Keep hands/feet to yourself. -Keep materials/property off of the walls. -Do not jump or hang from doorways. -Be aware of others and bus driver. -Set a positive example for each other. -Follow directions/reques ts of bus driver. -Inside voice. -Keep hands/feet to yourself. -Inside voice. -Stay seated. -Help your table mates to leave a clean table. -Everyone pick up all trash. -Follow directions of lunch supervisors. -Throw your trash away. -Inside voice. -Raise your hand to get supervisor s attention. -Keep your food on your tray. -Inside voice. -Keep hands/feet/food to self. -Work as a team with your classmates. -Cooperate with others. -Encourage one another. -Follow directions of your teacher. -Listen to who is speaking without interrupting. -Raise your hand to speak. -Take care of materials. -Keep your hands/feet to yourself. -Raise your hand to speak. -Wait your turn to speak/share ideas. -Show your Mustang Pride! -Recognize achievements of both teams. -Be positive as you cheer the Stangs to victory! -Say excuse me if someone is in your way. -Keep your hands/feet to yourself. -Follow directions of crowd supervisors. -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. -Follow directions of the adult in this area. -Clean up your area. -Return materials to the proper location. -Log off computers. -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 Remember to flush Respect Environment & Property Pick up items you are no longer using Put chair back at the table Pick up items and put them away Let others pass Put 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

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

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

Kansas Mental Health & Positive Behavior Support www.kmhpbs.org 21

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

Kansas Institute for Positive Behavior Support www.kipbs.org 24

KIPBS Training System and Capacity Building Community-wide Behavior Support Systems 1-5% School-wide Behavior Systems Intensive, Individual Interventions * Children with intense needs * Assessment-based High Intensity Appropriate for professionals across agencies and systems 80-90% 5-10% Adapted from Sugai, 2002

26

PBS-Kansas www.pbskansas.org

Mission: PBS Kansas promotes the use of proactive evidencebased 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 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.) 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 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 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 plestories.html 36

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/frameworksafe-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 Behavior http://challengingbehavior.fmhi.usf.edu Center on the Social and Emotional Foundations for Early Learning http://www.vanderbilt.edu/csefel/practicalstrategi es.html

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_videoyouth_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

Intensive Training Kansas Institute for Positive Behavior Support www.kipbs.org National Resources Association for Positive Behavior Support www.apbs.org 40