Northeast Region

Provider Summit

THANK YOU SUSAN ROBERTS! 

December 11, 2014

Getting PBS Implemented in Your Agency 

 

1.  Step 1: Form Leadership Team

 Membership:

a)  individual(s) in executive leadership position with authority to make change (required member)

1b)  senior level, qualified clinician(s): at least a master’s degree in discipline such as Psychology, ABA, or Special Education; substantial clinical background in Developmental Disabilities; competent in behavior theory and practice with experience; sound clinical judgment; and a commitment to learning about PBS (required member)

c)  stakeholder(s) (based on agency practice) (required member)

d)  other personnel from within the agency that represent different functional units such as direct support staff, IT, Human Rights Coordinators, Division Directors, Clinicians, etc. 

Structure:

a)  schedule regular meetings

b)  take and distribute minutes

c)  choose a champion for team

d)  start Readiness Assessment

Choose Key Indicators:

a)    indicators should reflect values of agency—look to agency mission statement

b)    usually 2-3 indicators

c)    use existing data sources

d)    begin to review data on key indicators at every Leadership Team meeting

Begin Action Plan:

a)    determine format of your Action Plan

b)    begin to complete each part

c)    it is a living document and will require revisions as needed.


Suggested Agency Action Plan Template

Agency Name

PBS Action Plan

Date of Plan

Plan Revision/Review dates:

Agency Mission Statement (identify elements of agency Mission Statement that support PBS).

I. Agency issues to be addressed (based on available data, identify problems that interfere with health, safety, and well-being of individuals supported).

Data sources used to identify problem areas to be addressed:

2. Agency key indicators (specify two or more metrics relating to identified issues that will be addressed by PBS system and assessed through data based decision-making).

For each key indicator, identify source(s) of data, how often data are collected, who collects data, who prepares data for presentation, and how data are presented (graphs, tables, etc.):

3. Leadership Team.

Members’ names, titles, function:

Plan for Leadership Team meetings and communication strategy for Plan:

Describe process for recruiting stakeholders (self-advocate and family member) for membership on Leadership Team based on agency practices:

Describe how Leadership Team members participate and/or provide advice to the Leadership Team, (i.e. methods used):

Describe process to review data for key indicators and other relevant data at Leadership meetings:

Describe process to update and change Action Plan as needed:

4. PBS Readiness Assessment.

Identify PBS Readiness Assessment process used by Leadership Team (share Assessment tool upon request):

Describe process for completing PBS readiness assessment if not yet completed including: (members participating, frequency of meeting, timeline for completion, etc.):

5. Name(s) of PBS “Champion(s)” (agency staff who will encourage and support the development of PBS throughout the organization).

6. Qualified clinicians.

Name(s) qualified clinicians:

Name(s) staff determined to be competent” but not “credentialed” as “qualified clinicians”:

Name(s) of qualified clinician supervisors who provide supervision to competent non-qualified staff:

Assurance that when external qualified contract clinicians are used, they provide training, implementation support, and data analysis for the plan:

Describe plan to recruit and retain qualified clinicians when the competent not credentialed staff leave the (i.e. who is responsible, timeline, etc.):

Assurance that behavior plans are not written by individuals who are not qualified to do so:

7.   Describe the Configuration and number of PBS tiers to be implemented based on agency operations and current population served.

For each tier (Universal, Targeted, and/or Intensive) currently needed based on agency operations and population, identify Team will members, organizational structure, communication plan, etc.:

8.  Universal Supports.

Identify selected Universal Supports for agency-wide PBS implementation:

Describe how Universal Supports will be taught and communicated:

Identify treatment integrity measures used at Universal Support level:

What is process to assure treatment integrity:

Describe referral process for Targeted Supports (share forms upon request):

9. Targeted Supports.

Describe abbreviated FBA process (share form upon request):

Describe Targeted Behavior Support Plan components (share form upon request):

Identify treatment integrity measures used at Targeted Support level:

What is the process to assure treatment integrity:

Describe how you will determine that a Targeted Support is effective:

Describe how you will determine that a teaching component is effective:

Describe referral process for Intensive Supports: (share form upon request):

10. Intensive Supports.

Describe FBA format (attach form):

Describe Intensive P-BSP format (attach form):

Identify treatment integrity measures used at Intensive Support level (share upon request):

Describe how you will determine that an Intensive Plan is effective:

Describe how you will determine if a teaching component is effective:

11. PBS training.

Describe training plan for agency (i.e. curriculum, audience frequency, need for retraining etc.):

Identify training needs that you might like assistance with:

12. Agency-wide PBS Plan.

Describe plan for rolling out PBS to agency:

13. What is the agency plan or protocol for QA of PBS system? 

14. Identify Crisis Prevention Response and Restraint system selected by agency.

15. Other issues of concern to be addressed.