1. Missouri’s Interagency Statewide Planning Team: Improving Quality of Life for Individuals Across the Lifespan
Julia LePage and Terri Rodgers Missouri DDD
Rachel Freeman, University of Kansas

2. Purpose of Presentation
Share how interagency collaboration is increasing in Missouri
Describe the tiered implementation training beginning in the MO Division of Developmental Disabilities (DDD)
Provide examples from organizations in Missouri who
Are implementing PBS
Are supporting individuals with disabilities

3. Challenges of Disconnected System of Service Delivery
No system to inform schools that other agencies are working with the child and family
Agencies and schools do not work together to develop one plan with the child and family
Often agency people feel that they are asked to take sides – parents vs. the school
School personnel spending minutes during meetings focusing only on the problems
Challenges of current system listed above were identified by local agency partners during the and school years.
No system to inform schools that other agencies are working with the child and family
Agencies and schools do not work together to develop one plan with the child and family
Often agency people feel that they are asked to take sides – parents vs the school
School personnel spending minutes during meetings focusing only on the problems
Parents not sharing what it is like at home
Schools expecting parents to do it all - telling them what to do instead of collaborating around goals, dreams for child and providing information about the child’s current status in relation to the goal, then outlining specific steps to reaching the goal
“Too many words” because so many different systems are working to provide services to the child and family

4. Challenges of Disconnected System of Service Delivery (Continued…)
Parents not sharing what it is like at home
Schools expecting parents to do it all - telling them what to do instead of collaborating around goals and dreams for child
“Too many words” or with “too much Jargon” because so many different systems are working to provide services to the child and family

5. Challenges of Disconnected System of Service Delivery (Continued…)
Extra resources are required for each agency to develop similar training for staff
Each agency must have their own experts or do with out expertise

6. Interagency Collaboration
Started in 2008
Agencies included:
Missouri SW-PBS
Department of Elementary and Secondary Education (DESE)
Office of Quality Schools
Office of Special Education
Missouri Schools for the Severely Disabled
Department of Mental Health
Division of Developmental Disabilities (DDD)
Comprehensive Psychiatric Services
Started in 2008 as a result of Missouri Schools for the Severely Disabled joining the SW-PBS initiative

7. Why Collaborate Across Systems?
Share information and resources
Increase effectiveness of services
Establish regional interagency supports
Leverage limited state funds

8. History of MO SW-PBS Training Format
1999
Training Format
The Missouri Department of Elementary and Secondary Education (DESE) local improvement grants (LIGs) are awarded to districts to attend trainings throughout the year and during summer institutes.
Staff from the University of Missouri PBS Center provides the trainers for these activities. MU
SW-PBS
Trainers
Schools

9. Trainers in Regional Centers
MO SW-PBS Present
1999
2006
Training Format
22 Consultants in 9 regions, 5 Tier 2/3 consultants, state data/web consultant, state coordinator and MU PBS personnel provide training/technical assistance on standardized curriculum for multiple levels and stakeholders MU
DESE MO
SW-PBS
Trainers in Regional Centers
SW-PBS
Trainers
Schools
Schools

10. Interagency Collaboration – First Steps Trainers in Regional Centers
1999
2006
2008
DMH MU
DESE MO
SW-PBS
Trainers in Regional Centers
SW-PBS
Trainers
CPS
DDD
Schools
Schools

11. Interagency Collaboration
1999
2006
2011
DMH MU
DESE MO
SW-PBS
Trainers in Regional Centers
SW-PBS
Trainers
CPS
DDD
CommunityMental Health RO
SB40
BRT
Transition
Coordinators
Schools
Schools
Community Support Specialists

12. Missouri Interagency PBS Progress
Self-assessment and action plan
Interviews and focus groups
Community mapping
Pilot tool used to facilitate interagency planning
Development of training resources in process
Behavior Resource Team Members attend Summer Institute
Tiered implementation of PBS
Schools
Organizations

13. Two Regional Interagency Pilots
Awareness training in PBS for District team, Agencies in DD, Mental Health, Families, etc
School-wide PBS tools to assist districts created and embedded within the statewide training system (this is created with the team but embedded in the SWPBS training systems)
Assistance in helping regional teams create strategies that will improve PBS planning for individual students within regions
Training
Service Coordination
Communication
Etc.

14. Add a Statewide Problem-solving System to Encourage Interagency Use of PBS Funds
Planning Team
State Team
District Team
School Planning Team

15. Latest MO Mapping Example at the State Level
Next Version of MO MAP

21. Combined Map: Home Counties With Meetings/Services Related to PBS

22. Mo DDD Tiered Supports Model
Mo SW Model
Regional Consultants
- Unit of Implementation = School Building
- System of Recognition (Bronze, Silver Gold)
- Training designed for implementation phases
- SET
-ODR
-Big ‘5’
School Team to design implementation of school wide Tier 1 and 2 strategies
Mo DDD Tiered Supports Model
Regional Behavior Resource Team Members
- Unit of implementation = Agency or Family
- System of Recognition of implementation
-Trainings to be designed for Implementation phases
-ASSET
-EMT (incident reports)
-Big ‘7’
Agency/Family team – design and implement systemic Universal Strategies
Systems
Data
Like MO SWPBS, MO DDD Tiered Supports is designed around the central structures of data, systems, and practices developed across levels including-state level, regional level, local level, agency level, family level and individual level.
DATA - Data will inform implementation of MO DDD Tiered Supports at all levels and phases. Similar to an office discipline referral collected in school settings, the MO DDD collects Event Management Tracker (EMT) indicator measures. These data have been organized in such a way to allow regional staff access to “ready” reports across informational indicators including: number of reportable incidents per type of incident, total number of incidents per month, number of incidents per day of the week, time of day of incidents, number of individuals producing the incidents, number of events by restraint type, number of events by location. These reports are available to be aggregated at the appropriate planning level - state, regional, agency, or individual.
Regional Behavior Resource Team (BRT) personnel will support and coach providers and families to make data-based plans and decisions informing practices. Similar to the School-wide Evaluation Tool (SET) administered in school settings informing SWPBS implementation, the MO DDD is piloting the Agency Systems and Supports Evaluation Tool (ASSET), a tool to inform implementation of proactive, preventative and positive teaching systems and/or strategies currently in place at an agency level. Work towards a comparable tool to inform family planning is in progress. In addition, the MO DDD is standardizing tools and data-based processes statewide for prioritization of referrals as well as risk assessment. The availability of these data sets and reports will enable regional BRT to monitor effectiveness of services as well as implementation fidelity.
Systems-Systems include the context of processes, supports, procedures, and rules that are in place supporting the implementation of a given practice or program.. Systematically, BRT staff across the state will implement training and coaching processes based on data. Behavior Resource Teams will be supported by professional behavior analysts regionally and by a state steering committee. This statewide committee will be supported and led by the MO DDD Chief Behavior Analyst (see Appendix B).
Practices-MO DDD is taking a new approach to behavior problem solving by concentrating system-wide efforts on prevention and universal strategies of positive behavior supports and person centered planning in addition to specialized and intensive supports as necessary, using MO DDD’s Tiered Supports model. For example, state personnel will train standard practices of coaching and PBS implementation for BRT who will then train standard practices of coaching and PBS implementation for providers/families. These training/coaching practices at all levels will be informed by the data, systems, and tools previously described, guiding BRTs to focus families and/or agency staff on skill acquisition and person-centered, quality of life outcomes.
Practices

23. MO Division of Developmental Disabilities (DDD) Tiered Supports Practices include:
3) Intensive individualized behavior supports-to be developed and implemented by licensed professionals.
2) Specialized strategies for common problem situations; and
1) Universal strategies-proactive, preventative, positive teaching based strategies for staff and families to Improve Quality of Life

24. An example of the DD Model in action
The Rolla Behavior Resource Team and Tiered Supports Coaching with Future Care, a DD residential service provider