1. 1 Positive Behavior Support (PBS ) Employment Services Organization Advisory Committee Meeting April 11, 2006  Joseph Ashley, Rh.D. Office of Grants and Special Projects Patricia Goodall, Ed.S. Brain Injury & Spinal Cord Injury Services

2. 2 POSITIVE BEHAVIOR SUPPORT (PBS) GOALS FOR ESOAC PRESENTATION: Provide overview of Positive Behavior Support (PBS) Describe status of “endorsement” process for PBS Facilitators in Virginia Discuss applicability of PBS for ESO vendorship opportunities

3. 3  PBS is a comprehensive, functional approach to behavior change that combines the principles and practices of applied behavior analysis (research-based)  Development of a “team” of individuals who “support” the individual in the process of behavior change  Teach individual and his/her “support team” skills and responses that reduce or eliminate problem behaviors What is PBS?

4. 4 What is PBS? (continued)  Person-centered process based on values of inclusion and self-determination  Improves quality of life of individuals with behavioral challenges, as well as people who support them  Quality of life = living and working successfully in community settings of choice  PBS approach is applicable across environments and with diverse populations

5. What is PBS? (continued)  Values  Inclusive, Person-Centered  Enhanced Quality of Life  Responsive and Preventive in Nature, Not Reactive  Systems Change  Science & Research  Applied Behavior Analysis (ABA)  Ecological / Social Validity  Increased Competence in Getting Needs Met  Problem Behavior(s) Minimized by Default

6. Positive Behavioral Support Model Person-Centered Planning Functional Behavior Assessment Change the Environment Teach New Skills Offer Consequences & Crisis Support Assess and Revise Plan Change the System, Repeat the Process Support Team

7. 7 Who provides PBS services?  Development of an “endorsement” process for PBS facilitators in Virginia:  a) training based on a national curriculum ;  b) mentoring (apply knowledge, skills, abilities);  c) development of individual PBS portfolio;  d) review of portfolio by endorsement board; and  e) personal interview with endorsement board.

8. 8 Who pays for PBS services? DMAS (through Medicaid waivers, under “Therapeutic Consultation”) –approximately $50 / hour DMHMRSAS (through CSBs) DRS Field Rehabilitation Counselors DRS Brain Injury Direct Services (BIDS) Fund Other