1. Kansas Institute for Positive Behavior Support http://www.kipbs.org

2. Kansas Institute for Positive Behavior Support (KIPBS) Operated out of all three Kansas Centers on Developmental Disability Statewide plan, Federal Medicaid Funding (not a waiver) Three Social and Rehabilitation Services target audiences Mental Health Child Welfare Developmental Disabilities

3. KIPBS Mission Train experts who will build capacity in their regions and across Kansas Provide Kansans with access to online resources and instruction free of charge at different levels of complexity Create unified network of professionals across services who support PBS and person-centered planning (PCP) throughout Kansas

4. Consultant Versus Facilitator KIPBS students learn that their role is to work with teams to develop capacity KIPBS students learn that their role is to work with teams to develop capacity Facilitator rather than Expert-based model Facilitator rather than Expert-based model The purpose of the Institute is to create systems change The purpose of the Institute is to create systems change Ongoing learning is valued and emphasized Ongoing learning is valued and emphasized

5. KIPBS Graduates Can bill Medicaid for PBS and person- centered planning services Contribute 12 hours a year to the Institute in order to maintain eligibility for reimbursement Submit potential applications to a Prior Authorization committee for approval

6. Technology-based Instruction Students working full time who can access information in flexible manner Students working full time who can access information in flexible manner Students across diverse geographic locations in Kansas Students across diverse geographic locations in Kansas Class time is devoted to application-based activities and case study development Class time is devoted to application-based activities and case study development Provides opportunities for students across Kansas to communicate with each other Provides opportunities for students across Kansas to communicate with each other

7. Building Resources in Kansas Level 1: Online materials introducing PBS Level 1: Online materials introducing PBS Level 2: Online instructional modules for agency inservice training Level 2: Online instructional modules for agency inservice training Level 3: Online instructional modules to train leaders in PBS Level 3: Online instructional modules to train leaders in PBS Additional resources will be available on the KIPBS website: Additional resources will be available on the KIPBS website: Newsletters for current updates on PBS Newsletters for current updates on PBS Information about PBS and PCP Information about PBS and PCP Links to important related resources Links to important related resources

8. Creating Different Types of Training Expert-level training- building statewide internal capacity Expert-level training- building statewide internal capacity Team-based training- creating teams that work effectively Team-based training- creating teams that work effectively Awareness-level training- introducing new people to the general concepts of positive behavior support and person-centered planning Awareness-level training- introducing new people to the general concepts of positive behavior support and person-centered planning

9. KIPBS Technology Supports Website containing links and resources Website containing links and resources Online modules for levels available to all Kansans from website Online modules for levels available to all Kansans from website Password protected communication page for instructors and mentors Password protected communication page for instructors and mentors

10. Levels of Impact Build expert level capacity building with small number of professionals who can bill Medicaid (e.g. 20 per year) Build expert level capacity building with small number of professionals who can bill Medicaid (e.g. 20 per year) Provide statewide access to free inservice training materials online Provide statewide access to free inservice training materials online Create easy to digest information about PBS to policy makers and agency directors Create easy to digest information about PBS to policy makers and agency directors Develop state-wide, systems-level action plan with KIPBS professionals Develop state-wide, systems-level action plan with KIPBS professionals Donated mentor time to stay eligible and bill Donated mentor time to stay eligible and bill Monitor and supervise reimbursement system Monitor and supervise reimbursement system

11. National Advisory Board Linda Bambara Linda Bambara Fredda Brown Fredda Brown Edward Carr Edward Carr Albert Duchnowski Albert Duchnowski Rob Horner Rob Horner Don Kincaid Don Kincaid Constance Lehman Constance Lehman Darlene Magito McClaughlin Darlene Magito McClaughlin Joe Reichle Joe Reichle Wayne Sailor Wayne Sailor Travis Thompson Travis Thompson

12. KIPBS Specialized Instruction 12 month training period resulting in: A portfolio including PBS, PCP, and systems change case studies Completion of online instructional modules Two course exams Field-based activities and onsite course supervision

13. Types of Instruction Online Instruction Online Instruction Conceptual Knowledge Conceptual Knowledge Field based activities Field based activities Assessments, reflective activities, threaded discussions Assessments, reflective activities, threaded discussions Onsite Classes Onsite Classes Model and demonstrate concepts Model and demonstrate concepts Group discussions and dialogue Group discussions and dialogue Practice using new skills Practice using new skills Mentors Mentors Support development of portfolio Support development of portfolio Additional individualized training as needed Additional individualized training as needed

14. Networking Activities Two forums each year bringing all KIPBS professionals together Two forums each year bringing all KIPBS professionals together Experts connected via distance learning strategies Experts connected via distance learning strategies Smaller work groups addressing 3 areas: Smaller work groups addressing 3 areas: Improving the KIPBS training Improving the KIPBS training Current barriers to providing PBS Current barriers to providing PBS Brainstorming systems change in Kansas Brainstorming systems change in Kansas

15. KIPBS Online Modules

16. Content Map Module 1: Introduction to PBS Module 1: Introduction to PBS Module 2: Introduction to Applied Behavior Analysis Module 2: Introduction to Applied Behavior Analysis Module 3: Measuring Behavior & Interpreting Data Module 3: Measuring Behavior & Interpreting Data Module 4: Person-Centered Planning Module 4: Person-Centered Planning Module 5: Functional Behavioral Assessment Module 5: Functional Behavioral Assessment

17. Content Map Module 6: Designing Positive Behavior Support Plans Module 6: Designing Positive Behavior Support Plans Module 7: Multi-component Interventions Module 7: Multi-component Interventions Module 8: Emotional and Behavioral Health Module 8: Emotional and Behavioral Health Module 9: Systems Change Module 9: Systems Change Module 10: PBS Facilitator Guidelines Module 10: PBS Facilitator Guidelines

18. KIPBS Toolbox Problem solving strategy to tailor instruction and create flexible teaching Problem solving strategy to tailor instruction and create flexible teaching Provides access to specific strategies and information whenever a problem arises within a case study Provides access to specific strategies and information whenever a problem arises within a case study Access to tools for facilitating the person- centered planning and PBS plans Access to tools for facilitating the person- centered planning and PBS plans

19. Prior Authorization

20. Target Population Children who engage in socially inappropriate behaviors at such a frequency or intensity that they are at risk of out-of-home placement. Eligibility criteria include: Developmental disability Diagnosis of autism Typically developing children who fit behavioral criteria Children who have sustained a traumatically inflicted head injury

21. Prior Authorization Issues Provider is qualified Provider is qualified Consumer meets the established guidelines Consumer meets the established guidelines Diagnostic and behavioral Diagnostic and behavioral Medicaid eligible Medicaid eligible Assessment of behavioral status Assessment of behavioral status Identification of problem behaviors Identification of problem behaviors Rating of behaviors Rating of behaviors Identifying environments in which behaviors occur Identifying environments in which behaviors occur Assessing risk of institutionalization or loss of LRE Assessing risk of institutionalization or loss of LRE

22. Purposes of Prior Authorization Control costs Control costs Control provider quality Control provider quality Track provider/consumer data Track provider/consumer data Prioritizing allocation of resources Prioritizing allocation of resources Log and investigate complaints Log and investigate complaints

23. Billing Codes Total amount per year possible: $8,800 per case Total amount per year possible: $8,800 per case Assessment (up to $1,200) Assessment (up to $1,200) Intervention (up to $6,000) Intervention (up to $6,000) Person-centered Planning (up to $1,600) Person-centered Planning (up to $1,600) One year reimbursement per case (with possibility of extension based on approval) One year reimbursement per case (with possibility of extension based on approval) Maximum of 6 open cases per facilitator Maximum of 6 open cases per facilitator

24. Project Evaluation Descriptive Evaluation: for the purpose of replication Descriptive Evaluation: for the purpose of replication Project staff activities Project staff activities Instructor and mentor activities Instructor and mentor activities Professional (student) activities Professional (student) activities Performance Evaluation: to evaluate changes in professional knowledge and skills Performance Evaluation: to evaluate changes in professional knowledge and skills Online assessments Online assessments Field-based observations and activities Field-based observations and activities Portfolios Portfolios Exams (midterm and final) Exams (midterm and final) Impact Evaluation: to evaluate effect on consumers Impact Evaluation: to evaluate effect on consumers Consumer satisfaction ratings Consumer satisfaction ratings Quality of life surveys Quality of life surveys Review of behavior change data and PBS plans Review of behavior change data and PBS plans Review of person-centered plans to document preferred lifestyle changes Review of person-centered plans to document preferred lifestyle changes

25. Supervision of KIPBS Facilitators Every student must complete three cases and submit before billing (to demonstrate skills are generalized) Every student must complete three cases and submit before billing (to demonstrate skills are generalized) Every case must include the PCP and PBS self assessment checklists Every case must include the PCP and PBS self assessment checklists Three cases after students graduate are closely evaluated and must reach 80% Three cases after students graduate are closely evaluated and must reach 80% Random selection of cases for more intensive review after that period for each student Random selection of cases for more intensive review after that period for each student Review and investigate complaints sent to the Prior Authorization Committee Review and investigate complaints sent to the Prior Authorization Committee

26. Evaluating Layers of Impact Online and Website Impact Online and Website Impact Traffic on modules (number of users, hits, & time spent on module) Traffic on modules (number of users, hits, & time spent on module) Traffic on website (visits, hits, return visitors, domain analysis, mailing list, contacts via website email) Traffic on website (visits, hits, return visitors, domain analysis, mailing list, contacts via website email) Training agencies to use online materials in innovative ways (regional workshops) Training agencies to use online materials in innovative ways (regional workshops) Number of children served (data on outcomes) Number of children served (data on outcomes) Self-assessment data and portfolio outcomes Self-assessment data and portfolio outcomes Mentor action plan data (# of awareness trainings, systems change reports, mentors supporting students) Mentor action plan data (# of awareness trainings, systems change reports, mentors supporting students) KIPBS state systems change action plans KIPBS state systems change action plans