1. Presented by : CCCW Behavior Support Oversight Committee (BSOC)

2.  Steps for effective Positive Behavior Support Planning.  Data collection.  Identifying the function of a behavior.  Putting a plan together.  Reviewing the plan.

3.  Overall goal is to support members through a positive environment and positive daily interactions that supports member’s strengths and abilities.  We do this through pro-active approaches and strategic responsive approaches.  A positive behavior support plan documents and lays out these approaches for individuals working with the member.

4. 1. Identify and define the target behaviors. 2. Collect data around the target behavior. 3. Identify function of the target behavior. 4. Develop a plan to support the target behavior. 5. Train staff and collect data. 6. Review and make changes to the plan.

5.  Does the behavior lead to significant negative outcomes for the individual?  Health and safety risk  Loss of independence  Decrease in quality of life  Barrier to an outcome

6.  Objective  Clear  Simple  Concise  Everyone is in agreement

7.  Aggression  Grabbing and/or pinching a staff or peer.  Obsessing over an item  Five or more requests for a can of soda after being verbally redirected within a fifteen minute timeframe  Self-injurious behavior  Example??

8.  Simple is better  Trying to identify the ABC components.  Antecedents (what happen before the behavior)  Behavior (the defined target behavior)  Consequence (event that happened right after the behavior, what seemed to reinforce?)  The intent is to try and get some baseline data to allow you to make an educated guess on the function of the behavior.

10.  What are the common Antecedents?  What setting does the behavior occur most often?  With whom did the behavior occur most often with?  Is there a specific time during the day? Does it occur during transition?  Anything unique about the environment where the behavior occurred most often?  What were the immediate consequence, reinforcements after the behavior?

11.  This is key to putting the correct supports in place.  The wrong intervention may actually become counter productive and reinforce the unwanted behavior.  Lots of good tools out there.

12.  Medical  Disability/Mental illness based  Attention seeking  Maladaptive coping skills  Task avoidance  Environmental (sensory)  Communication barriers  Any others???

13.  ALWAYS RULE OUT MEDICAL FIRST!!!  Modifying the environment.  Creating alternatives to desired behaviors.  Tactical ignoring of the behavior.  Positive reinforcement for adaptive behavior.  Changing expectations and demands.  Teaching of adaptive, and coping skills.  Any others?

14.  Stay away from interventions that are punitive in nature where change is based on fear or loss of individual rights/services.  These type of interventions do not support the root cause of the behavior.

15.  Make sure everyone has buy-in to the plan.  Make sure staff are trained on the interventions within the plan.  Try to have consistent overlap within environments if there are multiple providers and settings involved.  Consistency will take out the variable of inconsistency.

16.  Ongoing data collection is essential to measuring the success of supports in place and allows you to continue to evaluate the plan and make tweaks along the way.  Data collection should be formatted to be simple and allow consistency within all staff observation.  Can and should be similar to the method that was used to identify function.

17.  How do you know if things are getting better or worse?  Plot your data  Look for patterns  Take the time to understand the information.  Meet with the team to discuss the next steps.

18.  Look to see if the interventions should be paired with other rewards to increase effectiveness.  Did the intervention reduce the target behavior? If not, what else could we consider?  Did we guess wrong on the function or has the function changed?

19.  Positive Behavior Support Plans are living and breathing plans.  Things in life change.  You need to continually collect and review data.  And make changes as appropriate.

20. “Situational variables can exert powerful influences over human behavior, more so that we recognize or acknowledge.” Philip Zimbardo Philip Zimbardo