+ IMPLEMENTING AND ROLLING OUT AGENCY SWPBS Bob Putnam May - - PowerPoint PPT Presentation

+

Bob Putnam May Institute National Technical Center for PBS

IMPLEMENTING AND ROLLING OUT AGENCY SWPBS

+ Goals

• How do we implement and rollout SWPBS in an agency?
• What are the critical components?
• Agency leadership team
• Evaluation system
• Individual outcomes
• Treatment integrity
• Action planning
• Review of data by systems teams
• Evidenced based practices

+

What is the

• f PBS?

Establish a 1-3 year plan to… Develop efficient and effective agency- wide and program-wide systems, practices, and capacity to improve behavior support and quality of life practices for ALL individuals using data based decision-making

+ Implementation Levels

Individual Classroom/Home School/Cohort Agency Division

Universal Systems; primary prevention; for all Individuals & Staff in all Settings

Targeted (secondary prevention) Systems (standardized) for Individuals with At- Risk Behavior or in at- risk situation Individualized (tertiary prevention) Supports for Individuals with High-Risk Behavior

Sufficient for ~80% ~15 % ~5%

CONTINUUM OF SUPPORT for ALL Overseen by Leadership Team

ALL

SOME

FEW

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PRACTICES

Supporting Staff Behavior Supporting Individual Behavior

OUTCOMES

Supporting Quality of Life and Prosocial Skills Supporting Decision Making

Emphasize: 4 Integrated Elements

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Agreements Team Data-based Action Plan Implementation Evaluation

GENERAL IMPLEMENTATION PROCESS: “Getting Started”

Funding Visibility Policy Political Support

Training Coaching Behavioral Expertise Evaluation

LEADERSHIP TEAM (Coordination)

Local School/District Implementation Demonstrations

SWPBS Implementation Blueprint

www.pbis.org

Program

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Exploration / Adoption Installation Initial Implement ation Elaboration

Continuous Regeneratio n

PBS: ¡PHASES ¡OF ¡IMPLEMENTATION ¡

Fixsen, ¡D. ¡L., ¡Naoom, ¡S. ¡F., ¡Blase, ¡K. ¡A., ¡Friedman, ¡

• R. ¡M. ¡& ¡Wallace, ¡F. ¡(2005). ¡Implementation ¡

Research: ¡A ¡Synthesis ¡of ¡the ¡Literature. ¡

LEADERSHIP TEAM SCHOOL-WIDE Build Data System Establish measurable

• utcome

Collect, analyze, & prioritize data Ensure efficient, accurate, & durable implementation Implement Monitor implementation & progress Select evidence-based practice

Enhanced PBS Implementation Logic

AGENCY- WIDE

+ Agency-Wide Representative

Leadership Team

• Purpose to provide overall leadership related to assessing,

developing, implementing, managing, and evaluating an agency-wide comprehensive system of SWPBS for all individuals.

• This team is responsible for the coordination of training, coaching,

and evaluation activities related to SWPBS implementation.

• This team develops a 3-5 year action plan to guide its capacity

building and coordination activities and to achieve the mission or purpose of the SWPBS implementation effort.

+ Building AN AGENCY-Wide 1-3 year

Implementation plan

• Developed a regular meeting schedule (monthly) to develop and review action plan
• Focused on developing an evaluation system to oversee implementation
• Measure implementation across the tiers
• Measure individual outcomes
• Oversee initial implementation sites
• Developing training and coaching capacity
• Building dissemination systems for board, staff and other stakeholders
• Reviewing policy and procedure manual and work performance standards for

compatibility with SWPBS

+ Building a More Effective and

Efficient System

Braiding and Refining Our Current Initiatives – Resource Mapping – “Working Smarter not Harder” Matrix What are our initiatives, projects, committees? What is the purpose? What is the measurable outcome? What are we trying to increase/decrease? Who is the target group? – All, some, few Which staff are involved? Is it part of our clinical strategic plan?

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Building An Evaluation System

+ Systems Implementation Fidelity

TOOL

• How Does the Agency-wide SWPBS Team Know

that SWPBS is Being Implemented?

• Tiered Fidelity Inventory – measures the

implementation of SWPBS at each tier – adopted from School-wide Tiered Fidelity Inventory

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20 40 60 80 100 State Rd Fox Lane Walsh St Roberts Road

Tier 1 Implementation Across Programs

+ Tiered Fidelity Inventory BY

Program (TFI)

+ Incident Reporting

An efficient system for gathering information A computer application (Excel) for data entry and report generation A practical process for using information for decision making

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PBS and measuring outcomes Quick Big 5 Data Report How big of a problem is it? What are the major problem behaviors? Where are the major problem behaviors? When are the major problem behaviors

• ccurring?

Who is responsible for the major problem behaviors?

5 10 15 20 25 30 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14

By Month Incident Reports Jan – June 2014

10 20 30 40 50 60 M Day Hab R Day Hab Residential

Location Incident Reports January –June 2014

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10 20 30 40 50 60

Problem Behavior Incident Reports January –June 2014

2 4 6 8 10 12

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z AA BB CC DD EE FF GG HH II

By Individual Incident Reports January –June 2014

203 Individuals

17 % of Individuals Served

1 2 3 4 5 6

Day Program by Time Incident Reports January –June 2014

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Program Implementation Demonstrations

+ Building Program Demonstrations

Across the Agency

• One Divisional Tier 3 team developed over a year ago (see

Session 3 later today)

• Second Divisional Tier 3 began in September
• One Tier 1 home program developed over the summer

(see Session 3 later today)

• Several other Tier 1 programs are in development

+ Implementing Tier 1

Build a representative Tier 1 team consisting of administration, clinical staff, direct support staff, individuals and family members to build a program wide SWPBS plan.

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• 6. Procedures for Record Keeping and Decision Making
• 5. Continuum of procedures for discouraging problem behavior
• 4. Continuum of procedures for encouraging expected behavior
• 3. Procedures for teaching expected behavior
• 2. Clearly defined expected behavior
• 1. Statement of Purpose (Common approach discipline)

6 components of Program-wide Behavior Support

+ Overview of Implementation of

Tier 1

• SWPBS Agency team reviews whether there was;
• a program meeting
• improvements in overall program data
• treatment integrity of the Tier 1 team.
• Agency team aggregates the above data across teams

+ Implementing Tier 1

Monthly divisional meeting to review the effectiveness of Tier 1 Interventions

• Administrator involvement
• Review of problem behavior data trends across all

individuals

• Every three months – review of treatment integrity (TFI-Tier

1) by team

+ Implementing Tier 3 Data Team

• Agency team reviews whether there was;
• a divisional meeting
• how individuals are progressing
• treatment integrity of the Tier 3 team.
• Agency team aggregates the above data across teams

+ Practices

• Currently developing a screening instrument to screen individuals for

the occurrence and severity of PICA, elopement and aggression to determine how their level of need should be met.

• Determining evidenced best practices for
• those individuals to prevent the occurrence of these

concerns (Tier 1),

• those individuals who are at risk or have low intensity

needs (Tier 2)

• and who need interventions at the intensive level (Tier 3).

+ For more information bputnam@mayinstitute.org