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Minnesota Positive Behavior Support Initiative. University of Minnesota Minnesota Department of Human Services. MNPBSI Vision.
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Minnesota Positive Behavior Support Initiative University of Minnesota Minnesota Department of Human Services
MNPBSI Vision • Adults and Children who need behavioral and mental health supports across Minnesota have access to research-based strategies that combine applied behavior analysis and biomedical science with person-centered values and systems change to increase quality of life and reduce the burden of problem behaviors on individuals, caregivers, and their communities.
MNPBSI Scope • The intensive, competency-based training prepares professionals for leadership in interdisciplinary person-centered care and effective positive behavior supports • Reduce the burden of challenging behavior for individuals, caregivers, and their communities. • Developmental Disabilities & Mental Health providers • Minnesota Department of Human Services (State Operated Services) • Community-based providers • Impact on children, adults, stakeholders
Shifting Planning & Intervention Practices • AWAY from the ‘readiness model’ • i.e., he can go into the community when he is safe • TOWARDS person-centered thinking & planning practices • Identify and create a meaningful life with a person and their stakeholders • Positive Behavior Support • Person-centered and inclusive values as context for application of behavior change technology
Overview of Training • 15 months duration • 9 online course sections (completed independently) with homework • 9 class meetings – corresponding to course sections • Weekly check-ins with assigned mentor • On-site training and observation with mentor • 2 comprehensive case studies • Systems change project within organization • Final exam
Course Sections • Changing the service delivery system – Person Centered Positive Behavior Support • Introduction to Positive Behavior Support and Applied Behavior Analysis • Functional behavior assessment & data collection/display • Designing PBS plans: antecedent and reinforcement strategies • Teaching new skills: instructional strategies • Responding to challenging behavior • Person centered planning and wraparound planning • PBS and emotional/behavioral health • Team building, systems change, and mentoring Monthly curriculum spiraled to provide review and refreshment on all content areas
Independent Online Study • Conceptual/theoretical knowledge in: • Applied Behavior Analysis • Positive Behavior Support • Person Centered and Wraparound Planning • Measurement and Design • Linking assessment to intervention • Emotional and Behavioral Health • Systems Change • Supplemental readings, text/video examples, study guide/reflection activities • Online quiz
Class Meetings • Nine all-day meetings • Synthesis of information throughout the course as it is learned and applied • Demonstration and practice of conceptual knowledge • Intentional connection between course content and professional practice • Homework in the field/on the job supports activities completed during class
Mentoring to Competency • Coordinate and conduct person-centered planning meeting • Operationally define behavior and design data collection system • Calculate reliability between observers • Train team members to implement PBS plan • Evaluate fidelity of PBS plan implementation • Additional assistance following up on PCP meeting / developing action plan, completing FBA, writing PBS plan, evaluating & using the data
Case Study Portfolios • Written PC-PBS plan • First plan developed throughout course with instructor guidance • Second plan developed independently after completion of online modules and coursework • Must fulfill criteria detailed in 68-point checklist • Design data collection system • Write behavior support plan based on person-centered plan and functional assessment • Create instructional system and supporting materials (e.g., task analyses)
The Positive Behavior Support Professional: Raising Expectations and Accountability • Graduates of the MNPBSI program : • Clarify dreams and visions with people • Build effective supports & skills to achieve desired life • Decrease challenging Bx through increase in positive Bx • Train staff to achieve fidelity of implementation • Make data-based decisions • Serve as leaders of PC-PBS • Within organization • Regionally
ANetwork of PBS Professionals • Aspirational • Graduates will keep current following completion of the training via annual professional development requirements • Ongoing nurturing of the system: • Mentoring PBS trainees in their region • Implementing systems-level interventions collaboratively with regional organizations • Conference presentations • Regional: Odyssey, ARRM, MNABA • Nationally: APBS, APBA
Organizational Commitment • Infrastructure • Computer access, Adobe reader • Release time prioritized by supervisors, peers, and subordinates • 8 hrs weekly (average) • Prioritizing participation and course completion • Supervisors attend a portion of 2 classes • Discuss progress • Troubleshoot barriers to participation • Ongoing discussion about weaving PC-PBS into organization