Brockton Area Multi-Services, Inc. IMPLEMENTING PBS: Our Experience - PowerPoint PPT Presentation

Brockton Area Multi-Services, Inc. IMPLEMENTING PBS: Our Experience Susan Roberts, Ph.D. & Brian Madden, M.Ed., MBA Senior Director of Operations BAMSI

BAMSI — BAMSI is private, non-profit founded in 1975 — 1700 employees — Support individuals with ID, MH, TBI, ABI — Residential, day, and family supports

Getting Started — PBS preparation in Fall 2013 with receipt of materials from DDS — Distributed to senior managers and clinicians to read…and then read again — Dec. 2013 Leadership Team formed and met for first time — Completed Readiness Assessment — Monthly Leadership Team meetings scheduled

Leadership Team Team membership: — Senior VP, Joy Reid — Senior Directors — Directors — Clinicians — QM — Coach — Recorder (minutes) — Family member — Self-advocate

Winter 2014 Key Indicators selected: — Persons served will experience more self-control as evidenced by reduction in restraints. Data from Incident Reports — Individuals will have increased opportunities for decision-making. Data from QUIC — Individuals will have increased opportunities to communicate in their preferred method including use of augmentative communication devices. Data from QUIC

Leadership Team Leadership Team: — Reviews data on key indicator: restraints — Plans for review of remaining key indicators — Plans for PBS roll-out — Discusses developments from training sub-committee — Revise QUIC, FBA — Reviews implementation of Universal Team — Discusses plans for implementation of Targeted and Intensive Teams — Reviews development of PBS Action Plan

Key Indicator Data: Restraints Restraints ¡Jan ¡-­‑ Oct ¡2014 10 9 8 7 6 # ¡Restraints 5 4 3 2 1 0 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Months

Spring 2014 Leadership Team adopts Universal Supports: — Behavioral Awareness: Provide clear behavioral expectations according to setting — Daily Choice Making: Provide opportunities to make choices in daily life — Individualized Schedules: Develop a preferred daily routine with each individual — Communication Enhancement: Communicate with each individual in preferred mode of communication

Spring 2014 Pilot Programs: — 3 programs selected (2 residences & 1 day hab) — 3 separate training sessions to ensure all staff trained — First 2 and half day training (additional day for managers) conducted — Reid and Parsons curriculum and power point used. Work books given to all trainees.

Summer 2014 Training revised: — DDS develops 6 hour staff training in Universal supports — BAMSI adopts DDS training and decides that all staff (including nurses) will receive this training. — Abandon Reid and Parsons training

Fall 2014 Universal Team: — First Universal Team meets – composed of cross section of staff from 3 pilot program (also includes coach, clinician, and QM staff) — Universal Team reviews team responsibilities, duties, expectations — Review data from QUIC — Review use of QUIC: frequency of use, use as feedback tool to ensure PBS principles in active, continuous use — Team will begin to identify who will need Targeted and Intensive Supports

Road Ahead — Determine training needs for staff who will provide Targeted and Intensive Supports — Establish Targeted and Intensive Teams — Complete PBS Action Plan — Continue (and accelerate) PBS roll-out — Develop system of staff recognition

BAMSI Thank You