+ IMPLEMENTING AND ROLLING OUT AGENCY SWPBS Bob Putnam May Institute National Technical Center for PBS
+ 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 of 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 Division Agency
Individualized (tertiary CONTINUUM OF prevention) Supports for Individuals with SUPPORT for ALL FEW High-Risk Behavior ~5% Overseen by Targeted (secondary ~15 SOME prevention) Systems Leadership Team % ( standardized ) for Individuals with At- Risk Behavior or in at- Universal risk situation Systems; primary prevention; for all Individuals & Staff in all ALL Settings Sufficient for ~80%
Emphasize: + Supporting Quality of Life 4 and Prosocial Skills Integrated OUTCOMES Elements Supporting Supporting Staff Decision Behavior Making PRACTICES Supporting Individual Behavior
+ GENERAL Team IMPLEMENTATION PROCESS: “ Getting Started ” Agreements Data-based Action Plan Evaluation Implementation
Political Funding Visibility Policy Support SWPBS Implementation LEADERSHIP TEAM Blueprint (Coordination) www.pbis.org Behavioral Training Coaching Evaluation Expertise Local School/District Implementation Program Demonstrations
+ PBS: ¡PHASES ¡OF ¡IMPLEMENTATION ¡ Initial Continuous Exploration Installation Implement Elaboration Regeneratio / Adoption n ation Fixsen, ¡D. ¡L., ¡Naoom, ¡S. ¡F., ¡Blase, ¡K. ¡A., ¡Friedman, ¡ R. ¡M. ¡& ¡Wallace, ¡F. ¡(2005). ¡ Implementation ¡ Research: ¡A ¡Synthesis ¡of ¡the ¡Literature. ¡
Enhanced PBS Implementation LEADERSHIP TEAM Logic Build Data System Establish Collect, analyze, & measurable prioritize data outcome Select evidence-based practice Monitor Ensure efficient, implementation & accurate, & durable progress implementation Implement AGENCY- WIDE SCHOOL-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?
+ 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
+ Tier 1 Implementation Across Programs 100 80 60 40 20 0 State Rd Fox Lane Walsh St Roberts Road
+ 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
+ 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 occurring? Who is responsible for the major problem behaviors?
By Month Incident Reports Jan – June 2014 30 25 20 15 10 5 0 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14
Location Incident Reports January –June 2014 60 50 40 30 20 10 0 M Day Hab R Day Hab Residential
Problem Behavior + Incident Reports January –June 2014 60 50 40 30 20 10 0
By Individual Incident Reports January –June 2014 203 Individuals 12 17 % of Individuals Served 10 8 6 4 2 0 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
Day Program by Time Incident Reports January –June 2014 6 5 4 3 2 1 0
+ 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.
+ 6 components of Program-wide Behavior Support 1. Statement of Purpose (Common approach discipline) 2. Clearly defined expected behavior 3. Procedures for teaching expected behavior 4. Continuum of procedures for encouraging expected behavior 5. Continuum of procedures for discouraging problem behavior 6. Procedures for Record Keeping and Decision Making
+ 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
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