1

Implementing Positive Behavior Support Plans

Slide 1

The purpose of this segment is to describe how positive behavior support plans are implemented

and how teams can evaluate the planning process to ensure that the interventions selected are a

good fit for the child, her family, and the rest of her team.

Slide 2

In this segment, you will learn how to move from brainstorming interventions together as a team

to the process of implementing and monitoring the positive behavior support plan.

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

______

Notes:

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________

2

Slide 3

We will discuss what needs to be considered when implementing the plan and how the plan is

evaluated over time.

Slide 4

At the end of the segment on building positive behavior support plans, we described a way to

brainstorm ideas for interventions based on the functional behavioral assessment.

Notes:

________________________________

________________________________

________________________________

________________________________

________________________________

____________________________

Notes:

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

______________

3

Slide 5

We showed how this collaboration process involved taking the hypothesis statement the team

developed and encouraging all team members to share ideas for possible setting event

antecedent, social skills, and consequence interventions.

Slide 6

In the previous segment, we introduced John, a boy with a diagnosis of emotional and behavioral

disorder. John engaged in problem behavior in order to escape from non-preferred tasks.

Notes:

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

_____

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

______

4

Slide 7

This figure reviews the interventions that John and his team chose after the brainstorming

session. The team discussed all of the ideas that were generated and together, as a team,

interventions were selected that the team felt were the best choice for John and his family.

Slide 8

There are a number of issues that a team like John’s will need to consider when implementing

new interventions.

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________

Notes:

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

______________

__

5

Slide 9

First, each child is unique. Problem behaviors can be minor and repetitive in nature or very

dangerous to the child or others.

Slide 10

The intensity of problem behaviors and, therefore, the complexity of positive behavior support

planning is on a continuum from simple to more complex.

Slide 11

A team may only need a brief functional behavioral assessment followed by a brainstorming

session that results in one or two simple interventions that are implemented for a child who is

loud and tends to interrupt others.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

___

Notes:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

___

6

Slide 12

In other situations, it may be difficult to clearly identify the function maintaining problem

behavior. A child may shout and curse in class to escape from academic tasks but at home she

may shout and curse at her brother and his friends in order to get their attention. A plan may need

to include sets of interventions to address the different functions maintaining problem behaviors.

Slide 13

When implementing a positive behavior support plan, the team will decide how often to meet

and how much time will be needed in order to implement and monitor the interventions based on

each child’s problem behavior.

Slide 14

The next important consideration is to implement interventions in way that takes into account the

entire family system including relationships among family members, the types of routines

important to the family, and the unique cultural characteristics within the home.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

7

Slide 15

It can be helpful for the entire family to review and clarify the expectations within the home.

This includes identifying the positive social behaviors that all family members agree are

important for their family.

Slide 16

The team may discuss how the entire family currently participates in routines, chores, and other

important family interactions and how the principles of positive behavior support could be used

to prevent and reduce conflicts across different family members.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

8

Slide 17

For instance, in John’s brainstorming session, one intervention included reviewing the daily

schedule before and after school.

Slide 18

John and his mother identified a time period that works best to review the daily schedule.

Notes:

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

_____________

___________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

9

Slide 19

During the team discussion, John shared that his family tends to eat together as a family at

breakfast and again when the children come home from school.

Slide 20

John’s mother meets them in the kitchen for an afternoon snack after school. This family routine

is relatively problem-free and most interactions between family members are positive during

breakfast and after-school snack time.

Slide 21

The breakfast and morning routine may be the best time period to add in a review of John’s daily

schedule.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

10

Slide 22

In fact, John’s mother might decide to use this schedule review process with John’s younger

brother as well so that it becomes part of the family’s everyday routine, one that encourages

predictability and choice making, two types of interventions that tend to decrease problem

behavior.

Slide 23

Interaction patterns among family members should be considered during the planning process. If

a child’s mother and father tend to communicate with the child differently, they may need to talk

about how they can become more consistent.

Slide 24

An important goal of the positive behavior support process is to help a child live successfully

within his community. The outcomes expected from wraparound planning and positive behavior

support include increasing a child’s community engagement.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

11

Slide 25

The natural supports that were discussed in wraparound planning are reviewed at this stage in the

positive behavior support planning process. As new interventions are being implemented, new

connections need to be made with individuals who provide natural supports to the child and

family.

Slide 26

Natural supports include people and resources in the community that help support families as

friends, and caring community members.

Slide 27

The team considers how interventions can be implemented with the direct support and

involvement of individuals who live within the community. Natural supports also may be needed

to provide other family members with support.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

___

Notes:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

________________________________

12

Slide 28

An example of a natural support strategy could involve identifying an adult mentor from a

community program, within the extended family, or as part of a family’s larger social network.

Slide 29

A child living in a single parent household may benefit from a mentor who will become a

positive adult male role model in the child’s life.

Notes:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

________________________________

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

______

13

Slide 30

Another type of natural support may be associated with a local spiritual organization. The local

church often provides a place where families can go to receive social and emotional support.

Individuals associated with sports teams, scouts, and other organizations may become part of the

wraparound team to help build natural supports for a child and family.

Slide 31

Families experiencing chronic or ongoing stressors related to a child’s problem behavior may

need assistance in dealing with the negative emotions associated with these behaviors. The team

needs to consider the social and emotional needs, not just for the child, but for her entire family.

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________

Notes:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

________________

14

Slide 32

A series of new studies are currently exploring how families and teachers can overcome negative

beliefs that may impede an individual’s progress in trying new ways to address their child’s

problem behavior.

Slide 33

These studies focus on identifying current thought patterns that may make it difficult to focus on

more positive strategies, and teaching new ways to reframe what parents or others are thinking

during problematic events.

Slide 34

Additional interventions for supporting the child’s family members may be added at this time to

ensure that everyone in the family receives the social and emotional supports necessary for a

successful positive behavior support plan.

Notes:

________________________________________

________________________________________

________________________________________

________________________________________

____________________________

Notes:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

________________

Notes:

________________________

________________________

________________________

________________________

________________________

________________________

________________________

____________________

15

Slide 35

Counseling, cognitive behavior therapy, meditation and relaxation sessions, and other therapies

for specific family members may be needed to provide the supports necessary for a child’s plan

to be successful.

Slide 36

Share a unique routine that your family has at home and how it is related to your cultural values.

Describe an example of a natural support used in a wraparound plan you participated in – How

was this natural support identified? What kind of negative thought patterns can make it difficult

for parents to support their children?

Notes:

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

__

Notes:

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

16

Slide 37

The last issue to consider while moving forward with a positive behavior support plan is the

degree to which each of the interventions selected are a good fit, not just for the child and family,

but for any individual who will be implementing the interventions. The positive behavior support

plan should fit the values of the individuals who will implement the plan.

Slide 38

For instance, in some cultures, the father is considered the head of the household making all

important decisions on behalf of the family. Interventions that focus on empowering a child to

make his own decisions may create an internal sense of conflict and tension for the family since

the head of the household is supposed to make these types of decisions.

Notes:

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

_____

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______

17

Slide 39

The interventions selected must fit the skill level of the individuals implementing the plan. If

team members are expected to implement interventions that are complex and no information is

given to them about how to implement these more complicated strategies, the positive behavior

support plan will not be implemented.

Slide 40

Finally, the resources necessary for implementing a positive behavior support plan must be

available for the interventions to be successful.

Notes:

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

__________

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________

18

Slide 41

Creating an elaborate or expensive strategy for reinforcing a child for positive behavior may

appear logical but is unlikely to be effective and will be filed away and not used if there are no

funds to implement costly interventions.

Slide 42

Let’s stop for a Knowledge Check. Please identify whether the following statement is true or

false: The following are the only types of interventions used in a positive behavior support plan:

Setting event, antecedent, teaching new skills, and consequence interventions.

Notes:

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

19

Slide 43

How did you respond? This statement is False. Interventions may be needed to support the social

and emotional needs of other family members.

Slide 44

In the next section of this segment, we will describe how positive behavior support plans can be

implemented in an effective manner.

Notes:

______________________________________

______________________________________

______________________________________

______________________________________

____________________________________

20

Slide 45

The wraparound or person-centered planning and positive behavior support process described in

these segments are based on the International Association for Positive Behavior Support

Standards. These standards outline the key features of an evidence-based positive behavior

support plan.

Slide 46

Have you worked with a wraparound team that uses national standards for wraparound

implementation? How do you know when a wraparound planning session is implemented with

high standards? Are there other evidence-based practices you are familiar with that introduces

standards of practice?

Notes:

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

__

Notes:

________________________________

________________________________

________________________________

________________________________

________________________________

____________________________

21

Slide 47

As you know, an effective positive behavior support plan results in decreases in problem

behavior, increases in academic, social, and communication skills, and positive lifestyle changes.

Slide 48

In addition to varying in size and complexity, effective behavior support plans focus on specific

routines and settings where problem behaviors occur.

Notes:

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

________

Notes:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

___

22

Slide 49

Multiple interventions are often needed to address the different elements of the hypothesis

statement including setting events, antecedents, teaching skills to replace problem behavior, and

consequence interventions.

Slide 50

The way in which a plan is written and recorded varies based on the complexity of the plan and

how the team is working together. A written positive behavior support plan is meant to provide

guidelines for the team to follow.

Notes:

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_____________________

_______________

Notes:

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

__

23

Slide 51

Written positive behavior support plans include the identifying information about the child and

reasons for the plan as well as a description of the problem behaviors.

Slide 52

Here is the next Knowledge Check. Select the item that is the best example of a clear and

objective definition for problem behavior:

A. Irritating And Defiant Behavior

B. Disruptive Behavior That Interrupts Conversation

C. Crumpling Homework And Throwing It In The Garbage Bin

D. Throwing A Temper Tantrum

Notes:

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

__

24

Slide 53

How did you respond? The answer is C: Crumpling Homework And Throwing It In The Garbage

Bin.

Slide 54

The escalating pattern of problem behaviors for a child should be listed in the positive behavior

support plan for all problem behaviors that are maintained by the same function. Interventions

are implemented across the relevant home, school, and community settings, wherever the team

feels interventions are needed.

Notes:

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

_

25

Slide 55

It is helpful to include a summary of the hypothesis statement in the written plan to show team

members the link between the interventions and why problem behaviors are occurring. The team

should describe each intervention in detail. This helps make sure everyone is clear about what

strategies are being implemented.

Slide 56

A crisis plan can be helpful since problem behaviors may still occur and a consistent response

will interrupt the escalation of problem behaviors from minor to more intense.

Notes:

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_____________

Notes:

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

______________________________________

_

26

Slide 57

A crisis plan outlines what team members will do when serious problem behaviors occur.

Another helpful tool is to summarize the positive behavior support plan as a quick one-page

review.

Slide 58

The implementation plan is the process used to document the actions taken to put the positive

behavior support plan in place. Teams use an implementation plan to keep track of the steps

needed to move from the discussion in meetings into practice.

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________

Notes:

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________

27

Slide 59

At each wraparound, person-centered, and positive behavior support plan meeting, the team

makes a list of the steps needed to complete important tasks. The people responsible for each

task are documented and the intended due date for each task is recorded.

Slide 60

This implementation plan starts with the first meeting the team schedules and is meant to create a

laundry list of all the major activities, who is responsible for completing the activity, and by what

date. When the team reaches the implementation stage, each step is broken down to establish

what is needed to get the intervention started.

Notes:

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

Notes:

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

_

28

Slide 61

For instance, during the functional behavioral assessment, the team may have recorded the time

it takes before a child who engages in problem behavior to get attention starts to misbehave.

Slide 62

Imagine that a team has observed that the child they are supporting will behave appropriately

when left alone with no interaction from adults or peers for no more than 6 minutes before she

starts pounding on the table and throwing items at other children.

Slide 63

The implementation plan will include making a list of each step the parent will take to prompt

the child to initiate play with her older sister or herself. The prompt will always occur before the

first six minutes that the child is alone to avoid problem behavior occurring.

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

___

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

29

Slide 64

The child’s parent may need someone with experience to demonstrate how the communication

intervention works. Part of the implementation plan for this child will be to schedule a time for

the child’s PBS Facilitator to demonstrate to the girl’s mother how to implement the

intervention.

Slide 65

The next time the routine occurs, the girl’s mother takes the lead prompting her child to

communicate. Afterwards, the PBS Facilitator and the girl’s mother talk about what is working

well and how the intervention could be improved. Over time, the girl’s mother says she feels

confident that she can implement the intervention by herself.

Slide 66

The tool used to document how well each person does teaching communication is referred to as

fidelity of implementation. Fidelity of implementation means that something is implemented in

the way it was originally intended.

Notes:

____________________________________________

____________________________________________

____________________________________________

____________________________________________

____________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

Notes:

_______________________________________________

_______________________________________________

_______________________________________________

_______________________________________________

30

Slide 67

Fidelity can be monitored in different ways. An observer may document each step that was

completed while watching the intervention being implemented or a rating scale for someone to

self-evaluate his performance can be created. In some cases, products that were completed

during the intervention can be counted.

Slide 68

In the story about the child seeking attention from her family, the PBS Facilitator and the girl’s

mother choose a direct observation approach using the fidelity tool in this figure. The mother

uses the tool when she is observing the PBS Facilitator and then they reverse roles when the

mother implements the intervention.

Notes:

______________________________________

______________________________________

______________________________________

______________________________________

____________________________________

Notes:

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____

31

Slide 69

Each time the PBS Facilitator observes the communication intervention, she puts a checkmark by

the steps that the mother successfully completes.

Slide 70

Together, the girl’s mother and the PBS Facilitator use this tool when they discuss the progress

being made implementing the intervention.

Notes:

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____

Notes:

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________

32

Slide 71

As you can see from this story, the fidelity of implementation tool assists the team in many ways

and is considered an important part of the positive behavior support plan. It helps ensure

accuracy, provides guidance, and is used to improve the intervention.

Slide 72

Fidelity of implementation provides evidence that the interventions are implemented and this

makes it more likely that positive outcomes that are observed by the team are due to the

interventions implemented and not some other variable. This tool also provides evidence that the

interventions are a good fit for the child and his team.

Notes:

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

______________

Notes:

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________

33

Slide 73

Fidelity of implementation is one type of evaluation that occurs as part of monitoring a positive

behavior support plan. Let’s talk about the types of tools used to evaluate plans in more detail.

Slide 74

Each problem behavior that is addressed in the positive behavior support plan is measured by the

team before the key interventions are implemented.

Notes:

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

____

Notes:

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

_________

34

Slide 75

This is referred to as a baseline measure. In Andrew’s graph from the first segment, you see the

incidents of problem behavior labeled on the left side on the vertical line and the days the

problem behaviors occurred are plotted on the horizontal line.

Slide 76

On the right side of the graph on the vertical line you see the incidents of the replacement

behavior used during school days. An important outcome measure that is evaluated by the team

is the extent to which problem behaviors decrease and the new replacement skill increases.

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

____________

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

____________

35

Slide 77

Surveys are often completed by the child, his family, and his team after the positive behavior

support plan is implemented. These surveys focus on a variety of issues including how well the

plan fits the values, skills, and resources for those implementing interventions.

Slide 78

Other surveys may ask the child and her team whether quality of life has improved due to the

interventions for both the child and her family. The team should review each of the domains that

were addressed in the wraparound and person-centered plan since the new interventions being

implemented will have an impact on one or more of these domains.

Notes:

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________________________

36

Slide 79

For example, a self-management intervention implemented at home and school will contribute to

a child’s self-determination. Self-determination refers to a person's ability to control his or her

own destiny. A self-management plan may also impact productivity if the plan is linked to

academic goals.

Slide 80

The team needs to evaluate how well a child’s life domains are being addressed across any

evidence-based practices that are implemented that may impact the child’s quality of life.

Notes:

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

_______________________________

______________

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________________________

37

Slide 81

For this Discussion Topic, please discuss the following questions: Are there any other evidence-

based practices that may need to be considered in addition to wraparound or person-centered

planning and positive behavior support? How might a team evaluate the impact of trauma

informed therapy or cognitive behavior therapy on a child’s quality of life domains?

Slide 82

Here is the next Knowledge Check: Select the best definition of an implementation plan as it

applies to positive behavior support interventions:

A. Provides The Team With Lists Of Actions, People Responsible, and Due Dates

B. Provides Evidence That The Interventions Are Implemented In The Manner Intended

C. Provides A Quick One-Page Summary Of Interventions

D. Refers To Treatment Integrity

Notes:

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

______________________________

________________________

Notes:

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

38

Slide 83

The answer is A. An implementation plan provides the team with a list of actions, people

responsible, and due dates.

Slide 84

Now let’s listen to a story that shows the major features that are assessed when a child engages in

problem behavior.

Slide 85

Michael is a five-year old boy who was adopted by his parents when he was one year old.

Michael loves his family and anything to do with robots…

Notes:

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

Notes:

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

________________________

Notes:

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

__________________________________________________

________________________

39

Slide 86

...or better yet, robot aliens! Michael was diagnosed with Autism and intellectual and

developmental disabilities. He was transitioning to a new kindergarten class at the time of this

story.

Slide 87

He lives with his mother and father, three siblings, and two older siblings in a rural area of

northern Kansas.

Notes:

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

Notes:

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

___________________________

40

Slide 88

Michael engaged in property destruction including pushing lamps onto the ground and pounding

on tables and walls. Sometimes, Michael threw household items like plates on the floor and

stomped on them, causing them to break. Michael also engaged in self-injury by banging his

head on walls or other objects.

Slide 89

Before the positive behavior support plan was implemented, Michael’s mother was really

worried about Michael’s behavior. She felt very depressed and powerless to help her son.

Michael would have a good day maybe once every three to six weeks. Evenings after dinner

were described as the worst time of the day.

Notes:

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

________________________________

____

Notes:

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

_________

41

Slide 90

Michael and his team started the person-centered planning process and moved quickly to the

functional behavioral assessment. The team used the information gathered to brainstorm ideas

and the facilitator made sure everyone knew how to implement the main interventions.

Slide 91

Michael’s person-centered planning goals included focusing on his transition to kindergarten and

spending more time in the community engaging in new activities. The team decided to work on

increasing communication, decreasing problem behaviors, and introducing Michael to new

community events.

Notes:

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

___________________________________

_________

Notes:

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

____________________________

42

Slide 92

The team decided to focus on the evening routine since that was the most stressful time for

Michael and his family. The team identified the hypothesis statement described in this figure.

Michael engaged in self-injury and property destruction to obtain favorite items and activities.

He had a number of setting events that increased the likelihood of problem behaviors including

allergies, headaches, loud and noisy settings, and situations that were unpredictable.

Slide 93

As a Discussion Topic, take some time to read the interventions that the team identified with

Michael. What other interventions might be considered by the team? Are there other new skills

that would be helpful for Michael to learn that would help replace the problem behavior?

Notes:

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

________________

Notes:

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

____________________

___________________

43

Slide 94

Michael’s team created a plan to make sure all of the interventions were implemented.

Michael’s mother asked for direct training and support to implement the new communication

intervention.

Slide 95

Before starting the interventions, the team reviewed Michael’s preferences and dislikes and used

this as a starting point for the picture schedule.

Notes:

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

_____________________________

Notes:

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

____________________________

___________

44

Slide 96

In the evening, Michael learned to bring his mother and father pictures to show them the

activities and items he wanted.

Slide 97

Michael’s mom and dad worked really hard to make sure the communication process was more

effective for Michael than engaging in problem behavior. If Michael used his picture

communication sign to ask for a grilled cheese sandwich, his father would go make it, even if it

was right after dinner.

Notes:

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

_________________________

___________________

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

_______

45

Slide 98

Michael’s mother and the positive behavior support facilitator created a one page summary of the

positive behavior support plan. This review was helpful in the evening to remind Michael’s

mother and father about the key features of the intervention when they were really busy.

Slide 99

Michael’s mother documented events when her child engaged in self-injury, the most serious

problem behavior. You can see that Michael’s problem behaviors decreased once his

interventions were implemented. However, his behaviors did increase on several occasions due

to unexpected setting events. Michael experienced two severe allergic reactions leading to a big

increase in problem behaviors on the days he was feeling ill.

Notes:

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

______________________

___________

Notes:

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

________________________

_______

46

Slide 100

Michael’s mother and the entire team was excited to see the increase in the number of times

Michael brought a picture to his mother or father to communicate what he wanted. As the

replacement behaviors increased, problem behaviors decreased.

Slide 101

All of Michael’s team members filled out a survey that evaluated how well the positive behavior

support plan fit the values, skills, and resources of the team. They also completed a survey that

included questions about whether changes in quality of life occurred both for Michael and his

family due to the interventions that were implemented. These surveys showed that the team felt

the plan had been very effective

Notes:

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_________________

_____________

Notes:

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______________________________________

_______

47

Slide 102

Michael’s mother reported during a follow-up meeting that focused on Michael’s quality of life

domains that the family was able to go to the county fair together for the first time.

Slide 103

The family decided to try a new community outing to the county fair on a Tuesday night when

the fairgrounds tended to be less crowded. Michael used his pictures to communicate at the fair

and ended up having a great time. Overall, Michael’s mother reported that life had changed for

the better. Michael only had bad days once in a while instead of every day.

Notes:

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

___________________________________________

__________________

Notes:

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

________________________________________

_______________________________________

48

Slide 104

Before finishing this segment, please identify whether this statement is true or false: The team

should review the wraparound or person-centered plan when starting the positive behavior

support plan interventions to review natural supports and assess how quality of life domains will

be impacted.

Slide 105

How did you respond? This statement is true.

Notes:

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

__________________________

_______

49

Slide 106

You have now completed the Implementing Positive Behavior Support Plans Using Data-based

Decisions segment.

Notes:

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________