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

IMPLEMENTING PBS: Our Experience

Susan Roberts, Ph.D. & Brian Madden, M.Ed., MBA Senior Director of Operations BAMSI

Brockton Area Multi-Services, Inc.

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

• f 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

1 2 3 4 5 6 7 8 9 10 Jan Feb Mar Apr May Jun Jul Aug Sep Oct # ¡Restraints Months

Restraints ¡Jan ¡-­‑ Oct ¡2014

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