Kansas Institute for Positive Behavior

Support

http://www.kipbs.org

Kansas Institute for Kansas Institute for Positive Behavior Support Positive Behavior Support

(KIPBS)(KIPBS) Operated out of all three Kansas

Centers on Developmental Disability Statewide plan, Federal Medicaid

Funding (not a waiver) Three Social and Rehabilitation

Services target audiences Mental Health Child Welfare Developmental Disabilities

KIPBS MissionKIPBS Mission

Train experts who will build capacity in their regions and across Kansas

Provide Kansans with access to online resources and instruction free of charge at different levels of complexity

Create unified network of professionals across services who support PBS and person-centered planning (PCP) throughout Kansas

Consultant Versus Consultant Versus FacilitatorFacilitator

KIPBS students learn that their role is KIPBS students learn that their role is to work with teams to develop capacityto work with teams to develop capacity

Facilitator rather than Expert-based Facilitator rather than Expert-based modelmodel

The purpose of the Institute is to The purpose of the Institute is to create systems change create systems change

Ongoing learning is valued and Ongoing learning is valued and emphasizedemphasized

KIPBS GraduatesKIPBS Graduates Can bill Medicaid for PBS and

person- centered planning services Contribute 12 hours a year to the

Institute in order to maintain eligibility for reimbursement

Submit potential applications to a Prior Authorization committee for approval

Technology-based Technology-based InstructionInstruction

Students working full time who can Students working full time who can access information in flexible manneraccess information in flexible manner

Students across diverse geographic Students across diverse geographic locations in Kansaslocations in Kansas

Class time is devoted to application-based Class time is devoted to application-based activities and case study developmentactivities and case study development

Provides opportunities for students across Provides opportunities for students across Kansas to communicate with each otherKansas to communicate with each other

Building Resources in Building Resources in KansasKansas

Level 1: Online materials introducing PBS Level 1: Online materials introducing PBS Level 2: Online instructional modules for Level 2: Online instructional modules for

agency inservice trainingagency inservice training Level 3: Online instructional modules to Level 3: Online instructional modules to

train leaders in PBStrain leaders in PBS

Additional resources will be available on Additional resources will be available on the KIPBS website:the KIPBS website: Newsletters for current updates on PBSNewsletters for current updates on PBS Information about PBS and PCPInformation about PBS and PCP Links to important related resourcesLinks to important related resources

Creating Different Types of Creating Different Types of TrainingTraining

Expert-level training- building Expert-level training- building statewide internal capacitystatewide internal capacity

Team-based training- creating teams Team-based training- creating teams that work effectivelythat work effectively

Awareness-level training- Awareness-level training- introducing new people to the introducing new people to the general concepts of positive general concepts of positive behavior support and person-behavior support and person-centered planningcentered planning

KIPBS Technology KIPBS Technology SupportsSupports

Website containing links and Website containing links and resourcesresources

Online modules for levels available Online modules for levels available to all Kansans from websiteto all Kansans from website

Password protected communication Password protected communication page for instructors and mentorspage for instructors and mentors

Levels of ImpactLevels of Impact Build expert level capacity building with Build expert level capacity building with

small number of professionals who can bill small number of professionals who can bill Medicaid (e.g. 20 per year)Medicaid (e.g. 20 per year)

Provide statewide access to free inservice Provide statewide access to free inservice training materials onlinetraining materials online

Create easy to digest information about PBS Create easy to digest information about PBS to policy makers and agency directorsto policy makers and agency directors

Develop state-wide, systems-level action plan Develop state-wide, systems-level action plan with KIPBS professionalswith KIPBS professionals

Donated mentor time to stay eligible and billDonated mentor time to stay eligible and bill Monitor and supervise reimbursement systemMonitor and supervise reimbursement system

National Advisory BoardNational Advisory Board

Linda BambaraLinda Bambara Fredda BrownFredda Brown Edward CarrEdward Carr Albert Albert

DuchnowskiDuchnowski Rob HornerRob Horner Don KincaidDon Kincaid

Constance Constance LehmanLehman Darlene Magito Darlene Magito

McClaughlin McClaughlin Joe ReichleJoe Reichle Wayne SailorWayne Sailor Travis Travis ThompsonThompson

KIPBS Specialized KIPBS Specialized InstructionInstruction

12 month training period resulting in: A portfolio including PBS, PCP, and

systems change case studies Completion of online instructional

modules Two course exams Field-based activities and onsite

course supervision

Types of InstructionTypes of Instruction Online Instruction Online Instruction

Conceptual KnowledgeConceptual Knowledge Field based activities Field based activities Assessments, reflective activities, threaded Assessments, reflective activities, threaded

discussionsdiscussions Onsite ClassesOnsite Classes

Model and demonstrate conceptsModel and demonstrate concepts Group discussions and dialogueGroup discussions and dialogue Practice using new skillsPractice using new skills

MentorsMentors Support development of portfolioSupport development of portfolio Additional individualized training as neededAdditional individualized training as needed

Networking ActivitiesNetworking Activities

Two forums each year bringing all Two forums each year bringing all KIPBS professionals togetherKIPBS professionals together

Experts connected via distance Experts connected via distance learning strategieslearning strategies

Smaller work groups addressing 3 Smaller work groups addressing 3 areas:areas: Improving the KIPBS trainingImproving the KIPBS training Current barriers to providing PBSCurrent barriers to providing PBS Brainstorming systems change in KansasBrainstorming systems change in Kansas

KIPBS Online ModulesKIPBS Online Modules

Content MapContent Map

Module 1: Introduction to PBSModule 1: Introduction to PBS Module 2: Introduction to Applied Module 2: Introduction to Applied

Behavior Analysis Behavior Analysis Module 3: Measuring Behavior & Module 3: Measuring Behavior &

Interpreting DataInterpreting Data Module 4: Person-Centered Module 4: Person-Centered

PlanningPlanning Module 5: Functional Behavioral Module 5: Functional Behavioral

AssessmentAssessment

Content MapContent Map

Module 6: Designing Positive Module 6: Designing Positive Behavior Support PlansBehavior Support Plans

Module 7: Multi-component Module 7: Multi-component InterventionsInterventions

Module 8: Emotional and Module 8: Emotional and Behavioral HealthBehavioral Health

Module 9: Systems ChangeModule 9: Systems Change Module 10: PBS Facilitator Module 10: PBS Facilitator

GuidelinesGuidelines

KIPBS ToolboxKIPBS Toolbox

Problem solving strategy to tailor Problem solving strategy to tailor instruction and create flexible instruction and create flexible teachingteaching

Provides access to specific strategies Provides access to specific strategies and information whenever a problem and information whenever a problem arises within a case studyarises within a case study

Access to tools for facilitating the Access to tools for facilitating the person-centered planning and PBS person-centered planning and PBS plansplans

Prior AuthorizationPrior Authorization

TargetTarget PopulationPopulation Children who engage in socially

inappropriate behaviors at such a frequency or intensity that they are at risk of out-of-home placement. Eligibility criteria include:

Developmental disability Diagnosis of autism Typically developing children who fit

behavioral criteria Children who have sustained a

traumatically inflicted head injury

Prior Authorization Prior Authorization IssuesIssues

Provider is qualifiedProvider is qualified Consumer meets the established guidelinesConsumer meets the established guidelines

Diagnostic and behavioralDiagnostic and behavioral Medicaid eligibleMedicaid eligible

Assessment of behavioral statusAssessment of behavioral status Identification of problem behaviorsIdentification of problem behaviors Rating of behaviors Rating of behaviors Identifying environments in which behaviors Identifying environments in which behaviors

occuroccur Assessing risk of institutionalization or loss of Assessing risk of institutionalization or loss of

LRELRE

Purposes of Prior Purposes of Prior AuthorizationAuthorization

Control costsControl costs Control provider qualityControl provider quality Track provider/consumer dataTrack provider/consumer data Prioritizing allocation of Prioritizing allocation of

resourcesresources Log and investigate Log and investigate

complaintscomplaints

Billing CodesBilling Codes

Total amount per year possible: Total amount per year possible: $8,800 per case$8,800 per case Assessment (up to $1,200)Assessment (up to $1,200) Intervention (up to $6,000)Intervention (up to $6,000) Person-centered Planning (up to $1,600)Person-centered Planning (up to $1,600)

One year reimbursement per case One year reimbursement per case (with possibility of extension based on (with possibility of extension based on approval)approval)

Maximum of 6 open cases per Maximum of 6 open cases per facilitatorfacilitator

Project EvaluationProject Evaluation Descriptive EvaluationDescriptive Evaluation: for the purpose of : for the purpose of

replicationreplication Project staff activitiesProject staff activities Instructor and mentor activitiesInstructor and mentor activities Professional (student) activitiesProfessional (student) activities

Performance EvaluationPerformance Evaluation: to evaluate changes in : to evaluate changes in professional knowledge and skillsprofessional knowledge and skills Online assessmentsOnline assessments Field-based observations and activitiesField-based observations and activities PortfoliosPortfolios Exams (midterm and final)Exams (midterm and final)

Impact EvaluationImpact Evaluation: to evaluate effect on consumers: to evaluate effect on consumers Consumer satisfaction ratingsConsumer satisfaction ratings Quality of life surveysQuality of life surveys Review of behavior change data and PBS plansReview of behavior change data and PBS plans Review of person-centered plans to document preferred Review of person-centered plans to document preferred

lifestyle changeslifestyle changes

Supervision of KIPBS Supervision of KIPBS FacilitatorsFacilitators

Every student must complete three cases Every student must complete three cases and submit before billing (to demonstrate and submit before billing (to demonstrate skills are generalized)skills are generalized)

Every case must include the PCP and PBS Every case must include the PCP and PBS self assessment checklists self assessment checklists

Three cases after students graduate are Three cases after students graduate are closely evaluated and must reach 80%closely evaluated and must reach 80%

Random selection of cases for more intensive Random selection of cases for more intensive review after that period for each studentreview after that period for each student

Review and investigate complaints sent to Review and investigate complaints sent to the Prior Authorization Committeethe Prior Authorization Committee

Evaluating Layers of Evaluating Layers of ImpactImpact

Online and Website ImpactOnline and Website Impact Traffic on modules (number of users, hits, & time spent Traffic on modules (number of users, hits, & time spent

on module)on module) Traffic on website (visits, hits, return visitors, domain Traffic on website (visits, hits, return visitors, domain

analysis, mailing list, contacts via website email)analysis, mailing list, contacts via website email) Training agencies to use online materials in Training agencies to use online materials in

innovative ways (regional workshops)innovative ways (regional workshops) Number of children served (data on outcomes)Number of children served (data on outcomes) Self-assessment data and portfolio outcomesSelf-assessment data and portfolio outcomes Mentor action plan data (# of awareness Mentor action plan data (# of awareness

trainings, systems change reports, mentors trainings, systems change reports, mentors supporting students)supporting students)

KIPBS state systems change action plansKIPBS state systems change action plans