Implementation Drivers for Organization-Wide Positive Behavior Support: Supporting People With Intellectual and...

Area of Science:

• Behavioral Science
• Developmental Disabilities Research
• Implementation Science

Background:

• Organization-wide positive behavior support (OW-PBS) is a framework designed to improve quality of life and prevent challenging behaviors in individuals with intellectual and developmental disabilities (IDD).
• The tiered PBS framework, originally developed in educational settings, is being adapted for use in diverse disability service organizations.
• Supporting individuals with IDD encompasses various services, including family support, independent living skills, supported employment, and day programs, all necessitating a values-based approach.

Purpose of the Study:

• To discuss the mechanisms for adapting the Positive Behavior Support (PBS) framework for disability service organizations.
• To highlight considerations for ensuring practices are person-centered, culturally inclusive, and responsive within these adaptations.
• To explore the analogous implementation science drivers and challenges when translating PBS from education to disability services.

Main Methods:

• The article discusses the adaptation process of the PBS framework for disability service organizations.
• It examines the technical assistance tools and resources required for this translation.
• Considerations for person-centered, culturally inclusive, and responsive practices are integrated into the discussion.

Main Results:

• The foundational implementation science drivers and challenges are analogous between educational and disability service settings.
• Adaptations to technical assistance tools and resources are necessary for successful translation.
• The process requires a focus on person-centered, culturally inclusive, and responsive practices.

Conclusions:

• The Positive Behavior Support (PBS) framework can be effectively adapted for disability service organizations.
• Successful implementation hinges on addressing both the technical and contextual factors of the new service environment.
• Ensuring practices are person-centered and culturally responsive is crucial for optimizing outcomes for individuals with IDD.