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Positive Behavior Support: A Proposal for Updating and Refining the Definition

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Abstract

Positive behavior support (PBS) has been a dynamic and growing enterprise for more than 25 years. During this period, PBS has expanded applications across a wide range of populations and multiple levels of implementation. As a result, there have been understandable inconsistencies and confusion regarding the definition of PBS. In this essay, we offer an updated and unified definition. We provide a brief historical perspective and describe a process for developing a proposed definition. We also discuss the rationale for key elements of the definition.
Journal of Positive Behavior Interventions
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DOI: 10.1177/1098300715604826
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Article
Positive behavior support (PBS) is an approach for enhanc-
ing quality of life and reducing problem behaviors that
detract from adaptive and preferred lifestyles. In the past
three decades, PBS has experienced considerable growth as
the approach has been applied with an expanding number of
populations and, more importantly, at multiple levels of
implementation (Dunlap, Sailor, Horner, & Sugai, 2009;
Lucyshyn, Dunlap, & Freeman, 2015). PBS began as a
focused approach for resolving serious problem behaviors
of individuals with severe developmental disabilities, but it
grew into an approach that included implementation of
strategies aimed at groups of children in classrooms and
schools, as well as children and adults in a variety of early
education and service programs. This rapid growth brought
confusion regarding the definition of PBS. Some adherents
viewed PBS as a framework for resolving problem behav-
iors through individualized functional assessments and
multi-component, assessment-based behavior support
plans, and others viewed PBS as the application of school-
wide universal systems designed largely to improve school
climate and reduce office discipline referrals. But PBS
includes both of these perspectives, and many more. In our
opinion, there are features and characteristics of PBS that
bridge the perspectives and constitute a general, unified
approach. This article is intended to discuss sources of con-
fusion and propose a single definition that represents the
current, expanded reality of PBS.
Historical Summary
The approach that came to be known as PBS emerged in the
mid-1980s as an alternative to the prevailing behavior man-
agement practices that emphasized the manipulation of con-
sequences to produce behavior change. This over-reliance
on contingency management led to the use of highly aver-
sive and stigmatizing punishment procedures, up to and
including contingent electric shock (Repp & Singh, 1990)
for the most severe and persistent problem behaviors. The
application of these aversive interventions was almost
always seen among individuals with severe disabilities who
were unable to communicate their protests and who were
served in highly restricted, segregated, and isolated residen-
tial and educational settings. Eventually, advocates brought
604826PBIXXX10.1177/1098300715604826Journal of Positive Behavior Interventions)Kincaid et al.
research-article2015
1University of South Florida, Tampa, FL, USA
2University of Nevada, Reno, USA
3Lehigh University, Bethlehem, PA, USA
4University of Kansas, Lawrence, USA
5Queens College, Flushing, NY, USA
6Bloomsburg University, PA, USA
Corresponding Author:
Don Kincaid, Florida Center for Inclusive Communities, Department
of Child and Family Studies, College of Behavioral and Community
Sciences, University of South Florida, 13301 Bruce B. Downs Blvd., MHC
2138, Tampa, FL 33612-3807, USA.
Email: kincaid@usf.edu
Positive Behavior Support: A Proposal
for Updating and Refining the Definition
Don Kincaid, EdD, BCBA-D1, Glen Dunlap, PhD2,
Lee Kern, PhD3, Kathleen Lynne Lane, PhD, BCBA-D4,
Linda M. Bambara, EdD3, Fredda Brown, PhD5, Lise Fox, PhD1,
and Timothy P. Knoster, EdD6
Abstract
Positive behavior support (PBS) has been a dynamic and growing enterprise for more than 25 years. During this period, PBS
has expanded applications across a wide range of populations and multiple levels of implementation. As a result, there have
been understandable inconsistencies and confusion regarding the definition of PBS. In this essay, we offer an updated and
unified definition. We provide a brief historical perspective and describe a process for developing a proposed definition.
We also discuss the rationale for key elements of the definition.
Keywords
professional practice/standards and ethics, positive behavior support
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2 Journal of Positive Behavior Interventions
these circumstances to light and initiated steps to promote
inclusion, prohibit the use of painful and humiliating inter-
ventions, and encourage the development of new strategies
for reducing problem behavior and building more adaptive
behavioral repertoires (Bambara, 2005; Dunlap et al., 2009;
Guess, Helmstetter, Turnbull, & Knowlton, 1987; Lucyshyn
et al., 2015). These objectives were facilitated by the
appearance of important research findings, primarily
involving the functional (and communicative) properties of
problem behaviors (Carr & Durand, 1985; Iwata, Dorsey,
Slifer, Bauman, & Richman, 1981/1994). Initially, the new,
positive approach to behavior management was referred to
as “nonaversive behavior management” (Horner et al.,
1990; LaVigna & Donnellan, 1986; Meyer & Evans, 1989).
An initial iteration of nonaversive behavior management
was defined as “an integration of technology and values”
(Horner et al., 1990, p. 125) and was further described in
terms of nine themes or characteristics, which included
emphases on lifestyle change, functional analysis, anteced-
ent and setting variables, teaching of adaptive behavior,
minimizing the use of punishment procedures, and using
multi-component interventions. In the early 1990s, the label
“positive behavioral support” began to be used (Horner
et al., 1990) and it was increasingly adopted as the preferred
approach for addressing severe problem behaviors. In 2002,
Carr et al. provided an updated definition of “positive
behavior support”:
PBS is an applied science that uses educational methods to
expand an individual’s behavior repertoire and systems change
methods to redesign an individual’s living environment to first
enhance the individual’s quality of life and, second, to minimize
his or her problem behavior. (p. 4)
The Association for Positive Behavior Support (APBS) fur-
ther developed a set of standards of practice for PBS at the
individual level that were approved by the APBS Board in
2007 (J. Anderson, Brown, & Scheuermann, 2007). At this
time, clearly, the emphasis of PBS was on the behavior of
an individual with an appreciation of the role of the context
in which the individual lives and the essential influences of
environmental design.
PBS had been expanding rapidly. On one hand, many
additional populations were demonstrated to receive bene-
fits from applications of PBS. These populations included
young children, children and adults with a broad array of
diagnoses and challenges, children and adults without diag-
nostic labels, and youth involved with the juvenile justice
system (Sailor, Doolittle, Bradley, & Danielson, 2009). In
addition, PBS interventions began to be applied with
groups, at levels larger than the individual, to affect sys-
tems-level practices. The logic of multi-tiered systems was
embraced by PBS researchers and program developers as a
framework for promoting desirable behavior among entire
populations and perhaps preventing the emergence of
problems that might later require individualized and more
intensive PBS interventions (Sugai et al., 2000). Over the
first decade of the 21st century, PBS became a major influ-
ence in school restructuring. The 1997 amendments to the
Individuals With Disabilities Education Act (IDEA) intro-
duced the term “positive behavioral interventions and sup-
ports (PBIS),” and the federally funded Office of Special
Education Programs (OSEP) Technical Assistance Center on
Positive Behavioral Interventions and Supports began a pro-
gram of systematically disseminating a multi-tiered frame-
work of effective interventions for entire schools, classrooms,
and, where needed, individuals. Many thousands of educa-
tors and related professionals became aligned with school-
wide PBIS (SWPBIS), including many who had never
encountered an individual with severe disabilities and many
who had never been involved with functional behavioral
assessment and assessment-based intervention plans. As
PBS expanded, the universality of the approach’s prevailing
definitions came into question, at least by many who were
focused on applications at larger levels of implementation.
On Terms
The growth of PBS has presented challenges for the defini-
tion and also for terminology. A great variety of terms have
been used to refer to PBS including the original “nonaver-
sive behavior management,” “positive behavioral support,”
“positive behavior supports,” and “positive behavior(al)
interventions and supports (PBIS).” A recent essay pub-
lished in the Journal of Positive Behavior Interventions dis-
cussed the origins of these terms and the relative advantages
that each brought to the field (Dunlap, Kincaid, Horner,
Knoster, & Bradshaw, 2014). The authors endorsed “posi-
tive behavior support” as the best term to refer to the entire
enterprise of PBS, and acknowledged that PBIS would con-
tinue to be appropriate for school-based applications and
that other terms would also be beneficial as designations for
categories or settings of PBS applications. For instance,
program-wide positive behavior support (PWPBS) is used
to refer to PBS in early childhood programs; school-wide
positive behavior support (SWPBS) pertains to PBS in
schools serving students in kindergarten through Grade 12
and is used interchangeably with PBIS. The authors
acknowledged that the definition of PBS remained an
important issue for the field.
Definition of PBS
A large number of definitions of PBS have been posited
over the last 20 years in articles, books, manuals, and
websites (e.g., C. M. Anderson & Freeman, 2000;
Bambara, 2005; Carr et al., 2002; Dunlap, Carr, Horner,
Zarcone, & Schwartz, 2008; Horner et al., 1990). The
definitions vary in referring to PBS as an application, an
applied science, a technology, a collection of procedures,
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Kincaid et al. 3
a process of assessment and intervention, an approach, or
a framework. Many refer specifically to functional
behavioral assessment, many refer to quality of life as
the goal, and many explicitly focus on outcomes for a
target individual. Others emphasize an integration of sci-
ence and values, the design of constructive environ-
ments, and systems change. All of the definitions include
features that are clearly relevant to applications of PBS,
but the stress and prioritization of characteristics differ
from definition to definition. As suggested by Dunlap
et al. (2014), communication within and outside of the
field could be enhanced if an updated and unified defini-
tion were developed and adopted.
A session at the 2014 Annual Conference of the APBS
(Dunlap & Kincaid, 2014) addressed the issue, provided
some historical context, and put forth a draft of an updated
definition of PBS that the presenters had developed with
email and telephone input from approximately 15 leading
authors and program developers in the PBS arena. A set of
criteria was advanced for consideration. These asserted that
a definition of PBS should have the following attributes:
1. Face validity: Does the definition accurately
describe the field? Are practitioners comfortable
with the use of the definition as being inclusive of
their endeavors?
2. Distinguishes PBS from Not-PBS: Can the defini-
tion be used to identify approaches that are or are
not PBS? Does it draw a clear line between PBS and
other endeavors that may share some but not all of
the PBS characteristics?
3. Pertinent for all levels of PBS applications: Is the
definition broad enough to represent all current PBS
activities within different systems and settings and
populations? Is it also broad enough to cover applica-
tions with future systems, settings, and populations?
4. Useful for consumers: Can a wide range of consum-
ers use it? Is it a definition that researchers and prac-
titioners, parents and professionals, policy makers,
administrators, and direct support staff can under-
stand and find useful for describing their philoso-
phies, values, and activities?
5. Parsimonious: Is it sufficiently clear and succinct?
Is the definition clearly explained in relatively few
terms and sentences?
The majority of the 2014 APBS session consisted of dis-
cussion regarding the criteria and the particulars of the pro-
posed definition. Following the conference, an electronically
distributed questionnaire was shared with more than 800
APBS members to gather further input regarding the crite-
ria, essential elements to be included in a definition, and the
adequacy of the proposed definition. More than 200 APBS
members responded to the survey within the first 2 weeks
and provided overwhelming support for the five identified
criteria as well as numerous suggestions for features to
emphasize in the definition. Important feedback from the
survey included the following:
1. The majority of respondents expressed a preference
for labeling PBS as a framework (57.8%) or
approach (22%). Although several alternatives were
listed (e.g., science, technology, process), none
received endorsement from more than 10% of the
respondents.
2. In response to a question about the features that
must be reflected in the definition of PBS, six fea-
tures (positive/respectful, preventative, data-based,
evidence-based, educative, and comprehensive)
were identified by more than half of all respondents
(range = 58.4%–86.2%) as essential.
3. In response to an open solicitation for feedback
regarding the definition, nearly 25% of the respon-
dents indicated that a defining feature of PBS is that
it is a school-based framework and that it is equiva-
lent to PBIS. This implies that a sizable proportion
of the APBS membership perceives PBS in strictly
school-based terms and, therefore, fails to under-
stand the breadth, as well as the origins, of the
approach. This may also underscore the importance
of clear definitions and terminology so that PBS can
be understood and disseminated as the multi-faceted
approach that it is.
Based upon feedback from respondents, the prior draft
definition was revised and presented for discussion at the
2015 Annual Conference of APBS (Kincaid & Dunlap,
2015). The definition presented met with general approval.
The proposed, updated, and unified definition is presented
below, followed by a discussion and rationale for its spe-
cific composition.
Definition of PBS
PBS is an approach to behavior support that includes an
ongoing process of research-based assessment, interven-
tion, and data-based decision making focused on building
social and other functional competencies, creating support-
ive contexts, and preventing the occurrence of problem
behaviors. PBS relies on strategies that are respectful of a
person’s dignity and overall well-being and that are drawn
primarily from behavioral, educational, and social sci-
ences, although other evidence-based procedures may be
incorporated. PBS may be applied within a multi-tiered
framework at the level of the individual and at the level of
larger systems (e.g., families, classrooms, schools, social
service programs, and facilities).
We believe that this definition may meet the five criteria
that we described as necessary for a functional definition.
This definition has face validity and can more effectively
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4 Journal of Positive Behavior Interventions
address the broadening areas of application of PBS while
drawing a clearer line between PBS and other endeavors.
This definition was also developed to be clear and relatively
succinct, which should promote a greater understanding
and use by a wide range of consumers. A review of some
critical words and phrases within the definition might clar-
ify the utility of this proposed PBS definition.
This definition of PBS includes both of the preferred
labels for PBS: approach and framework. Furthermore, the
use of the modifier an indicates that PBS is not inclusive of
all approaches to behavioral support, but rather is restricted
to only those approaches that share the qualities contained
in the definition. However, the definition extends the field
of PBS to be inclusive of strategies and approaches from an
array of disciplines (education, social sciences, etc.) and
from evidence-based procedures that may currently exist in
other fields or may emerge in the future. This aspect of the
definition is critical in that it defines a PBS approach as
dynamic and continually evaluating and incorporating rel-
evant technology and knowledge. It also promotes the criti-
cal analysis of strategies that are evidence-based or have
emerging evidence.
The phrase a process of research-based assessment,
intervention, and data-based decision making stipulates
that PBS includes a progression of assessment, interven-
tion, and decision-making activities that may vary based
upon the target of the activities (system, agency, school,
family, child, etc.) but is not restricted to one type of assess-
ment, intervention, or problem-solving process. This dis-
tinction is essential as it clarifies that the PBS umbrella is
inclusive of multiple individual strategies, but that no one
assessment, intervention, or problem-solving approach is a
PBS approach. For instance, a functional behavioral assess-
ment is not “PBS” but is a component of a PBS process. The
process of bringing together those evidence-based assess-
ment, intervention, and problem-solving strategies is the
critical defining aspect of PBS.
The phrase building social and other functional compe-
tencies, creating supportive contexts, and preventing the
occurrence of problem behaviors communicates the vision
that PBS is committed to not only decreasing problem
behaviors but also increasing functional and adaptive reper-
toires that include the broad spectrum of social, emotional,
behavioral, academic, and daily living skills. Although it is
probable that this concept is universally accepted among
PBS practitioners, the definition allows for the extension of
this concept beyond the focus of increasing or decreasing
behaviors of a targeted individual. The recipient of the
increased competencies and reduced or prevented behaviors
may not only be the targeted individual but also the entire
system or components of that system (agency, school dis-
trict, team, family, etc.). Thus, system-change issues, such
as those involved in district or school-wide PBS planning,
are considered to be appropriate PBS activities. This per-
spective effectively broadens the focus of PBS from an
individual with behavioral challenges and extends it to the
behavior of larger systems (e.g., teams, families, schools,
agencies, communities).
This proposed definition also maintains a commitment to
nonaversive and positive approaches with inclusion of lan-
guage emphasizing strategies that are respectful of a person’s
dignity. Given the historical foundation of PBS emerging
from the aversive/nonaversive debate in the early 1990s and
the initial label for the field (nonaversive behavior manage-
ment), the philosophy of positive and nonaversive approaches
has been a critical component of many PBS definitions and
should be reflected in any current or future definition. The
commitment to respectful and positive strategies is not just
reflected in PBS practices as applied at the individual level
but also at the systems level. Thus, PBS practitioners should
examine, at all levels of the system (a) whether practices
directly or indirectly support the system (school, agency,
family, community) to deliver respectful practices to its tar-
get population (student, clients, children, etc.) in a manner
that supports the end recipients’ dignity, and (b) whether the
strategies utilized to impact those larger systems are also
respectful. PBS advocates that strategies need to be respect-
ful of the individual with behavioral needs as well as the sys-
tems and participants that support that individual.
The same imperative that was applied to a call for strate-
gies that are respectful of a person’s dignity can also be
applied to the PBS definition’s commitment to the overall
well-being of the person. If the target of PBS practices is a
school-age student, then there should be concern about the
overall well-being or quality of life of that student and his
family. This commitment goes beyond simply increasing
functional and social behaviors and reducing or preventing
problem behaviors to address issues of educational inclu-
sion, relationships, and presence and participation in the
community. Likewise, work at the systems level has to be
committed to improving the overall quality of life or well-
being of the system, whether that system is as large as a state
educational agency or as small as an individual family. It is
assumed that improving the quality of life (effectiveness,
efficiency, passion for outcomes, etc.) of the system will also
translate, perhaps indirectly, to an enhanced capacity to
improve the well-being of the “client” or end-consumer of
the system’s supports. Practitioners should always expand
their vision to insure that all partners in a PBS approach
(from systems-level personnel to the individual consumer)
are treated with respect and dignity and function in healthy
environments that improve quality of life outcomes.
Finally, the inclusion of PBS being applied within a multi-
tiered framework is a critical extension of prior definitions.
Although PBS applied within the context of schools has gen-
erally operated from a multi-tiered perspective, there may not
be universal realization that the PBS approach also operates
at the individual level in addition to the level of larger sys-
tems (e.g., families, classrooms, schools, social service pro-
grams and facilities). Although the roots of PBS lay in the
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Kincaid et al. 5
provision of support to individual children, students, and
adults in a variety of settings, in the past 20 years, the appli-
cations of PBS to address larger systems issues has been sig-
nificant and should be recognized within a contemporary
PBS definition. This recognition of a multi-tiered framework
within an array of larger systems also opens the PBS approach
to consideration of other evidence-based approaches applied
within different systems, making this PBS definition flexible
and inclusive for future growth in the field.
Summary
The purpose of a new definition for PBS is to both broaden
and clarify the critical domains of what is included under
the “umbrella” of PBS. We sought to advance a definition
that is accurate, representative, and useful, and that offers a
clear starting point for a further discussion within the field
regarding the essential and definitional characteristics of
the PBS approach. Although no single definition of PBS
will satisfy all practitioners, the authors present a starting
point for consideration that will be shaped by feedback,
debate, and discussion in the future. This definition will be
further shaped by PBS practitioners as the field’s values and
practices grow and adapt to include new assessment, inter-
vention, and problem-solving approaches applied within
existing environments and systems. But for now, this defi-
nition is offered as a starting point for discussions about
PBS and as a possible anchor point for future examination
of the progress of PBS.
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect
to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research,
authorship, and/or publication of this article.
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... one widely recommended approach to addressing challenging behaviours is positive behaviour support (Pbs), which seeks to address underlying causes of challenging behaviour with a focus on improving a person's quality of life [9][10][11]. similar to other juristictions, australian legislation in both disability [12] and aged care [13,14] requires the development of individualised behaviour support plans for those subjected to regulated restricted practices (e.g. ...
... Pbs incorporates knowledge and principles of behaviour analysis with an emphasis on values-driven, culturally responsive, and person-centred practices and can include a range of therapies, techniques and strategies tailored to a person's support needs [9,11,15]. since its beginnings in the 1980s and starting with the use of terms such as positive programming and non-aversive strategies [9,16,17], Pbs has maintained relevance by aligning with contemporary disability practices. Pbs emphasises human rights principles (e.g. ...
... 29,30] and early childhood settings [a Program-Wide model of Pbs, 31,32] with growing adaptations appearing in disability and community service settings [10,18,[33][34][35]. specialist and individualised Pbs practice frameworks, models and approaches (akin to Pbs tier iii supports) include those such as the Multi-element behaviour support (Mebs) model (aba; 36], the Multi-modal Function Model [37]; the Prevent, teach, reinforce approach [38] and the competing behaviour Pathway (cbP) model outlined by [39]. these models and approaches all align with core Pbs principles [10,11,40]; they use behaviour analysis to provide a functional and contextual understanding of behaviour to inform data-driven and person-centred intervention plans. there are, however, variations in practice components. ...
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Full-text available
Purpose: this paper introduces a practice framework for individualised positive behaviour support (PBS). the framework incorporates existing function-based PBS principles and integrates contemporary research and Australian legislation to frame practice elements through a human rights lens. it is designed to support people with disability of varied aetiologies across the lifespan in various settings (e.g. home, schools, and aged care). Methods: existing research and literature have been reviewed, including key theories and current formulations to inform a new practice framework that reflects recommendations for applications in community settings. Results: the PBS Pathway (PBS-P) framework promotes culturally sensitive and socially valid strategies for empowering the person and their supporters via a clear practice framework. it emphasises evidence-based practices while acknowledging the need for flexibility to meet individual needs. Conclusions: the PBS-P framework offers a pragmatic approach and focused lens for critical thinking and reflective applications within PBS. it promotes a universal approach across the lifespan and service settings, contributing to a shared understanding of PBS as a rights-based practice. the framework's alignment with current legislation supports adoption within existing systems; however, successful implementation requires skilled practitioners, adequate funding, and policies to support knowledge translation.
... However, some proponents suggest that Positive Behaviour Support no longer solely reflects the theoretical approach of Applied Behaviour Analysis (Kincaid, 2018), but has grown to incorporate multiple theoretical perspectives (Carr et al., 2002;Fern� andez-Mateos et al., 2022). In addition, while Positive Behaviour Support was initially developed as an approach to working with individuals, there are now system-wide interventions for which Positive Behaviour Support provides the framework (Kincaid et al., 2016), including within services for those with intellectual disabilities (e.g., McGill et al., 2018). ...
... PBS ha tenido un desarrollo importante en entornos escolares, bajo el modelo "Positive Behavioral Interventions and Supports" (PBIS) en Estados Unidos 1 (Dunlap et al., 2014;Kincaid et al., 2016). No obstante, PBS también se aplica en contextos naturales familiares y de cuidado social, con poblaciones con o sin discapacidad, a nivel individual, grupal o en sistemas más complejos, abarcando una gran variedad de beneficiarios y agentes de intervención (Sailor et al., 2009). ...
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Positive Behavior Support (PBS) is a preventive, ecological and inclusive approach based on applied behavior analysis which allows to promote a favorable social culture for the well-being of people, however, few studies evaluate the trends, quality and achievements of interventions based on PBS (IB-PBS) for the benefit of different application settings and populations. Accordingly, a systematic review was carried out following the methodological guidelines of PRISMA statement to offer an overview of trends in research about the effect of IB-PBS. 33 experimental and quasi-experimental research articles published in English on EBSCOhost, ScienceDirect, PubMed and Jstor, from 2015 to July 2020. These documents approved an evaluation of quantitative articles checklist designed for this work. The articles were organized using a descriptive frequency analysis. It was identified a predominant research trend in the United States, the frequent use of single case designs and randomized controlled trials, and the use of observation and application of standardized instruments as common evaluation tools. The results suggested the interventions implemented with integrity in school, family and social care settings have favorable effects on the behavior and mental health, well-being and quality of life of studied populations; with satisfactory results of social validity. Some studies limitations of external and internal validity are important challenges for future research.
... Contrary to restraint-based behaviour management identified by the Disability Royal Commission, PBS encapsulates a person-centred approach, with the focus of supporting quality of life improvements, addressing challenging behaviours, and reducing restrictive practices [4,5]. It incorporates a range of therapies, techniques, and strategies, the use of applied behavioural science as a tool for behaviour change [4,[6][7][8][9][10], and has been described to explicitly align with a human rights paradigm [11,12,13]. ...
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Positive behaviour support (PBS) is recommended as a service response to challenging behaviours. In Australia, however, there has been concern regarding PBS policy and implementation. In response, this article proposes a tiered PBS service model for disability and community settings, which is evidence-based and rights-driven. Relevant literature, policy guidelines, and clinical experience are used to inform a positive behaviour support service model for community implementation. The Positive Behaviour Support in Disability and Community Service (PBS-DCS) model articulates systems-wide practices that support effective PBS provision within a human rights approach. The model describes three tiers of behaviour support: Tier I (Foundational), Tier II (Targeted), and Tier III (Specialist), and considers who should deliver which intervention elements and when. The PBS-DCS model provides a framework to support quality PBS practice in community settings. It is proposed that a proof-of-concept model of community-based PBS should be investigated—and that this would help to ensure current practice aligns with the professional expectations of PBS and deliver high quality services to people living with disability.
... Positive Behavioral Interventions and Supports (PBIS) is a widely implemented, multi-tiered framework developed to improve social and academic outcomes for all students (Center on Positive Behavioral Interventions and Supports, 2023;Zagona et al., 2021). Kincaid et al. (2016) described how PBIS may be broadly implemented to promote a positive school-wide climate, while also providing individualized strategies for students requiring more intensive supports (e.g., functional behavior assessment, behavior intervention plan, wraparound support). A recent systematic literature review (Santiago-Rosario et al., 2023) established PBIS as an evidence-based practice for (a) reducing rates of reactive discipline such as suspension and expulsion for students with disabilities and Black students; (b) improving student social, ...
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Positive Behavioral Interventions and Supports (PBIS) is an evidence-based practice that promotes positive academic and behavioral outcomes for all students and is intended to support the needs of all students across three tiers of support. However, research suggests students with complex support needs have limited access to Tier 1 PBIS. Teachers’ perceptions of the appropriateness of PBIS to meet the needs of students with complex support needs has been hypothesized to impact the extent to which educators provide access to Tier 1. Using data from a national survey of 644 educators, we sought to determine the extent to which educational placement of students with complex support needs impacted teacher perception of the importance of providing Tier 1 PBIS. Our results suggest educators across placements agree students with complex support needs should be involved in PBIS, including acknowledgment systems and response and data plans. Educators differed in their ideas of how to teach school-wide rules and expectations and how to document behavioral violations. We discuss implications of these findings for research and practice.
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The shift to online teaching during the COVID-19 pandemic forced schools to swiftly develop strategies for virtual settings to ensure students received effective instruction. Antecedent- and consequence-based interventions have been shown to be effective in classrooms; however, to our best knowledge, there have been no reports on the effects of these interventions when used in virtual classrooms. The purpose of this study was to evaluate the effects of noncontingent attention (NCA) and differential negative reinforcement of other behavior (DNRO) on the levels of on-task behavior, camera off, and inappropriate vocalizations in three students with developmental disabilities in a self-contained virtual classroom. Results indicated that NCA effectively decreased inappropriate vocalizations for two students and improved class participation for one student. For the other two students, DNRO was necessary to promote significant behavior change. These results demonstrate the feasibility of implementing NCA and DNRO for group instruction in a virtual classroom.
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What constitutes good clinical practice in positive behavioural support (PBS) is well established. But how these clinical principles and practices are best translated into education, training and professional development remain unclear. To inform the development of a national blueprint to support education and professional development in PBS, we sought to better understand current approaches to training and education in PBS, its content and delivery. A systematic review of PBS interventions involving staff training was conducted within the timeframe of 1999–2023. Seven databases and one specialist journal (not otherwise indexed) were searched. Articles were identified using key search words; that is, ‘positive behaviour support’, ‘disability’ and ‘training’. Thirty‐three articles were identified whose predominant aims were to evaluate the impact and/or efficacy of PBS‐based training. Training formats included workshops, lectures, modules, classroom/group instruction and team‐based learning through the review of PBS plans. Core content focused on functional behaviour analysis, behaviour support planning, behaviour support strategies and interventions, as well as skills training. Articles reflected similar core content; however, there was a lack of consistency in training delivery, methodology and subsequent outcomes. Despite this, the literature provides evidence to inform the development of a future capabilities framework and guidance on the training, education and professional development of those involved in the delivery of PBS. Subsequently, recommendations are made to inform the education, training and professional development of PBS practitioners and those responsible for the coordination and delivery of support services for people who exhibit challenging behaviour.
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Although Multi-Tiered Systems of Support (MTSS) has been used in schools, its success has prompted recommendations for its adoption in group home and day habilitation settings. This scoping review examines the literature on implementing MTSS in group home and day habilitation settings for individuals with intellectual and developmental disabilities. Of the 15 studies reviewed, most focused on Positive Behavior Interventions and Supports (PBIS) rather than a comprehensive MTSS framework, raising questions about the alignment of interventions with the three-tiered structure of MTSS. Additionally, PBIS in these settings appears restricted to an individualized approach to minimizing behavior instead of the comprehensive framework used in schools. Benefits of implementing PBIS include a reduction in challenging behavior, decreased use of restrictive interventions, and staff-related advantages such as improved organization and reduced turnover. Challenges are noted in time and resource constraints. Suggestions for implementing MTSS in residential and day habilitation settings are provided.
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Nonaversive behavior management is an approach to supporting people with undesirable behaviors that integrates technology and values. Although this approach has attracted numerous proponents, more adequate definition and empirical documentation are still needed. This article presents an introduction to the nonaversive approach. Important definitions are suggested, and three fundamental elements are presented: (a) an emerging set of procedures for supporting people with severe challenging behavior; (b) social validation criteria emphasizing personal dignity; and (c) a recommendation for prohibition or restriction of certain strategies. These elements are defined in hopes of stimulating further discussion and empirical analyses of positive behavioral support.
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This paper discusses how educators can apply positive behavioral support (PBS) to students with and without disabilities and conduct functional behavioral assessments (FBAs). It begins by describing the challenges that educators face in educating an increasingly heterogeneous population of students, including students with external and internal problem behaviors. The paper next discusses the definitions and features of PBS in schools and the contributions of behavioral science, practical interventions, social values, and a systems perspective. The four change elements that characterize PBS are described and include change of systems, change of environments, change of student and adult behaviors, and change in appreciation of appropriate behavior. The second section provides an overview of FBAs, including definitions, outcomes and defining features. Steps of the FBA and behavior support planning process are described and include: (1) collect information regarding conditions under which problem behavior is and is not observed and more appropriate behavior is required; (2) develop testable hypotheses; (3) collect direct observation information; (4) design behavior support plans; (5) develop implementation scripts; and (6) collect information effectiveness and efficiency of behavior support plan and redesign based on evaluation information. (Contains 100 references.) (CR)
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Introduces positive behavioral support (PBS), a nonaversive approach to managing severe, challenging behavior that integrates technology and values. Critical term definitions are suggested, and the following aspects of PBS are presented: (1) procedures for supporting people with severe challenging behavior; (2) social validation criteria emphasizing personal dignity; and (3) a recommendation for prohibition or restriction of certain strategies. Emergent themes in the development of a technology of positive programming include emphasizing lifestyle change, teaching adaptive behavior, building environments with effective consequences, and minimizing the use of punishers. (PsycINFO Database Record (c) 2012 APA, all rights reserved)
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This study describes the use of an operant methodology to assess functional relationships between self-injury and specific environmental events. The self-injurious behaviors of nine developmentally disabled subjects were observed during periods of brief, repeated exposure to a series of analogue conditions. Each condition differed along one or more of the following dimensions: (1) play materials (present vs absent), (2) experimenter demands (high vs low), and (3) social attention (absent vs noncontingent vs contingent). Results showed a great deal of both between and within-subject variability. However, in six of the nine subjects, higher levels of self-injury were consistently associated with a specific stimulus condition, suggesting that within-subject variability was a function of distinct features of the social and/or physical environment. These data are discussed in light of previously suggested hypotheses for the motivation of self-injury, with particular emphasis on their implications for the selection of suitable treatments.
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The use of the term "positive behavior support" has been associated with some confusion, and a number of alternative terms have been adopted over the past few decades. In this article, we discuss some of the historical context associated with different terms, and explain reasons for preferring "positive behavior support (PBS)" as the term for referring to the PBS approach.
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Positive behavior support (PBS) and functional behavioral assessment (FBA) are two significant concepts of the 1997 amendments to the Individuals with Disabilities Education Act. These two concepts are not new, but they are important for improving the quality of efforts to educate children and youth with disabilities. The purposes of this article are to describe (a) the context in which PBS and FBA are needed and (b) definitions and features of PBS and FBA. An important message is that positive behavioral interventions and supports involve the whole school, and successful implementation emphasizes the identification, adoption, and sustained use of effective policies, systems, data-based decision making, and practices. Systems-level challenges are also discussed.
Chapter
In this chapter, we examine the core features of what has come to be described as positive behavior support, or PBS. We examine milestones in the development of PBS following its inception in the 1980s. We conclude with a glimpse of the emergence of new lines of PBS research and application as reflected in the chapters to follow in this summative volume of a work in progress. PBS is a broad approach for organizing the physical, social, educational, biomedical, and logistical supports needed to achieve basic lifestyle goals while reducing problem behaviors that pose barriers to these goals (Dunlap & Carr, 2007; Koegel, Koegel, & Dunlap, 1996). PBS emerged as a distinctive approach to behavior support because of a strong commitment to values and technology. The PBS values emphasize a commitment to helping individuals (and their advocates) achieve a quality of life that is defined by their personal choices. How people behave affects how they live and how they receive support guided by their preferences. For example, what you do, where you do it, how competently you do it, and when you choose to do it affects your ability to build and retain relationships, acquire new skills, establish and sustain employment, and achieve personal leisure goals. Problem behaviors such as aggression, self-injury, disruption, pica, noncompliance, withdrawal, and disruption are more than a nuisance for parents and teachers. Problem behaviors are a major barrier to the social, vocational, and physical success of each individual. The basic foundation of PBS presupposes that the valued elements of personal life, those things each of us hold as truly important, depend at some level on our ability to behave competently. Defining the technology that allows people to more closely achieve the lifestyle they value is at the heart of PBS.