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Franklin County Board of Developmental
Disabilities (FCBDD) Angela Everson Ray, Ph.D., Dir. of Psychology Rick Robertson, Behavior Support Specialist
5-24-13, OACBDD Conference
FCBDD policy for supporting persons with developmental disabilities has always been, “To promote the growth, development and independence of individuals and promote individual choice in daily decision making, emphasizing self-management and individual responsibility for behavior.”
Increased emphasis on “Positive Culture” per DODD, AAIDD, and other professional best practice literature (approximately 2008).
Trained all FCBDD school staff on AAIDD Positive Behavior Support modules 2009-2011.
Updated Behavior Support Procedures Manual to incorporate Positive Culture Initiative concepts, 2011.
Completed comprehensive revision of Responding to a Person in Crisis (RPC) Manual, 2012.
Train the trainer classes held for revised RPC program, 2012.
Renewed emphasis on training all school & adult service staff on positive means of supporting persons.
Continued emphasis on replacement skill training and preventives as part of behavior support plans.
Decision that use of all DODD-approved seclusionary time-out rooms be discontinued at FCBDD adult service locations and alternative means of support be implemented.
Focus on reducing use of restraints and seclusionary time-out across all settings.
228 231
272
308 325
AV 311 310
316
406
342
142
195
221
278
GI 312
346
117
166
221
282
348 358
393
264
283
220
29 24
50 43 47
68
76 68 63 59
5 18 40 61
91
159
0
50
100
150
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2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Freq
uenc
y
Year
FCBDD BEHAVIOR SUPPORT SUMMARY 2003-2012
Aversive
GI Only Plans
Joint Plans
AV DC to Success
GI DC to Success
Beginning 2/1/10 FCB is no longer tracking GI only plans.
Aversives include restraints, time-out, response cost, loss of routine privilege (LRP), & restrictive preventive procedures (RPP).
Joint plans are those that occur in multiple settings for the same person (i.e., home & day services).
Increase in aversives 2010-11 came from effort to have all LRP & RPPs written into formal behavior plans rather than included in persons’ service plans w/ no oversight.
Decrease in aversives 2011-12 came primarily from reduction in use of restraints & time-out.
2004 = 232; 9 Individuals (25.8/person) 2005 = 215; 9 Individuals (23.9/person) 2006 = 124; 8 Individuals (15.5/person) 2007 = 56; 6 Individuals ( 9.3/person) 2008 = 16; 6 Individuals ( 2.7/person) 2009 = 27; 5 Individuals ( 5.4/person) 2010 = 28; 6 Individuals ( 4.7/person) 2011 = 7; 2 Individuals ( 3.5/person) 2012 = 4; 1 individual ( 4.0/person)
0
50
100
150
200
250
Years
# of
Inci
dent
s ARC South Manual Restraints
2004
2005
2006
2007
2008
2009
2010
2011
2012
2004 = 121; 4 Individuals (30.25/person) 2005 = 58; 7 Individuals ( 8.28/person) 2006 = 217; 9 Individuals (24.11/person) 2007 = 94; 7 Individuals (13.43/person) 2008 = 34; 4 Individuals ( 8.50/person) 2009 = 50; 4 Individuals (12.50/person) 2010 = 73; 14 Individuals ( 5.21/person) 2011 = 43; 3 Individuals (14.33/person) 2012 = 18; 2 Individuals ( 9.00/person)
0
50
100
150
200
250
Years
# of
Inci
dent
s ARC SouthTime Out
2004
2005
2006
2007
2008
2009
2010
2011
2012
For now, we act with good intentions, the
current state of our field, and confidence. “Confidence is not knowing that you cannot fail, but knowing that you can survive failure.” We will survive “bad days” and use mutual respect and optimism to be sure the “good days” outnumber the “bad days.” Building lives worth living really is something that can be done. (Taken from concluding statement of the FCBDD “Responding to a Person in Crisis Manual,” © 2012.)
