Positive Behavior Support Services

A good life is best led by the voice of the person living it

PBS is for anyone who wants to solve a problem, make life better, or get “unstuck” from their current scenario.

Positive Behavior Support (PBS) is a set of research-based strategies used to increase the quality of life and decrease problem behavior by teaching new skills and making changes in a person’s environment.

Positive Behavior Support (PBS) Facilitation requires learning through the experiences of everyone working and thinking together. It is a collaborative process that involves participation from everyone who is actively involved in the life of the person we work for – including that person. The process should be helpful, non-judgmental, and focused on removing barriers and solving problems, not laying blame or getting into supporter contests. Ultimately, it requires accountability, creativity, honesty, and some vulnerability*

*POSITIVE BEHAVIOR SUPPORT (PBS) FACILITATION: This language was developed under Grant No. 1LQCMS300080, FY 2006 Systems Transformation Grant from the US Department of Health and Human Services, Centers for Medicare and Medicaid Services, to the VA Dept. of Medical Assistance Services (DMAS). However, the contents herein do not necessarily represent the policy of the US Dept. of Health and Human Services, and you should not infer endorsement by the Federal government.

Who We Work With

PBS services are highly customizable and seem more like an ongoing, low-stress relationship where we work together at a pace that feels comfortable to chip away at larger projects.

We are best suited for a team of supporters who are anxious to learn and willing to invest the time necessary to improve the life of the person we are working for. It is best to use PBS services when the person is largely stable, and there is time and energy available to take proactive approaches. We are poorly suited for crisis support, quick fixes, or a team that prioritizes compliance and obedience over learning and support. Because services are not direct client therapy, it’s important that these teams are looking for support to curate a full and rich life.

While there is no age limit to work with us, you must:

  • Be a resident of the Tri-Cities/Greater Richmond area
  • Be funded through the Family and Individual Supports Waiver, the Community Living Waiver, or are able to pay privately for services

For all questions about our PBS Services program please see our Frequently Asked Questions page.

We know that supporting a person with complex needs is not easy. We are non-judgmental and want to partner with you to help make life easier for everyone.

The Branches Team

Our Six-Step PBS Client Process

Branches focuses heavily on PBS’ adherence to a respectful and ethical approach; relying on evidence-based assessments, strategies, and assistance that’s catered to each individual’s needs and goals. Our PBS team can also be engaged in third-party neutral evaluations to help determine quality of life, quality of content services, and supports measured against best practices.

#1. Support Assessment

As a team, we develop a targeted list of concerns for an individual, observe their reactions to particular situations, and collect baseline data of current support required to manage safety.

#2. Strategy Development

The team brainstorms a variety of theories that contribute to the targeted behavior as well as potential solutions.

#3. Recommendations

The team has conversations about additional improvements needed and makes decisions about what is possible at the time. Then, a chosen solution is determined.

#4. Technical Assistance

A PBS Facilitator sources, researches and designs the materials necessary to carry out the chosen solutions.

#5. Training and Support

The PBS Facilitator works with the team to train, encourage, model and help support the team to implement and successfully accomplish the goals they set for as long as the team wants to continue working forward.

#6. Ongoing Documentation

Regular check-ins to review progress, create formal PBS plans, crisis support plans and protocols to support the focus person consistently across multiple services.

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