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Positive Behavior Supports | PBS

Supporting the Kentucky Medicaid Waivers

Our Behavior Support Specialists (BSS) work directly with participants, parents/caretakers, and other team members through a coaching model. In the video they describe what it’s like working in Medicaid Waivers, the value of our mistakes, failures and the inevitabilities of high rate errors, when learning from new experience is priceless. Positive Behavior Supports (PBS) & Applied Behavior Analysis (ABA) together are practiced with parents & caretakers as our number one partner. Collaboration is key to successful outcomes and a better quality of life! We have deconstructed the literature, pulling from the best research, and breaking everything down into user-friendly components. Our PBS are consistent with the principles of Applied Behavior Analysis and are designed for parents and caretakers so that the information is consumable, easy to learn, and most importantly, effective. PBS assist individuals by providing the minimum amount of services necessary to obtain the highest level of personal growth, improvement, and independence. CBA’s values are based on quality services, person-centered principles, and evidence-based interventions. We approach services for each person in the context of their own lives and assist them in attaining a life they value, not what others value or think is valuable for them, allowing us to address the individual’s wants and needs immediately. We ensure that any attempt to improve behavior or the environment must also include the protection of that person’s constitutional, statutory, and human rights. We administer positive behavior change strategies that improve the quality of life for the individual and their families, incorporating gentle actions that absolutely minimize the need for any restrictive, punitive, or physical interventions. PBS services are provided by a Behavior Support Specialist, who is a Master’s level clinical provider under the supervision of a Board Certified Behavior Analyst (BCBA).

Kentucky Medicaid Waiver | Positive Behavior Supports

Michelle P. Waiver | MPW

The Michelle P. Waiver is for children and adults with an intellecutal or developmental disability who can benefit from assistance to live in the community as independently as possible.

Services include but are not limited to: 

  • Positive Behavior Supports
  • Community Living Supports
  • Respite

Supports for Community Living Waiver | SCL

The Supports for Community Living Waiver is for adults with an intellecutal or developmental disability who can benefit from assistance to live in the community as independently as possible.

Services include but are not limited to: 

  • Consultative Clinical and Therapeutic Services – Positive Behavior Supports
  • Consultative Clinical and Therapeutic Services – Psychological Services
  • Person-Centered Coach
  • Community Access
  • Personal Assistance
  • Respite

Acquired Brain Injury Waiver | ABI

The ABI waiver is for adults with an acquired brain injury who can benefit from intensive rehabilitation services. The services are designed to assist participants in re-entering the community and functioning independently.

Services include but are not limited to: 

  • Positive Behavior Supports
  • Individual and Group Counseling
  • Respite
  • Companion Services

Acquired Brain Injury – Long Term Care Waiver | ABI-LTC

The ABI LTC waiver is for adults with an acquired brain injury who have reached a plateau in their rehabilitation level. They require maintenance services to live safely in the community. 

Services include but are not limited to: 

  • Positive Behavior Supports
  • Individual and Group Counseling
  • Respite
  • Community Living Supports
Kentucky Medicaid Waivers

Positive Behavior Supports (PBS) utilize a Functional Assessment to develop a Positive Behavior Support Plan that identifies functions of behavior and the interventions and environmental strategies to reduce significant challenging behaviors. The severity of challenging behaviors typically causes interference with a participant’s activities of daily living, social interaction, or vocation. The Positive Behavior Support Plan will be trained with the individual learner (if appropriate) and all primary caregivers/staff. These evidence-based strategies guide caretakers through the process of helping the individual to develop alternative replacement skills through natural-environment teaching procedures. Caretakers learn new strategies for how to respond when challenging behaviors occur, thereby reducing the frequency of problem behaviors.