Brih Design currently offers services in the following areas:
- Creating Positive Behavior Change
- Comprehensive Functional Assessment Training
- Parenting Differently ~Managing Children with Challenging Behavior
- Behavior Change and Rule 40
- Positive Behavior in the School Environment
- Writing Behavior Programs I & II
The Functional Behavior Assessment
When we initiate services for an individual client, the first step is to conduct a Functional Behavior Assessment (FBA) to observe and analyze current behaviors and environment(s). Depending upon the needs and circumstances of the individual, the FBA may be done over several visits totaling between 12-20 hours. The Senior Behavior Analyst or Licensed Psychologist for the case will coordinate with support persons to set up the appointment times and locales. (In many cases, during the assessment activities, an associate Behavior Analyst may accompany/assist the Senior Behavior Analyst or Licensed Psychologist. Thus, should post-assessment activities be requested, the visits will be conducted by a combination of both Behavior Analysts.)
The FBA involves many activities. Initially, we will conduct face-to-face interviews with support persons (family or other care providers, educators, etc.) to obtain useful background and current information about the individual. There will also be a series of observations during which our Behavior Analyst(s) will initially observe the individual in his/her environment in an unobtrusive manner. Later, the Behavior Analysts may also interact directly with the individual for purposes of the assessment. Once all the data is collected, a detailed report will be written, complete with a description of the behaviors, the findings, and recommendations for creating behavior change. The Behavior Analyst(s) will schedule a meeting with support persons to present and explain the FBA findings.
In many cases, additional post-assessment support will be requested of Brih Design. Typically, we provide training to those working directly with the individual by modeling how to interact with the individual, particularly during conventionally difficult situations. Additionally, we may make recommendations for adjusting the environment, and we may develop visual and/or other tools to facilitate improved communication with the individual. Other post-assessment activities include program monitoring as well as the facilitation of Core Team meetings to support the individual.
About Our Wait List
Program Development can include helping to outline specific interventions, methodologies, data tracking systems, and/or behavior plans with or without conditional/controlled procedures. Brih Design consultants may be requested to draft or develop the written plans or procedures. As well, we may support others in the process of this development either directly or indirectly with feedback, editing, or revision.
Training of Support People
Specific programs often require direct training of interventionists, including the training of skills and strategies necessary to implement the programs effectively. Brih Design consultants will conduct the necessary and requested didactic and hands on training to facilitate interventionists’ understanding and acquisition of these skills. Materials and handouts may be developed to enhance the didactic training or a review of the specific interventions developed may be appropriate. Hands on training may include modeling the implementation of strategies specifically with individuals, coaching others in the moment as they intervene, and/or providing feedback, review, and debriefing as needed following the implementation of interventions.
Program Monitoring includes ongoing consultation activities to check in with families, educators, providers, and/or others to determine the efficacy of interventions. Activities may include review of current status, trouble-shooting and revision of interventions, and identifying other supports or resources as needed.
Customized Consultative Services
Brih Design also provides customized consultative services to address specific needs outside of the above described services. These may include consultation to: individual school programs regarding general behavioral supports in classrooms; providers regarding development of new residential programs; counties regarding coordination of services and/or clinical case management of specific teams. These services are individually tailored based on the request and match of services and supports provided by Brih Design.
An Environmental Assessment is an assessment of the physical and social environments that might influence the behaviors of those attending and participating in them. This assessment is less specific to a particular individual, lending more to the aggregate profile of those participating in the environment. Areas of assessment might include social elements – number of people, noise level, activity level, and cohesive quality of social opportunity; or physical elements – size of a room, type and placement of furniture or equipment in one area, and opportunity for seclusion from and/or integration with others in the environment. The environmental assessment might consist of reviewing a classroom or district program servicing a common community of students (those diagnosed along the Autism Spectrum Disorder or those meeting criteria for Emotional/Behavioral Disorder).
A Compatibility Assessment is similar to an environmental assessment but is less specific to a particular individual. More aligned with assessing the social quality of an environment, the compatibility assessment is a consideration of the needs, wants, and support needs of a group of people participating an co-habitating in a common environment. Such an assessment would consider the social functioning, physical needs, and service supports of all individuals in a given environment. The outcome of such an assessment is to determine and weigh the cost and benefit of a given group co-existing successfully. The compatibility assessment might be requested by a county social worker to determine the likely ‘fit’ of an individual moving into an established group home environment with three other people.
Facilitation of the Core Team Process
The Core Team Process is an intervention that can facilitate interdisciplinary teams to be ‘on the same page’ regarding supports for individuals. Further, these meetings can be used with people who have demonstrated some independent living skills, but who also exhibit deficits that may leave them vulnerable in some areas of self-governance. Each core team meeting has a facilitator and often this may be the same person at every meeting. The facilitator is responsible for maintaining the integrity of the Core Team Process. While Brih Design consultants may provide facilitation for the process initially, we remain committed to training others with the necessary skills for facilitation of the Core Team Process.
Given the interventions recommended and agreed upon for development, often there is some needed follow-up in designing and creating specific products. Some examples of this product development includes: developing specific visual systems for enhancing structure and predictability (e.g., visual picture schedules and duration maps); social stories with and without concrete visual pictures; and internal status rating scales that are visual.