Implementation Drivers for Organization-Wide Positive Behavior Support: Supporting People With Intellectual and Developmental Disabilities.
Use six implementation drivers to stretch school PBS across an entire disability service agency while keeping it person-centered and culturally fair.
01Research in Context
What this study did
Freeman et al. (2025) mapped how disability service groups can copy school-wide PBS and run it across the whole agency.
They wrote a how-to paper, not an experiment. The focus is adults and children with intellectual or developmental disabilities.
The authors list six "implementation drivers" leaders must feed every day: staff training, coaching, data systems, leadership, staff selection, and making the plan fit each culture.
What they found
The paper gives a step-by-step blueprint. It says strong drivers let PBS move from classrooms to kitchens, vans, and work sites.
It warns that without steady coaching and leadership, the plan will fade like earlier school tries.
How this fits with other research
Konstantinidou et al. (2023) looked at 25 staff-training studies and saw the same gap: training changes staff acts, yet almost none measured if clients lived better lives. Rachel’s frame answers that gap by adding data systems that track client outcomes, not just staff fidelity.
Vroom et al. (2022) urged agencies to stop waiting for perfect studies and start building their own capacity. Rachel’s drivers give the concrete levers Vroom asked for: leadership teams, coaching loops, and decision-making data.
Udhnani et al. (2025) found cultural adaptation fails when organizations give no time or policy support. Rachel embeds cultural fit inside the drivers, matching D’s call for structural backing, not just worker good will.
Why it matters
You can lift the six-driver checklist tomorrow. Pick one driver your agency lacks most—usually ongoing coaching—and write a 30-day plan to fix it. Add one client happiness measure to your weekly data sheet. These two moves turn a classroom-only PBS plan into a living, agency-wide system that actually improves life for people with IDD.
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02At a glance
03Original abstract
Organization-wide positive behavior support (OW-PBS) is a framework for improving quality of life and preventing challenging behaviors for children and adults with intellectual and developmental disabilities (IDD). This tiered PBS framework has been adapted from schools for use in disability services. Supporting people with IDD involves a variety of services (family and home, independent living skills, supported employment, and day programs) and requires a values-based approach. Although the process of translating PBS from education to disability service organizations requires adaptations to the technical assistance tools and resources, the foundational implementation science drivers-and challenges-are analogous. In this article, the mechanisms for adapting the PBS framework into disability service organizations is discussed, with considerations for ensuring person-centered, culturally inclusive and responsive practices.
Intellectual and developmental disabilities, 2025 · doi:10.1352/1934-9556-63.4.344