Statewide system change in positive behavior support.

In the past few decades, the field of positive behavior support has emerged from its origins in applied behavior analysis. However, the difference between an appropriate literature base and statewide implementation by a state MR/DD agency cannot be overstated. The development process and model for statewide system change in positive behavior support being implemented by the South Carolina Department of Disabilities and Special Needs in collaboration with the Center for Disability Resources at the University of South Carolina are described. Key areas discussed include the impetus for change, the development process, plan components, and implementation of methods for change in capacity building, training, state regulations, MR/RD Waiver changes, and case-specific technical assistance.