Rotholz and Ford (2003) deserve considerable credit and praise for their efforts in planning and implementing a statewide, systemic behavioral initiative. The authors acknowledged the assistance of several other people at the end of the article, and they, too, likely deserve much credit and praise. As Rotholz and Ford noted, voluminous literature attests to successful behavioral efforts (“positive behavior support” or otherwise) at the individual level and within schools, institutions, and other relatively small “systems.” However, there is a paucity of literature in which investigators have addressed broad-scale (i.e., statewide) behavioral initiatives. In this era of deinstitutionalization and community inclusion, such efforts are of critical importance for people with challenging behavior.

During the 1980s and 1990s, and continuing today, broad-scale behavioral initiatives have taken place in many locations, some of which have been described in the literature. For example, Rotholz and Ford (2003) cited...

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