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Positive behavioural support as a clinical model within acute assessment and treatment services

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Background: The inappropriate use of admission and treatment services for people with intellectual disabilities and challenging behaviour was at the heart of the Winterbourne scandal. The present paper describes how positive behavioural support (PBS) can be used in such service settings.

Method and materials: A repeated measures within- subject design was used to look at service user outcomes during admission.

Results: Significant changes were recorded on a variety of behavioural and mental health measures pre- post admission.

Conclusions: Despite the limitations of the study, the PBS assessment and intervention model that had a goodness of fit with acute assessment settings appeared to be associated with positive user outcomes. Concerns around length of stay were however apparent.


Document Type: Research Article

Publication date: March 1, 2013

More about this publication?
  • Positive behavioural support (PBS) combines the conceptual framework of applied behaviour analysis with the values base of social role valorisation and framework of person-centred approaches. The International Journal of Positive Behavioural Support is a peer-reviewed publication that aims to:

    · define and promote good practice in relation to the use of PBS

    · add to the evidence base regarding such interventions

    · demonstrate how PBS interventions can support people to change their challenging behaviours, improve their quality of life, and result in reductions in the use of restrictive procedures (such as physical intervention, seclusion and as required medication)

    · bridge the gap between academic research and service practice
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