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Improving the quality of behavioural support plans through service development initiatives

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Background: Behavioural support plans (BSPs) are an important tool in the delivery of interventions for people with intellectual disabilities and challenging behaviour. Considerable clinical effort and resources in services are invested in BSP development. Although there is existing research on BSP quality, few studies have addressed the outcomes of attempts to improve BSP quality in applied settings.

Method and materials: In the present study, we used the Behaviour Support Plan Quality Evaluation II (BSPQEII) (Browning-Wright et al, 2003) and evaluated the quality of the BSPs for adults with intellectual disabilities and severe challenging behaviour before and after the implementation of a coherent service development plan (SDP). The SDP was informed by previous research and an initial audit.

Results: We found significant improvements in BSP quality over time. However, the proportion of BSPs rated as 'good' after the implementation of the SDP was still very small.

Conclusion: The service developments may require longer to bed in and/or amended implementation to improve the proportion of BSPs rated as higher quality.
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Document Type: Research Article

Publication date: September 1, 2014

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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