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Designing specialist community-based behavioural support teams

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Background: Given concern over inpatient treatment models for individuals with intellectual disabilities and challenging behaviour, there has been increased interest in specialist community-based behavioural support teams in the UK. Methods: We discuss the approaches, priorities and outcomes specialist community-based behavioural support teams should be focused on by examining research, outputs from the Positive Behavioural Support (PBS) Academy and drawing on professional experience. Results: We propose that teams should adopt the PBS framework intervention model, targeting vulnerability/ impact factors and maintaining processes, in a preventative, multi-disciplinary model. The use of standardised measures (baseline and post-input) supports service evaluation. Specialised community-based behavioural support teams should report outcomes of case work to commissioners of services including quality of life and social validity impacts. Conclusions: We conclude that teams should additionally contribute to proactive service wide approaches that include developing capable environments, policy, training and screening. We discuss service capacity and qualification requirements, and consider the importance of practice leadership.
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Keywords: CHALLENGING BEHAVIOUR; COMMUNITY-BASED TEAMS; OUTCOME MEASURES; POSITIVE BEHAVIOURAL SUPPORT; PSYCHOTROPIC MEDICATION

Document Type: Research Article

Publication date: October 1, 2019

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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