Scoping Positive Behavioural Support in Scotland Implementation Framework 2015-17 Scoping Positive Behavioural Support in Scotland

Keys to Life (2013) Joint NHS & LA discharge protocols which include local & national planning for those for whom no alternative community placements exist (Recommendation 50) Scotland builds capacity to deliver specialist services locally, with an outcome that people with learning disabilities and complex needs should be supported to live nearer their family (Recommendation 51)

KtL Implementation Framework (2015-17) 4 strategic outcomes Outcome 3: People with learning disabilities are able to live independently in the community with equal access to all aspects of society Explore alternative models to out-of-area placements for people with complex needs

Complex Needs Project Support solutions for people with LD & complex needs (autism, challenging behaviour) Out-of-area (or out-of-country) Delayed discharge Young people in transition (future demand) Building capacity to deliver specialist community-based services locally

Complex Needs Project Identify OOA & DD from each HSCP Numbers/profiles/support needs Reason for admission/current treatment Understand the issues impacting Assess support needs & reason for OOA/DD Analyse barriers: housing, financial, support Explore alternative solutions Sustainable, local & community-based

PBS Project Range of evidence-based research on the effectiveness of PBS PBS likely to be part of the solution for CN No current Scottish guidance re PBS Scope the current state of PBS in Scotland Make recommendations to move forward PBS project will complement & inform the CN project

What do we Mean by PBS? A framework for support A psychological therapy An approach used by specialists Applied Behaviour Analysis Being person-centred Being positive to people Helping people behave positively  

Defining PBS Emphasis on quality of life Based on functional assessment Multi-element interventions Proactive & reactive strategies Long-term focus No use of aversives Systems change Adapting environments Social validity Contextual fit (Horner et al, 1999; Carr et al, 1999; Carr et al, 2002; La Vigna & Willis, 2005; Allen et al, 2005; Gore et al, 2013)

Defining PBS Training Person-centred Longitudinal Involvement of stakeholders Systems change (Anderson et al, 1993; Anderson et al1996; Dunlap et al, 2000; La Vigna et al, 2002; Carr et al, 2002; Kincaid et al, 2006)

Today’s Event Purpose is to input into the project brief Range of speakers from different areas Range of disciplines represented Enable information sharing Opportunity for discussion & feedback Keen to hear everyone’s views PBS project will be informed by today

Phase One: Information Gathering What Happens Next? Phase One: Information Gathering Consultation with stakeholders Family carers Schools Health & social care settings Academics & researchers Visiting examples of good practice Hearing views, having conversations

Phase Two: Making Recommendations What Happens Next? Phase Two: Making Recommendations Consolidate & evaluate information Compare good practice from elsewhere Consider published guidance Gather evidence-based research Draft recommendations Feedback to stakeholders for comments

Possible Areas to Consider Use of PBS in commissioning PBS inspection criteria PBS standards for service providers PBS workforce development Accredited training in PBS SG policy statement re PBS PBS competency framework A Scottish perspective on PBS

Things to Think about Today What is the good practice taking place in relation to PBS across Scotland? What else needs to happen in relation to the use of PBS, in order to better support people with learning disabilities and complex needs across Scotland?’

Project Lead, Keys to Life Complex Needs Project Enjoy the Day! Dr Anne MacDonald Project Lead, Keys to Life Complex Needs Project Anne.macdonald3@gov.scot