Implementing Positive Behaviour Support A Social Care Perspective Martin Reilly and Nadia Khan Behaviour Co-ordinators

PBS within the NAS UK wide PBS team covering -Scotland -England -Wales Overseen by National PBS Lead Teams sit out with services Teams work on a referral basis

NAS Scotland PBS Team Two members within the team Cover all NAS Scotland Adult Services (Supported Living, Outreach, Student Support, Social Groups) Work on a referral basis Work as part of a multi-disciplinary team alongside Speech and Language Therapy, Occupational Therapy and Person Centred Planning Support Autistic adults and adults with Learning Disabilities

Our Role Functional Assessments Development and maintenance of Behaviour Support Plans Development of Proactive and Reactive Guidelines Modeling practice Providing training and workshops to staff Undertaking competency checks

What works?

What we have done? Establishment of a national PBS group within NAS Standardising of PBS paperwork PBS training for all staff Facilitating bespoke PBS workshops Structured assessment process Development of Behaviour Support Plans, Proactive and Reactive Guidelines Successfully embedding MDT working within NAS Scotland

So what are the issues? Implementation

Staff High staff turnover Staff skill level Understanding of PBS The role of staff within the process Staff ‘buy in’

Practice Leadership Management role in relation to implementation Understanding of the role of PBS Can be viewed as an ad-hoc crisis service Lack of management training

Training Inconsistent training time with staff teams Lack of accredited training and on ongoing professional development which is open to all care providers Courses are available however they can be costly. Who should pay for this?

What does this lead to?

Outcomes Inconsistent implementation Paying ‘lip service’ to PBS A decrease in Quality of Life for the People We Support Frustration form direct support staff Re-referral of person

What is PBS? ‘While the emphasis on PBS in UK policy is welcome, its main impact to date is that many services, agencies and trainers now lay claim to implementing this approach when their actual practice bears little or no resemblance to the model described (within the framework)’. (PBS Competence Framework 2015 ) If people don’t understand what PBS is it leads to misunderstanding dilution and corruption of the approach.

What do we need? Government support in the development of a National Framework for PBS To provide practitioners with the opportunity to share best practice. To provide practitioners with a chance to maintain and expand their professional competence through peer reviews, presentations and discussions. Cross sector collaboration Training for staff at all levels including other professionals (SLT, OT, Psychology, Psychiatry etc.)

What do we need? A definition of PBS A consistent approach locally and nationally Robust monitoring and evaluation

How can the NAS contribute? Being part of a national forum for PBS Develop and contribute to the evidence base for Positive Behaviour Support Ensure appropriate training and learning opportunities are available for all staff Lobby the Scottish Government for increased guidance and support for PBS.

Who else should be involved? Scottish Government Local Authorities NHS All practitioners working in the field of PBS Families, carers and the people we support

Thank You