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

2. 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

3. 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

4. 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

5. What works?

6. 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

7. So what are the issues?
Implementation

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

9. 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

10. 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?

11. What does this lead to?

12. 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

13. 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.

14. 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.)

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

16. 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.

17. 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

18. Thank You