1. Positive Behavioural Support and High Quality Behaviour Support Planning –Applications Beyond Developmental Disability Services
Jill Chaplin
Professional Head of Training and Development in PBS
(Northumberland Tyne & Wear NHS Foundation Trust)
Lynne Jones
Specialist Learning Disabilities Nurse (Cumbria
Partnership NHS Foundation Trust)

2. Behaviour Support Plan
Why do we need behaviour support plans?
Who should be involved in developing a BSP?
How do we make sure everyone follows the plan?
How do we know if a BSP is working?

3. Why are BSPs important? Developing services post Winterbourne
Most people with learning disabilities are supported by others
Behaviour Support Plans (BSPs) are essential part of PBS service delivery internationally
Time consuming so must get right
Intervention for the majority – core outcome of our involvement
Research started prior to Winterbourne report but that just serves to highlight the importance of good quality PBS –NICE guidelines
Internationally not just UK –FBA and BSP legally mandated in the USA –therefore most of the research is US education based

4. Definition A Behaviour Support Plan;
Summarises Functional Behavioural Assessment information
Specifies how an environment needs to be re designed to reduce CB and help the individual develop new skills and more desirable/helpful behaviours
Acts as a prompt for carer behaviour
Everyone here writes or contributes to BSP so you know they need to be individualised and you need to involve the person and key stakeholders- family, carers, teachers etc in the development
Crucially based on good quality FBA

5. Behaviour Support Plans
For whom?
All staff and families who are involved in supporting our clients!
Detail may vary – principles are the same

6. Behaviour Support Plans
Who makes up the development and implementation team?
Everyone relevant to the implementation
Depends on the specific needs of student.
Reg ed, an admin, parent, counselor, student study team, 504 team, IEP team

7. Exercise
What do you think should be in a Behaviour Support Plan?

8. Core Elements Function Preventative and reactive Primary Secondary
Tertiary strategies
Reflective

9. Factors Influencing BSP Quality
Team members with higher levels of behavioural training (Cook et al, 2007)
Combining training in underlying behavioural principles and indicators of quality in BSPs (Browning- Wright et al, 2007)
Contextual fit (Medley et al, 2008)
concepts identified but how do we ensure that those concepts are apparent in BSPs well; research suggests that
Team members with behavioral training write better plans
Combination training were 4x more likely to write plans that were rated good or superior
- developing plans where there is a good fit with stakeholders- values, partnership etc is more likely to lead to better quality plans

10. Evaluating the Quality of Behaviour Support Plans
Measure
 Behaviour Support Plan Quality Evaluation Tool (BSP-QE11) (Browning-Wright et al, 2003)
 US educational settings
Based on 6 key behavioural concepts
12 practice standards
 Scores assigned on how well an element of a BSP matches an objective description where;
0 = unmet criteria
1 = partially met criteria
2 = adequately met criteria
 Total score;
<12 = weak
13-16 = under developed
17-21 = good

11. Thank you