1. Positive Behaviour Support Plans
Effective design and development

2. Objectives What is Positive Behaviour Support?
How can plans be made effective ?
Why might plans fail or not be as effective as they could be?
What are effective formats for PBS plans?
My experiences of PBS planning.
How should plans be reviewed and maintained?

3. What is Positive Behaviour Support?
‘Positive behavior support (PBS) is an applied science that uses educational and systems change methods (environmental redesign) to enhance quality of life and minimize problem behaviors’
Carr et al (2002)

4. Sources of PBS (Carr et al 2002)
Applied Behaviour Analysis
Normalisation/ Inclusion Movement
Person Centre Values

5. Feature of PBS (Carr et al 2002)
comprehensive lifestyle change
a lifespan perspective
ecological validity
stakeholder participation
social validity
systems change and multicomponent intervention
emphasis on prevention,

6. Characteristics of PBS and PBS Planning
Assessment based
Comprehensive
Proactive
Lifestyle enhancement/inclusion
Person Centred Values
Everyday application
Teaching of alternative skills
Bambara and Knoster 1998

7. Principles underlying effective PBS plans
Multiple interventions or support strategies
Hypothesis based
Person Centred
Personalisation

8. Aspects that should be included in PBS plans to make them effective
Antecedent and setting event modifications
Teaching of alternative skills
Consequence interventions
Lifestyle Interventions
(Bambara and Knoster 2003)

9. Triadic Approach Consultant Mediators Focus person
(Tharp and Wetzel 1969)

10. Contextual fit Congruence between PBS plan and variables related to:
Focus person
People implementing the plan
Environment and systems

11. Reasons why PBS plans may fail
Not comprehensive enough
Not technically sound
Poor fit
Poor implementation
(Bro Morgannwg 2009)

12. Formats – 13 step model (PRT)
Behaviours of concern
Who is affected?
Setting conditions
Primary Prevention
Early Indicators
Secondary Prevention

13. 13 steps continued (PRT) 7. Reactive strategies 8. Unresolved risks
9. Post Incident Support
10.How does the plan support community living?
11.Data collection and review
12.Plan agreement
13 Review date

14. PBS plan (Bro Morgannwg format) 1
Identifiers
Pen portrait
Behavioural Summary
Health needs

15. PBS plan (Bro Morgannwg format) 2
5. Primary Prevention
6. Secondary Prevention
7. Reactive Strategies
8. Evaluation

16. What I have found helpful in practice
Planning with teams
Matching support to individual teams
Attending to ongoing team needs
Ensuring grasp of theoretical principles
Adequate data gathering and analysis
Create momentum
Regular review
Facilitator knowledge
Clear, understandable language

17. Audit tools PBS checklist Goodness of Fit Survey
Audit Tool for Best Practice