Positive behaviour supports in disability and community services (PBS-DCS): a tiered model for foundational, targeted, and specialist supports

A Fisher, G Kelly - Disability and Rehabilitation, 2024 - Taylor & Francis
A Fisher, G Kelly
Disability and Rehabilitation, 2024Taylor & Francis
Purpose Positive behaviour support (PBS) is recommended as a service response to
challenging behaviours. In Australia, however, there has been concern regarding PBS
policy and implementation. In response, this article proposes a tiered PBS service model for
disability and community settings, which is evidence-based and rights-driven. Materials and
methods Relevant literature, policy guidelines, and clinical experience are used to inform a
positive behaviour support service model for community implementation. Results The …
Purpose
Positive behaviour support (PBS) is recommended as a service response to challenging behaviours. In Australia, however, there has been concern regarding PBS policy and implementation. In response, this article proposes a tiered PBS service model for disability and community settings, which is evidence-based and rights-driven.
Materials and methods
Relevant literature, policy guidelines, and clinical experience are used to inform a positive behaviour support service model for community implementation.
Results
The Positive Behaviour Support in Disability and Community Service (PBS-DCS) model articulates systems-wide practices that support effective PBS provision within a human rights approach. The model describes three tiers of behaviour support: Tier I (Foundational), Tier II (Targeted), and Tier III (Specialist), and considers who should deliver which intervention elements and when.
Conclusions
The PBS-DCS model provides a framework to support quality PBS practice in community settings. It is proposed that a proof-of-concept model of community-based PBS should be investigated—and that this would help to ensure current practice aligns with the professional expectations of PBS and deliver high quality services to people living with disability.
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