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

Alinka Fisher, Glenn Kelly

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)
18 Downloads (Pure)

Abstract

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.

Original languageEnglish
Number of pages10
JournalDisability and Rehabilitation
DOIs
Publication statusE-pub ahead of print - 8 Sept 2024

Keywords

  • capable environments
  • challenging behaviour
  • community services
  • Positive behaviour support
  • quality of life
  • service model
  • tiered supports

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