TY - JOUR
T1 - Positive behaviour supports in disability and community services (PBS-DCS)
T2 - a tiered model for foundational, targeted, and specialist supports
AU - Fisher, Alinka
AU - Kelly, Glenn
PY - 2024/9/8
Y1 - 2024/9/8
N2 - 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.
AB - 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.
KW - capable environments
KW - challenging behaviour
KW - community services
KW - Positive behaviour support
KW - quality of life
KW - service model
KW - tiered supports
UR - http://www.scopus.com/inward/record.url?scp=85203269167&partnerID=8YFLogxK
U2 - 10.1080/09638288.2024.2398778
DO - 10.1080/09638288.2024.2398778
M3 - Review article
AN - SCOPUS:85203269167
SN - 0963-8288
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
ER -