PBS & Physical intervention

A C H I L D A N D A D U LT S U P P O RT P E R S P E C T I V E

PBS & PHYSICAL INTERVENTION

PBS & Physical Intervention

• ‘Positive Behavioural Support (PBS) is an approach that blends values about the rights of people with disabilities with a practical science about how learning and behaviour change occur. The overriding goal of positive behavioural support is to enhance quality of life for individuals and their support providers’

(Horner, 1999) • Restrictive Physical intervention is the use of

force to control a person’s behaviour.

What does PBS mean in practice?

• Practical & effective way of responding to challenges caused by problem behaviours.• Reverse relationship with Physical intervention. • Focus is on early intervention

What does Physical Intervention mean in practice

• Focus should always be on non- physical reactive strategies.• Risks assessment including medical risks.• The purpose of physical intervention.• It is not a sign of failure. • Routine assessment for physical or psychological

distress.• Clearly documented.• Debrief with all involved.

Working With Children & Young People in Schools

Legal Guidel ines

Working with adultsLegal guidel ines

Some things are the same

Physical Intervention good practice

• Why does Physical Intervention have a place as part of Positive Behavioural Support?

Use of Physical Intervention

• How can we ensure Physical intervention is used only when necessary for both children and adults?

• What needs to be in place to safe guard children and adults?

Policy Development & Review

Policy

Annual Review

Shared

Clear Definition

s

Training

Planned approach

Recording &

reporting

• Minimal Force• Minimal Time• Last resort

• Clear• Verbal/non-

verbal• Transparent

• Safe• Respect• Dignity• Understanding

• Honesty• Open• Treated fairly

Shared Values Holistic Approach

Reduce RiskCommunication

Behaviour Support Plans

Individual Risk Assessments

Recording & Reporting for children

Recording

Bound & Numbered

Book

Behaviour Frequency ABCC Charts

Physical Intervention

sReportin

g

OFSTEDLocal

Authority

Governors Parents/carers

25 Years

Recording and reporting Adults

Recording

Care records

Behaviour Frequency ABCC Charts

Physical Intervention

sReportin

g

CQCLocal

Authority

Within organization

Parents/carers

25 Years

Monitoring & Assessment

Trends

Individual targets

Level of Support & Interventio

n

Training needs

RAG

Conclusion

Workshop

• How can the successful use and assessment of physical interventions (PI) help support PBS in your setting?

• How is PI delivered in your setting?• Is it part of a proactive / positive approach?• How is it monitored? Could this process be more rigorous?• Are all PI carried out consistently as part of an individual

plan developed in the service users best interest?• How up to date is your policy?• Can you think of examples that highlight PBS and PI?