Use of positive behaviour support plan for challenging behaviour in autism

Abstract

The aim of a positive behaviour support (PBS) plan is to improve the quality of a person's life by supporting the person to lead a meaningful life and learn new skills without unnecessary restrictions. PBS uses person‐centred values as well as behavioural science and evidence to inform how to work with people who are at risk of displaying behaviour that challenges. Here, the authors describe how a PBS was effectively used to reduce anxiety and challenging behaviour in a person with autism.

Approaches used to prevent and reduce the use of restrictive practices on adults with learning disabilities: Protocol for a realist review

“…The most common approaches used to prevent or reduce the use of restrictive practices in learning disability settings are centered around Positive Behaviour Support (PBS) [ 17 – 21 ] underpinned by a person-centered, trauma informed approach. These may also cover the implementation of behaviour support plans (BPSs) [ 22 , 23 ]; staff training in mindfulness/Mindfulness-Based Positive Behavior Support (MBPBS) [ 24 – 26 ]; programmes [ 27 ] including elements of PBS, Safewards [ 28 ] and the Six Core Strategies [ 29 ] or organisational behavior management (OBM) approaches to reducing the use of restrictive practices in these settings [ 30 ].…”

Restrictive Practices and the ‘Need’ for Positive Behaviour Support (PBS): A Critical Discourse Examination of Disability Policy Beliefs

“…Such plans may be unrelated to PBS other than documenting behavioural practices, and it remains to be seen if there are improvements in service users' lives consistent with a comprehensive implementation of PBS. For example, Javaid et al (2020) reported reduction in restrictive practices using PBS, but the authors do not discuss meaningful outcomes for the person with intellectual disability. From a more macro perspective, Riding (2016) reported a 42% reduction in restrictive practices in an intellectual disability Trust; however, the author is careful to note that it is not possible to identify if it was PBS or another program intervention that led to this result.…”

Pregabalin in treating challenging behaviour in patients with ID

“…3 Management of challenging behaviour involves a detailed functional behaviour analysis and modification of environmental factors that may be the precipitating factor for these challenging behaviours. 4 A comprehensive positive behavioural support plan should also be put in place. 4 At the extreme, having exhausted all non-pharmacological means, NICE recommends use of risperidone at low dosage in managing challenging behaviours.…”

“…4 A comprehensive positive behavioural support plan should also be put in place. 4 At the extreme, having exhausted all non-pharmacological means, NICE recommends use of risperidone at low dosage in managing challenging behaviours. 5 Antipsychotics are known for numerous side-effects, such as idiosyncratic, extrapyramidal and metabolic side-effects.…”

“…Challenging behaviour is common in people with intellectual disability because they have less resilience and poorer coping strategies compared with the general population when they face adversity 3 . Management of challenging behaviour involves a detailed functional behaviour analysis and modification of environmental factors that may be the precipitating factor for these challenging behaviours 4 . A comprehensive positive behavioural support plan should also be put in place 4 .…”