POSITIVE BEHAVIOURAL SUPPORT SERVICE REGARD’S APPLIED BEHAVIOURAL/PSYCHOLOGY SPECIALIST SUPPORT
Regard’s Positive Behaviour Support Service (PBSS) uses a person-centred approach to design and implement short-term and long-term clinical behavioural intervention and support strategies, designed to manage and minimise challenging behaviour at a number of services within Regard.
We use Functional Behavioural Assessment (FBA) to:
• identify factors that may trigger challenging behaviour, such as communication difficulties, recent life events or changes to the individual’s environment
• provide a clear description of behaviours and sequences of behaviours that typically occur together
• identify the conditions in which behaviours are likely to occur/not occur
• establish how the behaviours benefit the individual and what maintains the behaviours.
We collect information for the FBA through tools including interviews with people who know the individual and through analysts observing their everyday life and interactions.
Challenging behaviour support
Using the FBA, we put in place person-centred, proactive strategies, involving consistent support approaches, to reduce the potential for challenging behaviour or placement breakdown. In this way, we can maximise the individual’s quality of life and opportunities.
As part of and alongside our work with individuals, we also aim to:
• work on assessments with service providers, family, NHS behavioural support services and key stakeholders involved in supporting the individual
• develop long-term intervention strategies and behaviour support plans
• review and evaluate the effectiveness of interventions and behaviour support plans.
We are also involved in providing advice and assessments when new individuals join a Regard service or when supporting individuals as they move between services or to more independent living.
The right approach is a foundation stone of support packages where behavioural difficulties may be present. Drawing on clinical observations and an assessment of the individual’s needs, their environment and staffing levels and expertise, we produce a behaviour transition plan designed to maximise their quality of life.
Training and coaching in person-centred active support
To ensure the consistency essential to successful behavioural support strategies, we train and coach Regard staff teams in providing person-centred, active support on a day-to-day basis. We also offer training modules to all Regard services in topics including:
• positive behaviour support
• introduction to challenging behaviour
• supporting individuals with autism
• meaningful recording of ABC (antecedent-behaviour-consequence) charts.
Working with NHS specialists
Our PBSS specialists and behavioural analysts often work on clinical cases with local NHS professionals, to maximise consistency of approach and the potential for successful outcomes.
Alongside joint coaching, training and meetings, our collaboration may include collective work and joint authorship of reports and behavioural support plans with consultant psychologists, psychiatrists, speech and language therapists and behavioural specialists.
Our team includes behavioural/psychology specialist consultants or specialists, who work as behavioural analysts. Our analysts hold master’s diplomas and postgraduate degrees in applied behaviour analysis, learning disabilities and challenging behaviour from institutions such as the Tizard Centre at the University of Kent, and the majority are also members of the British Psychological Society. All behavioural specialists have also received training from Gary LaVigna in our training partnership with the Institute for Applied Behavioural Analysis (IABA). In positive practices in behavioural support.
Their wide-ranging experience includes roles as NHS behavioural specialists and in the field of learning disabilities in the UK, Europe and further afield, as well as facilitation, project work, consultancy and training, working with partner agencies including police forces, local authorities, the Care Quality Commission and NHS trusts. They continue to carry out research, consultancy and guest speaker roles alongside their work at Regard.
Our behavioural specialists analysts receive clinical supervision, working under practice guidelines of the Behaviour Analyst Certification Board (BACB). Their membership of the Applied Behaviour Analysis Forum (ABAF), the Experimental Analysis of Behaviour Group (EABG) and the Tizard Practitioners Network (TPN) enables them to share clinical expertise, behavioural research and developments in behavioural analytic approaches.