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Designing specialist community-based behavioural support teams

Bowring, D; Totsika, V; Hastings, RP; Toogood, S; (2019) Designing specialist community-based behavioural support teams. International Journal of Positive Behavioural Support , 9 (2) pp. 4-15. Green open access

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Abstract

Background: Given concern over inpatient treatment models for individuals with intellectual disabilities and challenging behaviour, there has been increased interest in specialist community-based behavioural support teams in the UK. Methods: We discuss the approaches, priorities and outcomes specialist community-based behavioural support teams should be focused on by examining research, outputs from the Positive Behavioural Support (PBS) Academy and drawing on professional experience. Results: We propose that teams should adopt the PBS framework intervention model, targeting vulnerability/ impact factors and maintaining processes, in a preventative, multi-disciplinary model. The use of standardised measures (baseline and post-input) supports service evaluation. Specialised community-based behavioural support teams should report outcomes of case work to commissioners of services including quality of life and social validity impacts. Conclusions: We conclude that teams should additionally contribute to proactive service wide approaches that include developing capable environments, policy, training and screening. We discuss service capacity and qualification requirements, and consider the importance of practice leadership.

Type: Article
Title: Designing specialist community-based behavioural support teams
Open access status: An open access version is available from UCL Discovery
Publisher version: https://www.ingentaconnect.com/contentone/bild/ijp...
Language: English
Additional information: This version is the version of record. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: positive behavioural support, challenging behaviour, psychotropic medication, outcome measures, community-based teams
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10096853
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