We review your services using a standardised tool based on the PBS Academy Service Standards (www.pbsacademy.org.uk). We meet with leaders and staff members from the service or school and complete and audit in relation to PBS practices. This process allows us to gain an understanding of what’s already in place within your organisation that is consistent with PBS, and where there might be opportunities for development. Following the review we make suggestions for what developments should be considered first. Read more about our PBS Development Day.
Development of Strategic Plan
The plan is based on the PBS review, where key opportunities for development of PBS have been identified in line with the Tiered PBS model described below. It is essential that any plan has involved key stakeholders across the organisation, so discussions and agreements about priorities should involve as many people as possible. An agreed action plan with timescales is then created.
Train, Support and Lead Key Staff
Part of your strategic plan will include a range of training and mentoring for staff at different levels across your organisation. This will ensure that knowledge and skills are cascaded across all staff rather than being solely focused within a small group of experts. We recommend this model as it is the most effective way of establishing PBS both in terms of practices and in terms of cost. See our workshops and online training
A 12 month contract of combined training workshops and consultancy for 30 hours per month.
A 12 month contract of combined training workshops and consultancy for 50 hours per month.
A 12 month contract of combined training workshops and consultancy for 70 hours per month.
Implementation support often involves some or all of the following:
Support with developing and implementing PBS systems
Support with 6-12 monthly reviews of the strategic plan implementation
Train key staff to provide Introductory PBS workshop for all staff members
More advanced workshops for key staff
In service mentoring, modelling and coaching for key staff
1:1 supervision for key PBS staff
Tiered PBS Model
Many organisations focus on developing a small number of key people who have highly developed skills in the assessment and development of interventions for people who are presenting with behaviours that challenge. We have found that this approach is less than ideal. This is because it tends to lead to PBS being developed in pockets of a service and not across the organisation as a whole. It also usually results in burnout of those key people as there are always more ‘referrals’ than they can really cope with; that’s why we recommend the tiered model of PBS.
Initiatives at Tier 1 support effective communication, social relationships and engagement in purposeful activity, as well as ensuring staff teams have a value base consistent with PBS. Once in place these initiatives reduce the likelihood of people supported presenting with behaviours that challenge. This is achieved through the increase in quality of life through the interventions in place. The initiatives at Tier 1 can be taught and trained through workshops and in situ coaching.
Even with effective Tier 1 practices in place, there will always be some people who present with behaviours that challenge. This is because some people have complex learning histories and/or past trauma. At Tier 2 we work with those staff in the service who are taking responsibility for putting person-centred PBS strategies and plans into place for this small number of people. We train key staff on basic functional behaviour assessment skills and support the development of basic function-based interventions. The focus is on teaching individual and specific skills which replace behaviours that challenge.
Tier 1 and 2 interventions may result in a reduction in behaviours that challenge and an increase in quality of life for people supported. However, when the context and the behaviours are very complex, a more detailed functional behaviour assessment and intervention plan is required. For these situations a high level of academic and clinical training is required. Usually, Redstone professionals complete these more complex assessments and intervention and work with the PBS staff within the organisation to implement them.