POSITIVE BEHAVIOUR SUPPORT
Spectrum Centre provides Positive Behaviour Support (PBS).
PBS and Neurodiverse Affirming Practice
“When a flower doesn’t bloom, you fix the environment in which is grows, not the flower” – Alexander Den Heijer
Contemporary PBS is underpinned by human rights and person-centred practice. It views all people as individuals that have the right to communicate in their own way and have their specific needs met. PBS aims to develop a shared understanding of the person’s needs, goals, and abilities with the purpose of improving their quality of life.
PBS and the NDIS
"Improved Relationships" funding (CB Relationships) may be allocated to NDIS participants when there are situations or experiences during which participants are experiencing emotional dysregulation and/or unmet needs. This may include adaptive stress responses such as property damage, lashing out, running away and more which signal a need for further understanding and support.
NDIS participants with an "Improved Relationships" budget are able to access PBS services. PBS services are provided by practitioners who are registered with the NDIS Quality and Safeguards Commission. The NDIS Quality and Safeguards Commission oversee all services and supports delivered with NDIS funding, including the quality of PBS services delivered by practitioners.
Practitioners carry-out a PBS assessment which includes input from the participant and relevant others (e.g., family members, caregivers, support staff, teaching/employment services, therapists, other relevant professionals and agencies). Assessment also includes a range of sources such as medical history, previous medical or allied health reports, support plans, incident reports or other data, formal assessment measures, and direct observation.
Based on the assessment, practitioners co-develop support plans with the participant and important others in their life. Support plans include proactive strategies to improve quality of life (e.g., changes in the environment, communication supports), and reactive strategies that outline how others can support needs and respond to minimise distress and risk of harm.
Practitioners provide coaching to implement the support strategies in the plan, as well as monitoring and reviewing the effectiveness of the strategies over time.
In some situations a restrictive practice may already be in place or recommended to protect people from harm. A restrictive practice is any intervention that restricts the rights, freedom of movement, or access of a person with disability. Plans that include a restrictive practice are required to be shared with the NDIS Quality and Safeguards Commission and any other providers who will be using or administering the restrictive practice/s in the plan. The plan also includes how to fade out the need for the restrictive practice over time.