1. Scoping Positive Behavioural Support in Scotland
Implementation Framework
Scoping Positive Behavioural Support in Scotland

2. Keys to Life (2013)
Joint NHS & LA discharge protocols which include local & national planning for those for whom no alternative community placements exist (Recommendation 50)
Scotland builds capacity to deliver specialist services locally, with an outcome that people with learning disabilities and complex needs should be supported to live nearer their family (Recommendation 51)

3. KtL Implementation Framework (2015-17)
4 strategic outcomes
Outcome 3: People with learning disabilities are able to live independently in the community with equal access to all aspects of society
Explore alternative models to out-of-area placements for people with complex needs

4. Complex Needs Project
Support solutions for people with LD & complex needs (autism, challenging behaviour)
Out-of-area (or out-of-country)
Delayed discharge
Young people in transition (future demand)
Building capacity to deliver specialist community-based services locally

5. Complex Needs Project Identify OOA & DD from each HSCP
Numbers/profiles/support needs
Reason for admission/current treatment
Understand the issues impacting
Assess support needs & reason for OOA/DD
Analyse barriers: housing, financial, support
Explore alternative solutions
Sustainable, local & community-based

6. PBS Project
Range of evidence-based research on the effectiveness of PBS
PBS likely to be part of the solution for CN
No current Scottish guidance re PBS
Scope the current state of PBS in Scotland
Make recommendations to move forward
PBS project will complement & inform the CN project

7. What do we Mean by PBS? A framework for support
A psychological therapy
An approach used by specialists
Applied Behaviour Analysis
Being person-centred
Being positive to people
Helping people behave positively

8. Defining PBS Emphasis on quality of life
Based on functional assessment
Multi-element interventions
Proactive & reactive strategies
Long-term focus
No use of aversives
Systems change
Adapting environments
Social validity
Contextual fit
(Horner et al, 1999; Carr et al, 1999; Carr et al, 2002; La Vigna & Willis, 2005; Allen et al, 2005; Gore et al, 2013)

9. Defining PBS Training Person-centred Longitudinal
Involvement of stakeholders
Systems change
(Anderson et al, 1993; Anderson et al1996; Dunlap et al, 2000; La Vigna et al, 2002; Carr et al, 2002; Kincaid et al, 2006)

10. Today’s Event Purpose is to input into the project brief
Range of speakers from different areas
Range of disciplines represented
Enable information sharing
Opportunity for discussion & feedback
Keen to hear everyone’s views
PBS project will be informed by today

11. Phase One: Information Gathering
What Happens Next?
Phase One: Information Gathering
Consultation with stakeholders
Family carers
Schools
Health & social care settings
Academics & researchers
Visiting examples of good practice
Hearing views, having conversations

12. Phase Two: Making Recommendations
What Happens Next?
Phase Two: Making Recommendations
Consolidate & evaluate information
Compare good practice from elsewhere
Consider published guidance
Gather evidence-based research
Draft recommendations
Feedback to stakeholders for comments

13. Possible Areas to Consider
Use of PBS in commissioning
PBS inspection criteria
PBS standards for service providers
PBS workforce development
Accredited training in PBS
SG policy statement re PBS
PBS competency framework
A Scottish perspective on PBS

14. Things to Think about Today
What is the good practice taking place in relation to PBS across Scotland?
What else needs to happen in relation to the use of PBS, in order to better support people with learning disabilities and complex needs across Scotland?’

15. Project Lead, Keys to Life Complex Needs Project
Enjoy the Day!
Dr Anne MacDonald
Project Lead, Keys to Life Complex Needs Project