The overall aim of PBS is to improve a person's quality of life and that of the people around them.

Bild and Positive Behaviour Support

At Bild, we help providers to better understand each person they support to enable them to meet their individual needs. The approaches we promote are person-centred, and advocate for the full involvement of the person and their family. Positive Behaviour Support (PBS) is one approach providers may use and we provide values-led PBS training to providers and professionals to help them understand what good PBS looks like.

PBS is a framework containing many elements of good practice, including upholding human rights, trauma informed approaches, inclusive communication, building rapport, sensory issues, behavioural science and more. It helps us understand how to best support someone and improve the quality of their life.

Why we offer PBS training

Bild’s PBS is values-led and focusses on getting to know people really well and building great relationships. By doing this, it is easier to understand the kind of support that helps someone to thrive. Knowing someone’s needs, preferences, hopes and wishes helps us to understand how to provide good support and to recognise when we’re not getting things right.

You can find out more detail about Bild’s approach to PBS here.

Reducing restrictive practices and challenging poor practices

Bild is clear that the use of crude behavioural approaches such as punishment or doing things to people that they do not like is unethical and has no place in PBS. PBS has evolved over many decades and will continue to change as we develop good practice with people with lived experience.

We know that some people are concerned that PBS is similar to Applied Behaviour Analysis (ABA). At Bild, we are clear that PBS and ABA are not the same thing and that is why our PBS approach does not try to change people or their behaviour, rather it seeks to improve people’s environments and support to improve their quality of life and better meet their needs.

Unfortunately, some practices labelled as PBS aren’t PBS at all and these services are not consistently embedding its values, and sometimes restraint training is incorrectly labelled as PBS. We understand that there are people who have had bad experiences with this type of support, and we agree with many of the criticisms about these practices. We share concerns about services where people’s rights, choices and preferences are not respected. Our work seeks to reduce restrictive practices, challenge poor practices, and embed rights-based, values-led culture, with supported people at the heart. We use a workforce development framework that includes practice leadership as an evidence-based way to ensure high-quality practice is embedded. We monitor impact of our training through the Kirkpatrick model of evaluation.

We appreciate there are a vast range of PBS providers available, and it can be complex to navigate what is suitable for your setting or for your family. We encourage anyone looking into PBS to thoroughly research each service provider, review the impact of their training in the evidence and information they share and ask them questions if anything is unclear.

Promoting best practice in PBS

At Bild, we do all we can to ensure that everyone we train understands and champions Bild’s PBS approach. This approach promotes respect, dignity, and full, uncompromising inclusion in all areas of life. Every person is entitled to the same rights and freedoms as everyone else and if this isn’t happening, then – quite simply they are not experiencing values-led PBS. We are aware of the power professionals often have over people and families and we think power should be shared, ensuring we work respectfully to co-produce solutions together.

The PBS framework contains a range of positive elements but we are always considering how it can be improved. Our vision is to continue working with people with lived experience to do this. In doing this, we will continue to ensure that we are helping practitioners and providers to better understand each individual they work with, meet their individual needs and support them to live the life they want.

Useful Resources

'What Does Good PBS Look Like?' resource - produced with the PBS Alliance to help people, practitioners, providers and inspectors identify if PBS is being done well

'What does good PBS look like?' blog post - written by Professor Edwin Jones, PBS Strategic Lead, that looks at Bild's approach to PBS in more detail

Bild's PBS webpage - providing information about PBS and details on workforce development training