PBS Matters

Guests - Hamish, Georgia and Carole:
Hamish and Georgia work for Beyond Limits which supports Ricky and Carole is Ricky's nan.

The team share Ricky's story of multiple service breakdowns due to Ricky expressing his dissatisfaction through presenting behaviours. Since moving to Beyond Limits late 2015, Ricky has been to music festivals, on numerous holidays and completed a 50km trek in Sweden, demonstrating that the right support has a life changing result.

Guest - Dr Peter Baker:
Peter is a part-time Senior Lecturer and Chartered Clinical Psychologist. He has many years experience as a clinician working for the NHS, leading to specialist support and intervention services for people with intellectual disabilities who present challenging behaviour. Peter has recently been part of a working group for "Meeting Needs and Reducing Distress."

Peter explains why he became interested in studying wellbeing and that we need to create supportive environments for staff as well as the people we support. It is all discussed that staff wellbeing is not linked to how challenging the person they work with is but the support the organisation give them. Peter discusses how to proactively support wellbeing including:
1. Providing clear expectations of staff
2. Training and supervising staff
3. Using a PBS framework
4. Talking to staff
5. End of shift reviews
6. Informal peer support

Guest - Tom Bassett:
Tom works as a Learning Disability and Autism Consultant for Norfolk County Council. He has worked in a variety of settings and is currently aiming to roll out Positive Behaviour Support across Norfolk.

Tom, Paddy and Jo discuss rolling out Positive Behaviour Support across a variety of providers and populations within Norfolk, including the barriers and successes Tom has faced. Tom discusses getting engagement and how to get buy in to ensure co-production that takes into account the varying needs across the area.

Mags introduces a 10 year old boy who was referred for support to develop his vocal skills. Mags used TalkTools, task analysis, errorless learning and intensive interaction to develop his oral motor skills. This improved his eating and speech. Mags highlights the importance of considering physical issues anytime a person is referred for services.  

Paddy and Jo are joined my Mags Kirk to discuss the role of Speech Therapists and the importance of oral motor skills. Mags outlines the different terminology used by different professions and how they link. The episode includes the importance of SALT and PBS practitioners working collaboratively and how this can improve the outcomes for people.  

Part three is all about the practical application of practice leadership within services. Roy Deveau shares how best to introduce practice leadership, training for practice leaders and the benefits it can bring. Roy goes through the EDDY model as a useful method to ensure training is embedded into practice. 

Roy Deveau joins Paddy and Jo to share where practice leadership comes from and the research linked to it. 

Paddy and Jo re joined by Roy Deveau and discuss what practice leadership is. They cover the difference between practice leadership and management, the importance of having practice leaders and how context impacts on the effectiveness of practice leadership. 

This episode discusses two case studies to demonstrate PBS in practice. Jo introduces a gentleman where his fear of dogs was preventing him for going out and Paddy discusses implementing PBS across an organisation. 

Paddy and Jo consider the important elements of PBS; including contextual fit, stakeholder involvement and function based strategies. They discuss what PBS is and is not and why organisational culture is crucial for translating the theory and training into practice.