Article2006

Service User Outcomes of Staff Training in Positive Behaviour Support Using Person‐Focused Training: A Control Group Study

65 citations0/0 files storedJournal of Applied Research in Intellectual Disabilities

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Behavioral and Psychological Studies Down syndrome and intellectual disability research Family and Disability Support Research

Abstract

Background Effectively supporting individuals with intellectual disabilities who display challenging behaviours continues to be a priority for service providers. Person‐focused training (PFT) is a model of service delivery which provides staff with skills in functional assessment and intervention development. Existing longitudinal data from a study of 138 cases suggest that implementation of staff‐developed behaviour support plans through PFT is effective in reducing challenging behaviour in approximately 77% of cases [McClean et al.Journal of Intellectual Disability Research (2005) vol. 49, pp. 340–353]. However, no control group was used in this study. Method The current study involves the use of a control group of individuals with challenging behaviours matched against those selected for PFT over a 6‐month period. Groups were matched on type of challenging behaviour, duration of challenging behaviour, gender and level of disability. Information on the frequency, management difficulty and severity of challenging behaviour was collected pre‐ and post‐training using the Checklist of Challenging Behaviours (CCB) for both groups. Observational data were collected for the target group alone. Rates of psychotropic medication were tracked across the training period. Results Significant reductions in the frequency, management difficulty and severity of challenging behaviour were found for service users in the target group but not in the control group after 6 months. No significant changes were found in the use of psychotropic medication for either group over the 6‐month period. Conclusion Overall results suggest that PFT is an effective model for providing support to individuals with challenging behaviours.

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References

2002Positive Behavior Support 1999Positive Behavior Support for People with Developmental Disabilities: A Research Synthesis 2001Challenging Behaviour 1995The form and function of challenging behaviours 1995TRAINING RESIDENTIAL SUPERVISORS TO PROVIDE FEEDBACK FOR MAINTAINING STAFF TEACHING SKILLS WITH PEOPLE WHO HAVE SEVERE DISABILITIES 1998Current Issues in Staff Training 11The author is grateful to Drs. Willy-Tore Mørch and Ivar Lovaas for their helpful comments at earlier stages of the preparation of this manuscript. Special thanks are also extended to Heidi Aase and Christoffer Rezende for invaluable assistance in editing this manuscript.1992ONGOING CONSULTATION AS A METHOD OF IMPROVING PERFORMANCE OF STAFF MEMBERS IN A GROUP HOME 2001Issues in the definition and implementation of “best practice” for staff delivery of interventions for challenging behaviour

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2007An evaluation of positive behavioural support for people with very severe challenging behaviours in community-based settings 2015An analysis of stress, burnout, and work commitment among disability support staff in the UK 2014Clinical and cost effectiveness of staff training in Positive Behaviour Support (PBS) for treating challenging behaviour in adults with intellectual disability: a cluster randomised controlled trial

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