An evaluation of positive behavioural support implemented within an intensive community support service for people with learning disabilities who present with behaviours that challenge

This article evaluates the effectiveness of a multidisciplinary intensive community support service, using positive behavioural support (PBS) as a core intervention model to reduce behaviours of concern and to improve the quality of life and occupational involvement of individuals with a learning disability who present with behaviours that challenge. The service used outcome measures to evaluate the effectiveness of the PBS model. The study looks at pre- and post-outcome measures which showed a significant improvement in behaviour, quality of life and occupational outcomes for individuals with a learning disability presenting with complex behaviours of concern. This study contributes to the growing evidence base for PBS being delivered by specialist community learning disability teams.

Clients' Functioning and Need for Case Management

This paper describes the transition and reorganization of a Community Support Service, previously functioning as a traditional management program with high caseloads. Through the development and use of a tier system, based on functioning, clients were provided service commensurate with need.