A positive behaviour support practice framework for disability and community services in Australia that prioritises human rights and evidence-based practices.

Fisher, Alinka; Louise, Kymberly; Dobek, Monika; McRae, Jo; Clissold, Maverick; Reschke, Katrina; Fox, Russell; Leif, Erin et al. · Disabil Rehabil · 2025

review · Level V

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Abstract

This paper introduces a practice framework for individualised positive behaviour support (PBS). The framework incorporates existing function-based PBS principles and integrates contemporary research and Australian legislation to frame practice elements through a human rights lens. It is designed to support people with disability of varied aetiologies across the lifespan in various settings (e.g. home, schools, and aged care). Existing research and literature have been reviewed, including key theories and current formulations to inform a new practice framework that reflects recommendations for applications in community settings. The PBS Pathway (PBS-P) framework promotes culturally sensitive and socially valid strategies for empowering the person and their supporters <i>via</i> a clear practice framework. It emphasises evidence-based practices while acknowledging the need for flexibility to meet individual needs. The PBS-P framework offers a pragmatic approach and focused lens for critical thinking and reflective applications within PBS. It promotes a universal approach across the lifespan and service settings, contributing to a shared understanding of PBS as a rights-based practice. The framework's alignment with current legislation supports adoption within existing systems; however, successful implementation requires skilled practitioners, adequate funding, and policies to support knowledge translation.

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