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Positive Behaviour Support and Clinical Governance

BCC has many years of experience in developing and implementing clinical services to children, adolescents and adults with disability and in developing and managing teams of clinicians. Clinical governance is an important framework that is made up of several components which together ensure clinical/therapeutic services are clinically safe and accountable.

These include:

  • the policies and processes of a clinical service.
  • the way we measure and manage the quality and performance of the service.
  • how and to whom we report this information
  • how we continually improve the services we provide.

An effective Clinical Governance framework specifically:

  • sets principles, policies and processes to explain accountabilities
  • assists service providers to review and continually improve services
  • outlines the infrastructure needed for effective coordination, monitoring, evaluation and reporting of service quality.

BCC can provide specialised behavioural client assessment, program development , policy development and training in the following areas:

  • Positive Behaviour Support (PBS):
    • Functional behaviour assessment
    • Positive Behaviour Support Programming including the development of strategies and support for the use of restrictive practices where required;
    • The principles of PBS in the delivery of services to people with behaviours of concern (BoC)
    • Important assumptions of BoC and why traditional approaches often fail
    • The role of functional assessment and the competing behaviour model
  • Restrictive Practices (RP)
    • Understanding RP in relation to the National Quality and Safeguarding Framework
    • Reviewing an organisation’s current RP policy, procedures and authorisation processes
    • Training staff in RP implementation, reporting and monitoring
  • Client Safeguarding (CS)
    • Reviewing an organisation’s policy and procedures in alignment with the National Framework
    • Development of policy and processes for managing and responding to allegations of abuse, assault and neglect.

A “restrictive practice” is defined as any practice or intervention that has the effect of restricting the rights or freedom of movement of a person with disability with the primary purpose of protecting the person or others from harm.

BCC can support organisations to ensure practices are in alignment with the National Framework on Quality and Safeguarding with a focus on the reduction of the use of restrictive practices in disability services that involve restraint (including physical, mechanical or chemical) or seclusion.

PBS is the term used to describe the integration of the contemporary ideology of disability service provision with the clinical framework of Applied Behaviour Analysis. PBS is supported by evidence encompassing strategies and methods that aim to increase the person’s quality of life and reduce challenging behaviour.

BCC can support organisations to align their service model with The National Framework on Quality and Safeguarding to ensure their principles and practices maximise individualised behaviour support for people with disability, with the overall objective of reducing the occurrence and impact of challenging behaviour and the use of restrictive practices.

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