Exploring the Implementation of Positive Behaviour Support as an Intervention for People with Intellectual Disabilities and Behaviours that Challenge

This portfolio thesis is comprised of three parts. It explores the implementation of positive behaviour support (PBS) to support people with intellectual disabilities and behaviours that challenge.Part one contains the systematic literature review that aimed to explore the effects of implementing PBS in services that support people with intellectual disabilities and behaviours that challenge. Fourteen papers were analysed using narrative synthesis and five themes were constructed, including: ‘reduction of behaviours that challenge’, ‘reduction of the use of psychotropic medication’, ‘improvements in quality of life’, ‘changes in the extent of support required’ and ‘elements of positive behaviour support which assisted changed in outcomes post-implementation’. The quality of the literature included is assessed, and the implications for clinical practice and future research are discussed. Part two contains the empirical paper that aimed to explore the experiences of health care assistants who used PBS in an inpatient service to support people with intellectual disabilities and behaviours that challenge. Six participants shared their experiences in semi-structured interviews. The transcripts were analysed using interpretative phenomenological analysis and three superordinate themes were constructed: ‘understanding behaviours that challenge’, ‘using PBS as a HCA’ and ‘relationships’. The clinical implications and future research suggestions are discussed. Part three contains the appendices that accompany both the systematic literature review and the empirical paper. A reflective statement on the researcher’s experiences of the research and an epistemological statement on the researcher’s assumptions are included.

Name dc:type.qualificationname

ClinPsyD

Level dc:type.qualificationlevel

Doctoral

Grantor dc:publisher.institution

The University of Hull

Year dc:date.issued

2022

Author dc:creator

• Rogers, Natasha

• Clinical psychology

Language dc:language

en

Identifier

oai:hull-repository.worktribe.com:4192918

OAI identifier oai:identifier

oai:hull-repository.worktribe.com:4192918