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Title: Positive behaviour support for challenging behaviour after acquired brain injury: An introduction to PBS + PLUS and three case studies.
Epworth Authors: Gould, Kate
Ponsford, Jennie
Hicks, Amelia
Renison, Belinda
Other Authors: Hopwood, Malcolm
Feeney, Timothy
Keywords: Acquired Brain Injury
Case Study
Challenging Behaviour
Positive Behaviour Support
Overt Behaviour Scale
Monash-Epworth Rehabilitation Research Centre, Epworth Healthcare, Melbourne, Australia
Rehabilitation, Mental Health and Chronic Pain Clinical Institute
Issue Date: Jan-2021
Publisher: Taylor & Francis
Citation: 31 (1) pp. 57-91
Abstract: Challenging behaviours are a common and distressing consequence of acquired brain injury (ABI). There are no evidence-based guidelines for managing challenging behaviours after ABI, leaving clinicians with few resources to guide practice. Findings from case studies and single-subject experimental designs support the use of positive behaviour support (PBS) interventions for challenging behaviour post-ABI. This paper introduces PBS + PLUS: a multi-component and flexible PBS intervention using a person-driven collaborative approach to build a meaningful life and self-regulate behaviour after ABI. PBS + PLUS is currently being examined in a randomized controlled trial (RCT). Three detailed pilot case studies illustrate the highly individualized implementation of the programme, delivered to the individuals with ABI and carers over 12 months by a transdisciplinary team including neuropsychologists, occupational therapists, and psychiatrists. Objective behavioural outcomes are reported for participants using the Overt Behaviour Scale at baseline and four-monthly intervals for two years. Goal attainment scaling was used to measure personally meaningful goals. The qualitative appraisals of the intervention by participants, families and carers, and 12-month follow-up outcomes are described. The advantages and challenges of programme delivery are discussed. These case studies will assist clinicians and service providers to implement PBS + PLUS in anticipation of the results of the RCT.
DOI: 10.1080/09602011.2019.1656647
PubMed URL:
ISSN: 0960-2011
Journal Title: Neuropsychological Rehabilitation
Type: Journal Article
Affiliated Organisations: Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia
Department of Psychiatry, University of Melbourne and Albert Road Clinic, Melbourne, Australia
Belvedere Health Services and the Mill School, Essex Junction, VT, USA
Type of Clinical Study or Trial: Case Reports
Appears in Collections:Rehabilitation

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