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Clinical services
Behavioural Support begins with assessment, not intervention. We gather data on when a behaviour occurs, what precedes it, and what it achieves, then form a hypothesis about its function. A plan written without that work is guesswork with paperwork attached.
Plans are built on positive, proactive strategies: changing the environment, adjusting demands, teaching a replacement skill that gets the same need met more safely, and building in reinforcement that is genuinely reinforcing to that person.
Where a restrictive measure is unavoidable to prevent serious harm, it is written explicitly, justified in the plan, consented to by the person or their substitute decision-maker, reviewed on a fixed schedule, and subject to a documented plan for its reduction. Restriction is a last resort with an exit strategy, not a standing arrangement.
Staff are trained on the specific plan, not merely on behaviour management in the abstract. Fidelity is monitored, because a good plan implemented inconsistently is not a good plan.
We work in close partnership with psychiatry, psychology, primary care and, where relevant, hospital teams. Behaviour that is driven by pain, medication or an untreated condition is a medical question, and treating it as a behavioural one is a failure of care.
Data-driven assessment of what a behaviour achieves before any plan is written.
Restrictive measures are used only to prevent serious harm, are documented and consented, and carry a written reduction plan.
Every plan includes what the person will be taught to do instead — not only what should stop.
Pain, medication side effects and undiagnosed conditions are investigated before behaviour is treated as behavioural.
We check that plans are actually being followed, and treat drift as our problem rather than the person’s.
All direct support staff hold current crisis prevention certification with a strong emphasis on de-escalation.
Questions
Only where it is necessary to prevent serious harm, only as written into a consented plan, and always with a documented plan to reduce and remove it. Every use is reported, reviewed by management, and analysed for what could have prevented it.
A qualified behavioural practitioner, working with the person, their family, direct support staff and treating clinicians. Plans are reviewed at least every six months and after any significant incident.
Call us. Capacity for urgent consultation varies, and we would rather tell you honestly and help you find the right service than take a referral we cannot serve well. In an emergency, call 911.
That is a decision for the person, their substitute decision-maker and their prescriber. Our role is to provide accurate behavioural data to inform it and to make sure non-pharmacological options have been genuinely tried.
Not answered here? Read the full FAQ or ask us directly.
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