Winterbourne View: Winterbourne View: what are the lessons for what are the lessons for

other servicesother services

Avon & Wiltshire Positive Avon & Wiltshire Positive Behaviour Support NetworkBehaviour Support Network

Background Background

Panorama documentary on TVPanorama documentary on TV Showed the abuse of people with a Showed the abuse of people with a

Learning Disability in a private hospitalLearning Disability in a private hospital Police investigationPolice investigation Staff arrestedStaff arrested Hospital closedHospital closed Other hospitals checked by CQCOther hospitals checked by CQC Some other problems in other placesSome other problems in other places

ReflectionReflection

Spend 5 minutes acknowledging your Spend 5 minutes acknowledging your emotional response to the documentary.emotional response to the documentary.

What went wrong?What went wrong?

Staff attitudes and behaviourStaff attitudes and behaviour

Insularity & lack of networkingInsularity & lack of networking

Inspections didn’t show problemsInspections didn’t show problems

People who new about the problems People who new about the problems weren’t listened toweren’t listened to

What went wrong?What went wrong?

Poor leadership at different levelsPoor leadership at different levels

Multi-agency relationshipsMulti-agency relationships

People placed too far from homePeople placed too far from home

Monitoring arrangements didn’t show Monitoring arrangements didn’t show problemsproblems

What does this mean for What does this mean for other services?other services?

Could any of these problems happen Could any of these problems happen in other services?in other services?

What went wrong?What went wrong?

Staff attitudes and behaviourStaff attitudes and behaviour

Insularity & lack of networkingInsularity & lack of networking

Inspections didn’t show problemsInspections didn’t show problems

People who new about the problems People who new about the problems weren’t listened toweren’t listened to

What went wrong?What went wrong?

Poor leadership at different levelsPoor leadership at different levels

Multi-agency relationshipsMulti-agency relationships

People placed too far from homePeople placed too far from home

Monitoring arrangements didn’t show Monitoring arrangements didn’t show problemsproblems

Question?Question?

Can the positive behavioural support Can the positive behavioural support model help us to overcome what went model help us to overcome what went wrong?wrong?

What is PBS?What is PBS?

Positive Behavioural Support (PBS) is an Positive Behavioural Support (PBS) is an approach that blends values about the rights approach that blends values about the rights of people with disabilities with a practical of people with disabilities with a practical science about how learning and behaviour science about how learning and behaviour change occur. The overriding goal of positive change occur. The overriding goal of positive behavioural support is to enhance quality of behavioural support is to enhance quality of life for individuals and their support providers life for individuals and their support providers

(Horner, 1999)(Horner, 1999)

The Values of Positive The Values of Positive Behavioural SupportBehavioural Support

People are individuals with gifts & hopesPeople are individuals with gifts & hopes

People are members of families, peer groups & People are members of families, peer groups & societysociety

People influence their circumstances in People influence their circumstances in personally meaningful wayspersonally meaningful ways

People have the right to be treated with dignity People have the right to be treated with dignity & understanding& understanding

Relationships and contexts impact the quality Relationships and contexts impact the quality of a person’s life of a person’s life

The characteristics of The characteristics of PBSPBS

Comprehensive lifestyle changeComprehensive lifestyle change A lifespan perspectiveA lifespan perspective Ecological validityEcological validity Stakeholder participationStakeholder participation Social validitySocial validity Systems change and multi-component interventionSystems change and multi-component intervention Emphasis on preventionEmphasis on prevention Multiple theoretical perspectivesMultiple theoretical perspectives Reduction in CB occurs as a consequence of Reduction in CB occurs as a consequence of

effective supporteffective support

ActivityActivity

What went wrong? How might the PBS model overcome this?

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What needs to be different?What needs to be different?

Listening to service-usersListening to service-users Listening to worriesListening to worries Checking out worriesChecking out worries Better training for staffBetter training for staff Better leadership in servicesBetter leadership in services Better local servicesBetter local services Better inspectionBetter inspection Better monitoring of placementsBetter monitoring of placements

Question?Question?

What one thing will I do differently?What one thing will I do differently?