We've been using this approach since before Positive Response existed ie when it was the Cardiff model, as part of a local partnership with health and other local charitable agencies.
Integrate had developed preventive training initially in the 80's from a Richmond Fellowship training course and offered this within our local training partnership. However, concerned about how to support situations where there were physical assaultative behaviours, as part of a North-West group we looked for appropriate physical intervention, which we wanted to be values-led, individually-based and non-aversive - with an emphasis on prevention. The Cardiff model was clearly the model of choice when a number were investigated.
Within the partnership we have seen behaviours extinguish following the use of positive behaviour management with practical tailored interventions as well as the preventive training. Within the partnership we (Integrate) moved from a situation where we had four people who needed physical interventions to no one.
More recently following much service restructuring, which changed the local partnerships, we have formed a new partnership of the PCT and several members of a local voluntary sector consortium, sharing accredited trainers and have been developing a robust partnership and new trainers. From our own position where new services meant four service users where staff needed the training - one has already come off the list as the practical physical intervention has not now had to be used for 12 months; and another agency has also had their focal service user not needing practical physical intervention for nine months.
All have seen reductions in need and are aware that it is the holistic approach with the positive individualised approaches with increasing staff awareness of themselves, of what is happening when a situation starts to escalate and how to prevent incidents, and of strategies and options.
We would say that we most gain from the holistic individual approach based on the person, and the preventive approach within the theory which increases all staff's confidence and tools and thus increases their skills and awareness - thereby resulting in less need for practical physical interventions. We recommend the theory for all staff.
We think the PBM programme is thorough and comprehensive and the approach of training trainers to be able to train staff working with individuals means the ability of organisations to train staff right from the start and refresh regularly, thus buying time to work with the service user to develop their lives and remain in the community and supporting staff to be able to work effectively and with confidence.
Integrate and the PLURISA partnership