Specialists in head injury case management, rehabilitation and challenging behaviour

social_facebook_box_blue social_rss_box_orange social_twitter_box_blue

Tel. 01782   613  879  or    07450  833  000

Email. [email protected]


Stavian, 8 The Westbury Centre, Westbury Road, Newcastle under Lyme, Staffordshire, ST5 4LY

Small Logo

Positive Behavioural Intervention and Support (PBIS):

PBIS is a set of evidence-based strategies used to increase quality of life and decrease problem behaviour by teaching new skills and making changes in a person's environment. We combine:


‘Valued Outcomes’ - In the past strategies were designed to decrease problem behaviour without considering how they might affect other areas of an individual's life. This resulted in narrowly focused behaviour support plans. We focus on an individual's success and their personal satisfaction. Valued outcomes include increases in quality of life and positive lifestyle changes.


‘Behavioural Science’ - Research in applied behaviour analysis has demonstrated the importance of analysing the interaction between behaviour and the environment. Behaviour is considered purposeful and is under the control of environmental factors that can be changed. We focus on the importance of implementing strategies that are effective in natural everyday settings.


‘Validated Procedures’ – PBIS has been validated by a number of research procedures including programme evaluation measures, qualitative research, surveys, rating scales, interviews, correlational analyses, direct observation, and self-report information.


‘Systems Change’ - Many excellent PBIS plans encounter problems and are not implemented. These problems can be related to resource allocation, staff development issues, team building and collaboration. We focus on the larger environment within our organisation and maintaining the culture needed to ensure the success of using these approaches.

Head Injury and Challenging Behaviour:


Principle 1  –  Few people with head injuries and challenging behaviour needs to live in institutional style services.

Principle 2  –  Few, if any, people experiencing severe challenging behaviour would choose to live with other people who have the same problems.

Principle 3  –  Nobody experiencing severe challenging behaviour gains any benefit from living with other people who have the same problems.

Principle 4  –  All behaviour is adaptive and functional – it carries a legitimate message.

Principle 5  –  Focus on ‘fixing’ the person’s environment and support NOT their behaviour. Create a capable environment.

Principle 7  –  Where challenging behaviour occurs, early intervention prevents lives from being wasted.


"Enhancing quality of life to minimise problems with emotional and behavioural regulation"