Purpose

Without effective support and intervention, young people with learning disabilities and severe challenging behaviour are at risk of placement in out-of-area residential settings or highly specialist child and adolescent mental health service (CAMHS) units. Such placements may be inappropriate and result in significant reductions to the quality of life of young people and their families. This paper aims to evaluate the effectiveness of the Bradford positive behaviour support (PBS) service model in terms of its aims to improve quality of life, develop skills and maintain children living with their families in their own homes.

Design/methodology/approach

A service evaluation using quantitative and qualitative data from a range of sources to review the effectiveness of the PBS model being applied in Bradford and Calderdale was the methodology used.

Findings

When consistently implemented, the Bradford positive behaviour support–in reach service may improve quality of life, facilitate skill development in young people and their carers and reduce placements in residential and CAMHS inpatient units. Avoidance of such placements is likely to reduce the overall costs of service commissioning in Bradford.

Originality/value

This paper evaluates a novel approach being applied by a third sector agency to implement effective PBS with a small group of children, their families and networks. There is scope for this model to be successfully implemented in other areas.

中文翻译：

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对Bradford积极行为支持的反思性评估-覆盖服务

目的

如果没有有效的支持和干预，有学习障碍和严峻挑战行为的年轻人有被安置在区域外居住环境或高度专业的儿童和青少年心理健康服务（CAMHS）单元中的风险。这样的安置可能是不合适的，并导致年轻人及其家庭的生活质量大大下降。本文旨在评估Bradford积极行为支持（PBS）服务模型的有效性，该模型旨在提高生活质量，发展技能并维持与家人同住的孩子。

设计/方法/方法

所使用的方法是，使用来自各种来源的定量和定性数据进行服务评估，以评估在Bradford和Calderdale中应用的PBS模型的有效性。

发现

如果始终如一地实施，布拉德福德积极行为支持和伸手可及的距离服务可以改善生活质量，促进年轻人及其护理人员的技能发展，并减少住院和CAMHS住院单元的安置。避免这种安置可能会降低布拉德福德（Bradford）服务调试的总成本。

创意/价值

本文评估了第三部门机构正在采用的一种新颖方法，以对一小部分儿童，他们的家庭和网络实施有效的PBS。该模型有在其他领域成功实施的范围。