Purpose

This paper aims to present a conceptual viewpoint highlighting the utility of active support in implementing capable environments and to extend this by presenting a three-tiered preventative model of positive behavioural support (PBS) in UK health and social care.

Design/methodology/approach

Provision of a commentary on “Building capable environments using practice leadership” by Linda Hume, Nadia Khan and Martin Reilly.

Findings

Capable environments and active support should be key, universal and essential PBS tier one supports in UK health and social care. Training staff in Active Support and developing practice leadership help implement capable environments.

Originality/value

The three-tiered PBS model was recently proposed by Leitch et al. (2020) and is worthy of further debate and refinement with the involvement of stakeholders. It has several practical implications including refocussing efforts on early intervention to get tier one supports implemented effectively in recognition that PBS is much wider than intense tier three supports. It could reinforce and motivate existing providers of quality support and indicate where and how other providers can commence the process of implementing PBS. Future research could consider the effectiveness of applying implementation science to the field of learning disabilities and PBS in particular.

中文翻译：

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关于“使用实践领导能力建设有能力的环境”的评论

目的

本文旨在提出一种概念观点，突出强调积极支持在实施有能力的环境中的效用，并通过提出英国卫生和社会护理中的积极行为支持（PBS）的三层预防模型来扩展这一观点。

设计/方法/方法

琳达·休姆（Linda Hume），纳迪亚·汗（Nadia Khan）和马丁·赖利（Martin Reilly）提供了有关“使用实践领导力构建有能力的环境”的评论。

发现

可靠的环境和积极的支持应该是英国卫生和社会护理中PBS的关键，普遍和必要的一级支持。培训员工积极支持和发展实践领导能力有助于实施能力强的环境。

创意/价值

Leitch等人最近提出了三层PBS模型。（2020年），值得在利益相关者的参与下进行进一步的辩论和完善。它具有一些实际意义，包括将精力重新集中在早期干预上，以有效地实施第一层支撑，这是因为认识到PBS比第三层密集支撑要宽得多。它可以加强和激励现有的质量支持提供商，并指出其他提供商可以在哪里以及如何开始实施PBS。未来的研究可能会考虑将实施科学应用于学习障碍尤其是PBS领域的有效性。