Transcript Winterbourne View: what are the lessons for other services

Winterbourne View: what
are the lessons for other
services
Avon & Wiltshire Positive
Behaviour Support Network
Background
 Panorama documentary on TV
 Showed the abuse of people with a
Learning Disability in a private hospital
 Police investigation
 Staff arrested
 Hospital closed
 Other hospitals checked by CQC
 Some other problems in other places
Reflection
Spend 5 minutes acknowledging your
emotional response to the documentary.
What went wrong?
 Staff attitudes and behaviour
 Insularity & lack of networking
 Inspections didn’t show problems
 People who new about the problems
weren’t listened to
What went wrong?
 Poor leadership at different levels
 Multi-agency relationships
 People placed too far from home
 Monitoring arrangements didn’t show
problems
What does this mean for
other services?
Could any of these problems happen
in other services?
What went wrong?
 Staff attitudes and behaviour
 Insularity & lack of networking
 Inspections didn’t show problems
 People who new about the problems
weren’t listened to
What went wrong?
 Poor leadership at different levels
 Multi-agency relationships
 People placed too far from home
 Monitoring arrangements didn’t show
problems
Question?
 Can the positive behavioural support
model help us to overcome what went
wrong?
What is PBS?
Positive Behavioural Support (PBS) is an
approach that blends values about the
rights of people with disabilities with a
practical science about how learning and
behaviour change occur. The overriding
goal of positive behavioural support is to
enhance quality of life for individuals and
their support providers
(Horner, 1999)
The Values of Positive
Behavioural Support
 People are individuals with gifts & hopes
 People are members of families, peer groups &
society
 People influence their circumstances in
personally meaningful ways
 People have the right to be treated with dignity
& understanding
 Relationships and contexts impact the quality
of a person’s life
The characteristics of PBS
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Comprehensive lifestyle change
A lifespan perspective
Ecological validity
Stakeholder participation
Social validity
Systems change and multi-component intervention
Emphasis on prevention
Multiple theoretical perspectives
Reduction in CB occurs as a consequence of
effective support
Activity
What went wrong?
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How might the PBS model
overcome this?
What needs to be different?
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Listening to service-users
Listening to worries
Checking out worries
Better training for staff
Better leadership in services
Better local services
Better inspection
Better monitoring of placements
Question?
What one thing will I do differently?