Clinical perspectives on delivering a Positive Behaviour Support intervention for challenging behaviours following acquired brain injury.

Challenging behaviours are distressing sequelae for people with acquired brain injury (ABI) and their families. Positive Behaviour Support (PBS) is a collaborative approach focussing on improving quality of life for individuals with ABI presenting with challenging behaviours. This qualitative study explored clinicians' experiences of a 12-month intervention (PBS+PLUS) for adults with ABI and their family/carers.

"I've never been positive … I am now": Participant perspectives of a Positive Behaviour Support intervention (PBS + PLUS) for community-living individuals with ABI and their close others.

Challenging behaviours are common following moderate to severe acquired brain injury (ABI). These behaviours cause relationship and community participation difficulties and are a significant source of stress for many individuals with ABI and their close others (COs). A Positive Behaviour Support intervention, PBS + PLUS, was implemented to assist individuals with ABI to collaboratively build meaningful lives and self-regulate their behaviour.

Positive behaviour support for challenging behaviour after acquired brain injury: An introduction to PBS + PLUS and three case studies.

Challenging behaviours are a common and distressing consequence of acquired brain injury (ABI). There are no evidence-based guidelines for managing challenging behaviours after ABI, leaving clinicians with few resources to guide practice. Findings from case studies and single-subject experimental designs support the use of positive behaviour support (PBS) interventions for challenging behaviour post-ABI.

Structured flexibility and context-sensitive behavioral support for the chronically cranky.

Background: A significant number of individuals with brain injury demonstrate behavioral challenges that negatively affect their ability to live successfully in community settings. While there are a number of treatment approaches that have demonstrable effects in well controlled clinical settings, it is very difficult to implement these approaches in natural settings.

Objectives: The goal of this study was to report the results of an investigation of the effects of a multicomponent behavioral intervention on the challenging behavior of an adolescent and young adult with growing behavioral concerns after acquired brain injury (TBI).

Structured flexibility: the use of context-sensitive self-regulatory scripts to support young persons with acquired brain injury and behavioral difficulties.

Objective: This study investigated the effects of a cognitive-behavioral intervention on the escalating behavior problems observed in 2 children with severe traumatic brain injury.

Design: Multiple baseline designs were used to document the effects of an intervention package that integrated cognitive and executive function interventions to address severe challenging behaviors in public school settings.

Main Outcomes And Results: The results suggested that the intervention reduced the frequency and intensity of challenging behaviors and increased the quantity of work completed.

There's always something that works: principles and practices of positive support for individuals with traumatic brain injury and problem behaviors.

Behavioral and cognitive problems are among the most common and troubling consequences of traumatic brain injury Furthermore, behavioral and cognitive challenges typically develop in complex ways, necessitating an integrated approach to intervention and supports. This article summarizes literature on interventions positively affecting the behavioral outcomes for individuals with brain injury. This literature extends many of the traditional approaches to behavioral intervention and cognitive rehabilitation to include positive behavioral support and the development of personally meaningful activities for program development.

Context-sensitive behavioral supports for young children with TBI: short-term effects and long-term outcome.

Objective: To investigate the effects of a multicomponent cognitive-behavioral intervention on the challenging behavior of two young children with growing behavioral concerns after traumatic brain injury.

Design: Single-subject reversal designs were used to document the effects of the intervention on the specific dependent variables. In addition, qualitative data were collected to determine the children's long-term outcome and staff evaluations of the intervention.