019 PBS Implementation Intricacies (Dr. Fiona Davis)
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About this listen
Together, they explore why implementation often becomes an afterthought (especially for novice practitioners under compliance pressure), and what it looks like to start implementation from “day dot” by building trust, working with context, and focusing on micro-changes that families and support teams can realistically sustain.
Takeaways:
- Implementation isn’t the optional second half of PBS. It’s the core work that turns assessment and plans into meaningful quality-of-life change.
- Many PBS practitioners have been trained for compliance (reports, timelines, restrictive practice identification), but not supported to build strong implementation skills.
- Start implementation from the first contact: the way you listen, communicate, and build trust sets up everything that follows.
- “Good implementation” is always contextual. Your approach shifts depending on the person, setting, safety risks, and stakeholder capacity.
- Micro-changes matter: small, doable shifts can create momentum, reduce overwhelm, and help stakeholders see that change is possible.
- Data collection needs to fit the family’s real life. Creative, low-burden options (like simple dots on a calendar) can still give useful insight.
- Strong therapeutic relationships make it easier to collaborate, problem-solve, and respectfully challenge when things don’t go to plan.
- Understanding disability (including history, rights, and lived impact) is essential. Behaviour support doesn’t happen in a vacuum.
- Clear, concrete communication supports predictability (for example, reducing language during escalation and using specific times rather than vague “later”).
- Implementation is iterative: expect adjustments as you learn more, circumstances change, and you refine strategies, often by simplifying rather than adding more.
- Goal Attainment Scaling (GAS goals) offers a practical way to define success, capture progress on a spectrum, and make outcomes visible and measurable.
- Organisation supports implementation: simple structure, checklists, and consistent communication reduce “floating in the wind” for both practitioners and teams.
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