Fisher Alinka, Kelly Glenn
Disability and Community Inclusion, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Concept Psychology, Barwon Heads, Australia.
Disabil Rehabil. 2025 May;47(10):2693-2702. doi: 10.1080/09638288.2024.2398778. Epub 2024 Sep 8.
Positive behaviour support (PBS) is recommended as a service response to challenging behaviours. In Australia, however, there has been concern regarding PBS policy and implementation. In response, this article proposes a tiered PBS service model for disability and community settings, which is evidence-based and rights-driven.
Relevant literature, policy guidelines, and clinical experience are used to inform a positive behaviour support service model for community implementation.
The Positive Behaviour Support in Disability and Community Service (PBS-DCS) model articulates systems-wide practices that support effective PBS provision within a human rights approach. The model describes three tiers of behaviour support: Tier I (Foundational), Tier II (Targeted), and Tier III (Specialist), and considers who should deliver which intervention elements and when.
The PBS-DCS model provides a framework to support quality PBS practice in community settings. It is proposed that a proof-of-concept model of community-based PBS should be investigated-and that this would help to ensure current practice aligns with the professional expectations of PBS and deliver high quality services to people living with disability.
积极行为支持（PBS）被推荐作为应对挑战性行为的一种服务方式。然而，在澳大利亚，人们对PBS政策及实施情况存在担忧。作为回应，本文提出了一种针对残疾人和社区环境的分层PBS服务模式，该模式以证据为基础且受权利驱动。
运用相关文献、政策指南和临床经验来为社区实施的积极行为支持服务模式提供依据。
残疾与社区服务中的积极行为支持（PBS-DCS）模式阐述了全系统的实践方法，这些方法在人权框架内支持有效的PBS服务提供。该模式描述了行为支持的三个层级：第一层（基础层）、第二层（目标层）和第三层（专家层），并考虑了应由谁在何时提供哪些干预要素。
PBS-DCS模式提供了一个框架，以支持社区环境中的高质量PBS实践。建议对基于社区的PBS概念验证模型进行研究，这将有助于确保当前实践符合PBS的专业期望，并为残疾人提供高质量服务。
