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澳大利亚残疾与社区服务领域的积极行为支持实践框架,该框架将人权和循证实践置于优先地位。

A positive behaviour support practice framework for disability and community services in Australia that prioritises human rights and evidence-based practices.

作者信息

Fisher Alinka, Louise Kymberly, Dobek Monika, McRae Jo, Clissold Maverick, Reschke Katrina, Fox Russell, Leif Erin, Vassos Maria, Ellis Jane, Annear Katharine, Figueiredo Sessina, Cubis Lee, Cheung Sau Chi, Spicer Matthew, Nankervis Karen, McVilly Keith, Freeman Rachel

机构信息

Disability and Community Inclusion, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.

School of Educational Psychology and Counselling, Faculty of Education, Monash University, Melbourne, VIC, Australia.

出版信息

Disabil Rehabil. 2025 Jun;47(11):2948-2959. doi: 10.1080/09638288.2024.2402079. Epub 2024 Sep 17.

DOI:10.1080/09638288.2024.2402079
PMID:39287052
Abstract

PURPOSE

This paper introduces a practice framework for individualised positive behaviour support (PBS). The framework incorporates existing function-based PBS principles and integrates contemporary research and Australian legislation to frame practice elements through a human rights lens. It is designed to support people with disability of varied aetiologies across the lifespan in various settings (e.g. home, schools, and aged care).

METHODS

Existing research and literature have been reviewed, including key theories and current formulations to inform a new practice framework that reflects recommendations for applications in community settings.

RESULTS

The PBS Pathway (PBS-P) framework promotes culturally sensitive and socially valid strategies for empowering the person and their supporters a clear practice framework. It emphasises evidence-based practices while acknowledging the need for flexibility to meet individual needs.

CONCLUSIONS

The PBS-P framework offers a pragmatic approach and focused lens for critical thinking and reflective applications within PBS. It promotes a universal approach across the lifespan and service settings, contributing to a shared understanding of PBS as a rights-based practice. The framework's alignment with current legislation supports adoption within existing systems; however, successful implementation requires skilled practitioners, adequate funding, and policies to support knowledge translation.

摘要

目的

本文介绍了一种个性化积极行为支持(PBS)的实践框架。该框架纳入了现有的基于功能的PBS原则,并整合了当代研究和澳大利亚立法,以人权视角构建实践要素。它旨在支持不同病因的残疾人在不同环境(如家庭、学校和老年护理机构)中度过一生。

方法

对现有研究和文献进行了综述,包括关键理论和当前的表述,以形成一个新的实践框架,该框架反映了在社区环境中应用的建议。

结果

PBS路径(PBS-P)框架促进了具有文化敏感性和社会有效性的策略,以增强个人及其支持者的能力——这是一个清晰的实践框架。它强调基于证据的实践,同时承认需要灵活性以满足个人需求。

结论

PBS-P框架为PBS中的批判性思维和反思性应用提供了一种务实的方法和重点视角。它促进了贯穿一生和服务环境的通用方法,有助于对PBS作为一种基于权利的实践形成共同理解。该框架与现行立法的一致性支持在现有系统中采用;然而,成功实施需要熟练的从业者、充足的资金和支持知识转化的政策。

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