The use of positive behaviour support plans in mental health inpatient care: a mixed methods study

Clark, Louise L, Lekkai, Fiorinta, Murphy, Anthony, Perrino, Luisa, Bapir-Tardy, Savin and Barley, Elizabeth (2019) The use of positive behaviour support plans in mental health inpatient care: a mixed methods study. Journal of Psychiatric and Mental Health Nursing, 27 (2). pp. 140-150. ISSN 1351-0126

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An international drive is to minimise restrictive practices in mental healthcare. Positive behaviour support Plans (PBSPs) help staff prevent behaviour which would require restrictive intervention. Originating in learning disability services, data within mental healthcare are limited. To evaluate PBSPs within a mental health‐inpatient service; understand mental health nurses’ and relatives’ attitudes to them and understand the barriers and facilitators for their use in routine mental healthcare. Mixed methods ‐ quality‐ratings and interviews with relatives and nurses. PBSPs were poorly implemented. Relatives and nurses valued the potential of PBSPs to facilitate holistic care, though no relative had contributed to one and not every eligible patient had one. Barriers to their use included confusion around positive behaviour support, including how, when and for whom PBSPs should be used, and difficulties describing the function of a behaviour. The potential of PBSPs to improve mental healthcare is recognised. However, there are barriers to their use which should be addressed to ensure that PBSPs have been properly implemented before their impact on patient care can be assessed. Mental health professionals implementing PBSPs should engage with relatives and patients, gain organisational commitment and ensure that those involved understand fully the positive behaviour support approach.

Item Type: Article
Identifier: 10.1111/JPM.12566
Additional Information: This is the peer reviewed version of the following article: [Clark, L. , Lekkai, F. , Murphy, A. , Perrino, L. , Bapir‐Tardy, S. and Barley, E. (2019), The use of Positive Behaviour Support Plans in mental health inpatient care: A mixed methods study. J Psychiatr Ment Health Nurs. Accepted Author Manuscript. doi:10.1111/jpm.12566], which has been published in final form at []. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords: positive behaviour support, restrictive practices, violence, aggression, mental health nursing
Subjects: Medicine and health > Health promotion and public health
Medicine and health > Nursing > Learning disabilities nursing
Medicine and health > Nursing > Mental health nursing
Medicine and health > Mental health
Medicine and health > Nursing
Related URLs:
Depositing User: Luisa Perrino
Date Deposited: 25 Sep 2019 16:29
Last Modified: 06 Feb 2024 16:01


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