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Positive Behaviour Support

Behaviour is not a problem to be managed. It is a form of communication. At High View Care Services, we start by listening.

Positive Behaviour Support

What is Positive Behaviour Support?

Positive Behaviour Support, commonly referred to as PBS, is an evidence-based framework for understanding and supporting people whose behaviour others may find difficult or challenging to manage. It is grounded in the principle that behaviour, including behaviour that is distressing, aggressive, self-injurious or socially disruptive, is a form of communication. Something is being expressed. Something is being communicated. Our job is to understand what that is.

PBS does not start with restriction or management. It starts with curiosity. What is this behaviour communicating? What is the unmet need? What is the environment contributing? What skills does this person need to express themselves and meet their needs in a different way? From there, it builds proactive strategies, adjustments to the environment, changes to how the team responds, and skills development for the individual, all designed to reduce the need for the behaviour over time and improve the person's quality of life.

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20+

Years of specialist expertise

Positive Behaviour Support

Who do we support?

Positive Behaviour Support at High View Care Services is available to all clients whose presentation includes behaviours that may be difficult to support safely, whether related to acquired brain injury, mental health, co-morbidities or other complex needs.

This may include verbal or physical aggression, emotional dysregulation, behaviours that place the person or others at risk, or patterns that have contributed to previous placement breakdowns.

Many of the people we support have previously been described as too complex or too high-risk. We recognise this history, but we do not allow it to define the person. Placement breakdown can reflect an environment that was not equipped to understand or meet their needs. At High View, our specialist teams and environments are designed to provide the structure, consistency and individualised support that complex presentations require.

OUR HOMES

Find the right home for your loved one.

Our four specialist homes across South East London offer structured, therapeutic environments for adults with acquired brain injury, mental health, comorbidities and complex needs. Each one is calm, purposeful and focused on real progress and stability.

Positive Behaviour Support

Understanding behaviour as communication

High View Care Services uses ABC records as a practical tool to understand what a client’s behaviour may be communicating. Our Trans-disciplinary Team reviews this information and implements individualised interventions to support the client, reduce distress and identify more effective ways for them to communicate their needs.

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80+

Specialist staff members

TESTIMONIALS

What people say about us...

I really like High View Care Services. They have helped my loved one so much. I was very worried about him, but he has done incredibly well here. The team are very patient with him.

Family Member

Son of Resident

Shola is very hardworking and proactive. He is always willing to help whenever I visit, and I am very happy with the support provided by the staff.

Family Member

Son of Resident

High View Care Services feels like home. I have never had that before.

High View Client

Son of Resident

I like the staff and I am happy here. I enjoy being involved and would like to help decorate the Christmas tree.

High View Client

Son of Resident

I have been singing the praises of High View to my colleagues, particularly regarding its support for people with alcohol-related brain injury.

Healthcare Professional

Family member

We, as the Local Authority, could not have achieved these positive outcomes without the invaluable support and collaboration of the staff team at High View Care Services and our colleagues from the ICB. Their commitment, professionalism and ongoing involvement have been instrumental in achieving the best possible outcomes for the individuals we support.

Local Authority Professional

Son of Resident

The important questions

What does Positive Behaviour Support look like day to day?

In practice, PBS at High View Care Services means that every member of the team understands the function of a client's specific behaviours and knows how to respond in a way that does not inadvertently reinforce them. It means environments are designed to reduce triggers where possible. It means the team approaches difficult moments with curiosity and calm rather than alarm. It means proactive strategies are embedded in the daily routine, and reactive strategies are clearly agreed and consistently applied when needed. The Trans-disciplinary Team (TDT) reviews the PBS plan fortnightly alongside the overall support plan, and adjusts it as the person changes.

How do you keep staff and other clients safe?

Safety at High View Care Services is built on structure, consistency and expertise, not on restriction. Our staff are trained to understand why specific behaviours occur and how to respond in ways that de-escalate rather than escalate. Our environments are designed to minimise unnecessary triggers. Our Trans-disciplinary Team assesses risk carefully and builds that assessment into the support plan. We take positive risk management seriously, which means we are honest about what risks exist and what we do to manage them, without using risk as a reason to restrict someone's life unnecessarily.

What if a client has been refused by multiple previous providers?

This is a situation we encounter regularly. Multiple placement breakdowns do not tell us that a person cannot be supported. They may tell us that previous environments were not built for the level of complexity involved. Our pre-admission assessment is specifically designed to give us a thorough understanding of the person's history, their presentation and what they need. We will tell you honestly whether High View is the right fit. If it is, we will commit to the long game.

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