PBSClinical and Cost Effectiveness of Staff Training in Positive Behaviour Support (PBS) for Treating Challenging Behaviour in People With Intellectual Disability: A Cluster Randomised Controlled Trial

The training, which will be supported by a treatment manual will comprise the following sections: Functional Behavioural Assessment and formulation skills • Brief Behavioural Assessment Tool for brief functional analyses Primary Prevention Secondary Prevention and Reactive Strategies Periodic Service Review and Problem Solving Developing individualised periodic service reviews Trouble shooting

Most community intellectual disability services provide a range of health interventions that include but are not limited to psychiatric assessment and management, nursing support, psychology, speech and language therapy, occupational therapy and counselling. There may be some variation in resources but service users with challenging behaviour are likely to receive a range of broadly defined behavioural management and pharmacological interventions. Staff is routinely supervised by their clinical managers weekly.