Winterbourne View: what are the lessons for other services

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Winterbourne View what are the lessons for other
services

• Avon Wiltshire Positive Behaviour Support
  Network

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Background

• Panorama documentary on TV
• Showed the abuse of people with a Learning
  Disability in a private hospital
• Police investigation
• Staff arrested
• Hospital closed
• Other hospitals checked by CQC
• Some other problems in other places

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Reflection

• Spend 5 minutes acknowledging your emotional
  response to the documentary.

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What went wrong?

• Staff attitudes and behaviour
• Insularity lack of networking
• Inspections didnt show problems
• People who new about the problems werent
  listened to

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What went wrong?

• Poor leadership at different levels
• Multi-agency relationships
• People placed too far from home
• Monitoring arrangements didnt show problems

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What does this mean for other services?

• Could any of these problems happen in other
  services?

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What went wrong?

• Staff attitudes and behaviour
• Insularity lack of networking
• Inspections didnt show problems
• People who new about the problems werent
  listened to

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What went wrong?

• Poor leadership at different levels
• Multi-agency relationships
• People placed too far from home
• Monitoring arrangements didnt show problems

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Question?

• Can the positive behavioural support model help
  us to overcome what went wrong?

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What is PBS?

• Positive Behavioural Support (PBS) is an approach
  that blends values about the rights of people
  with disabilities with a practical science about
  how learning and behaviour change occur. The
  overriding goal of positive behavioural support
  is to enhance quality of life for individuals and
  their support providers
• (Horner, 1999)

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The Values of Positive Behavioural Support

• People are individuals with gifts hopes
• People are members of families, peer groups
  society
• People influence their circumstances in
  personally meaningful ways
• People have the right to be treated with dignity
  understanding
• Relationships and contexts impact the quality of
  a persons life

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The characteristics of PBS

• Comprehensive lifestyle change
• A lifespan perspective
• Ecological validity
• Stakeholder participation
• Social validity
• Systems change and multi-component intervention
• Emphasis on prevention
• Multiple theoretical perspectives
• Reduction in CB occurs as a consequence of
  effective support

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Activity
What went wrong? How might the PBS model overcome this?
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What needs to be different?

• Listening to service-users
• Listening to worries
• Checking out worries
• Better training for staff
• Better leadership in services
• Better local services
• Better inspection
• Better monitoring of placements

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Question?

• What one thing will I do differently?