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Positive Behavioural Support as an alternative to medication

Ruth M. Lee (Northumberland, Tyne and Wear NHS Foundation Trust, City of Sunderland, UK)
Jennifer A. Rhodes (Northumberland, Tyne and Wear NHS Foundation Trust, City of Sunderland, UK)
David Gerrard (Northumberland, Tyne and Wear NHS Foundation Trust, City of Sunderland, UK)

Tizard Learning Disability Review

ISSN: 1359-5474

Article publication date: 28 December 2018

Issue publication date: 5 March 2019

1177

Abstract

Purpose

The purpose of this paper is to demonstrate how Positive Behavioural Support (PBS) can be used as an alternative to psychotropic medication to improve the quality of life of an individual with a learning disability and behaviour described as challenging.

Design/methodology/approach

A single case design was utilised. A unique PBS stopping over medication of people with a learning disability, autism or both (STOMP) clinic model was developed and PBS was used in line with National Institute for Health and Care Excellence (NICE) guidance. This included functional behavioural assessment, to support understanding of the reasons behind behaviour described as challenging, and a gradual medication reduction.

Findings

This case study found that antipsychotic medication used to manage behaviour that challenges could be safely reduced and individual quality of life increased when PBS was used as an alternative.

Originality/value

STOMP is a project supported by NHS England aimed at reducing the inappropriate prescribing of psychotropic medication to manage behaviour that challenges. NICE guidance recommends that behaviour should be more appropriately understood through PBS. More research is needed to demonstrate how the two work together for safe medication reduction and improved quality of life.

Keywords

Acknowledgements

David Gerrard received a grant from the Academic Health Science Network to evaluate the enhanced pharmacist role employed in this project.

Citation

Lee, R.M., Rhodes, J.A. and Gerrard, D. (2019), "Positive Behavioural Support as an alternative to medication", Tizard Learning Disability Review, Vol. 24 No. 1, pp. 1-8. https://doi.org/10.1108/TLDR-06-2018-0018

Publisher

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Emerald Publishing Limited

Copyright © 2018, Emerald Publishing Limited

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