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

Clark, Louise L., Lekkai, Fiorinta, Murphy, Anthony ORCID logoORCID:, Perrino, Luisa, Bapir-Tardy, Savin and Barley, Elizabeth Alexandra (2020) 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 [Article] (doi:10.1111/jpm.12566)

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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 organizational commitment and ensure that those involved understand fully the positive behaviour support approach.

Item Type: Article
Keywords (uncontrolled): Phsychiatric Mental Health
Research Areas: A. > School of Science and Technology > Psychology > Forensic Psychology Research Group
Item ID: 27639
Notes on copyright: This is the peer reviewed version of the following article: Clark, LL, Lekkai, F, Murphy, A, Perrino, L, Bapir‐Tardy, S, Barley, EA. The use of positive behaviour support plans in mental health inpatient care: A mixed methods study. J Psychiatr Ment Health Nurs. 2020; 27: 140– 150, 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.
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Depositing User: Anthony Murphy
Date Deposited: 25 Sep 2019 08:20
Last Modified: 29 Nov 2022 18:32

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