Using PBS in context: an audit of a PBS pathway highlights strengths and challenges

Purpose The purpose of this study is to evaluate the positive behavioural support (PBS) pathway in the NHS Forth Valley Adult Learning Disability Service by exploring the characteristics of referrals, the adherence to the pathway and staff experiences of the pathway to identify areas of good practice and areas for improvement. Design/methodology/approach Routinely collected data were extracted from online systems and analysed using descriptive statistics in line with the aims of the audit. Findings A total of 77 referrals were made to the PBS pathway in the timeframe. There were some areas of strength in terms of adherence to the pathway, with some areas for improvement, including for admin processes, data capturing and implementation. Practical implications A number of suggested improvements for the service are highlighted, which may be applicable to wider service contexts using a tiered model of PBS. Originality/value This is the first, to the best of the authors’ knowledge, audit of the pathway since its development and highlights the use of PBS in a real-world context in an NHS setting, with recommendations for areas of improvement.