From Risk to Rights: Reframing Restrictive Practice in PBS Services

Too often, restrictive practices are introduced as a response to risk. But Positive Behaviour Support (PBS) teaches us to start somewhere else: with rights, autonomy, and what matters to the person.


βš–οΈ Start with Human Rights

In PBS, restrictions are never routine. They should be:

  • Clearly time-limited and regularly reviewed
  • Proportionate and the least restrictive option
  • Only in place if they protect the person’s rights β€” not just manage organisational risk

Reframing starts with purpose: why are we doing this, and whose needs are being met?


🧩 Make Rights Part of Your Culture

To embed a human rights approach in PBS:

  • Train staff to ask: β€œIs this respectful? Is this necessary?”
  • Involve people in designing alternatives to restrictions
  • Use language that prioritises autonomy β€” not control

Every restriction is a dignity issue. Treat it that way.


πŸ“£ What Commissioners Want to Hear

In your tender, show how you:

  • Minimise restrictions through proactive, personalised strategies
  • Use co-production to develop less restrictive alternatives
  • Train staff to balance safety with dignity and rights

This isn’t about sounding compliant β€” it’s about demonstrating culture change.


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Updated for Procurement Act 2023 β€’ CQC-aligned β€’ BASE-aligned (where relevant)


Written by Impact Guru, editorial oversight by Mike Harrison, Founder of Impact Guru Ltd β€” bringing extensive experience in health and social care tenders, commissioning and strategy.

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