Reframing Behaviour: What PBS Teaches Us About Distress

In Positive Behaviour Support, behaviour is never just a ‘problem’ to be fixed. It’s a form of communication. When someone we support is distressed, withdrawn, or engaging in behaviour that challenges, our job isn’t to stop the behaviour — it’s to understand what they’re trying to tell us.


🧠 Behaviour = Communication

Every action has meaning. In PBS, we train staff to ask:

  • What might this person be trying to express?
  • What need is going unmet?
  • How can we adjust the environment or our support?

This mindset shift is fundamental. It replaces control with curiosity — and it’s especially powerful in learning disability services, where traditional communication may be limited.


🔍 Digging Into the 'Why'

When we observe a behaviour, we look beyond the surface:

  • Is this about anxiety, sensory overload, pain, or confusion?
  • Is something in the person’s routine or environment triggering stress?
  • Has their communication method changed or broken down?

Staff should be trained not just to notice these signs but to record, reflect, and adapt. This often involves collaboration — families, behaviour specialists, support workers, and the person themselves all hold valuable insight.


📘 What This Means in Practice

When you truly understand behaviour, you can:

  • Reduce distress through environmental changes (e.g. noise, lighting, transitions)
  • Improve wellbeing by supporting better communication methods
  • Prevent escalation by spotting and responding early to distress signs

It also creates a culture of dignity and respect — where people are listened to, not just managed.


📄 How to Evidence This in Tenders

When writing about PBS in bids, avoid abstract theory. Instead, show how your service:

  • Recognises behaviour as communication at every level — from support workers to managers
  • Uses person-centred planning to explore the causes of behaviour and adapt support
  • Involves the person and those who know them best in identifying what works

Real examples speak volumes. Commissioners want to see how you translate insight into action.


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Chat on WhatsApp or email Mike.Harrison@impact-guru.co.uk

Updated for Procurement Act 2023 • CQC-aligned • BASE-aligned (where relevant)


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

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