What Happens Before a Behaviour? Why Patterns Matter in PBS

Behaviours of concern don’t come out of nowhere. They usually follow a pattern — and when staff know what to look for, they can take early, effective action.


🧩 The ABC of PBS

The Antecedent–Behaviour–Consequence (ABC) model helps support teams understand what’s driving behaviour. But commissioners don’t just want to know you understand it — they want to see how you apply it:

  • What’s typically happening before a behaviour starts?
  • Are there predictable triggers — noise, waiting, transitions, unknown people?
  • How do staff respond to early signs to reduce the likelihood of escalation?

Mapping and discussing these patterns is what turns PBS from theory into action.


🔍 Turning Observation into Prevention

Spotting patterns doesn’t require specialist software or intensive assessment — just curiosity, consistency, and communication.

  • Support workers might notice a person becomes withdrawn before mealtimes
  • A key worker might realise behaviours increase after a change in staffing
  • A family member might mention that specific phrases cause anxiety

In your tenders, highlight how your team works together to spot and respond to these clues.


🧠 Learning, Adapting, Reflecting

It’s not enough to record what happened. Commissioners want to know how you learn from it. That might include:

  • Regular PBS review meetings to update strategies
  • Adaptations to routine, communication, or environment based on learning
  • Training that helps staff link observations to proactive support

It’s about moving from reaction to prevention — and demonstrating that in your practice and paperwork.


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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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