Depending on the referral, the assessment may consider:

• The nature, frequency and context of the behaviours of concern

• The individual’s communication needs and preferences

• Environmental, social, emotional and health-related factors

• Events or circumstances that may trigger or maintain the behaviour

• The individual’s strengths, skills and quality-of-life needs

• The responses of family members, carers, staff and others

• Risks to the individual or those around them

• Existing support strategies and their effectiveness

The assessment process may include:

• Direct observation across relevant settings

• Interviews with the individual, family members, carers and professionals

• Review of relevant records and existing support plans

• Functional assessment of the behaviour

• Identification of unmet needs and contributing factors

• Collaborative development of practical support strategies

The precise process will depend on the individual’s needs, the circumstances of the referral and the agreed instructions.

Where required, a person-centred Positive Behaviour Support plan is developed setting out:

• Proactive strategies to improve quality of life and reduce distress

• Communication and environmental support

• Skills development and alternative ways of meeting identified needs

• Preventative and early-intervention strategies

• Guidance on responding safely and consistently when behaviours occur

• Recommendations for implementation, monitoring and review

• Measures aimed at reducing reliance on restrictive practices

A clear report is prepared setting out the information considered, the findings of the functional assessment and the factors contributing to the behaviours of concern.

The report provides practical, evidence-informed recommendations for the individual, family members, carers, staff and relevant professionals.