Bild is clear that the use of crude behavioural approaches such as punishment or doing things to people that they do not like is unethical and has no place in PBS. PBS has evolved over many decades and will continue to change as we develop good practice with people with lived experience.

We know that some people are concerned that PBS is similar to Applied Behaviour Analysis (ABA). At Bild, we are clear that PBS and ABA are not the same thing and that is why our PBS approach does not try to change people or their behaviour, rather it seeks to improve people’s environments and support to improve their quality of life and better meet their needs.

Unfortunately, some practices labelled as PBS aren’t PBS at all and these services are not consistently embedding its values, and sometimes restraint training is incorrectly labelled as PBS. We understand that there are people who have had bad experiences with this type of support, and we agree with many of the criticisms about these practices. We share concerns about services where people’s rights, choices and preferences are not respected. Our work seeks to reduce restrictive practices, challenge poor practices, and embed rights-based, values-led culture, with supported people at the heart. We use a workforce development framework that includes practice leadership as an evidence-based way to ensure high-quality practice is embedded. We monitor impact of our training through the Kirkpatrick model of evaluation.

We appreciate there are a vast range of PBS providers available, and it can be complex to navigate what is suitable for your setting or for your family. We encourage anyone looking into PBS to thoroughly research each service provider, review the impact of their training in the evidence and information they share and ask them questions if anything is unclear.