Positive behaviour support under the National Disability Insurance Scheme in Australia: Barriers, enablers and support needs from the perspective of practitioners

This paper examines the experiences of behaviour support practitioners providing positive behaviour support (PBS) under the Australian National Disability Insurance Scheme (NDIS), including perceived barriers and enablers of practice, and ongoing support needs. It reports on data provided by NDIS PBS practitioners (n = 392) in a cross-sectional mixed methods survey employed to examine the characteristics and experiences of behaviour support practitioners working across Australia. Qualitative data from open-ended questions were analysed using inductive thematic analysis. The key barriers to practice included "the current service systems," "engaging and collaborating with stakeholders" and "limited PBS expertise across the sector." Enablers of good practice related to "organisation systems and practice supports/tools," "practice supervision" and "quality training and professional development opportunities." Ongoing support needs identified included the need for "further PBS training," "improved service systems" and "access to clinical supports and practice guidance." Findings suggest that whilst some practitioners report positive experiences, a large majority experience significant barriers to their PBS practice. They describe potential supports to overcome these barriers, which emphasise the need for further PBS training, clinical supervision/oversight and more efficient service systems. Findings have implications for PBS practice, policy and research in Australia.