Skip to content

    Navigation breadcrumbs

  1. Home
  2. News and Opinion
  3. Swapping restraint for Positive Behaviour Support

    Navigation breadcrumbs

  1. Home
  2. News and Opinion
  3. Swapping restraint for Positive Behaviour Support
16th July 2025

Swapping restraint for Positive Behaviour Support

When Richard joined Dimensions he moved from a secure unit with a 3:1 staffing ratio, costing around £200k per year. He now needs just 1:1 staffing and understands how to manage his triggers.
Life story

Richard* is a young man who has a learning disability and significant behaviours of distress.

When Dimensions took over his support one of Richard’s goals was to become more independent.

The team initially decided to focus on communication, decision making, and getting out and about.

The team felt that making a difference in these areas would have the greatest overall impact on his quality of life.

Making a difference

Communication

Because Richard’s behaviours of distress involved biting and hitting, staff focused on mitigating this risk. Unfortunately, this often led to a defensive team rather than a supportive team. They identified this as a problem and developed strategies to build a meaningful rapport with him.

Decision making

Richard’s team understand that it is important to give him time and space so he can make his own decisions; they don’t place demands on him and don’t rush him. Richard now decides what time he wants to get out of bed, when he wants to eat and what he does.

Out and about

Most triggers for Richard’s behaviours of distress occurred when he was out of home. They developed a strategy to help him cope by encouraging him to say the word ‘home’ when he felt uncomfortable. Staff would immediately take him home.

This system took several months to establish but, following each incident, his support team would talk about it and suggest using ‘home’ as an avoidance method. Richard eventually tried saying ‘home’ to staff when he was uncomfortable and was clearly pleased when he was immediately taken home.

Richard has now made so much progress he is able to go on holiday. He loves the seaside and has been to Skegness and Scarborough.

Richard’s achievements

  • Richard’s support has been reduced from 3:1 to 1:1 full-time, leading to major savings for the local authority
  • There is now one incident of behaviours of distress every two months, down from one a week; Control and Restraint were removed from his support programme after a year
  • Richard is more part of his community, happier and with a better quality of life

Richard now initiates interaction, he’ll come and sit in communal areas and chat to everyone.

Kirsty, Support Worker

*not his real name or photo