Employing a positive behaviour support approach on a neuro-behavioural ward: A service evaluation.

This article evaluates outcomes from an adult Neuro-behavioural Rehabilitation Unit (NRU) at the Royal Hospital for Neuro-disability (RHN) between 2015 and 2022, focusing on the use of a positive behaviour support (PBS) approach. The study analyzed demographic data and functional improvements using the Functional Independence Measure and Functional Assessment Measure (FIM+FAM) and the Swansea Neurobehavioural Outcome Scale (SASNOS), finding significant gains in motor and cognitive domains from admission to discharge among 53 patients, most of whom had traumatic brain injuries. While the FIM+FAM is widely recognized but not specifically designed for neuro-behavioural populations, combining it with the SASNOS, which targets neurobehavioural disability, provides a more comprehensive assessment. The findings highlight the importance of consistent outcome measurement to support funding and service development, though limitations include small sample size and potential biases in data completion.