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• Professor David Allen
• Tony Doyle
• Robin Gunson, Rob Jefferies and Melody Kozlowski

The emphasis is on preventive work and good practice – not on physical intervention.Rose Trustam - Chief Executive, Integrate

The PBM model supports our service's philosophy of 'least restrictive intervention for the shortest period of time necessary to manage the situation'.Andrew Stewart, Bury PCT

PBM is based on excellent values that promote an ethical and person centred approach. Dr David Wing, Community Therapeutic Services

The training programme is comprehensive, practically applied and can be tailored to all situations. Rose Trustam - Chief Executive, Integrate

Our physical intervention team have found the trainer instruction and accreditation process to be supportive, fair and constructive. Andrew Stewart, Bury PCT

PBM training is an integral part of our staff training, to ensure a positive, safe and holistic approach to our service users. Andrea Osborne, New Bridges

PBM is effective in preventing and managing violent and untoward situations within learning disability care settings. Andrew Stewart, Bury PCT

We have now been training our staff since last July and the feedback is very good. Orna Matz, St Christopher's School, Bristol

We have always experienced good support and enjoy working within the PBM community. Dr David Wing, Community Therapeutic Services

The training materials support all aspects of primary, secondary and tertiary intervention. Andrew Stewart, Bury PCT

The PBM theory can be used to support general staff skills and equips staff preventively. Rose Trustam - Chief Executive, Integrate

We have found the training system to be comprehensive for our needs. Dr David Wing, Community Therapeutic Services

PRT is a good company to work with and we have been very pleased with the support and the good level of organisation. Orna Matz, St Christopher's School, Bristol

The PBM training programme is a logical format to follow. Heather Hindmarch, Brothers of Charity

We use the PBM training package because it provides a comprehensive range of the training materials required to support staff. Andrew Stewart, Bury PCT

Staff are happy about the theory which is very thorough and there is a good inner thread between the units. Orna Matz, St Christopher's School, Bristol

We find the PBM training to be effective in providing staff with what they need to deal with difficult situations. Heather Hindmarch, Brothers of Charity

The practical exercises, perception etc link up well with the theory. Orna Matz, St Christopher's School, Bristol

We appreciate the ongoing review and updating and the fact that the practical training is delivered around individuals. Rose Trustam - Chief Executive, Integrate

The PBM teaching is evidence based and progressive. Dr David Wing, Community Therapeutic Services

Tony Doyle

Tony Doyle’s background is in nursing. He has over 30 years’ experience working with people with learning disabilities and people with mental health disorders.

In the 1980’s Tony Doyle was a Charge Nurse in Ely Hospital, Cardiff, South Glamorgan. Following a short period of managing a high dependency unit he commissioned a purpose built unit within the hospital grounds for service users that challenge services. He developed a nursing team that worked in a more proactive manner promoting multi-agency, multi-disciplinary working. The service promoted a culture that strived to promote the quality of life for the service user by promoting a positive approach. The service was continually being approached to develop an outreach service to assist service users in the community. At this time he took an active part in a working group from various interested parties within Health and Local Authority that agreed to the development of a challenging behaviour service (CBS). Once the structure had been agreed he obtained the post of clinical nurse specialist (CNS) within the service.

As a CNS Tony line managed an acute assessment and treatment unit and had responsibility as clinical case leader role with a number of service users working jointly and directly supervising a number of behaviour specialists. His role involved the direct teaching of care staff and the development of care plans based on the LaVignia approach. He took an active interest in the development of Positive Behaviour Management (PBM) and with his colleagues developed a training manual and physical interventions package that was based on a non-pain approach. The model developed and evolved over a number of years within Bro-Morgannwg and in partnership with Positive Response to be widely recognised nationally as an approach of good practice. Within this partnership he has taken an active role in developing the package and training trainers to deliver the training.

The CBS became the Intensive Support Service (ISS) and Tony managed the service for the last seven years of his work within the NHS. His role included the line management of psychologists and behaviour specialists in supplying a tertiary service to Health and Local Authority services within Cardiff and the Vale of Glamorgan for adults and children. He also had the responsibility of the management of the admission and treatment unit and one continual health care unit. Within this role he encouraged and developed the service to work in a multi-agency role, assisting in the development of a number of new services. He sat on a number of joint working groups whose roles were to promote joint working between Local Authority and Health within a strategic framework developing new and improving existent services for people with severe challenging behaviour.

Since his retirement from the NHS Tony has continued to work as director and consultant for Positive Response often meeting with new organisations to show how the PBM training package can meet their particular needs. He also offers consultancy for Positive Response across the UK to a number of services that support people with challenging behaviour on clinical issues that teams find difficult to manage.

As well as his work for Positive Response, Tony works part-time as a behaviour advisor for a private health and social care company in Devon that specialises in caring for people with learning disabilities, challenging behaviour and autistic spectrum disorders.

Publications

Doyle. T. et al (1996) Preventing and Responding to Aggressive Behaviour, A Training Manual. Cardiff Community Health Care. 

Doyle. T. et al (1997) Changing care staff approaches to the prevention and management of aggressive behaviour in a residential treatment unit for persons with mental retardation and challenging behaviour. Research in Developmental Disabilities, 18, 2, 101-112

Doyle. T. et al (2002) Plenty of gain, but no pain. In responding to people with challenging behaviour in a residential treatment unit for people with learning disabilities; Ethical Approaches to Physical Intervention. Kidderminster. BILD