title: Positive behavioural support in schools for children and adolescents with intellectual disabilities whose behaviour challenges: An exploration of the economic case.
abstract: Decision-makers with limited budgets want to know the economic consequences of their decisions. Is there an economic case for positive behavioural support (PBS)? A small before-after study assessing the impact of PBS on challenging behaviours and positive social and communication skills in children and adolescents with intellectual disabilities and behaviours that challenge was followed by an evaluation of costs. Results were compared with the costs of alternative packages of care currently available in England obtained from a Delphi exercise conducted alongside the study. Children and adolescents supported with PBS showed improvement in challenging behaviours and social and communication skills, at a total weekly cost of GBP 1909 (and GBP 1951 including carer-related costs). PBS in schools for children and adolescents with intellectual disabilities and behaviours that challenge may help to support them in the community with potential improvements in outcomes and also cost advantages.
authors.affiliation: London School of Economics and Political Science, UK v.iemmi@lse.ac.uk.
authors.forename: Valentina
authors.initials: V
authors.lastname: Iemmi
authors.affiliation: London School of Economics and Political Science, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
authors.affiliation: North Bristol NHS Trust, UK.
authors.forename: Freddy Jackson
authors.initials: FJ
authors.lastname: Brown
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy / Q000191:economics / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D004495:Education of Persons with Intellectual Disabilities / Q000191:economics / Q000379:methods*; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000191:economics / Q000628:therapy*; D008297:Male; D000066553:Problem Behavior; D012574:Schools / Q000191:economics; D016896:Treatment Outcome
keywords: challenging behaviours; children; economic analysis; intellectual disabilities; positive behavioural support; school