Case study: from hospital to home. An extraordinary journey for an ordinary life using PBS

Purpose The purpose of this paper is to share some real-life PBS outcomes for a hospital-to-home cohort of 12 adults diagnosed with a learning disability and who engage in severe challenging behaviour and have moved from secure hospital settings to their own home in the community. A focus on three individual’s outcomes will be presented. Additionally, this study will evidence some of the barriers faced when attempting to create a brilliantly ordinary life. Design/methodology/approach A case study approach using retrospective quantitative and qualitative data is used to evidence outcomes. Team reflections and celebrations of outcomes are shared. Findings The results of this study show zero re-admissions for 12 adults from 2020 to 2025. Data show increasing skill development for three focal people, and limited use of physical restraint. Incident intensity has reduced, though challenging behaviour does occur and is managed with a positive risk-taking approach to ensure a good quality of life. Originality/value Previous research was lacking in demonstrating real-life examples, using understandable language. The findings of this study recognise that PBS is not a “quick fix”. Instead, it is a longitudinal approach that requires compassion and experience to yield positive outcomes for people with a complex history. There should be a focus on dissemination of what PBS should be to limit weak practice and break down barriers.