Trauma-assumed PBS and Reducing Restrictive Practices

Trauma-assumed PBS and reducing restrictive practices

The National Learning Disability Implementation plan for Wales says that we should promote trauma-informed care alongside PBS. As PBS has developed the links between PBS and trauma understanding have strengthened considerably.

Being trauma-assumed means always acting in ways that are compassionate and avoid any potential to create a trauma or re-traumatise a person drawing on your support. This means avoiding restrictive practices and being aware that we might not always know if a person has experienced trauma in their life, or how our support, however well intentioned, might re-trigger a past trauma.

People with learning disabilities are more likely to experience traumatic events than the general population and are more likely to find events traumatic due to communication difficulties and difficulties understanding what is happening around them.

In Practice

North Wales Together funded Trauma Informed Care training for over 30 North Wales Health Professionals working in North Wales NHS learning disability services. The two-day training was provided by a nationally- renowned trainer from BILD (British Institute for Learning Disabilities), and received excellent feedback from the staff who attended.

North Wales Together also funded training for two specialist nurses working in the Psychological Therapies and Wellbeing Team, who are part of Betsi Cadwaladr University health Board’s Learning Disability services. The nurses were trained to deliver EMDR (Eye Movement Desensitisation and Reprocessing), which is an evidence-based treatment for people struggling with traumatic memories. The nurses are using these skills to support people with learning disabilities who have been impacted by trauma.

You can learn more about trauma-assumed PBS by watching these recordings from the 2024 PBS UK Good Practice Conference where the topic was ‘Trauma-assumed PBS’.

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