This episode explores positive behaviour support (PBS) principles in dementia contexts with Dr Alinka Fisher, Senior Lecturer in Disability and Community Inclusion at Flinders University. Drawing on her research across disability, acquired brain injury and dementia, Alinka discusses why behaviour should be understood as communication rather than a symptom of diagnosis, and how PBS frameworks apply flexibly to support people living with dementia and their families. The conversation unpacks the critical distinction between managing behaviours and understanding the complex interactions, neurological changes, personal history and environmental factors that influence how people communicate their needs. Alinka shares insights from education programmes delivered to families and residential aged care staff, highlighting what foundations of good support actually look like in practice.

Understanding behaviour as communication opens up fundamentally different possibilities for supporting people with dementia and their families. Whether you're a behaviour support practitioner, aged care worker or allied health professional, this episode offers practical perspective on how PBS principles translate into real-world practice, the importance of collaborative, family-centred approaches, and how to build workforce capability when time and resources feel stretched. Alinka's work demonstrates that person-centred, evidence-informed practice isn't reserved for ideal circumstances but can be flexibly applied in every situation.

Resources:

Fisher et al. (2022). Positive behaviour support for people with dementia. International Journal of Geriatric Psychiatry. https://doi.org/10.1002/gps.5844
Fisher et al. (2023). The acceptability and usefulness of positive behaviour support education sessions for frontotemporal dementia families. Journal of Geriatric Psychiatry and Neurology. https://doi.org/10.1177/08919887221090214
Fisher et al. (2024). "It's opened my eyes to a whole new world": PBS training for staff and families in aged care. American Journal of Alzheimer's Disease & Other Dementias. https://doi.org/10.1177/15333175241241168
Fisher et al. (2024). PBS-P Framework for flexible, rights-based practice. Disability and Rehabilitation.https://doi.org/10.1080/09638288.2024.2402079

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