School & Classroom

Positive behavioural support for children and young people with developmental disabilities in special education settings: A systematic review.

Beqiraj et al. (2022) · Journal of Applied Research in Intellectual Disabilities 2022
★ The Verdict

PBS in special-education classrooms reliably cuts challenging behaviour and builds replacement skills, but most studies short-change reporting all nine PBS components.

✓ Read this if BCBAs who consult or teach in separate special-education schools or classrooms.
✗ Skip if Clinicians who only provide 1:1 in-home ABA and never touch school systems.

01Research in Context

01

What this study did

Beqiraj et al. (2022) looked at 30 studies of Positive Behavioural Support in special-education classrooms. They wanted to know if PBS really cuts challenging behaviour and teaches replacement skills to students with developmental disabilities or intellectual disability.

The team pulled every paper that tested full PBS in a separate special-ed school or classroom. They then counted whether each study reported drops in problem behaviour and gains in new skills.

02

What they found

Across the 30 studies, challenging behaviour went down and alternative behaviours went up whenever authors measured both. The positive pattern held for kids with autism, global delay, or intellectual disability.

But most studies skipped at least one of the nine core PBS steps. Few teams wrote about lifestyle goals, data-based decision rules, or long-term follow-up.

03

How this fits with other research

Carr et al. (2002) and Dunlap et al. (2008) warned that PBS is simply ABA wearing a team-based coat. Beqiraj’s findings back them up: the successful classroom plans used the same functional assessment and reinforcement tactics behaviour analysts already know.

Nitz et al. (2023) reviewed elementary MTSS and also saw clear behaviour gains. Their MTSS papers overlap with PBS studies, showing the same tier-one and tier-two ideas work whether you call it MTSS or PBS.

Cruz-Montecinos et al. (2024) moved PBS to parents of toddlers with FASD at home. Kids still improved, proving PBS travels beyond the school walls that Beqiraj focused on.

04

Why it matters

If you run or consult in special-ed classrooms, this review gives you confidence to keep using PBS. You can show administrators the evidence stack and ask for the staffing needed to finish all nine components. Push for data meetings, lifestyle goals, and follow-up probes so your plan does not stop at behaviour reduction but builds durable, useful skills.

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→ Action — try this Monday

Open your current PBS binder and check off which of the nine core components are missing; schedule one meeting this week to fill the biggest gap.

02At a glance

Intervention
comprehensive aba program
Design
systematic review
Population
developmental delay, intellectual disability
Finding
positive

03Original abstract

Positive behavioural support (PBS) can be effective in supporting children and young people (CYP) with developmental disabilities. This systematic review focused on describing the components and nine characteristics of PBS that have been used with CYP with developmental disabilities in special education settings, and the evidence for PBS effectiveness in these settings. Additionally, facilitators and barriers to PBS implementation, and experiences of stakeholders, were investigated. Systematic searches followed a registered protocol, and 30 studies were identified, narratively synthesised, and critically appraised. From the 30 studies included, 10 reported the presence of all 9 PBS characteristics, 17 reported on 8 PBS characteristics, and 3 reported on 7 characteristics. Overall, 28 studies demonstrated significant decreases in behaviours that challenge and increases in alternative behaviours, if increasing alternative behaviours was part of the interventions. There was a lack of evidence on facilitators and barriers, and a lack of qualitative studies exploring experiences of stakeholders with PBS in special education settings. The available evidence suggested that not all studies reported on all PBS characteristics when describing the approach followed. In addition, available evidence suggested that most studies demonstrated effectiveness of PBS regarding the measured outcomes. Implications and future directions are discussed.

Journal of Applied Research in Intellectual Disabilities, 2022 · doi:10.1111/jar.12989