This article demonstrates that when staff are trained in the positive behaviour support (PBS) model of care it helps them to manage challenging behaviour in patients and provide a safer environment for everyone. PBS care plans draw firm boundaries for conduct, appreciating positive (acceptable-desirable) behaviour and aid the nurse and patient to minimise what is unacceptable.

Challenging behaviour cannot be managed with PBS alone; strong leadership, commitment and excellent staff communication and engagement skills are also needed, or improvement will be limited.