Complex autism and behaviour support: “Too complex” isn’t a diagnosis. It’s a staffing problem.
Support for autistic people and people with behaviours of concern, delivered by workers who are trained before their first shift.
The same failure, over and over
Someone with significant behaviours of concern gets referred. A provider takes it, and sends a worker who read the behaviour support plan once, in the car, on the way. The plan’s strategies need training the worker has never had. Something happens. The worker resigns, or the provider gives notice.
The person is handed back with a placement breakdown on file, which makes the next provider more cautious, which makes the next placement more likely to fail.
None of that is about the person. All of it is about staffing.
What we do differently
Trained before the first shift
Every worker completes advanced Maybo training in positive behaviour support and safe de-escalation before they set foot in a participant’s home. The strategies in a behaviour support plan are skills, and a worker who hasn’t practised them is improvising in someone’s living room. A two week induction comes before every complex placement, covering the person’s plan, behaviour support plan and functional capacity assessment.
Refreshed every two months
Training done once is training that’s expired. Every worker refreshes on a two-monthly cycle, so a strategy is delivered the same way in month nine as in week one. That consistency between workers is what makes the data at review mean something.
Clinical supervision, monthly
Every worker meets monthly with a clinical psychologist in group supervision. Complex work wears people down quietly, and a worker who feels out of their depth tends to leave rather than say so. Supervision is where that surfaces early enough to fix, which is what really protects continuity.
Data back to the practitioner
Shift notes carry specific functional detail, not “had a good day”: what happened before, what was tried, what happened next, what changed. Your practitioner gets something they can use at review, and a plan adjusted on real data keeps working.
Why no success rate? We don’t publish outcome statistics. We haven’t been operating long enough for a number to mean anything, and a made-up percentage helps nobody. What we can show you is what we do differently.
We implement. We don’t author.
We don’t write behaviour support plans, and we don’t want to. Writing them is a specialist clinical job, and there are practitioners who do it well.
What fails is almost never the plan. It’s the delivery. A restrictive practice recorded inconsistently. A strategy one worker uses and the next doesn’t. Data at review too thin to adjust anything.
We’re built to be the delivery half. Your practitioner writes it, our workers deliver it as written, and your practitioner gets data back that’s worth reading.
We work alongside your behaviour support practitioner. No practitioner yet? We’ll help you find one.
If you’re a parent reading this
You’ve probably been told your son or daughter is too complex. You’ve probably had a provider give notice with two weeks’ warning.
We take these referrals on purpose. Not because we’re brave, but because we staff for them properly, and a placement that’s staffed properly mostly doesn’t break down.
We’ll tell you who the worker is before they come, and what training they have. If the match is wrong, we’ll say so and change it, rather than letting it fail slowly.
