The DMI / PBS Care planning presents a range of examples of care plans from different areas within our trust.

They are based on a Personal Behavioural Support (PBS) approach and offer graded interventions and support dependent on the level of presenting risk.

They aim to use the least restrictive green approach and to keep individuals within their green plans as much as possible.

At times there may be factors which cause an individual to have periods of increased distress that may require more intensive nursing, an increase in observations and the use of further restrictive practices.

The aim is to always work within the least restrictive approach for each individual person, these care plans are just examples and are to be used to aid further learning with this approach.

Knowing the people we support and observing what helps them to remain within their green plans is paramount. Early recognition, early intervention and support will help to remain within green and amber section of the care plan. This allows us to engage with people at a therapeutic and recovery focused level, develop trust and candour, promote dignity and respect.

It is important for individual to be involved in the creation of the care plans through discussion about advanced statement preferences.


Staff are encouraged to use descriptive words to describe exactly how the patient presents:

Agitation - Tapping their feet and walking around with their fists clenched and a grimacing expression.

This gives a clear picture for regular / bank / agency staff and new starters to help them relate and identify triggers for that person and intervene at the earliest opportunity.


This person responds well to reassurance that staff are here to help and being asked is there anything he needs at this time? He loves talking about fishing and has many stories about giant catches.

This gives all staff the tools to intervene early and help de-escalate and prevent further distress to the individual.


This approach will empower the staff when they have helped to calm and support someone and will empower the patient to feel listen to and have their needs met more efficiently without promoting negative cycle of behaviour.

DMI/PBS Care Plans Contact Details

Jan James, DMI Operational & Commercial Development Manager

Phone numbers, fax and email


DMI Team,
Midlands Partnership NHS Foundation Trust,
St. George's Hospital,
Corporation Street,
ST16 3SR