Abstract Objectives This study explores practitioner perspectives on co-production in Positive Behaviour Support (PBS), augmented by insights from a co-author with lived experience of disability. It examines how individuals can meaningfully shape their own support plans. Methods Sixteen PBS practitioners took part in a reflective discussion on co-production with people with cognitive and communication challenges. Responses were reviewed for recurring themes. One co-author with lived experience also contributed insights after reviewing a relevant case study, with their reflections presented in plain English. Results Practitioners identified key themes supporting co-production in PBS, including accessible behaviour support plans, use of visual tools, relationship building, and recognising non-verbal communication. Emphasis was placed on person-directed planning, psychological safety, and ethical consultation. The lived experience perspective reinforced the importance of rights-based inclusion, communication accessibility, persistence, and ethical use of restrictive practices. Conclusions Meaningful co-production in PBS requires flexible, rights-based approaches that support each person’s voice in shaping their own support. This involvement must be authentic, not tokenistic, and grounded in communication strategies that reflect the person’s preferences and lived experience. Co-production is best understood as a continuum of participation, depending on the individual’s context, willingness, and goals.
Hagiliassis et al. (Fri,) studied this question.