Positive Systems Approach

Positive Systems Approach Dr. Carey is a Clinical Psychologist who has just written a book on Positive Systems Approach.

Understanding Dual Diagnosis in Developmental Disabilities and the Role of Positive Systems ApproachRead the blog post h...
04/09/2025

Understanding Dual Diagnosis in Developmental Disabilities and the Role of Positive Systems Approach

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What is Dual Diagnosis in the Developmental Disability Field?In the Developmental Disability field, dual diagnosis refers to the co-occurrence of a developmental disability (DD) and a mental health disorder in an individual. Unlike other medical or psychiatric conditions that may exist separately, d...

Dependent Personality Disorder and Developmental Disability: Be Aware of Over Pathologizing Help Seeking Behaviours. Re...
04/09/2025

Dependent Personality Disorder and Developmental Disability: Be Aware of Over Pathologizing Help Seeking Behaviours.

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Dependent Personality Disorder (DPD) is characterized by an excessive need to be taken care of, leading to submissive and clinging behaviors, and fears of separation. Individuals with DPD often struggle with making decisions independently, require constant reassurance, and may go to great lengths to...

Attachment Disorder and Developmental Disabilities: Understanding, Treatment, and the Positive Systems ApproachRead the ...
04/09/2025

Attachment Disorder and Developmental Disabilities: Understanding, Treatment, and the Positive Systems Approach

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IntroductionAttachment disorder is a complex and often misunderstood condition that can significantly impact individuals with developmental disabilities. Early disruptions in caregiver relationships, trauma, or neglect can lead to attachment difficulties, which in turn affect emotional regulation, s...

The Role of Positive Reinforcement and Contingency Management in Positive Systems Approach (PSA)Read the blog post here:
04/09/2025

The Role of Positive Reinforcement and Contingency Management in Positive Systems Approach (PSA)

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Positive reinforcement is a cornerstone of the Positive Systems Approach (PSA), a methodology designed to manage disruptive behaviours by fostering human connection and trust. By providing frequent, non-contingent positive interactions (see previous Blog post of Aug. 19 =, 2024; Positive Systems), c...

"Choice Distress" - a few Ways to Avoid Creating ThisRead the blog post here:
04/09/2025

"Choice Distress" - a few Ways to Avoid Creating This

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What stimulated me to write this blog today was a show on CBC Radio1 about residents of nursing homes, specifically those with dementia, and something called the "Butterfly Model" of care (https://fco.ngo/files/Resource-Spotlight-Butterfly-Model-1.pdf). A specific example of a discussion between an....

A Compassionate Approach to Addressing Self-Injurious Behaviour Using Positive Systems ApproachRead the blog post here:
04/09/2025

A Compassionate Approach to Addressing Self-Injurious Behaviour Using Positive Systems Approach

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Self-injurious behaviour (SIB) is unfortunately prevalent among individuals with developmental disabilities, though exact figures can vary widely depending on the specific disability and the population studied. Generally, it's estimated that anywhere from 10% to 17% of individuals with developmental...

A Safer, Smarter Approach: Managing Aggressive Behaviours in Neurodivergent and Developmentally Disabled IndividualsRead...
04/09/2025

A Safer, Smarter Approach: Managing Aggressive Behaviours in Neurodivergent and Developmentally Disabled Individuals

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Supporting neurodivergent and developmentally disabled individuals who exhibit severe aggression presents multifaceted challenges for families and support staff. These challenges encompass physical safety concerns, emotional and psychological stress, social isolation, financial burdens, and systemic...

Treating Generalized and Social Anxiety Disorders with Individuals who are Neurodivergent with a Positive Systems Approa...
04/09/2025

Treating Generalized and Social Anxiety Disorders with Individuals who are Neurodivergent with a Positive Systems Approach

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Anxiety disorders are notably prevalent among neurodivergent individuals and those with developmental disabilities, presenting unique challenges in diagnosis and treatment. Traditional therapeutic approaches often fall short in addressing the specific needs of this population. Dr. Bob Carey, a clini...

Understanding Obsessive-Compulsive Disorder in Neurodivergent IndividualsRead the blog post here:
04/09/2025

Understanding Obsessive-Compulsive Disorder in Neurodivergent Individuals

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Obsessive-Compulsive Disorder (OCD) is a mental health condition marked by persistent, intrusive thoughts (obsessions) and repetitive behaviours (compulsions) performed to alleviate the distress caused by these thoughts. While OCD affects approximately 1-2% of the general population, its prevalence....

Supporting Vulnerable Individuals with Post Traumatic Stress Disorder Using Positive Systems ApproachRead the blog post ...
04/09/2025

Supporting Vulnerable Individuals with Post Traumatic Stress Disorder Using Positive Systems Approach

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Post-Traumatic Stress Disorder (PTSD) is a mental health condition that can affect anyone who has experienced or witnessed a traumatic event. However, in neurodivergent individuals and those with developmental disabilities, PTSD often remains underdiagnosed and undertreated. This oversight can be at...

Applying the Positive Systems Approach: Managing Disruptive Behaviours Across Education, Workplace, Community & Home Set...
04/09/2025

Applying the Positive Systems Approach: Managing Disruptive Behaviours Across Education, Workplace, Community & Home Settings

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IntroductionDisruptive behaviours can present significant challenges in various environments, including schools, workplaces, and communities. Positive Systems Approach (PSA) provides a structured, strengths-based framework for managing these behaviors in a constructive and person-centered manner. Ro...

Designing Physical Environments for Persons with Challenging Behaviours within a Positive Systems ContextRead the Blog p...
04/09/2025

Designing Physical Environments for Persons with Challenging Behaviours within a Positive Systems Context

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IntroductionA properly designed physical environment is a cornerstone of the Positive Systems Approach, as outlined by Dr. Bob Carey and Terry Kirkpatrick in their book Managing Disruptive Behaviours with a Positive Systems Approach. This approach emphasizes that the physical environment is not mere...

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