TABLE 2.

The most commonly cited examples of the positive and negative impacts of COVID‐19 on participants' ability to provide PBS to the main person they supported, presented within the Five Accomplishments Framework (O'Brien, 1992).

	Negative	Positive
Category	Example responses
Community presence
Supporting activities and community presence	The impact on social, community presence. Lack of external activities for someone who loves external activities. Limited activities in community.	Being more creative in the activities we do daily to support quality of life. It has forced us to become more creative with the resources we have, to be able to meet the individuals' needs. Everyone has pulled together. People willing to try things to adapt plan to circumstances.
Relationships
Relationships with family, friends and staff	Can't see his dad. Visiting family (unable to) Limiting social contact and activities.	Developing closer relationship. Give the individual all your time and attention. More engagement and time spent with staff
Choice
Promoting choice	It has taken away some choices—such as preferred external activities. [Challenging] behaviours due to not doing the activities they have always chosen and like to do. Unable to complete preferred activities away from home.	More time has been able to be allocated to individuals accessing the service which has enhanced their ability to make choices and decisions, reducing behaviours of concern. It has given us time to spend working on his care plan which is something he enjoys
Competence
Opportunities to promote skills and competence	Not allowed to attend work. The ability to develop individual social ability within community.	Teaching new skills—social distancing. Introducing new skills in the home environment. Able to develop skills within home life.
Respect
Opportunities to provide valued identity and provide support in positive ways	Has meant that the client hasn't had the 1:1 staff he is used too and consequently replacement staff not as comfortable and familiar with plan, therefore leading to some increases in behaviour that challenges. Behaviours due to not doing the activities they have always chosen and like to do	Knowing the person and being proactive in our approach to the changes required. More active support! We have started to support service user in the community… to prevent family breakdown and this has given staff the opportunity to reintroduce PBS techniques with him