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BTEC Diploma in Health and Social
Care
Unit 27 – Dealing with Challenging Behaviours
Aims of this lessons are ….
1.
To be able to define and apply the concept of challenging
behaviour,
2.
To know the types of behaviours which are seen as
challenging and how they are found in Health and Social
Care settings,
3.
To be able to apply the triggers of challenging behaviour to
health and social care settings.
What is challenging behaviour ?
Challenging behaviour – a definition
 Challenging behaviour can be defined as culyturally abnormal
behaviour(s) of such intensisty, frequency or duration that the
physical safety of the person or others is likely to be placed in
serious jeopardy, or behaviour which is likely to seriously
limit use of, or result in the person being denied access to,
ordinary community facilities.
 Ref: Emerson, 1995, cited in Emerson, E(2001, 2nd edition)
 Challenging behaviour: analysis and intervention in people
with learning disabilities.
Task 1 – placement link
 What types of challenging behaviours have you experienced
throughout your health and social care work placement?


 How did those events meet the definition pinned by Emerson?

 What triggered those behaviours?

Does challenging behaviour actually
occur ?
 The latest release of an ongoing survey of more than 7000
emergency nurses nationwide finds that:
1.
2.
3.
4.
5.
6.
Rates of physical violence and verbal abuse against nurses did
not decrease from May 2009 and January 2011,
53.4% of nurses reported experiencing verbal abuse,
12.9% reported experiencing physical violence over a 7 days
period,
54% reported verbal abuse,
11% reported physical violence,
55.7% had been assaulted by someone under the influence of
alcohol.
Types of challenging behaviours

Verbal abuse,

Non verbal abuse,

Physical abuse,

Self destructive behaviours,

Behaviour destructive to other people,

Behaviour destructive to items in the environment,

Behaviour destructive to property,

Illegal behaviour,

Impact of cultural variations.
Task 2
Triggers
Intrinsic Motivation
 "Intrinsic motivation occurs when we act without any
obvious external rewards. We simply enjoy an activity or see
it as an opportunity to explore, learn, and actualize our
potentials."
(Coon & Mitterer, 2010)
 Intrinsic motivation refers to behavior that is driven by
internal rewards. In other words, the motivation to engage in
a behavior arises from within the individual because it is
intrinsically rewarding. This contrasts with extrinsic
motivation, which involves engaging in a behavior in order to
earn external rewards or avoid punishments.
Extrinsic Motivation
 "Extrinsic motivation refers to our tendency to perform
activities for known external rewards, whether they be
tangible (e.g., money) or psychological (e.g., praise) in
nature."
(Brown, Psychology of Motivation, 2007)
 Extrinsic motivation refers to behavior that is driven by
external rewards such as money, fame, grades, and praise.
This type of motivation arises from outside the individual, as
opposed to intrinsic motivation, which originates inside of
the individual.
Triggers
 Temporary personal factors such as feeling discomfort or




pain,
Persistent personal factors such as e the existence of a
disability,
Temporary environmental factors such as living in temporary
accommodation,
Persistent environmental factors such as excessive or
prolonged noises,
Recognising potential effects of own behaviour on that of
others.
Make me normal
 http://www.youtube.com/watch?v=lC2j_J6oV94
P1 – Due 31st of January 2014 @4pm
 In order to achieve P1, you will need to create a table style log in
which you record various demonstrations and its triggers within
your work placements or fictionally.
 You will need to include ALL of the following behaviours:
1.
2.
3.
4.
5.
6.
7.
8.
Verbal abuse,
Non verbal abuse,
Physical abuse,
Self destructive behaviour,
Behaviour destructive to items in the environment,
Behaviour destructive to property,
Illegal behaviour,
The impact of cultural variations
P1 – Due 31st of January 2014
Verbal abuse
Non verbal abuse
Physical abuse
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
Trigger 1 in context of your
placement or fictional in
HSC chosen from the list
on the next slide
P1 – Due 31st of January 2014
 For each of the behaviours as showed in the previous
example, you will need to identify 3 triggers from the list
below:
Intrinsic,
2. Extrinsic,
3. Temporary personal factors,
4. Persistent personal factors,
5. Temporary environmental factors
6. Persistent environmental factors
7. Recognising potential effects of own behaviour on that of
others.
1.
P1 – Due 31st of January 2014
 You will need to ensure that you provide detailed example in
context which demonstrate a clear link between your
challenging behaviour and your chosen triggers.
 Next week we will be looking at M1 which is also due on the
31st of January 2014.
 Good luck