Transcript Positive Behaviour Support

Positive Behaviour
Support
An Action Plan For those who
Support the Individual
Values
• Has to be person centred (involvement of service user, possible
service agreement)
• Needs a Multi-Disciplinary Approach (agreements
for sharing information)
• Has to be holistic
– Covering a range of proactive supports
– Will likely have Reactive Strategies (person
specific) ethical
– Easy to Use (plain format) (pictures, symbols, preferred language)
Key Components
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Assessments
Risk Analysis
Environmental Awareness
Teaching Strategies
Clinical intervention
Active and Reactive Strategies
Recording and Evaluation processes
Environmental Awareness
• How does the person best interact (staff awareness
as to how best to engage with the individual)
• Activities and length of engagement (routines or
schedules, what does the person have to get up for, to what degree is the person engaged?
• Physical Environment. (noise levels, conducive to learning, living
arrangements, compatibility peers! Suitability of, access/restrictions)
• Tweaking the Environment (marmite)
Assessment
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Direct Observations by assessor and collations from others
Review of Historical information
Records of Behaviour (past and current)
To include…
– Communication
– Skills
– Function of Behaviour
– Health (mental health and physical, medication)
Risk Analysis
Process to involve others
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Identifying Risks
Weighing up consequences
Ways at reducing risk
Ways of managing
Review
Teaching Strategies
Valued, meaningful & Realistic,
• Communication
• To Promote Independence
• Coping and Tolerance (to manage feelings/emotions)
Clinical Interventions
• Medication
• Behaviourist intervention (psychology, CBT)
• Health (link to health action plan)
Active & Reactive Strategies
• Early intervention (redirection, calming, low arousal, clear boundaries and
capitulation, active listening)
• Situation Management (guidelines incorporate Proactive stuff)
• Physical Interventions (approved and appropriate protocols, DOLS)
Recording and Evaluation
• Post incident support (debriefing and reflection both those who support and the
service user)
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Use of Physical Interventions (use of prn, PI’s)
Recording of information (data collection)
Analysis of information collected
Use of Analysis to review what’s working or not
Agreements for Sharing Information (aspects include
confidentiality, who needs to know, why)
• Link to Resources needs/available
Useful Resources
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Bild website
Helen Sanderson
Valuing people
Tizard
Mental Capacity 2005 + DOLS
K&MPT
KCBN Website
DoH Website
NICE