Behaviour that challenges usually happens for a reason and maybe the person's only way of communicating an unmet need. The triggers can be anything from the emotional state of the person (tired, depressed etc. Continence and toileting issues – prompting but be aware not to prompt him too often as this can cause agitation if he does not need to go. ADS’s are described by (Marco, E.J, et al. A Positive Behavioural Support Model for Breaking the Barriers to Social and Community Inclusion. There have been many studies carried out to determine the benefits of the model and they are evidence in proving PBS model has had an impact on the reductions in behaviours that challenge. As behaviours that challenge is being displayed so often in people with learning disabilities it is crucial an efficient intervention to reduce the behaviours is put in place. 1st ed. Registered office: Venture House, Cross Street, Arnold, Nottingham, Nottinghamshire, NG5 7PJ. It is believed that once behaviours that challenge have been established, they tend to be persistent and ongoing (Kieman et al, 1996). Copyright © 2018 - +ProActive Approaches - All Rights Reserved. The behaviours had reduced in 77% of the cases at 22.5 months after implementation. Appendix 2 – record of reserve medication administered, (If additional space is required – please use a separate sheet), CALM AGITATED HAPPY TENSE ANGRY TEARFUL, EXCITED DISINTERESTED SAD ANXIOUS WITHDRAWN QUIET, PLEASE REMEMBER TO COMPLETE THE OTHER SIDE ASWELL. It is also apparent that this approach needs to have widespread delivery as, even though it has been around since the 1980’s it is still very much an underutilized model for behaviours that challenge. Persistence and Change in Challenging and Problem Behaviours of Young Adults with Intellectual Disability Living in the Family Home. I will stress, when the medication was being administered as frequently, Mr B was also experiencing problems with his bowels which was soon picked up on and the correct treatment is now being given. The main feature of ASDs is a profound impairment in a person’s ability to socialise and communicate. Destructiveness – deliberately damaging their surroundings or possessions, either their own or others. The Oxford handbook of positive psychology and disability. Research in Developmental Disabilities, 31(6), pp.1269-1275. For this reason, I am enthusiastic not only about ways in which these behaviours might be overcome but also to ensure a better quality of life for the patients displaying these behaviours, their families and others close to them. VAT Registration No: 842417633. These outcomes needed to include positive programming, proactive strategies and non-reactive strategies. 16 Strategies for Effective Restraint Reduction, developing an understanding of why an individual presents with behaviour that challenges, making changes to the environment to reduce the need for an individual to use challenging behaviour to control their life, teaching the individual new skills and alternative ways to communicate their needs. The best strategy seems to be positive reinforcement, when the person is given an incentive when the behaviour starts. As required medication can be offered as per protocol. Mr B’s communication skills are limited which makes it a challenge to understand what he is thinking and how we can best support him. •The least restrictive and least intrusive response should only ever be implemented and proportionate to the behaviour presented … I was interested in trying to understand these behaviours from the patients point of view and the reasons behind them. It would also ensure the people who live alongside them would be staying in a more pleasant and peaceful environment. The unit consists of four houses as we call them and all in there are sixteen beds available for admissions. Amber ‘active’ phase is when the person is becoming anxious, distressed or agitated. Tizard Learning Disability Review, 10(2), pp.16-23. Ask him to leave the room to an area with less triggers and continue to support throughout. The overall findings of the research I carried out appear to show PBS is a strong behaviour intervention that works well when implemented correctly. An improved quality of life and comprehensive change in lifestyle as being the fundamental and essential goals of the intervention; 2. (1996). Positive behavioural support as a service system for people with challenging behaviour. How can you tell if what we are doing is actually Positive Behaviour Support? When I found out I was to base my project on an intervention, I arranged a meeting to discuss this with my manager and other members of staff within the unit it. The plan contains a range of strategies which not only focus on the challenging behaviour(s) but also include ways to ensure the person has access to things that are important to them. As we are an assessment and treatment unit, there tends to be a variation in the needs of the patients that are admitted to the unit.
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