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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

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Positive Behaviour Support

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  1. Positive Behaviour Support An Action Plan For those who Support the Individual

  2. 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)

  3. Key Components • Assessments • Risk Analysis • Environmental Awareness • Teaching Strategies • Clinical intervention • Active and Reactive Strategies • Recording and Evaluation processes

  4. 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)

  5. Assessment • 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)

  6. Risk Analysis Process to involve others • Identifying Risks • Weighing up consequences • Ways at reducing risk • Ways of managing • Review

  7. Teaching Strategies Valued, meaningful & Realistic, • Communication • To Promote Independence • Coping and Tolerance (to manage feelings/emotions)

  8. Clinical Interventions • Medication • Behaviourist intervention (psychology, CBT) • Health (link to health action plan)

  9. 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)

  10. Recording and Evaluation • Post incident support (debriefing and reflection both those who support and the service user) • 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

  11. Useful Resources • Bild website • Helen Sanderson • Valuing people • Tizard • Mental Capacity 2005 + DOLS • K&MPT • KCBN Website • DoH Website • NICE

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