Positive Behaviour Support

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, PIs)
• Recording of information (data collection)
• Analysis of information collected
• Use of Analysis to review whats 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
• KMPT
• KCBN Website
• DoH Website
• NICE