06 - owpbs - staff as collaborators, bmgs, bsps & review.ppt

Staff as Collaborators not Helpers : 

Staff as Collaborators not Helpers “The expert role (e.g. psychiatrist, behaviour therapist, psychologist) changes … service users, staff and families become active participants in assessment and design of intervention” (Page 8)

Staff as Collaborators not Helpers : 

Staff as Collaborators not Helpers Service User Fully informed as possible Consulted about What they feel could help them The person’s priorities Circle of support Insights into own difficulties

Staff as Collaborators not Helpers : 

Staff as Collaborators not Helpers Staff, Families, Advocates Knowledge of ... Needs, strengths and preferences Routine (Day / Week) When behaviour occurs How to support when upset or likely to act out Responsive to needs Expert Knowledge of the Individual

Staff as Collaborators not Helpers : 

Staff as Collaborators not Helpers Clinicians Knowledge of... Theories Interventions Facilitator Role Theories & Interventions

Multi-Element Positive Behaviour Support Model : 

Multi-Element Positive Behaviour Support Model Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Activities, routines & programmes Interaction styles Alleviating physical or health issues

Multi-Element Positive Behaviour Support Model : 

Multi-Element Positive Behaviour Support Model Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Activities, routines & programmes Interaction styles Alleviating physical or health issues

Multi-Element Positive Behaviour Support Model : 

Multi-Element Positive Behaviour Support Model Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Activities, routines & programmes Interaction styles Alleviating physical or health issues General skills e.g. self-help with contribute to QoL Replacement Skills i.e. those that will replace the beh. Other skills related to the behaviour e.g. conversation skills Coping & tolerance skills i.e. those that will help the person cope with things that can’t be changed Interventions targeting the antecedents & consequences to behaviour e.g. Antecedent Control i.e. seeking to avoid triggers to BTC and promote those for appropriate beh. Diff. Reinforcement i.e. rewarding the person for appropriate beh. and striving not to reward inappropriate behaviour

Multi-Element Positive Behaviour Support Model : 

Multi-Element Positive Behaviour Support Model Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Activities, routines & programmes Interaction styles Alleviating physical or health issues General skills e.g. self-help with contribute to QoL Replacement Skills i.e. those that will replace the beh. Other skills related to the behaviour e.g. conversation skills Coping & tolerance skills i.e. those that will help the person cope with things that can’t be changed Interventions targeting the antecedents & consequences to behaviour e.g. Antecedent Control i.e. seeking to avoid triggers to BTC and promote those for appropriate beh. Diff. Reinforcement i.e. rewarding the person for appropriate beh. and striving not to reward inappropriate behaviour

Proactive vs. Reactive Interventions : 

Proactive vs. Reactive Interventions Exercise 5 (Pause DVD) “The lower the investment in fire prevention, the greater the investment that will be required in fighting fires …and fighting fires is by far the more risky and demoralising option” (Allen, 2002)

Behaviour Management Guidelines & Behaviour Support Plans : 

Behaviour Management Guidelines & Behaviour Support Plans

Multi-Element Positive Behaviour Support Model : 

Multi-Element Positive Behaviour Support Model Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Interaction styles Activities, routines & programmes Alleviating physical or health issues General skills e.g. self-help with contribute to QoL Replacement Skills i.e. those that will replace the beh. Other skills related to the behaviour e.g. conversation skills Coping & tolerance skills i.e. those that will help the person cope with things that can’t be changed Interventions targeting the antecedents & consequences to behaviour e.g. Antecedent Control i.e. seeking to avoid triggers to BTC and promote those for appropriate beh. Diff. Reinforcement i.e. rewarding the person for appropriate beh. and striving not to reward inappropriate behaviour

Multi-Element Positive Behaviour Support Model : 

Multi-Element Positive Behaviour Support Model Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Interaction styles Activities, routines & programmes Alleviating physical or health issues General skills e.g. self-help with contribute to QoL Replacement Skills i.e. those that will replace the beh. Other skills related to the behaviour e.g. conversation skills Coping & tolerance skills i.e. those that will help the person cope with things that can’t be changed Interventions targeting the antecedents & consequences to behaviour e.g. Antecedent Control i.e. seeking to avoid triggers to BTC and promote those for appropriate beh. Diff. Reinforcement i.e. rewarding the person for appropriate beh. and striving not to reward inappropriate behaviour Proactive Strategies

Behaviour Management Guidelines (BMG) : 

Behaviour Management Guidelines (BMG) Proactive Strategies Reactive Strategies Awareness of body language, personal space & tone of voice Empathic Listening Distraction Giving choices Self-defence techniques Physical, mechanical, chemical restraint & seclusion Debriefing Changes to… The physical features of the environment e.g. noise, crowding, lighting etc. Interaction styles Activities, routines & programmes Alleviating physical or health issues Behaviour Management Guidelines include… “recommendations relating to proactive management strategies, aimed at making behaviours less likely to occur or escalate and reactive strategies aimed at containing a behaviour in a safe and acceptable way.” (Page 17)

Behaviour Management Guidelines (BMG) : 

Behaviour Management Guidelines (BMG) “Where individuals have presented with behaviours that challenge or where there is an identified risk to the safety of an individual , staff, peers, carers or the public, interim Behaviour Management Guidelines must be established.” Staff.. “will be equipped to devise and implement individualised behaviour management guidelines.” (Page 17)

Behaviour Management Guidelines : 

Behaviour Management Guidelines Training Non-Violent Crisis Intervention ASSIST BTC Policy Workshops Policy Section “Devising Individualised Behaviour Management Guidelines.” BMG Template & guidance document Clinical Support

Behaviour Support Plans : 

Behaviour Support Plans Functional Assessment by Appropriately Qualified Professional Functional Assessment by Appropriately Qualified Professional Functional Assessment by Appropriately Qualified Professional (BSPs)

Slow Change in Ethos and Approach : 

Slow Change in Ethos and Approach Traditional Approaches to Behaviour Positive Behaviour Support Negative consequence focussing on reducing negative behaviour Reactive Restrictive Crisis Management Positive interventions supporting positive beh. (skills teaching) Proactive focus on prevention (supportive environments) Reduce the use of restrictive interventions & crisis management Page 8

The Road to Adopting Positive Behaviour Support : 

The Road to Adopting Positive Behaviour Support The Road to Adopting Positive Behaviour Support Safe & effective Reactive Strategies (CPI – NCI Course) 2. Goodness of fit between service user & their environments 3. Behaviour Support Plans for all (Assessments, skills teaching etc.) Reductions In Restricted Practices