Dealing with Challenging Behaviour Interventions

Lesson Objectives Re-cap a definition of challenging behaviour. To identify ways of dealing with a person displaying challenging behaviour. Describe the A.P.I.E cycle when applied to working with people with challenging behaviour. To describe the purpose of an intervention. To research different types of specific interventions

What is Challenging Behaviour – A definition? “Culturally abnormal behaviour(s) of such an intensity, frequency or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour which is likely to seriously limit use of, or result in the person being denied access to, ordinary community facilities.” Emerson,(1995, 2001,): Re-cap this as a definition 3

Behaviours which challenge: Violence Aggression Hyperactivity Antisocial behaviour Withdrawn behaviour Self stimulation Speech problems Sexually inappropriate behaviour Psychological disturbances Eccentric habits Inappropriate personal habits Bullying Verbal abuse Recap the original list and prompt memory and examples Behaviour occurs in a continuum it doesn’t just “come out of nowhere” 4

Task How do we deal with someone who is presenting challenging behaviour for whatever reason they are doing it?? Small group task

Working with people who Challenge Assessment Identify Problem Devise Plan of action Intervene Ongoing evaluation 6

Assessment – the Legal Framework Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 says that: The registered person must take proper steps to ensure that each service user is protected against the risks of receiving care or treatment that is inappropriate or unsafe, by means of— (a) the carrying out of an assessment of the needs of the service user; and (b) the planning and delivery of care and, where appropriate, treatment in such a way as to—(i) meet the service user’s individual needs, (ii) ensure the welfare and safety of the service user, (iii) reflect, where appropriate, published research evidence and guidance issued by the appropriate professional and expert bodies as to good practice in relation to such care and treatment, and (iv) avoid unlawful discrimination including, where applicable, by providing for the making of reasonable adjustments in service provision to meet the service user needs Give as handout Recap the legal framework Equality Act 2010 and DDA 1995/2005 makes it unlawful to discriminate against someone with a disability and deny them a full assessment of their needs The human rights act – Article 3 protection from inhumane and degrading treatment Valuing people - personalisation 7

What is an Intervention? A process of change relating to a person’s life through the way they think, their emotions and feelings or the way that they behave. A way of supporting a person who is displaying behaviour which challenges in the management and treatment of this behaviour. Interventions can be task sheets………………………………………………

Working with people who Challenge Assessment Identify Problem Devise Plan of action Intervene Ongoing evaluation What kinds of questions do you think we should be asking before we even think about starting any kind of intervention? Question and answer with group. ethically robust. Risk assessed Realistic Who’s live are they going to improve? Do staff have the skills and abilities to support the person and do they agree with the intervention? 9

Key points Interventions should be morally and ethically robust. Risk assessed Realistic Who’s live are they going to improve? Can the staff do it? Clear, transparent audit trail from assessment to intervention and back again! Does everyone understand the legislation? Is there an evaluation method and timeframe and is someone specific responsible? (SMART) Should not use adversive type interventions – punishment based Inhumane degrading treatment Harmful Restricitve interventions – to protect from harm and short term and sparing as possible. Human rights Thoughts about rights of consent – can withold consent the same as anyone else. Must be reviewed regularly and risk assessed

Small group research task In Pairs you are required to research a specific approach to dealing with challenging behaviour. You should then: Present your findings with relevant links and references in the form of a fact sheet which you will then Present to your class