Challenging Behaviour: Re-evaluating ‘theory to practice’ Avon & Wiltshire Positive Behaviour Support Network

Theory? Applied behavioural analysis Attribution Attachment Cognitive behavioural approaches Systemic Neurological The list goes on……………

Background Values Person-centred approaches Applied behavioural analysis Multiple theoretical models

The PBS Process Values

The behavioural cycle

Risk Factors

Components of assessment

Competing Behaviour Pathways (Adapted from Lucyshyn, Dunlap & Albin, 2002) Desired Behaviour Maintaining Consequence(s) Setting Event(s) Antecedent Trigger(s) Problem Behaviour Maintaining Consequence(s) Alternative Replacement Behaviour

Multi-component behavioural support Setting event strategies Preventative Teaching strategies Consequence strategies Emergency procedures

Multi-component behavioural support Behavioural level Intervention level Components of support Baseline Primary prevention Setting events Preventative Teaching Escalation Secondary prevention Crisis Reactive Emergency Recovery Secondary & post-incident Consequence

Activity & Discussion Assessment Component NA PA CA IP Description of behaviour Personal history Identification of triggers Functional assessment Communication Sensory & perceptual Physical & mental health Cognitive Structure, routine & predictability Relationships

Questions Quality of assessment? Are PBS plans developed from good quality assessment or ‘opinion’ & ‘assumptions’? Is primary prevention prioritised? Is there an over-emphasis on antecedent management? Degree of focus on teaching strategies? Consideration given to consequences?