Plan and provide advance behaviour support CHCICS404B:

Teacher Contact Details: Teacher: Greg Egan TAFE: GRANVILLE TAFE Email: Gregory.Egan6@det.nsw.edu.au

I want each person to introduce yourself, where you work and tell us something interesting about yourself that you like doing in your spare time.

Class Ground Rules: Lets discuss class ground rules for the semester: Example:

Semester Agenda: Plan and provide advance behaviour support: Week 1: Demonstrate understanding of the influence and purpose of behaviour. Week 2: Assess problem behaviour. Week 3: Develop multi-element support plans to meet individual needs. Week 4: Develop an individual response plan. Week 5: Monitor effectiveness of a response plan. Week 6: Complete documentation.

Assignments for Semester: Assignment 1: Due Week 13 (Note: You need to be monitoring a client within your workplace 3 weeks prior to this assignment is due to have sufficient data to complete it so start early) Assignment 2: Due Week 15 This assignment involves you watching a video, and then answering some questions on it. http://www.scie.org.uk/socialcaretv/video-player.asp?guid=6db7a54b-0ba3-468f-95fb-4b823fab9bb6 (See Student Assessment Booklet for further details)

Expectations on online learning: Note: Lectures and resources will be uploaded to Moodle so check online to access lectures and extra resources. There is a expectation you will access these lectures online. I will check emails weekly if you have any questions.

WEEK 1: AGENDA Define challenging behaviour & Apply understanding of what influences an individual's behaviour Demonstrate awareness of the purpose of an individual's behaviour Identify the communicative function of the behaviour Identify pro-active strategies to support behavioural change (Continue in week 2) Develop pro-active strategies to support behavioural change and/or to manage behaviours of concern Consult with appropriate team members regarding the development of behaviour support plans Identify setting events and take appropriate action to adapt/redirect

INTRODUCTION: Clients with disabilities especially intellectual disabilities can often exhibited a range of challenging behaviours, as workers supporting people with these disabilities it is part of your role to help learn to understand the behaviours of the clients you work with and assist them in learning how to exhibit more socially acceptable behaviours, and others in how to work with them.

Defining Challenging Behaviours : Trainer Led Activity: So what is a challenging Behaviour in relation to the disability field. Please give me examples.

Defining Challenging Behaviours : Challenging behaviours in our society are generally look at as behaviours that challenge: ƒƒ Your values and beliefs. ƒƒ Social norms and expectations. ƒƒ Your skills as a worker. ƒƒ Your own or your client’s safety. ƒƒ The safety of others in the community.

Defining Challenging Behaviours : Challenging behaviours may include: Aggressive outbursts both physical and verbal. Absconding. Self-injury, including ingesting or inhaling foreign bodies. Repetitive behaviours. Alcohol and substance abuse. Involvement in criminal activities. Non-compliance. Property destruction. Socially inappropriate behaviour. Example: Inappropriate touching, invading personal space.

Apply understanding of what influences an Individuals behaviour: : What influences challenging behaviours in society? In understanding what influences the behaviours of people with disabilities, we should first look at what influences our behaviours, because quite often you will find a lot of similarities between what influences the general populations behaviours compared to those with disabilities. Let’s discuss this.

Apply understanding of what influences an Individuals behaviour: : Trainer Led Activity: So what influences challenging behaviours in society generally, and also influences behaviours of those with disabilities?

Apply understanding of what influences an Individuals behaviour: Influences on Behaviour: Social and Physical Influences: Medical / Health Influences: Living and Working Significant Unrecognised Pain or Discomfort Environment Eg: Family environment Background Medical Conditions Communication Issues Eg: Difficulties in communicating needs. Medication Life Events Eg: Sudden change in environment. Substance Abuse Eg: Drugs / Alcohol Life Stages (Eg: leaving school) Syndrome Specific Conditions and Behavioural Phenotypes Eg: Autism Peer pressure Epilepsy The behaviours are learnt as a way to get what they want. Eg: Aggression always gets them outcome in family home. Acquired brain injury

Apply understanding of what influences an Individuals behaviour: Influences on Behaviour: People with intellectual disabilities have a much higher prevalence of psychopathology than the general population. Communication and cognitive difficulties may confound the presentation: Some psychiatric influences : Depression may present as withdrawn behaviour, irritability, and aggression directed at people trying to motivate the person. Manic depression may present as absconding, boisterousness & dis-inhibition. Psychosis may be indicated by aggression that has no clear precipitating factors and is associated with bizarre behaviours suggestive of hallucinations or paranoia.

Identify Communicative function of the Behaviour: Exploring communication and it’s link to behaviour: When a client with a intellectual disability acts out or exhibits a challenging behaviour, sometimes our first response is; We believe the person is: So we sometimes: Attention seeking Ignore the behaviour Requesting something Deny the request Refusing something Force them to do it Escaping something Keep them involved Remember behaviour is the person’s best attempt to get their needs met.

Identify Communicative function of the Behaviour: When a person cannot verbally communicate their needs, they often exhibit other behaviours to compensate or to try and communicate their needs. If we take this into consideration what we first interpret as challenging behaviours may in fact be the client trying to communicate their wishes. Taking that into account the following behaviours could be interpreted in different ways for example: Remember behaviour is the person’s best attempt to get their needs met.

Identify Communicative function of the Behaviour: Attention seeking: Following staff/family members around the house, touching others Initiating relationships Seeking company Seeking reassurance Seeking help or support Non-compliant: Don’t do things as they are asked Not interested or wanting to do it. Not understanding what to do. Not having sufficient skills to do it. You have changed their routines Disruptive: Talking or yelling at inappropriate times and interfering with the work or activities of others. Frightened Stressed Lacking understanding Trying to tell you something. Remember behaviour is the person’s best attempt to get their needs met.

Identify Communicative function of the Behaviour: Trainer Led Activity: So lets brain storm on some of the behaviours clients within your own workplaces often use to communicate and what do they mean, and how do we know they mean that? Remember behaviour is the person’s best attempt to get their needs met.

Identify Communicative function of the Behaviour: Other factors why a client may exhibit challenging behaviours: No one has shown them another way to behave. This way has been effective in achieving what they want. They have tried a different way and no one has responded to meet their needs. They are driven by biochemical or neurological factors currently beyond their conscious control such as mental illness, drug use, unrecognised pain or discomfort, or a medical issue. Remember behaviour is the person’s best attempt to get their needs met.

Introduction videos of potential interest to get you thinking: Note: These are just to stimulate thinking on working with challenging behaviours Daniel: http://www.youtube.com/watch?v=tQTx26ELkSs Challenging behaviours in children (O/T perspective) http://www.youtube.com/watch?v=x9cHXgDewzU&feature=related Parents view on communication: http://www.youtube.com/watch?v=JhLqkW-j8PY

REFERENCES: Aspire Training & Consulting “Introduction: Planning and providing advanced behaviour support” -147 http://www.adhc.nsw.gov.au/individuals/caring_for_someone/challenging_behaviour Dikian, J. 2011 “Challenging Behaviours in Developmental Disabilities” National Disability Services Regional Support Worker Conference, Bankstown Department of Communities and Social Inclusion “Intellectual Disability and Behaviour: understanding and responding to your child's difficult behaviour” Information Facts Sheet