1. Plan and provide advance behaviour support
CHCICS404B:
Week 2

2. Teacher Contact Details:
Teacher: Greg Egan TAFE: GRANVILLE TAFE

3. Class ground rules for the semester:
Be respectful of each others opinions
Confidentiality, what is discussed in class stays in class.
Be supportive of each other to encourage learning.
Cell phones off unless there is personal reason for it.
No yelling in class.
Listen to each others points of view.
Be on time to class.

4. WEEK 1: AGENDA
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

5. Topic 1: Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
TOPIC 1: As part of developing a behaviour management plan, staff must identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours. Proactive strategies are those designed to produce changes over time. Reactive strategies, on the other hand, are those designed to manage the behaviour at the time it occurs. Including within the category of proactive strategies are ecological changes, positive programming, and focus support.

6. Proactive strategies include:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Proactive strategies include:
Ecological manipulations: making changes in the person’s environment that will reduce likelihood of the problem behaviour occurring.
Positive programming: long term in structural programs designed to give the person greater skills and competencies.
Focused support strategies: these include differential reinforcement strategies, stimulus control and in structural control.

7. Ecological Manipulations:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Ecological Manipulations:
An ecological analysis describes those physical / environmental factors that might impact on the person, including pollutants, expectations of the person and others, nature of materials / tasks available, number of persons present, seating arrangements, organisation rules, schedules, changes, structure, instructural techniques, specific settings and time of day in which the problem behaviour is likely to occur and those in which the problem behaviour is unlikely to occur. Once the analysis has been completed, ecological manipulations can be developed to support behavioural change and / or to manage challenging behaviours.

8. Ecological Analysis: :
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Ecological Analysis: :
The physical environment
Programmatic factors
Space – move furniture
Opportunity for choice
Painting walls, doors
Predictability, control
Visuals, schedules, timetables
Motivational system
Consistent routines, rules
, protocols.
Program, tasks
Reinforcement / rewards
Length of sessions
Acoustics, light
Cognitive abilities
Changes (Home ,Health)
Needs, interests

9. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Ecological Analysis:
Philosophical factors:
Interpersonal factors
Methods of behaviour management.
Expectations of others
Consequences
Quality of interactions
Behaviour versus disability
Culture of respect and dignity
Level of affection and approval.

10. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Behaviours occur within a context and are often a function of the person’s physical, interpersonal and programmatic environment. Environmental or setting events and characteristics (ie. Ecological context for behaviour) provide an important area for analysis and offer significant opportunities for change as part of a support plan.

11. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
For example: Some behaviours could be a reaction to the crowded or noisy conditions in which a person must work, or could be a reflection of simple boredom. If this is the case a challenging behaviour might be impacted upon by simple ecological changes such as reducing noise in the environment, or the environment is made more interesting.

12. Examples of Ecological Changes:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Examples of Ecological Changes:
Change person’s setting.
Change number or quality of interactions.
Changing the instructural methods being used. I.e Visuals, sign language, verbal directions.
Removing or controlling environmental pollutants such as noise or crowding.

13. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Sudden behaviour changes may be a result of poor matching, for example:
Conflict between the person’s needs, characteristics and aspirations and that person’s physical, interpersonal and programmatic environments.
Resolution of those conflicts might require a change in those environments. Example: provision of more stimulation in the environment.

14. Focused support strategies are designed to meet this need.
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Though if a client needs to be moved into more suitable accommodation strategies maybe needed in the interim to reduce behaviours.
Focused support strategies are designed to meet this need.
Client maybe reinforced for a reduction in a particular behaviour. Items that set off behaviour such as noise or large crowds maybe eliminated to reduce the behaviours.

15. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Ecological changes do not always produce immediate improvement of behaviour.
For example though some clients may show a improvement in behaviours when moved from an institutional setting to a community setting, others may show a increase in their behaviours.
Challenging behaviours may also initially increase before they decline when moved into new environments, so patience maybe needed when pursuing a strategy.

16. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Though at times you need to balance ecological changes with other elements of framework.
As though giving a individual extra freedom of choice is person centred, and gives a person more choice over their lives, at times they may make choices to avoid participation in activities, or learning new skills, intern not having the best quality of life.
It is important for the support staff to balance clients freedom of choice with their responsibilities to teach new skills and to teach them to make informed decisions.

17. Lets review some behavioural support programming types:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Lets review some behavioural support programming types:
Positive Programing:
Involves long term instructural programs designed to give the person greater skills and competencies, to deal with the environment, and also improve their to socially integration skills.

18. Functionally equivalent Functionally related and
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Positive Programing:
There are four variations of positive programming involving the development of general:
Functionally equivalent
Functionally related and
Coping & Tolerance skills.

19. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Positive Programing:
General skill development across the domestic, vocational, recreational, and general community domains facilities the reduction of challenging behaviour by increasing the persons repertoire of socially acceptable responses.

20. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Positive Programing: Challenging behaviour occurs in certain situations because they can serve useful functions. Positive programming teaches functionality equivalent but more socially acceptable responses, or responses that are otherwise functionally related to the identified reinforcers.

21. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Positive Programing: Along with ecological change, positive programming has the primary goal of producing durable, generalised outcomes. In contrast with ecological change, positive programming involves systematic instruction while the former has to do with availability and opportunity.

22. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Positive Programing: For example: ecological change could involve having access to a kitchen in one’s home, having choices about what to do and having a day planner in which to schedule one’s day. Positive programming might include teaching the person how to cook a meal independently, teaching the person how to make choices and teaching the person how to use a day planner to schedule a full day of interesting and desirable activities.

23. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Positive Programing: Ability to cope with and tolerate what is naturally occurring aversive events. Example: Life includes being told “no”, frustration, criticism, stress, being sick, performing non-preferred tasks.

24. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Focused support strategies: Focused support strategies include differential reinforcement strategies, stimulus control and instructional control. Ecological changes and positive programming may take time to modify behaviour, so it might be necessary at time to include more focused support strategies for more rapid effects.

25. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Focused support strategies: A comprehensive support plan should include non-behavioural strategies such as neuro-physiological techniques, medication adjustments, and dietary changes.

26. Focused support strategies: Purpose of focus support strategies:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Focused support strategies:
Purpose of focus support strategies:
Produce rapid behaviour changes.
Reduce risks associated with behaviours.
Reduce need for restrictive practices.
Emphasises the use of non-aversive focused support strategies, since punishment brings a greater risk of negative behaviours / side effects, and may reduce clients quality of life.

27. Focused support strategies: Use of focus support strategies:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Focused support strategies:
Use of focus support strategies:
Use of non-aversive strategies is also dictated by the outcome requirements of speed and degree of effects, which is the primary reason for using focused support strategies.

28. Focused support strategies: Use of focus support strategies:
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Focused support strategies:
Use of focus support strategies:
Schedules of reinforcement might strengthen the ability of a support plan to avoid or minimise challenging behaviours, where punishment can sometimes escalate behaviour.

29. Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
See example
Example PG: TRAINERS MANUAL

30. Trainer Led Activity: 1.) Give examples of proactive Strategies.
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Trainer Led Activity:
1.) Give examples of proactive
Strategies.
2.) Give an example of each type
Of proactive strategy.
3.) If a client demonstrates a aggressive behaviour whenever they are on a bus, which proactive strategy might be used to manage their behaviour? Why and how?
Example PG: TRAINERS MANUAL

31. Trainer Led Activity: Answers
Identify and develop proactive strategies to support behavioural change and / or to manage challenging behaviours:
Trainer Led Activity: Answers
1.) Give examples of proactive
Strategies.
2.) Give an example of each type
Of proactive strategy.
3.) If a client demonstrates a aggressive behaviour whenever they are on a bus, which proactive strategy might be used to manage their behaviour? Why and how?
Example PG: TRAINERS MANUAL

32. Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
When behaviour support plans are being developed it is important for the case manager to consult with appropriate team members to identify setting events and take appropriate action to adapt and redirect behaviour.

33. Example (See Handout – Goals and Tasks)
Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
When developing plans, it is not only important to consult with others, but ensure that their roles and responsibilities are clearly noted within the case plan.
Example (See Handout – Goals and Tasks)
See PG TRAINERS GUIDE.

34. Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
Setting Events:
Are events or circumstances that affect the likelihood of the challenging behaviour occurring at a later point in time. Setting events as those events or circumstances that act as “slow triggers” and set the stage for behaviour to be more or less likely to happen.

35. In pain but can’t communication it.
Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
Setting Events:
Examples may include:
Illness
Lack of sleep
Stress and anxiety
In pain but can’t communication it.

36. Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
Setting Events:
The occurrence of a setting event can explain why a request to complete a task results in problem behaviour on one day but not on the next. Setting can be physical, social, or biological. Setting events can proceed or occur at the same time as a problem behaviour.
Eg: A client may have a argument with a family member earlier that day and that becomes the stressful factor that sets off behaviours.

37. Setting Events Interventions include:
Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
Setting Events Interventions include:
Minimising or eliminating the setting event. Eg: Goto doctors and get medication.
Neutralising the setting event.
Adding more prompts for positive behaviour.
Increasing power of reinforcers temporarily.
Promoting positive interactions.
See pages 19-21

38. Trainer Led Activity: See handout
Topic 2: Consult with appropriate team members regarding the development of behaviour support plans:
Trainer Led Activity:
See handout
See pages PG 22 Trainers guide.

39. FINISH

40. REFERENCES:
Community Services & Health Industry Skills Council “CHC08 – Disability behaviour support skill set learner resource suite.”
TAFE. 2009“ Community Services Training Notes and workbook; CHCICS404A Plan and provide advance behaviour support”