1. Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta, Edmonton, Alberta A joint initiative of The Alberta Challenging Behaviours Interest & Research Group & The Community Needs Driven Research Network in Continuing Care (ICCER) with support from the lnterprofessional Health Research Academy

2. Welcome!

3. Aim of the Symposium: Gathering together a network of health care providers, policy and decision makers, academics and researchers to: 1. Identify and discuss issues related to the provision of health care services for individuals across Alberta, their families and caregivers, who live and cope with responsive behaviours associated with dementia, mental illness, addictions, brain injury, developmental disabilities and other neurological conditions.

4. Aim of the Symposium: Gathering together a network of health care providers, policy and decision makers, academics and researchers to: 2. Develop an action plan (involving clinical practice, education/training, system change, clinical leadership/mentoring, and research priorities) to address this challenge across the continuum of care.

5. Roadmap (Behavioural supports Ontario (2012) Behavioural Education and Training Supports Inventory (BETSI) – A Decision Making Framework, p. 10, 19). Transition Clinical Best Practice Education & training Clinical leadership/ mentoring Systems Change Research Priorities Current StateFuture state

6. Anticipated Symposium Outcomes: Current and future state - where we are now and where we want to go Research priorities - informing of a research agenda Identification of go forward mechanisms - for systems change, health care service delivery, policy, education/training

7. Working Groups Clinical best practice; practice guidelines, competencies, evidence-based Clinical leadership, frontline mentoring; team resources Education training; existing programs, regulated/unregulated, formal training, continuing educ System issues/supports; policies, structures, funding, data collection, organization resources, strategic direction, system navigation/transition

8. Working Groups In each working group, please discuss: Current experiences (successes and challenges in managing challenging responsive behaviours) Current barriers/challenges along with accompanying suggestions for change/potential solutions Current strategies/resources Recommendations Research Priorities

9. System Levels of a BSS: BSS that integrates services provision on all of the following levels: System Organization Team Person

10. Guiding Principles of a BSS: BSS that adopts the following guiding principles: Care is relationship-centred and person-directed Care system must be accountable and provide leadership Behaviour is communication Care is provided in the least restrictive environment Respect is given for all Care includes health promotion and chronic disease prevention Health technology

11. Components of a BSS: BSS that incorporates the following components: An integrated Care System Comprehensive Health services Collaborative care Culturally appropriate services Continuous quality improvement Supportive access to resources Supportive environments Caregiver support Education and training Health technology

12. Core Competencies of a BSS: BSS that aims to foster development of the following Core Competencies in all working with this population: Knowledge Cultural Values and Diversity Person Centred Care Delivery Prevention and Self-Management Clinical Skills Resiliency and Adaptability Field Based Quality Improvement and Knowledge Transfer Collaboration and Communication Change Management Skills Technology Skills Leadership, Facilitation, Coaching and Mentoring Professional and Work Ethics

13. Roadmap (Behavioural supports Ontario (2012) Behavioural Education and Training Supports Inventory (BETSI) – A Decision Making Framework, p. 10, 19). Transition Transformation Zone Use Innovations Develop Implementation Infrastructure Change Systems Current StateFuture state

14. Interactions: Program Implementation & Interventions (Behavioural supports Ontario (2012) Behavioural Education and Training Supports Inventory (BETSI) – A Decision Making Framework, p. 20).

15. www.bsa.ualberta.ca www.behavioural supportsalberta.ualberta.ca

16. Thank You! suzette.bremault-phillips@ualberta.ca sandra@iccer.ca