Positive Behaviour Positive Behaviour SupportSupport

An Action Plan For those who An Action Plan For those who Support the IndividualSupport the Individual

ValuesValues

• Has to be person centred (involvement of service user, possible

service agreement)

• Needs a Multi-Disciplinary Approach (agreements

for sharing information)

• Has to be holistic– Covering a range of proactive supports– Will likely have Reactive Strategies (person

specific) ethical– Easy to Use (plain format) (pictures, symbols, preferred

language)

Key ComponentsKey Components

• Assessments

• Risk Analysis

• Environmental Awareness

• Teaching Strategies

• Clinical intervention

• Active and Reactive Strategies

• Recording and Evaluation processes

Environmental AwarenessEnvironmental Awareness

• How does the person best interact (staff awareness

as to how best to engage with the individual)

• Activities and length of engagement (routines or

schedules, what does the person have to get up for, to what degree is the person engaged?

• Physical Environment. (noise levels, conducive to learning, living

arrangements, compatibility peers! Suitability of, access/restrictions)

• Tweaking the Environment (marmite)

AssessmentAssessment

• Direct Observations by assessor and collations from others

• Review of Historical information• Records of Behaviour (past and current)

• To include…– Communication– Skills– Function of Behaviour– Health (mental health and physical, medication)

Risk AnalysisRisk Analysis

Process to involve others

• Identifying Risks

• Weighing up consequences

• Ways at reducing risk

• Ways of managing

• Review

Teaching StrategiesTeaching Strategies

Valued, meaningful & Realistic,

• Communication

• To Promote Independence

• Coping and Tolerance (to manage feelings/emotions)

Clinical InterventionsClinical Interventions

• Medication

• Behaviourist intervention (psychology, CBT)

• Health (link to health action plan)

Active & Reactive StrategiesActive & Reactive Strategies

• Early intervention (redirection, calming, low arousal, clear boundaries and

capitulation, active listening)

• Situation Management (guidelines incorporate Proactive stuff)

• Physical Interventions (approved and appropriate protocols, DOLS)

Recording and EvaluationRecording and Evaluation

• Post incident support (debriefing and reflection both those who support and the

service user)

• Use of Physical Interventions (use of prn, PI’s)

• Recording of information (data collection)

• Analysis of information collected• Use of Analysis to review what’s working or not• Agreements for Sharing Information (aspects include

confidentiality, who needs to know, why)

• Link to Resources needs/available

Useful ResourcesUseful Resources

• Bild website• Helen Sanderson• Valuing people• Tizard• Mental Capacity 2005 + DOLS• K&MPT• KCBN Website• DoH Website• NICE