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Follow Established Person-Centred Behaviour Supports - Coggle Diagram
Follow Established Person-Centred Behaviour Supports
Part 1: Apply a person-centred approach to minimise behaviours of concern
Support the person to maintain their activities of daily living in accordance with organisation policies and procedures and the individualised behaviour support plan (Page 2)
Predictability and consistency in routine (Page 2)
Workers should have consistency in their routine (Description of how routine should be made in Page 2)
Different methods of discussing a routine (Page 3)
Consider the person's individual needs, strenghs, capabilities and preferences when engaging in activities of daily living and routines (Page 4)
Encourage clients to identify their needs, strengths, capabilities and preferences.
Strengths are personal attitude like resilience, perseverance, coping and patience.
Capabilities are general skills like mechanics, computers, sewing, gardening, socialising,...
Don't pressure clients to do quickly otherwise they'll become overwhelmed or frustrated (Page 5)
Communication techniques (Page 6)
Questioning techniques (Page 6)
Open-ended questions
Closed questions
Probing: follow-up questions that ask for additional information
Active listening (Page 7)
Paraphrasing (Page 7)
Duty of care (Page 8)
Negligence
The legal consequnce of a breach of the ethical principle of non-maleficence - the duty to do no harm
Actions which could be reasonably foreseen as causing harm to clients
Inaction when a client or patient is at risk
Dignity of risk (Page 9)
Social Model of Disability and Devaluation (Page 10)
Identify problems with engaging or motivating the person and seek appropriate assistance (Page 11)
Find opportunities for skill development
Identify problems that might occur - by asking questions - example page 12
Communication difficulties: see specialist (page 13) - list of benefits page 14
Provide a safe environment for the person conducive to positive and adaptive responses (Page 15)
Predictable routine provide security
Client Abuse
NEED MANDATORY REPORT
Privacy and confidentiality
Part 2: Review context of behaviours of concern
Recognise behaviours of concern outlined in the individualised behaviour support plan
Definition of behaviour of concern: culturally unacceptable behaviours (Page 2) resulting in safety being compromised
Example Page 2
SELF-HARM
High-risk groups (Page 3)
Injuries (Page 3)
Clients with anger management issues (Page 3)
Behaviour that occurs for an excessively long period of time (Page 4)
Disinhibition and perseveration
Consider what happened before, during and after the behaviour of concern (Page 5)
ABC charts: Antecedents, Behaviour, Consequences (Page 5) - Example Page 6
Learn how to organise ABCs report (Page 6)
Consider the type, frequency and triggers of the behaviour, and consider environmental factors in the context of the behaviour (Page 7)
Example page 7
Sources of antecedents
Internal antecedent events - example page 8
External antecedent - example page 8
Strength (severity) of behaviour (Page 9)
Environmental factors (Page 9,10)
Reason to observe and record environmental triggers (Page 10)
Consider the person's emotional well-being, health status and medication in the context of the behaviour (Page 11)
Emotional well-being (page 11)
Emotional needs
Psychological needs
Relationship between behaviours of concern and psychiatric illness
Primary
Secondary
Consequential
Health status (Page 13)
Change in health might be possible reason for unexpected behaviour of concern
Medication (Page 13)
Record all observations accurately and objectively in consultation with supervisor using terms that can be clearly understood (Page 14)
What should be included in the recording (Page 14)
Individual response plan (Page 14)
Only record facts and no opinions
Staff must record: (Page 16)
Frequency
Severity
Duration
Latency
Tally forms
Plans (Page 17)
Part 3: Provide positive behaviour support according to individualised behaviour support plan
Recognise the difference between appropriate and inappropriate interventions when addressing behaviours of concern (Page 2)
Principles of positive behaviour support
Practices
Key components
Recognising the difference between appropriate and inappropriate interventions (Page 3)
Punishment (Page 3,4)
Four R's: Resentment, Retreat, Rebellion, Revenge
List of behaviour procedures not allowed to be used (Page 4)
Ignoring (Page 5)
Reinforcement (Page 6)
Positive
Negative
Interpret and follow behavioural support strategies (Page 7)
Lifestyle Enhancement (Page 8)
Skills Development (Page 9)
Structure and routine (Page 9)
Teaching functional communication (Page 10)
Reinforcement schedules (Page 11)
Increasing engagement (Page 11)
Teaching relaxation (Page 12)
Active listening, observation and effective communication (Page 12)
Page 13: Proximity management, Managing consequences, Time out strategies, Emergency containment strategies, Interrupt and redirect, Stimulus change, Antecedent management
Ensure that all interventions are in line with the plan and organisation policies and procedures (Page 14)
Things that policies and procedures should address: (Page 14)
Behaviour Support Plan (BSP) - applied for staff (Page 15)
Ecology and environment (Page 16)
Ecological analysis: Physical, Philosophical, Interpersonal, Programmatic
Positive Programming (Page 18)
Focused support strategies (Page 19)
Follow organisation procedures to ensure safety of the person, self and other people, and respond to critical incidents in accordance with organisation's intervention and notification procedures (Page 20)
Reactive plans (Page 27)
Physical intervention (Page 27)
Critical incident definition (Page 20)
Common signs behavioural changes which might lead to violence (Page 22)
Seclusion, Physical restraint, Mechanical restraint (Page 28)
Mechanical devices, use of restraint or seclusion, consent and the role of the Guardianship and Administraion Board (Page 29)
Duty of care (Page 30)
Ethical issues, Operational procedures (Page 31)
Monitor strategies to determine effectiveness in consultation with supervisor (Page 32)
5 step development and implementaton plan (Page 33)
Debriefing (Page 33)
Identify and report changes in person's needs and behaviours in consultation with supervisor, and follow referral procedures in consultation with supervisor (Page 34)
Changes in client needs (Page 34)
Stress signals (Page 35)
Symptoms of depression (Page 36)
Referrals (Page 37)
Part 4: Complete Documentation
Comply with the organisation's reporting requirements (Page 2)
Information should be recorded:
Clearly and objectively
In a well organised fashion
With purpose
With demonstrated logic and analysis
With careful consideration of the reader
With consideration for the dignity of the client
With sensitivity
Using language the readers will understand
Using the technology supplied (eg computers and software)
Incident referral form for behaviours of concern (Page 4)
ABC recording sheets (Page 5)
Factual objective information include:
Time and date of the incident
Location of the incident
Nature of the incident
tasks or activities occurring at the time
Exactly what happened from the perspective of the recorder (not what the recorder thought happened, but what they actually heard and saw happening)
Control measures in place at the time
Details of any witnesses involved
The immediate action taken for the incident
Maintain documentation according to organisation's requirements (page 6)
General filing and indexing (page 6)
Facsimile transmissions, Security considerations when using computers, Client files and case notes (Page 7)