DEVELOP AND PROMOTE POSITIVE PERSON-CENTRED BEHAVIOUR SUPPORTS

PART 1: IDENTIFY BEHAVIOURS OF CONCERN THAT ARE LIKELY TO PUT THE PERSON OR OTHERS AT RISK OF HARM

PART 2: DEVELOP POSITIVE BEHAVIOUR SUPPORT RESPONSES USING A PERSON-CENTRED APPROACH

PART 3: MONITOR AND REVIEW THE PERSON'S INDIVIDUAL BEHAVIOUR SUPPORT PLAN

Define and document behaviours of concern using objective, observable and measurable terms that all people supporting the person can understand (Page 2)

Identify the behaviours of concern using a functional or observational behaviour assessment (Page 4)

Identify and assess the environmental and lifestyle context of behaviours of concern, and identify and assess the personal characteristics, physical and mental health, past experiences, skills and limitations, and interpersonal relationships that might contribute to behaviours of concern

Identify the type, frequency and triggers of behaviours of concern (Page 17)

Facilitate the ongoing involvement of others in the observation and recording of behaviours of concern and the assessment and planning processes

Behaviour of concern (BOC) Definition (Page 2)

Culturally unacceptable

Intensity, frequency or duration

Compromise physical safety of the person or others

Result in reduced or denied access to ordinary community facilities

Objective, observable and measurable items (Page 3)

Observing and recording data (Page 6)

Funtional behaviour assessment (Page 7)

Setting events (Page 7)

Antecedents (triggers) (Page 8)

Problem behaviour

Consequences, Steps for conducting functional behaviour assessments (Page 9)

Analysis of the available information (Page 11)

Functional understanding of BOC is based on these premises (Page 13)

Identifying and assessing factors that contribute to BOC (Page 16)

Topography of the behaviour (Page 17)

Cycle of the behaviour (Page 17)

Course of the behaviour (Page 18)

Strength of the behaviour, Triggers of behaviour (Page 19)

History of the BOC, history of interventions (Page 20)

Methods of recording behaviour (Page 21)

Positive behaviour support (PBS) (Page 23)

Ensure that the person's preferences for including their carer and/or family and/or relevant others in the ongoing development of supports are taken into account (Page 2)

Demonstrate a strengths and evidence-based, best practice approach that reflects and respects the rights, personal choices, needs, abilities and goals of the person (Page 6)

Develop supports that are based on accurate records, observations and consultation with all who will use them, including the person, to accommodate lifestyle preferences (Page 11)

Develop interventions and supports that safeguard the person from increased risk of being exploited, abused, or exposed to inappropriate constraints or unlawful treatment (Page 15)

Identify proactive and positive supports to promote behavioural change, including changes to the environment and communication strategies (Page 24)

Identify the timeframes and goals of the plan, how success will be measured, and how it will be monitored and reviewed (Page 29)

Identify changes to work practices that may be implemented to reduce the behaviours of concern (Page 40)

Identify interventions for critical or adverse situations and reactive responses to reduce the risk of harm to the person or others in accordance with organisation, legal and ethical requirements (Page 46)

Identify the appropriate supports for the person and workers after a behaviour of concern has occurred (Page 65)

Identify staffing issues and how they will be addressed (Page 71)

Ensure the necessary consents and approvals are documented prior to implementation of the plan (Page 73)

Monitor the person's individual behaviour support plan in consultation with the person and internal and external support providers and/or groups, and monitor the implementation of the plan to measure improvements to the person's quality of life and reductions in the risk of harm to the person and others (Page 2)

Measure and report on the number of adverse or critical events of behaviours of concern to determine the effectiveness of the behaviour support plan (Page 13)

Coordinate informal or formal debriefing process for relevant workers when critical incidents occur in accordance with organisation policies and procedures (Page 18)

Implement changes to the behaviour support plan consistent with evidence collected and in consultation with the person, support providers and other relevant professionals (Page 21)

Comply with the organisation's reporting and documentation requirements (Page 26)

Communicate individualised behaviour support plan revisions with all of the people who are providing support (Page 31)

Questions to determine preferences (Page 2)

Person-centred support (Page 3)

Carers, families, and relevant others (Page 4)

Strengths-based approach (Page 6)

Best practice approach (Page 7)

Respecting rights, personal choices, needs, abilities and goals (Page 8)

Identifying unmet needs (Page 10)

7 decision-making principles (Page 11)

Proactive support strategies, Ecological manipulations, Positive programming, Focused support strategies (Page 14)

Types of abuse (Page 16)

Physical abuse (Page 16)

Emotional/psychological abuse (Page 16)

Sexual abuse (Page 17)

Chemical abuse (Page 17)

Neglect or abandonment (Page 17)

Financial exploitation (Page 18)

Inappropriate constraints (Page 19)

Safeguarding people, Individual safeguards, Organisational safeguards (Page 20)

Responding to abuse (Page 21)

Reporting abuse or neglect (Page 22)

Behaviour support plan (BSP), Environmental re-design (Page 25)

Communication strategies (Page 26)

Positive programming (Page 27)

Qualitative and Quantitative data (Page 35)

Self-determination (Page 39)

Repetitive and unusual behaviours (Page 41)

Self-injurious behaviours (Page 42)

Disruptive or destrictive behaviour (Page 43)

Being offensive to others or uncooperative (Page 44)

Responding to BOC in children (Page 45)

Reactive plans (Page 53)

Physical intervention (Page 54)

Seclusion, Physical restraint, Mechanical restraint, Mechanical devices, use of restraint or seclusion (Page 55)

Consent and the role of the Guardianship and Administration Board, Operational procedures (Page 56)

Duty of Care (Page 57)

Behaviour management policies and procedures (Page 58)

Ethical issues (Page 59)

Passive self-defence (Page 60)

Counselling and therapy (Page 63)

Referral procedures for specialist services (Page 64)

Social Support (Page 66)

Critical Incident (Page 67)

Demobilisation (Page 69)

Defusing (Page 70)

Assessing future staffing needs (Page 72)

Informed consent (Page 73)

Seeking agreement and consent (Page 74)

Requests for information (Page 75)

Collaborative interactions (Page 76)

Providing information to external service providers (Page 77)

Conflicting interests (Page 78)

Behaviour support plans (Page 3)

Monitoring (Page 5)

Formal or informal monitoring (Page 7)

Measuring improvements (Page 8)

Reports/ sharing feedback (Page 10)

Reporting adverse or critical events (Page 14)

Incident report form for BOC (Page 15)

ABC recording sheets (Page 16)

Reviewing incidents (Page 17)

Problem solving (Page 22)

Negotiation (Page 24)

Forms (Page 27)

Activity timetable (Page 28)

Meetings (Page 29)

Roster (Page 30)

Reviews (Page 33)

Progress notes, Format of the document (Page 34)