Consequences – How did the staff react immediately and after the behaviour? Therefore, the more severe the individuals learning disability is, the more likely there will be multiple forms of behaviours that challenge being displayed. A PBS approach seems to be a very beneficial intervention when working with someone displaying behaviours that challenge. Accessibility Statement, All Conference Presentations, Performances, and Exhibits. There also saw a reduction in the amount of times reserve medication was administered. Being involved in the PBS model gave me the opportunity to research the topic to help answer my question on whether the PBS approach is beneficial. It is a set of research-based strategies used to increase a person’s quality of life and at the same time decrease behaviours that challenge by teaching new skills and making appropriate changes within their environment (Wehmeyer, 2015). Rojahn, J., Matson, J., Naglieri, J. and Mayville, E. (2004). Physical intervention – staff can use prescribed C&R techniques as per NHS protocols based on management of violence and aggression techniques, using the least restrictive intervention based on clinical judgement of the incident at the time. Allen, D. (2009). As the (Open University, 2017b) stated it is important when carrying out research to keep accurate records of all references and citations I have found this to be beneficial for the project as I ensured that I familiarised myself with endnote, as I had never used it in the past. (2012). Hillsdale, NJ: Erlbaum. Second edition, pp. I am aware that some members of staff are a little set in their ways and do not tend to cope well with changes being made within the unit, therefore are not as cooperative with the PBS model and its implementation. 2019-11-07T15:02:32-08:00
Due to the nature of these behaviours more problems can arise for the patient, their family and those close to them and can further lead to social inclusion. endobj A Positive Behavioural Support Model for Breaking the Barriers to Social and Community Inclusion. <>649 0 R]/P 949 0 R/Pg 945 0 R/S/Link>> 949 0 obj FAQ | Persistence and Change in Challenging and Problem Behaviours of Young Adults with Intellectual Disability Living in the Family Home. Poppes, P., van der Putten, A. and Vlaskamp, C. (2010). Instead of using this intervention, many services are still using psychotropic medication and restraint techniques. There are various triggers that can cause the patient such distress that they communicate this by using such behaviours. For example; they will be praised if they use one of their distraction techniques instead of following through with the behaviour. Tizard Learning Disability Review, 10(2), pp.4-11. this would assist staff in realising what needs Mr B had so they could be of assistance if required. Each phase in the plan will have indicators and strategies for staff to follow when Mr B’s behaviour is at each stage. It is also apparent that this approach needs to have widespread delivery as, even though it has been around since the 1980’s it is still very much an underutilized model for behaviours that challenge. In celebration: living a life through Positive Behaviour Support. Journal of Intellectual Disability Research, 49(5), pp.340-352. Not being involved in conversation/what’s happening. During my research, it became apparent that the PBS approach to behaviours that challenge was indeed beneficial. An improved quality of life and comprehensive change in lifestyle as being the fundamental and essential goals of the intervention; 2. Journal of Autism and Developmental Disorders. There were two staff nurses who were carrying out the PBS training and implementation alongside the psychologist for the unit, whom I would be working alongside throughout the process. > SCW2019 894 0 obj One of the studies I researched was on an individual, rather than group of people as this individual was presenting with high level behaviours that challenge. With the decrease in the behaviours, came an increase in activity participation. Each one of them rated a 5 on the scale which meant they had caused significant injury to themselves or others. PBS is an intervention which aims to help people who are displaying behaviours that challenge and rather than merely focussing on the internal drivers of the behaviour it also focusses on the environmental influences. The behaviour may be to gain attention and at times this is best to be ignored as tactically ignoring is often linked with positive reinforcement. Relationships Between Psychiatric Conditions and Behavior Problems Among Adults With Mental Retardation. It was reiterated to these members of staff the importance of sticking to the plan and the benefits it could have for Mr B’s quality of life. The overall aim of PBS is to improve the quality of a person's life and that of the people around them. Download. The main feature of ASDs is a profound impairment in a person’s ability to socialise and communicate. How beneficial is a PBS approach to people who present with behaviours that challenge? <> Therefore, the first couple of weeks were difficult for Mr B and staff supporting him. This is not an example of the work produced by our Dissertation Writing Service. Marco, E.J.
Department of Health (2005) Research Governance Framework for Health and Social Care, London, Department of Health. endobj > Conferences, Symposiums, and Events Positive Behavioural Support: Definition, Current Status and Future Directions. It should benefit my practice as it is providing me with new skills which I can utilise and help towards giving the patients a better quality of life. The questions were; (Allen et al, 2005) published an article which addressed the evidence of PBS’s effectiveness. It is important there is an emphasis on prevention and to recognise that functional (proactive) interventions will occur when the problem behaviours are not present. Teachers' Perceptions and Satisfaction With PBIS in a Southeast Georgia School District Research in Developmental Disabilities, 27(4), pp.456-465. endobj Graphs are kept of these records so it is clearer to see reductions or fluctuations in behaviours that challenge incidences. The PBS plan that was put in place for Mr B during the project shows there has been a significant reduction in his behaviours that challenge. In an effective PBIS classroom, teachers refer to these examples when they interact with students. Ask him to leave the room to an area with less triggers and continue to support throughout. Therefore, this is what I will be striving to do, so that any intervention that looks to be beneficial for my patients is going to be worth attempting if it means a better quality of care is delivered. In D. E. Berkell (Ed), Autism: Identification, education and treatment, pp.
906 0 obj %PDF-1.7 %���� 3. When making this decision staff must consider the needs of the people and the vulnerability of those who are already in the houses. These studies have shown challenging behaviour has a varying prevalence of between 5% to 15% in large population studies (Holden & Gitlesen. Further evidence that this model is beneficial in reducing behaviours and giving people a better quality of life.
Research in Developmental Disabilities, 22(1), pp.77-93. Treatment of Behavioral Disorders in Children with Learning Disabilities(eds W. H. E. Buntinx & D. A. Flikweert.
The evidence further shows that the use of the model can contribute towards a better quality of life, as when there is a reduction in the behaviours then the person is more likely to be able to engage more in activities and not be as socially isolated as they may have been when the behaviours were present.
3 0 obj All five of the participants had significant communication problems and could only carry out one or two step requests. So, to help Mr B cope with his increases in agitation such as; Reactive strategies are utilized when Mr B is at crisis point and staff are expected to respond safely and effectively. Once there is an understanding of this, interventions can then be designed and implemented which are specific to that person’s needs. (PBS approach appears to be cost effective), Can the model work in institutional settings? Often, the potential for the behaviours that challenge to resurface is still there but good management and implementation serves to keep the behaviours to a minimum. 5 0 obj Continence and toileting issues – prompting but be aware not to prompt him too often as this can cause agitation if he does not need to go. Bearing all of this in mind I was enthusiastic and eager for the success of the model, as this would hopefully assist in changing the lives of the people displaying behaviours that challenge. Shephard, J. Mr B loves to go out for long walks and this is now possible and can happen more frequently. PBS is an intervention which uses multiple components and is designed to support people with learning disabilities and behaviours that challenge. 6 0 obj <>620 0 R]/P 943 0 R/Pg 940 0 R/S/Link>> NICE, (2015), Learning disabilities: Challenging behaviour, 28 October 2015 [Online], Available at: https://www.nice.org.uk/guidance/qs101/chapter/Introduction (Accessed 3rd April 2017). Scope (2016) Reasons for Challenging Behaviour [Online] Available at http://www.scope.org.uk/Support/Parents/Behaviour/Reasons-for-challenging-behaviour (Accessed 20th October 2016).
����h��̙�=3Mrt&���X6�M���[U� m����aA�]U]��Օ�UQ���b�ߏ��j:{I����!_�=�Z'���s�M�4��c6��f��ˋ��8�|������Y(, Teachers' Perceptions and Satisfaction With PBIS in a Southeast Georgia School District. 2019-11-07T15:02:32-08:00
endobj (Scope, 2016) report behaviours can be a way of communicating the need for food or drink. Evaluation. However, those patients who display behaviours that challenge are left facing major barriers. Carr, J. E., & Sidener, T. M. (2002).
Therefore, when a patient is first admitted the staff are then required to decide, once they have all the relevant information about the person and reason for admission, as to which house is going to be the most suitable for that individual’s needs. endobj You can use this …
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