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Positive Behaviour Support - Department of Human Services - Vic ...

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74 <strong>Positive</strong> behaviour support: Getting it right from the start - Facilitators reference manual<br />

PowerPoint 100*<br />

Changing background factors<br />

Possible background factors Changes<br />

Personal<br />

The person appears to no longer be able to do the<br />

things they once could<br />

The person has a urinary tract infection Medical treatment<br />

The person has been on high doses <strong>of</strong> psychotropic<br />

medication for over three years<br />

The person has a large appetite and only gets to eat at<br />

main meal times<br />

The person does not see other people as a source <strong>of</strong><br />

enjoyment ( based on many failed experiences and<br />

much criticism in the past)<br />

Person is non-speaking and has no communication<br />

skills<br />

Person has recently began to head bang, withdraw<br />

from others and avoid eye contact<br />

Person’s methods <strong>of</strong> communication are hard to<br />

understand<br />

Environmental<br />

Document skills the person can no longer do<br />

and discuss with the medical practitioner<br />

Refer to psychiatrist for a medication review<br />

Provide the person with nutritious meals through<br />

the day<br />

Build rapport with the person by <strong>of</strong>fering things<br />

that they like<br />

Complete a checklist <strong>of</strong> communication<br />

competencies to identify person’s level <strong>of</strong><br />

communication<br />

Document new behaviours and discuss with<br />

medical practitioner<br />

Complete a personal communication dictionary<br />

The person has few opportunities to exercise choice Increase the number <strong>of</strong> choices available to the<br />

person<br />

Staff have low expectations <strong>of</strong> what can do and so<br />

don’t provide her with many opportunities<br />

The person lives in an overcrowded and unstimulating<br />

house<br />

The BSP does not focus on positive behaviour support<br />

strategies and instead focussed on the restrictive<br />

interventions<br />

Provide training to staff on recognising the<br />

strengths <strong>of</strong> service users, and then get them to<br />

build a strength list for the person<br />

Improving the person’s accommodation by<br />

internal modifications, or by adding a flat and<br />

fitting it out with materials <strong>of</strong> the person’s<br />

choosing<br />

A functional behaviour assessment needs to<br />

be completed to identify the functions <strong>of</strong> the<br />

behaviour<br />

A combination <strong>of</strong> environmental strategies and<br />

skills development strategies are put in place<br />

The person does not interact with others much Increase the number <strong>of</strong> interactions the person<br />

has with others by encouraging a hobby which<br />

will act as a springboard for interaction<br />

The atmosphere in the person’s support service is<br />

tense because <strong>of</strong> simmering disputes between staff<br />

There is a lack <strong>of</strong> predictability in the activities <strong>of</strong> the<br />

day from the person’s point <strong>of</strong> view<br />

Introduce a grievance process<br />

Introduce an activity sequence chart

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