Positive behaviour support Getting it right from the start

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54 Positive behaviour support: Getting it right from the start - Facilitators reference manual PowerPoint 74 * Individually list examples of how and why you communicated today. As a group identify the how and why the person you support communicated on your last shift. Are they different and why? PowerPoint 75 * About behaviours of concern Between five and 15 per cent of people with an intellectual disability show behaviours of concern which can present a significant challenge to both the person and those involved in providing support. Of these only between two and 20 per cent of people in need of positive behaviour support, actually receive any kind of behavioural support. Fifty to 60 per cent of people with a disability showing behaviours of concern will be subject to the restrictive intervention of chemical restraint, which is psychotropic medication, typically antipsychotics, used for the primary purpose of behavioural control. Behaviours of concern can be defined as: ‘…behaviour of such intensity, frequency and duration that the physical safety of the person or others is placed or is likely to be placed in serious jeopardy, or behaviour which is likely to seriously limit use of, or result in the person being denied access to ordinary community facilities, services and experiences’. Emerson 1995 Examples include: • aggressive behaviour • self-injurious behaviour • property destruction • fire lighting • withdrawn behaviour. The term ‘behaviours of concern’ implies that a higher standard and quality of services is required than those ordinarily provided to people with an intellectual disability. The behaviours that the term covers set a challenge to services to improve the way they do things. The term was first used to encourage service providers and the community to develop better services, supports and attitudes to address the behavioural difficulties demonstrated by some people with a disability. (Toogood, Bell, Jacques, Lewis, Sinclair and Wright, 1994).
Positive behaviour support: Getting it right from the start - Facilitators reference manual 55 PowerPoint 76 What are challenging behaviours? * ‘Challenging behaviours’ differs from ‘behaviours of concern’ in that it relates to annoying or inappropriate behaviours. Examples include: • repetitive questioning • playing loud music • refusing to eat particular meals prepared • vocalising loudly • non compliance. PowerPoint 77* List the behaviours that you believe are behaviours of concern for the person you support. Clearly describe each behaviour.
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