CHC08 Disability Behaviour Support Skill Set Learner Resource ...

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Barriers to CommunicationCHC08 Disability Behaviour Support Skill SetLearner Guide Book 2: CommunicationAn assessment will have been undertaken to determine if your workplace can provide theservice for the client. Your role is to provide the service within your duty of care and theexpectations of your role. As communication is vital, you will be expected to help develop theACC strategies required by your client to give them the best quality of life. Remember towork within your role and seek clarification from your manager if you require furtherprofessional development. You can also make suggestions to your manager of possiblesolutions which can assist in the decision-making.There may be other legislation and policy creating barriers for people using ACC. Forexample; electronic devices such as video games will improve your client’s hand-eyecoordination, but are considered toys and not eligible for funding. You may be able toadvocate for a change in the funding policies to have these games viewed as an assistiveaid.The results of this communication assessment may suggest a referral to other services suchas an interpreter, health professional or teacher is necessary. It may highlight resourceissues related to funding of AAC and consideration of strategies where a risk of harm isidentified.Client Attitude, Family Attitude and Natural AbilityOther communication partners, especially peers and significant others, may have an attitudebarrier towards using AAC strategies. For example, they may have a negative attitude,believing AAC and technology will not work for the client and may even hinder the client’sdevelopment of communication. The client’s family may have reduced expectations of theclient preventing the client from even trying, and in turn reduce their participationopportunities. The family may simply not like technology refusing to invest in learning newskills. A negative attitude can reinforce the failures of the client and reduce their confidenceto try something new.Awareness of these barriers can help you in focusing on who will be supportive of newstrategies and allowing those with a negative attitude or poor expectations to see thesuccess before suggesting they try the strategies.Another barrier could be cultural belief about disability. Western cultures tend to focus onindividuals being independent, planning efficient use of time, being hardworking andfocusing on achievements. Labelling the disability and conditions is understood to be anecessary step in obtaining services, medication, surgery and adaptive equipment which aregenerally valued as potential solutions.Client’s FeelingsIt is also important to look at what helps your client feel happy, as well as what makes themsad, frustrated or angry when communicating. People learn best when they are relaxed andhappy and often feeling sad, frustrated and angry can lead to behaviours of concern.© Community Services and Health Industries Skills Council Ltd www.cshisc.com.au Page 33 of 76
HistoryCHC08 Disability Behaviour Support Skill SetLearner Guide Book 2: CommunicationOne of the most powerful barriers to communication is a person’s experiences. If anexperience is perceived to be negative they are three times more likely to remember it than apositive experience. Positive experiences are a motivator to repeat the experience, whilerepeated failure in attempts can lead to avoidance behaviours. This avoidance incommunication can be called learned helplessness.Assess your client’s history to determine any events which negatively impacted theircommunication, now causing a barrier. Also look for positive communication experiencesand to try to replicate these, reminding your client about them.AAC PreferencesAssessment of a person’s preference of AAC systems will reduce barriers. These mayinclude concerns about:1. The portability, durability and appearance of the AAC system.2. The time and skills required for the client to learn the system, especially for manualsigning and technology-based systems.3. The quality and ease of understanding of speech generating devices.4. The naturalness of the communication achieved using the AAC system.5. The cost of the AAC system such as computers, VOCA, PECS or attendance atsigning courses. In your role as a support person for your client it is important you areaware of how to access information about funding requirements and aids.Your client and their families are considerably more demanding on AAC aids than the workeror the health professionals who recommend them, identifying concerns or idiosyncrasiesabout a device through everyday use, that a professional may not always notice. Forexample, many people who use AAC aids comment on the need for devices to ‘speak’languages other than English. This function would allow for private conversations, and iseasier for communication partners to program.Environmental adaptations may be successful and simple solutions to communicationaccess barriers, for example, altering the position of an electronic writing board, adjustingthe height of the wheelchair arms so that the person can rest their arms closer to their faceor creating storage space for AAC systems in a bag the person can carry and easily access.© Community Services and Health Industries Skills Council Ltd www.cshisc.com.au Page 34 of 76
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