Policy Consultation and review

This policy is under review and is seeking your consultation.  Please read and review the document and provide comments at the bottom.  Your comments will be acknowledged by the Policy committee and will be taken into review for any further changes.

Policy Name:      BEHAVIOUR INTERVENTION AND SUPPORT

Policy Number:  2.2

Effective From:  DRAFT

1. AIM

 

FLINTWOOD is committed to ensuring that each Participant has the skills and opportunities to participate in positive and productive activities.

 

FLINTWOOD recognises that each Participant has a right to receive support to manage their behaviour and that this support is respectful and considers other people’s individual needs. Behaviour support will be evidence based, it will consider both the needs of the Participant and their families.

 

FLINTWOOD recognises that quality support must encompass good practice and sound research. It must also be consistent and adhere to legislative requirements and evidence-based practices. FLINTWOOD promotes a positive approach to behaviour support.

 

 

2. SCOPE

 

This policy applies to all employees supporting a Participant who may have behaviours of concern

 

3. DEFINITION

 

Challenging Behaviour: “Behaviour… of such an intensity, frequency and or duration as to threaten the quality of life and/or physical safety of the individual or others and has the potential to lead to responses that are restrictive, aversive or result in exclusion (Emerson 1995).

 

Behaviours of Concern: Any behaviour displayed by a Participant that is considered challenging or gives rise to a reasonable concern. It may also pose a physical or emotional risk, be considered a behaviour of concern and as such may require some form of intervention.

 

Behaviour Support Plan (BSP): A Behaviour Support Plan is by nature, intrusive. It seeks to identify the purpose of a Participant’s behaviours of concern and methods to teach functionally equivalent behaviours, this through evidence based assessments and positive behaviour support strategies. Therefore the development and implementation of such a process should be considered under specific circumstances where:

 

  • there are reasonable concerns around the risk of harm to the Participant or others as a result of the behaviours of concern.
  • the behaviour of concern is impacting upon the Participant’s quality of life or ability to access the community
  • the Participant is at risk of being excluded from support services and as a result of the behaviour of concern.

 

Challenging Behaviour will hereby be referred to as Behaviours of Concern

 

4. POLICY

 

FLINTWOOD has a responsibility to ensure that Participants receive behaviour intervention and support in a manner that is free from abuse,       exploitation, unlawful practices and or degrading treatments. Where support strategies are used with the intention of influencing behaviours of concern, these strategies must be included as part of a Positive Behaviour Support Plan.

 

5. PROCEDURE

 

5.1  Any behaviour displayed by a Participant that is considered challenging or that gives rise to reasonable concern or pose a physical or emotional risk, may be considered a behaviour of concern and as such require intervention either planned or spontaneous.

 

5.2  FLINTWOOD responds to behaviours of concern in a positive manner, with its focus on supporting the Participant to continue to participate in FLINTWOOD and the community and maintain safety of themselves and others.

 

5.3  For Participants who have ongoing behaviours of concern, strategies need to be put in place to positively respond to the behaviour and maintain a safe environment for all. Proactive strategies are those that contribute to the maintenance of long term behavioural change. For example, by changing the environment around the Participant, teaching skills, or providing incentives for the appropriate behaviour.

 

5.4  Some behaviour occurs as a result of a poor match between the environment and the Participant’s needs. Changing the environment may change the Participant’s behaviour, preventing the need for more intrusive strategies.

 

5.5  The more Participants can do for themselves, the less likely they will be to come into conflict with their environment. Every behaviour serves a function, it is therefore important to teach the Participant’s the skills that that replace the Participant’s behaviours of concern with regards to function they serve. By doing this they will be able to meet their needs in a more socially acceptable and safer manner.

 

5.6  Effective behaviour intervention practices are based on:

 

Comprehensive Assessment of:

 

  • the Participant’s needs and their personal characteristics,
  • the understanding of the purpose of the behaviours of concern
  • the impact of the Participants disability
  • the physical and mental health, social and emotional functioning
  • the Participant’s lifestyle and environment that may impact on, and or contribute to the behaviour
  • the employee’s having the appropriate skills and training to consistently support the Participant.

 

5.7  Factors contributing to the behaviours of concern will determine the specifics of the Behaviour Intervention Plan. Examples of scenarios for which Participant’s may be referred for behaviour intervention are not limited to, but may include the following:

  • when significant changes have been observed in a Participant’s behaviour
  • when the behaviour restricts the Participant’s freedom of movement and participation in activities
  • when PRN medication is being administered routinely, or more frequently than is seen to be reasonable
  • when the behaviours are placing the Participant, others, or property at risk when the behaviours are placing the Participant’s support or access to the community at risk.

 

5.8  Behaviours of concern serve a necessary function for a Participant and are usually a result of a Participant not having their needs met. The quality of life issues which face many Participants who have an intellectual disability or an acquired brain injury and who present with behaviours of concern are influenced by:

  • lack of connection with family and/or friends
  • lack of enjoyable/interesting experiences
  • lack of opportunities or freedom to make choices and decisions
  • lack of opportunities to contribute or be valued
  • an inability to communicate their needs effectively
  • lack of training in coping skills
  • physical and emotional wellbeing
  • keeping safe from harm

 

5.9  The assumptions for any behaviour support plan are that:

  • all Participants have the potential to learn behaviours of concern occur for a variety of reasons and are learned and effective tools for having a Participant’s needs met
  • behaviour is controlled by the environment and interactions in which a Participant lives
  • behaviour can be affected by medical, physiological, psychiatric and psychological problems
  • behaviour can be affected by social expectations and attitudes.

 

5.10  Through adopting a holistic approach and assisting a Participant with behaviours of concern, more effective supports can be provided and the Participant can learn to cope and respond to life in more positive ways without having to resort to behaviours of concern.

 

6. RESPONSIBILITIES

 

Employee

  • All employees must be aware of and comply with the objects of this policy.
  • Will report any forms of behaviours of concern to the Service Manager / General Manager
  • Will complete an Incident Report for any form of behaviours of concern
  • Will read and sign off on any Behaviour Support Plans
  • Will collect any data as requested by the Service Manager

 

Service Manager

  • Must be aware of and comply with the objects of this policy.
  • Will ensure all employees are trained and comply with Participants Behaviour Support Plans
  • Will collect, assess and review any data collected for Participants
  • Will work closely with therapists to try and understand the Participants behaviours of concern
  • Will ensure the employee reporting complete an Incident Report Form
  • Will ensure an Individual Risk Profile is completed for every Participant inclusive of behaviours of concern
  • Will ensure employees are trained, read and sign off on Behaviour Support Plans accordingly

 

General Manager

  • Must be aware of and comply with the objects of this policy.
  • Will ensure SM is aware of Participants behaviours of concern
  • Will ensure SM is minimising risk by ensuring employees are trained and all following the appropriate BSP
  • Will review environments if / when the current environment is deemed not suitable for the Participant
  • Will report to CEO any high risk behaviours of concern

 

Human Resources Manager

  • Offer EAP to employees as needed

 

CEO

  • Must be aware of and comply with the objects of this policy.
  • Support the Service Manager and General Manager to try new strategies when identified and needed

 

 

 

Changes Required:

Flintwood disability services…your disability does not have to define you.