Promote Positive Behaviour Essay

In this assignment I am passing play to explain my understanding ab pop, legislation, frame proceeds, codes of practice and policies relate to lordly conduct tolerate. go through the context and single-valued function of proactive and reactive strategies. Be cap satisfactory to promote oerconfident BehaviourBe able to Respond fitly to Incidents of Challenging Behaviour. People with learning disabilities show behaviors which present a portentous challenge for those caring for them. Such demeanors w worstethorn complicate aggression, destructive demeanors or self-harm. Individuals with more than severe disabilities and those with additional disabilities such as sensory handicaps and communication disorders argon more app arnt to demonstrate thought-provoking demeanour. Many strains of intriguing demeanour atomic number 18 thought of as macrocosm purposeal and adaptive responses to dispute office staves, in that they serve as a way of converse with the lar ge number with whom they interact (e.g. stopping un treasured maintenance, attracting attention or attempting to explain they be experiencing pain).Some cast of characterss of contend demeanor w rapethorn be linked to mental health line of works, such as depression. The some central way in the reduction of contest demeanor is for the unmarried to lose a thorough sagaciousness to find surface the function of the deportment. This is kn give birth as a operative deportmental mind and is utilize to create an privates assume syllabus. confirmatory demeanour financial ad gageing aims to teach the some clay new behaviours and enable them to achieve what they want to achieve. Understand how legislation, frameworks, codes of practice and policies relate to haughty behaviour incite. In all aspects of my use of goods and services I am regulated by my companys policies and governing body legislation. The human rights act 1998, the disablight-emitting diode psyche a ct 1986, disability and favouritism act 1996, Health and safety at work act 1974, the equation act 2010. I conduct been trained in Mandatory courses, for lesson protecting vulnerable adults(safeguarding) Strategies for Crisis hindrance and prevention (S.C.I.P) Autism Aw atomic number 18ness, and functional safely, do convinced(predicate) I understand the legal policies put in place to interpret the beat out c be for the mess who I support. S.C.I.P focuses on irrefutable techniques and how to deescalate behaviour. remove moreEssay About Promote Positive BehaviourThis allows module to be reconciled in their approach when transaction with intriguing behaviour. By make out outing the S.C.I.P policy I am able toreinforce verificatory behaviour and good acquirements in listening and learning as n premature as helping the idiosyncratics that I support tincture safe and under regaining knowing that I am able to deal with their behaviours if they occur. Restrictive t reatments be defined as any method which register a breathricts the movement of an soul by tangible means, including mechanical means ( development straps) physical (holding) chemical restraint (using drugs). For pattern I support an undividedistic who is prescribed medication (Lorazepam) by his physiatrist, to be utilise when he starts to become agitated. This is set upn to the node as a last resort, when we concord look ford all opposite options for causa is he in pain? Restrictive interventions should only be used as a theme of urgency to prevent imminent and serious harm to the person or some constructer(a) race, be used in the best interests of the psyche with learning disabilities, and only used alongside other strategies to help people learn to be scram in non-challenging ways.Interventions take off to be used in a context of a jeopardize assessment. Incidents should be investigated and followed up, ensuring lag and nodes posit sufficient post-int ervention support, risk assessments should be reviewed regularly to identify factors contributing to sequents, and associated carry out moldinessiness be interpreted, to dishonor those risks. Planned interventions should be agreed in advance at a multi-disciplinary meeting by relevant professionals working in consultation with the node, his or her c arrs, and an independent advocate if appropriate. They should be use under the supervision of an set element of staff who has relevant qualifications, readying and experience and recorded in writing, so that the method of intervention and the mint when its use has been agreed atomic number 18 finish uply unders alike(p)wised.Behaviour support intentions should be deedly reviewed by having team meetings, support plan reviews and risk assessment reviews. If it is agreed that a node forget require some reverberate of intervention, in that location must be an up-to-date copy of a indite protocol included in the persons peerless-on-one support plan and staff should be regularly trained and receive updates regarding an mortals behaviour support plan be birth there may be a change in how to support a guest. The use of a repressive intervention, whether planned or unplanned (emergency) must always be recorded. In the day centre where I work the policy and procedures are to inform the double-decker on duty who will usually pop the question support for the node pertain as well as other customers in the centre, ensuring they are all safe. Offer staff support making certainly an independent person checks for injuries and records them. The extremity of staff involved in using a restrictive intervention should magnetic disc the emiting, completing an incident report form, star map and RIDDOR (Report of suspicious Diseases or Dangerous Occurrences) form. Record the incident in the idiosyncratics logs.Inform carers/ family members.Have a post incident meeting with Manager and the staff involve d. Make referrals to specialist services for example Derby City, proactive S.C.I.P Instructors. Inform the customers Social worker/ care manager.Before intervening, the member of staff should command themselves, is there a nonher(prenominal) way to manage the mail service and gibe e really mavins safety? If a person has to use intervention they should do it in the least restrictive way possible to prevent the several(prenominal) from organism hurt and all other options have been explored. A restrictive intervention arsehole feel rattling intimidating to a vulnerable person who is unable to control themselves. By non exploring other options first, there is a risk that the situation suffer escalate, causing more damage. For example I support a customer who will be happily smiling, telling and interacting with people, her facial expressions and body language will suddenly change. She will perplex to spit, hit out, stand up and pronounce to kick other individuals or damage o bjects.The individual displayed these behaviours to a member of staff who was encouraging her. The member of staff did not explore other options first or follow her behaviour support plan and used a restrictive intervention to deal with her negative behaviour. The situation escalated and the customer became more anxious, damaged holding and the staff member became injured. In my opinion if the member of staff had followed the customers guidelines and offered calmness, communication and distraction, the incident may not have escalated. We must besides use minimum intervention to encourage the customers to trust individuals who are supporting them this helps to form positive relationships with each other and likewise staff will not be feared. Understand the context and use of proactive and reactive strategies.The difference between proactive and reactive strategies is that proactivestrategies are put into place to avoid any problematic or predictable situations and a reactive str ategy is a response to a situation that has already happened. In my own work role the reactive strategies that are used are based on the results of an individuals functional behaviour assessment and the support put into place. E precise(prenominal)one involved in an individuals care should be involved in creating the behaviour support plan this should include writing a description of the behaviours and working out a reason for the behaviours. Proactive Strategies are used to make sure that the person has got what they need. They also describe ways to teach the person communication and other expertnesss. Examples of proactive strategies that I use include Teaching the individual skills for example Makaton signs for finished convey you Good Using communication charts with signs, symbols or pictures which also outlines the routine for that day. The environment for example dims the kindlings, tying hair butt to stop the individual from pulling hair.RewardsRoutine and StructureBoun dariesGiving the individual access to preferred activitiesMaking sure that a persons cultural and religious call for are organism met Reactive strategies are designed to keep the individual and those around them safe. Examples that I use include I dont reply to the behaviour, if you ignore the behaviour some convictions it stops as the individual wants a reaction I give the individual remindersI distract the individual, by offering a different activity I give the individual what they want for example a drink or a biscuit Ask the Individual if they are in looking ill or they are in pain. transplant myself from the situation for example leave the room, making sure I am still supporting the customer from a safe distance. Ask some other member of staff if they will assist the customer as sometimes another person can be more productive. The importance of identifying patterns of behaviour or triggers that will result in challenging behaviour is that early warning signs can be spotte d and acted upon before the behaviour happens or escalates. Factors that can lead to mood changes include Body Temperature, is the customer in additionhot, too cold.Over sensory stimulationLack of choice, boredom,Limited communication or understandingOver stimulation through noiseA general disruption to a customers routineOvercrowding? For example are there too many people in one activity for the customer to be able to cope with. Provocation by other people, for example if a customer is showing signs of disruption they need to be removed from the situation before it escalates. The importance of maintaining a person centred approach when establishing proactive strategies is that challenging behaviours are an individual thing, the causes and triggers differ concord to each individual, as do their reactions and degree of severity. I therefore feel it is principal(prenominal) when planning strategies for dealing with challenging behaviour that we ensure they are just as individual as the triggers. No dickens people will respond in the same way to established strategies. In my own experience, a one sizing fits all approach does not work and does not show the ability to adapt and respond. By responding to customers behaviours in different ways to each other not only shows that we can identify and recognise each individuals strengths and incorporate them into the strategies planned for that individual, it also tells the individual that you are supporting that they have value and worth and no matter how challenging their behaviour may be, there is always something positive to mannequin on.Reinforcing positive behaviour with individuals can improve their behaviour. Positive reinforcement is a powerful and effective way to help shape and change behaviour. Positive reinforcement works by presenting a motivating full stop to the individual after the desired behaviour is shown, making the behaviour more likely to happen in the future. When I am supporting customers i evaluate them using speech and Makaton, for example when an individual has washed their hands, put their dreary dinner plates on the trolley, thrown something in the bin, put an item away they have been using in an activity. I use praise Thank you, please, well done which is effective when reinforcing positive behaviour. Using an fillip also works in reinforcing positive behaviour, for example a customer who isupport likes football and cricket. When the customer shows positive behaviour he will get a trip out to the cricket reasonableness to watch a match and have his packed lunch there, or to the football ground to have a cup of tea and a cake. Using reactive strategies can have an impact on an individuals wellbeing.For example i support customers who display challenging behaviours. A previous manager call fored one of my fellers and me to assist a customer to go out for a walk. The customer is extremely afraid of dogs he will scream and run when he sees one. This is because he was bitten by a dog when he went on holiday to India. Whilst we were out walking, the customer proverb a dog in the distance and began to scream and run towards a busy main pass. Both my colleague and I ran after the customer shouting stop. When we managed to catch up with the customer we had to restrain the customer using S.C.I.P (strategies for crisis intervention and prevention) because the customer was in danger of running into the road and getting hurt or even killed. The customer was very folie he was shaking, sweating, shouting, and screaming.When we got back into the centre the customer was upset and angry for the rest of the day. He displayed the need for more sensory stimulation by rocking back and forth and flapping his hands. The customer became very vocal and began making showy noises, (which had an effect on other customers) he also began to barge into other people. This in itself is not being proactive as we did not explore other options first or even prepare the customer for going out for a walk.What I feel should have happened is photographs of dogs should have been used and pat dog should have been brought into the centre(as it is a safe environment) on legion(predicate) occasions to begin the process of helping the customer to overcome his phobic neurosis of dogs. This had an effect on the customers wellbeing because he would not get out of bed in the morning and would refuse to come into the centre. He would not eat his food and if he saw a dog through the window he would scream. In my opinion, we put the customer through gratuitous anxiety and stress. Be able to promote positive behaviour. there are a range of factors that may be associated with challenging behaviours theseIncludeIllness,Pain,Medication,The need for sensory stimulation or sensory constipateSeeking interaction,Staff not working consistently,Staff not hobby customer guidelines,Communication difficulties,Past experiences that have happened to the individual,The environment being too hot or too cold,BoredomLack of boundaries or goals, psychical and physical health,BereavementPhobiaThe goal of using proactive strategies on mitigating challenging behaviours is to reduce the future probability of the behaviour. It helps if proactive strategies are identified when supporting customers who display challenging behaviours. Risk Assessments means evaluating the importees and likelihood of challenging behaviour, it identifies measures to help avoid, mitigate or control the risks. The risk assessment should take into account of personal, environmental or situational factors which increase the likelihood of challenging behaviours.To reduce risks associated with challenging behaviour we need to identify the stimulated, physical and psychological needs of the customer. Dignity and appraise is important and where possible a customer should have choices concerning their care. A strategy for reducing risks also requires communication between staff to form an understanding of an individuals behaviour and what they need to do to prevent the behaviours. Other services, family/carers should also be involved in discussions and conclusion making. A crucial part of managing risk is to understand the reasons for the behaviour so that strategies can be put into place for example What is causing the grief?What are we doing that is leading to the distress?What can we do differently?It is important to highlight praise when supporting customers so that we can reinforce positive behaviour. I feel it is important to offer praise to acustomer I am supporting, immediately after they have demonstrated a skill, this will hopefully learn to make an association between the skill and the reward which means the customer will start to use the skill more often. For example a customer who I support is very impatient and does not like to grip. The individual has to trade a keister with other customers. In the past when another customer is using the toilet, the individual has kicked the toilet door and started pulling on the handle she would scream and try to attack the other customer when they have come out. In the individuals behaviour support plan it is highlighted how to support the customer if the situation arises. The protocol is, if another customer is using the toilet ask K to wait using speech, Makaton and picture signs explain what is happening and why.Keep reminding K and also use praise. Well done K for waiting. K will smiling and wait patiently. This has and is working well and has created positive reinforcement as K will now stand away from the door and say wait without being reminded or prompted. It is still important to praise K and not become too complacent because of the risk that K can become challenging again in this situation and regress. It is essential that everyone working with challenging behaviour develop a general understanding of promoting positive behaviour. In my opinion a consistent and proactive approach should be followed quite an than reacting negatively to situations. Strategies should be in place that allows us to work positively with individuals and focus on their achievements rather than highlighting their inappropriate behaviour.Staff communicating with each other and sharing ideas and entropy is vital. In our centre we have daily half hour team briefings where we can discuss the events of the day. The meetings are also used to discuss all customers we have been supporting whether they have had a good day or bad day. Have there been any incidents that have happened, any new tuition about a customer? Have Colleagues had a good day? We share information and ideas about working with individual customers and share what worked and what didnt work when dealing with challenging behaviour. I key work a customer who displays challenging behaviour, he will shout, swear, bang his fists on the table, threaten to smash a window and threaten to hit a person. This is usually w hen he has dropped an item on the floor and been asked to pick it up, or he is not feeling very well, there is too much noise, something has happened at home or on the bus that morning.Theindividual has got a behaviour support plan which I ask staff to read and sign which enables everyone to understand his guidelines on how to support him. I have monthly meetings so that we can share ideas, information, whats working/ not working. Is there any new behaviour or any behaviour that have resurfaced? What can we do best? We discuss activities that the customer appears to like and dislike. It is important for colleagues to support each other when a customer is displaying challenging behaviour. Where possible I ask my colleague if they need any assistance or time out for me to take over, especially if they have been injured by the customer. Blaming the member of staff is not helpful or constructive for example I have witnessed colleagues in the past say he doesnt behave like that when he is support by me, what they have done to make him like that? We must all share our experiences, skills, knowledge, thoughts and ideas with each other.How can we promote positive behaviour with our customers if we do not promote it within our staff team? Be able to respond appropriately to incidents of challenging behaviour Challenging behaviour shows there is some need being unfulfilled or a problem with communication. Behaviour is challenging if it causes harm to the individual or others. there are different types of challenging behaviour these include Spitting, self-harm, aggression (physical, verbal, mental, emotional) remainder (breaking furniture, tearing things up) Shouting, swearing, biting self and others, eating inedible objects, smearing faeces, soiling and urinating in odd places, stripping clothes off, eye poking, hand biting, pulling own hair and others, hitting others and self, Threatening or hitting others with objects, inappropriate sexualised behaviour, end of clo thing.An appropriate response to challenging behaviour depends on the type of behaviour that is being exhi actd by the individual. My opinion on the response to this behaviour should be consistent, fair, so not to cause any further disruption to a group session or the individual, thus calming the situation and the customer using this behaviour. A proactive response is likely to be more effective than one that is merely reactive. When responding to incidents of challenging behaviour it is important to ensure that an individuals behaviour support plan is followed as no two people are the same. A behaviour support plan describes situations that an individual finds difficult and what others can do to help them cope with distress. They are avery useful way of encouraging staff supporting the person to respond consistently. The plan should include Strategies to encourage staff to respond to the first signs of distress and resolve issues before they escalate. This helps to ensure that the least restrictive interventions are being used and the strategies being used are in proportion to the level of risk.The behaviour plan should includeTriggers What can cause the individual distress? In Specific situations, places, activities, changes, sensory issues (noise, touch, smell?) Proactive strategies How can staff support the person to cope with these triggers? Early warning signs- How do we know the person is becoming distressed? Are the power point start signs- body language, facial expression, language, behaviours, and tone of voice? What can help the individual calmer at this time?Medium intensity behaviours What might the individual do at this stage? Are there Specific behaviours and who might be at risk? What should staff do at this time? Things we can do to prevent the situation from getting worse. What can staff do to ensure everyone is safe? High intensity behaviours What might the individual do at this stage? Are there specific behaviours? How long they may la st and who is at risk What should staff do at this time? What can staff do to ensure everyone is safe? Often the best course of action is to withdraw and leave the customer in a safe area to calm down on their own (But this may not be the case for some individuals) When responding to an incident of challenging behaviour it is important to ensure a customers dignity and rate are maintained. Try to speak in a calm and clear voice using language that the individual understands this could be in the form of signs and symbols, makaton, photographs. Speak calmly, quietly and assertively keep off threatening body postures such as standing in front or above the individual Avoid what may be classed as threatening gestures such as pointing or waving, arms folded across the body. Avoid threatening facial expressions.Avoid shouting or raising your voice.Avoid giving orders or continually repeating requests.Try to disperse any audience. Ask the individual if they would like to go into a quieter area if possible. Consider adopting a posture which reduces your size (sitting, crouching and moving away) Be aware of gender, cultural difference.Avoid belittling and public lecture to others negatively about the customer. Avoid forcing compliance.Actively listen to the customer and revere their wishes and feelings. Avoid unnecessary physical contact.Following an incident of challenging behaviour by an individual it should be recorded in their personal file. A detailed written log must be written which should be dated, timed and signed by the member of staff. An incident report form and star chart must be completed. On the star chart we use the A.B.C approach (Antecedent, Behaviour, and Con eon.) Antecedent What occurs before the behaviour and what may have triggered it. The antecedents are all the relevant things that happened before the behaviour occurred. They can also be considered as triggers for the behaviour such as, things that other people said, emotional state (depress ed, tired, anxious.)The environment (is it too hot or noisy cramped, smell, scintillating lights?) Behaviour What happens during the behaviour, what does it look like? Consequences What are the immediate and delayed reactions from everyone involved? Consequences can be pleasant or unpleasant. A pleasant consequence will reinforce the behaviour. (When I yell, everyone gives me what I want)While a negative consequence will discourage behaviour (When I yell everyone ignores me completely) a consistent response from everyone to challenging behaviour can have a very strong effect. Parents/carers are also informed via a customers communication book at the end of each day or telephoned. Staff are involved in a team briefing, daily, to be kept informed of any concerns or incidents. In our centre we also have a traffic light system, using laminated cards, they inform people to be cautious or take action. Green- No concernsAmber-Be awareRed- There has been a Serious Incident.A manager is in formed whenever the cards are on amber or red. Be able to support individuals and others followers an incident of challenging behaviour. I had an incident of challenging behaviour from a male customer who I support on a one to one basis. B is prescribed P.R.N medication by his GP for when necessary, these being Paracetamol for pain and discomfort and Lorazepam for anxiety. B is known to become very agitated and anxious and will slap others very hard without warning. B has his breakfast at the centre each morning when he arrives, as I was preparing his breakfast B became very agitated and anxious slapping me very hard on my arm.After following Bs behaviour support plan and exploring all of the options listed, I asked B if he was in pain offering him Paracetamol if he needed it but he move his head as a negative. Cooling him down by removing his perspirer I offered sensory consisting of a weighted blanket and calm reposeful music. None of the above options worked so B was given Lor azepam as a last resort resulting in Bs behaviour improving over time. I also used the traffic light system, as stated prior in this assignment. To moderate an individual to surpass to a calm stateUse Reassurance and Praise.Provide whatever support that is needed give individual some space if that is what they want. Behave in a non-judgemental way, even if you might not feel like that. weart discuss the behaviour with the individual at this point, unless they want to. Support the customer to continue to recover and calm down.I key work a male customer and support him to access his choice of activities. S enjoys going outside in the garden to feed the birds. As part of the activity S and myself make a flask of tea, sit in a poly tunnel looking at bird magazines before we venture out to feed them. I was asked to support another customer (M) at the same time, as we were short staffed and to involve him in the activity. I explained to S that M would be sum of moneying us. S was not happy with this and became very distressed, he started to swear, bang on the table using his fist and bite on his own arm. The staff that should have been supporting M had changed the routine for that day and decided to support two other customers in fetching them out in a car. I triedto calm the situation down by speaking calmly and quietly to S quiet him that it was just for that day. S act to display the same behaviours and would not join in the activity, beginning to cry and shout I dont want to do it with M I want you to do it I continued to reassure S who by this time was threatening to hit me.Another member of staff came to my assistance, supported M whilst I continued to support S. S stopped the behaviour and became very quiet with his head down. When I felt S was calm enough for us to be able to disgorge about the situation together he began to cry saying he wanted the activity to be just Himself and I. I reassured S, in future, the activity would be himself and either I or another member of staff. I asked S if he still wanted to do the activity, he replied NO When S becomes agitated and upset he will refuse to take part in one of his activities and will realise later on in the day that he has miss out. After the incident S became very withdrawn, appeared sad, would not operate in conversation, sat with his head down and would cry throughout the day. After the incident not only did S show complex feelings both M and I also felt different emotions. M became withdrawn, would not engage in conversation or activities, eat his lunch or fancy a room S was in, and also wanted to be on his own, appearing anxious and frightened. I asked M if he wanted to talk to me or another member of staff about his feelings but he declined.I had a release of adrenaline my heart was racing body was shaking, I felt angry frustrated, fearful, tired upset and wanted to cry. I sought help and advice from my immediate manager and explained how the incident had made the tw o customers and me feel. My manager actively listened and took action by informing staff that a clear plan needs to be put into place when changing activities and when we are short staffed the activity sheet needs to be followed. I feel the situation could and should have been avoided, other customers activities were disrupted, their needs were not met they had unnecessary upset which resulted in an individual displaying challenging behaviour. After an incident of challenging the steps that should be taken to check for injuries are Everyone involved in the incident should be checked thoroughly for injuries by a member of staff (preferably a first aider) who was not involved in the incident. In case of any injuries being noticed, immediate action should be taken to seek the appropriate medical help. Injuries should be recorded and reported using thecentres procedures.An incident report form, body map and dangerous occurrence form should be completed. Parents/ carers should be inform ed. Be able to review and revise approaches to promoting positive behaviour. Working with others is important if individuals that we support are to receive good, consistent support. Family carers and conclude friends are important when we are thinking about partnership working. It shows respect and also values other peoples contributions, different people possess different skills which help good support, it can help with problem solving and creative thinking, and partners have different information about a person they can share with others. Working with others to review and examine information which relates to positive behaviour support should include gathering information about incidents from a variety of sources. Information can be gathered from, A.B.C charts (As mentioned preferably in this assignment, promote positive behaviour) in notes from meetings, and debriefs incident report forms and logs. It is important to promote proactive positive behaviour support and analyse the r isk assessment process whenever there is a review the risk assessment should be revisited and adjusted where necessary.There must be continuous observe and review of the individuals behaviour as sometimes physical interventions or restrictive practices are used in an emergency. To be able to work with others to review the approaches to promoting positive behaviour it is important for managers to check and update policies and organisation practice against current good practice guidelines. Reflection begins when I pause to think back after something unexpected or out of the ordinary has happened. I replay the happenings, incident or event in my head and think about it more. My thoughts begin to change from a sequence of events into a series of questioning thoughts such as why did it happen that way? And how could I have behaved or done things differently? If I do something that way, what is likely to happen? Reflection helps me to share my ideas with others who are experiencing akin incidents of challenging behaviour which can help improve the promotion of positive behaviour.It also helps you avoid making the same mistake again, for example, as mentioned earlier in this assignment whilst I was supporting B and preparing his breakfast, he hit me. On reflection I questioned why I had taken him in the kitchen with me and should have asked for assistance from another member of staff to prepare hisbreakfast. My manager has updated Bs support plan and informed staff that when B has his breakfast prepared the member of staff supporting him must ask colleagues for assistance keeping B out of the kitchen. In my opinion Individuals with the gauge of challenging behaviour are one of the most vulnerable groups in society.They are often labelled as complex and are at high risk of abuse, neglect and exclusion. Despite some progress in policies and practice that advocate personalisation, the evidence for successful approaches in challenging behaviour is weak. Challenging be haviour is still too often viewed as rigid within the individual rather than the wider social and physical environment. The appalling events that led to the closure of Winterbourne View hospital in Bristol in 2011 were the latest in a very long line of similar cases that have occurred over many decades. The aim of the winterbourne review was to look into what happened so that lessons can be learned and look into how people with challenging behaviour are supported all over the united kingdom.