Strategies

M2 and D1

You need to discuss and evaluate strategies to minimise the effects of challenging behaviour.

You will pick one case study and explain which you are going to discuss

What behaviour that case study focuses on

Pick 5 strategies to discuss and evaluate

- What is the strategy and how does it work?

- What are the positives/strengths of the strategy?

What are the negatives/limitations of the strategy?

2

Sarah is a teenager and has been struggling with her confidence. Tomorrow she has to do a presentation for her English teacher in front of the whole class. During the evening she is very quiet and when her family ask her what is wrong she runs upstairs and locks herself in her bedroom. When her dad goes up later her room is a mess, her knuckles are red and he can tell she has been crying.

2

3

Leon is living in a hostel. He has just collected his weekly benefit and is high on drugs. Another resident who verbally puts everyone down is in the lounge and it is not long before they get into a fierce argument about what to watch on TV and this results in Leon punching him.

3

4

Imran is a 78-year-old practicing Muslim who has dementia. He has recently had to move into a home that can accommodate his condition. The care assistant approaches him in the lounge to let him know it is lunchtime and that chicken pie is on the menu. He refuses to move and he starts to swear at the other residents who are close by.

Class Activity

TASK

Split into 4 groups

With the case study you have been given -

On your A3 sheet include:

Who they are

Where they are

What the issue is

What behaviour is being exhibited

Are the causes intrinsic, extrinsic or both

3 strategies that could be used to help and why

ABC Charts

ABC Charts

ABC Behaviour chart

This ABC chart can be used to record behavioural concerns.

 'A' stands for antecedents, that is, what happens immediately before the behavioural outburst and can include any triggers, signs of distress or environmental information.

 'B' refers to the behaviour itself and is a description of what actually happened during the outburst or what the behaviour 'looked' like.

 'C' refers to the consequences of the behaviour, or what happened immediately after the

behaviour and can include information about other people's responses to the behaviour and the eventual outcome for the person.

Medication

Medication

Medication would be prescribed to an individual to address symptoms of their condition

Rewards and/or Sanctions

Rewards and Sanctions

Punishments or treats - Reward good and punish bad behaviours.

- Eviction, detention etc

- Tv time, sweets, trips

Workforce Training

Workforce training

Training staff to work with specific issues

- Drug awareness, mental health awareness etc

- Could learn triggers and preventions

Risk Assessments

Risk Assessment

Assess the risks of the individual causing harm to themselves and others.

- Risk to pupils, staff, service users, residents etc

Conflict Resolution

Individuals working together to resolve their problems.

eg 2 people after a fight coming together with a staff member to discuss what happened and how to move forward.

Conflict Resolution

Psychotherapy and CBT

CBT and Psychotherapy

Designed to change the way an individual thinks.

Individuals would work with practitioners for a designated period of time in hope to change the way they behave.

Seeking Help

Individuals asking for and finding their own sources of help.

Seeking Help

Person Centred Planning

PCP

The best way to plan to meet someone’s needs is by placing the person at the centre of the whole process. In the past, the typical approach has been to try to fit a person into what is available. The Government says that this is not acceptable and that a person centred

approach should be adopted.

A Person Centred Plan (PCP) is an ongoing recording with a positive “vision” of what life should look like for the individual and the support needed toachieve the vision, maintain it, evaluate and review it.

Effective Communication and Body language

Comms and Body Language

Make sure you are communicating in a way that the person understands. This may include using simple, short sentences and trying to avoid saying something which could be misunderstood.

Objects, pictures and symbols, sign language and voice output communication aids are all ways of backing up spoken language.

Reminding people what will be happening throughout the day is very important.

Can you teach the person an easier way of communicating their needs?

Can you teach the person new words or phrases? E.g. teaching the person to ask for a rest.

Physical restraint

Physical Restraint

The term 'physical interventions' refers to any method of responding to challenging behaviour which involves some degree of direct physical force to limit movement.

There are three broad categories of physical intervention:

Direct physical contact between the carer and person with challenging behaviour (e.g. holding down of arms)

The use of barriers to limit freedom of movement (e.g. locked doors)

The use of materials or equipment to restrict or prevent movement (e.g. the use of arm splints)

Assignment Workshop

Using what has been discussed today and in previous sessions, complete the assignment.

Workshop