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Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 3 : Behaviour Support Plans

Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 3 : Behaviour Support Plans. Hilary Johnson, Nick Hagiliassis, Barbara Solarsh, Teresa Iacono, Jo Watson, Teena Caithness. Office of the Senior Practitioner, Disability Services, Victoria.

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Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 3 : Behaviour Support Plans

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  1. Communication Assessment for People who engage inBehaviours Of Concern (BOC)Module 3 : Behaviour Support Plans Hilary Johnson, Nick Hagiliassis, Barbara Solarsh, Teresa Iacono, Jo Watson, Teena Caithness Office of the Senior Practitioner, Disability Services, Victoria

  2. “The Black Balloon” (2009) • What is Charlie doing at the checkout? • Did Thomas know there was going to be a problem? • What message is Charlie giving his father and brother? • What is the A-B-C? • How could you change the A? We would like to thank Tristram Miall, Producer, and Elissa Down, Director for permission to includethis scene from “The Black Balloon” (2009)

  3. What we need to give a message • Something to Communicate about • The desire to communicate • The need to communicate • Opportunities to communicate • A means of communication • Someone to communicate with • Shea and Mount (1982)

  4. Autism Spectrum Disorder • ↓ Desire to communicate • ↓ Something to Communicate about • ↓ Need to communicate • Opportunities to communicate • A means of communication • Someone to communicate with

  5. Challenging Behaviour - known as Behaviours of Concern (BOC) Culturally abnormal behaviours of such an intensity, frequency or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour which is likely to seriously limit the use of, or result in the person being denied access to ordinary community facilities Emerson (2001)

  6. Behaviours of Concern (BOC) Any behaviour that: • is a barrier to the person participating in, and contributing to their community • undermines, directly or indirectly, a person’s rights, dignity or quality of life • poses a risk to the health and safety of a person and those with whom they live and work McVilly (2002)

  7. Small Group Work Select a behaviour of concern and describe it Write your answers on butcher’s paper

  8. Defining a Behaviour of Concern (BOC)O’Neil, Horner, Albin, Sprague, Storey & Newton (1997)

  9. Case Study: Jessica • Small group activity • Read the sheet • Answer the questions on the back of the sheet

  10. Formulation Moderate/severe ID Jessica 20 years Difficulties with receptive language No expressive language Not looking at photo of shoes Grabs visitor’s bags and walks to front door Anxious when there is noise ↓ order and routine Refuses to get out of car at Day Program Becomes anxious

  11. Behaviour is a method of communicating a message. People do not behave randomly. All behaviour functional for the individual.

  12. Understanding the person • Watch and record - make observations • Review file notes • Talk to people • Read books • Mc Villy (2002) • Assessments • PBS training A-B-C charts, STAR charts • O’Neill & Horner (1990) • LaVigna & Willis (2003)

  13. The multi-element modelLaVigna and Willis (1995) BSP based on five quality of life (QOL) values • Presence and participation in the community; • Fulfilling valued roles and gaining social respect; • Maintaining satisfying personal relationships with friends and family; • Expressing personal preferences and making choices; and • Gaining skills and competencies

  14. PROCESS CONTENT MATERIALS 04/03 D3-G © 2003 IABA 14 ASSESSMENT SUPPORTPLAN PROACTIVE STRATEGIES REACTIVE ECOLOGICAL STRATEGIES POSITIVE PROGRAMMING FOCUSED SUPPORT SITUATIONAL MANAGEMENT SERVICE DESIGN INDEPENDENT VARIABLES MEDIATION TRAINING SPECIFIC GENERAL COMPLIANCE NATURAL SOCIAL CHANGE AGENTS PROFESSIONAL SPECIALIZED SPEED & DEGREE OF EFFECTS SIDE EFFECTS SOCIAL VALIDITY DEPENDENT VARIABLES CLINICAL/ EDUCATIONAL VALIDITY DURABILITY OF EFFECTS GENERALIZATION OF EFFECTS OVER TIME EPISODIC SEVERITY

  15. What is the purpose of a Behaviour Support Plan (BSP)? Proactive Immediate Response Strategies 3 2 4 1 5 • .

  16. Behaviour Intervention Support Plan • PROACTIVE STRATEGIES Change the environment Teach Skills Short Term Change Strategies • IMMEDIATE RESPONSE STRATEGY Situational Management

  17. RIDs

  18. Case Study: AAC strategies in BISP

  19. “Communication and ChallengingBehaviour” (2007) • Rhys • Laura • Sean • Isobel We sometimes think that these children are being naughty, when actually it’s their only means of communicating… until we find a different way they’ve got no choice really…

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