Download
management of challenging behaviour n.
Skip this Video
Loading SlideShow in 5 Seconds..
Management of Challenging Behaviour PowerPoint Presentation
Download Presentation
Management of Challenging Behaviour

Management of Challenging Behaviour

484 Vues Download Presentation
Télécharger la présentation

Management of Challenging Behaviour

- - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

  1. Management of Challenging Behaviour Mike Holligan Nurse Manager Scottish Neurobehavioural Rehabilitation Service Robert Fergusson Unit

  2. FACTS AND FIGURES • Opened in January 1992 • National Unit • Treatment of head injured adults with associated challenging behaviour • Multi disciplinary approach (51.60WTE Nurses, 3 psychologists, 1.5 SALT, 2.5 OT, Physio, Art Therapy, Associate Specialist, Dietitian, Neuropsychiatry, Socialwork)

  3. FACTS AND FIGURES • 19 BEDDED UNIT (12&7) • TREATMENT APPROACH NON AVERSIVE • IABA LaVIGNA & WILLIS • TREATMENT PHILOSOPHY • RAID DAVIES APT

  4. AIMS OF THE ROBERT FERGUSSON UNIT • TO PROVIDE A NATIONAL SERVICE FOR THE MULTI-DISCIPLINARY ASSESSMENT AND REHABILITATION OF PATIENTS WITH BEHAVIOURAL AND PSYCHIATRIC COMPLICATIONS OF ACQUIRED BRAIN INJURY • TO PROVIDE THERAPEUTIC PROGRAMMES WHICH PROMOTE MOBILITY, OPTIMUM PHYSICAL FUNCTIONING, INCREASE COGNITIVE AND SOCIAL SKILLS AND REDUCE PHYSICAL AND MENTAL DISABILITY. • TO PROVIDE OPPORTUNITIES FOR SOCIAL AND RECREATIONAL ACTIVITIES. • TO PROVIDE SUPPORT AND ADVICE TO RELATIVES, CARERS AND RELEVANT PROFESSIONALS.. • TO PROVIDE A HIGH QUALITY AND STANDARD OF TREATMENT, CARE AND THERAPY.

  5. HOW MANY TREATED • 304 referrals (up to December 2002) • 114 patients admitted since January 1992 • Five patients have been re-admitted.

  6. Define the Challenging Behaviour • Closely observe the behaviour • Define parameters • Agree what is challenging behaviour

  7. Positive Programming Strategies • Teaching New Behaviour • Communication Strategies • Teaching more appropriate alternative behaviours • Assuming a meaning

  8. THE RAID PHILOSOPHY

  9. Two philosophies are fatally flawed Punishment: whereby you spot the things the person does wrong, and ask yourself “What can I do so s/he doesn’t do that again?” Extinction: whereby you work out what the person “gets out of” their behaviour, and resolve that s/he won’t get it any more. E.g: not giving attention for ‘attention-seeking’ behaviour