Kyeema Common Operational Procedures > Behaviour Support Plans & Behaviour Management Strategies
Authorised by Day Programs Manager
Revised Date: 9 April 2015
Policy
Kyeema Support Services Inc. (Kyeema) supports participants to engage in activities which are functional, strengths based and in which they want to participate. Kyeema staff aim to teach participants alternative skills to meet their needs reducing the need for them to engage in behaviours of concern.
Purpose
To outline the manner in which Kyeema aims to achieve best practice in promoting positive behaviour and dealing with behaviours of concern.
To act in accordance with the Disability Act 2006, in particular Part 7, Sections 133 to 150 which deals with Restrictive Interventions.
Procedure
Behaviours of concern may include behaviours that cause serious harm to themselves or others; property destruction; or seriously limit the person’s access to participate in the community.
Kyeema has a commitment to the principles of Positive Behaviour Support, which aims to decrease behaviours of concern by improving the person’s quality of life as opposed to concentrating solely on the behaviour itself.
Where a participant is exhibiting behaviours of concern, Kyeema will develop a Behaviour Support Plan as per the following procedure.
Positive Behaviour Support
The aim of Positive Behaviour Support is to improve the person’s quality of life, rather than concentrate on the behaviour of concern
Some key features to this approach are:
•address their feelings and needs
•value the person, deliberately build a sense of self-worth, and acknowledge all attempts
•at positive interaction
•create situations where the person is placed at their best advantage
•acknowledge and try to interpret what the person is communicating via the behaviour analyse the reasons for the behaviour (Functional Behaviour Analysis)
•teach the person other ways to meet their need or communicate their feelings
•support the person to a calmer state if they are emotional
•provide encouragement and feedback about personal successes along with aspects of difficult situations the person may have handled well. (Reference: ‘Getting it Right From the Start’ above)
Assessment
Where a participant is engaging in behaviours of concern, the behaviours will be recorded for the purpose of assessment to identify the function of behaviour. This will identify when the behaviours of concern are occurring and in what situations the behaviours are/are not occurring. A useful resource is Positive Solutions in practice 3 - Getting it Right from the Start: The Value of Good Assessment and the Functional Behaviour Assessment form found on the DHHS website.
An assessment may also include a review using information from the person’s doctor, psychiatrist or other professionals whom we have consent to communicate with.
The assessment will consider the person’s communication needs, their environment including activities the person engages in, relationships and interactions.
A quick guide is the CCF-16 Positive Intervention Framework but a BSP is needed for ongoing behaviours.
Planning
A Behaviour Support Plan (BSP) will be developed based on the assessment information. Planning will be completed in conjunction with the person, their family and support staff to ensure that the person’s wellbeing and dignity is the focal point.
A BSP is a plan that documents positive strategies that will aim to teach the person new skills to build on their strengths and increase their life skills. The plan may also include short term strategies such as additional staffing and incentive programs.
Reactive strategies are also required when a behaviour of concern does occur and staff are able to respond consistently using the least restrictive intervention methods. These may be redirection to another activity. A BSP that requires restrictive interventions such as restraint, medication or physical restraint, or seclusion must be approved by the Authorised Program Officer (APO).
Behaviour Support Plan (BSP) are registered electronically with the Office of the Senior Practitioner. They are called eBSPs by DHHS but the term is of no particular relevance to service providers. eBSPs can be printed as per procedure below. DHHS has published a guide to assist in doing this. It is called Reporting within the Restrictive Intervention Data System – Electronic Behaviour Support Plan (RIDS-eBSP) Practice guide July 2011 and is available on DHHS website under ‘publications’.
Procedure for writing an eBSP with the assistance of a Kyeema form
Behaviour Support Plans are completed electronically using an electronic form on the website of the Office of the Senior Practitioner’s RIDS – eBSP site.
This can be very time-consuming and can time out whilst in use so it is recommended that the information be first documented electronically on our own form and then cut and pasted into the eBSP system.
Behaviour Management Strategies. Where it is considered that a person’s behaviour does not require a Restrictive Intervention and therefore does not require a Behaviour Support Plan to be approved by the Office of the Senior Practitioner, a Behaviour Management Strategies can be created instead, detailing positive support strategies and reactive strategies or a non-restrictive nature.
Recording behaviour and interventions
Behaviours of concern should be recorded as part of the assessment process (above). They should continue to be recorded when the intervention is in place in order to learn whether the intervention is effective or not.
Restrictive Interventions require a means of recording that enables accurate monthly reporting of the intervention to the Office of the Senior Practitioner. For example, if a person is secluded, the reporting should include the date and time this took place, the reason, where the seclusion took place and whether it resulted in change to the person’s behaviour. Chemical restraint should include details of the medication administered.
Monitoring and Analysis of Interventions
When a behaviour intervention is in place, it should be monitored for effectiveness. This can be done by reviewing the practices around the intervention:
•Is the intervention applied consistently?
•What are the barriers to this?
•Are the results well documented?
Documenting Outcomes of the intervention
The documentation can be reviewed by the relevant staff and managers to establish whether the intervention is working or not.
Review
A BSP must be reviewed within a 12 month period. BSP’s that involve restrictive interventions must be reviewed within a 12 month period or at intervals specified by the APO or the Senior Practitioner.
The review process should include anyone who was involved in the original planning and the person may request their BSP be reviewed at any time.
Referral
In circumstances where the behaviours of concern are extremely serious and placing the person or others at risk and interventions have been unsuccessful a referral may be made to the Department of Health & Human Services’ Behaviour Intervention Support Team through the Participant Services Intake process.
Serious incidents of concern will be documented on an Incident Report and forwarded to the Program Manager (refer to Incident reporting guidelines).
Continued behaviour of concern may give rise to action to withdraw service from a participant.
Measure
Review of all BSPs every twelve months.
Review or print an eBSP on the RIDS system procedure
1. You must have access to DHHS ebusiness and then RIDS
2. Go to DHHS website and log in to ebusiness and the RIDS
3. Choose tab that says Person with a Disability
4. Find the person and choose “select” near their name
5. Below the name will be +BSP summary with a number next to it. Click on it
6. The eBSP can be chosen from the list
7. To print, click “Print” at top of page
You will be prompted to save to a file and after this is done it can be printed
Forms
Functions of Behaviour Assessment Tool CCF-27
STAR/SETAR Behaviour Monitoring Chart CCF-45
Regulated Restrictive Practices Recording Form CCF-14
Positive Intervention Framework CCF-16
Prevention of Workplace Violence Procedure
Occupational Violence Risk Assessment and Management Tool
Restrictive Intervention Guidelines & Reporting
Regulated Restrictive Practices Reporting Form CCF-14
References
•Disability Act 2006
•Kyeema’s Restrictive Interventions Guidelines.
•Positive Solutions in practice 3- Getting it Right from the Start: The Value of Good Assessment (DHHS publication available at www.dhs.vic.gov.au and find links to Office of the Senior Practitioner positive solutions in practice)
•The Office of the Senior Practitioner Practice Guide Other restrictive interventions: locked doors, cupboards, other restrictions to liberty and practical ideas to move away from these practices. January 2010.DHHS