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Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 3 : Behaviour Support Plans Hilary Johnson, Nick Hagiliassis, Barbara.

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Presentation on theme: "Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 3 : Behaviour Support Plans Hilary Johnson, Nick Hagiliassis, Barbara."— Presentation transcript:

1 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

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 include this scene from “The Black Balloon” (2009)

3 1.Something to Communicate about 2.The desire to communicate 3.The need to communicate 4.Opportunities to communicate 5.A means of communication 6.Someone to communicate with Shea and Mount (1982) What we need to give a message

4 1.↓ Desire to communicate 2.↓ Something to Communicate about 3.↓ Need to communicate 4.Opportunities to communicate 5.A means of communication 6.Someone to communicate with Autism Spectrum Disorder

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) behaviour What is the behaviour? topography How is it performed? frequency How often it occurs per day, week or month? duration How long it lasts when it occurs intensity How damaging or destructive

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

10 Formulation Jessica 20 years Moderate/severe ID No expressive language Difficulties with receptive language Anxious when there is noise ↓ order and routine Refuses to get out of car at Day Program Grabs visitor’s bags and walks to front door Not looking at photo of shoes 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 model LaVigna and Willis (1995) BSP based on five quality of life (QOL) values 1.Presence and participation in the community; 2.Fulfilling valued roles and gaining social respect; 3.Maintaining satisfying personal relationships with friends and family; 4.Expressing personal preferences and making choices; and 5.Gaining skills and competencies

14 DEPENDENT VARIABLES ASSESSMENT MATERIALSCONTENTPROCESS FOCUSED SUPPORT SITUATIONAL MANAGEMENT POSITIVE PROGRAMMING ECOLOGICAL STRATEGIES PROACTIVE STRATEGIES REACTIVE SERVICE DESIGN SUPPORT PLAN MEDIATION SPEED & DEGREE OF EFFECTS SIDE EFFECTS SOCIAL VALIDITY CLINICAL/ EDUCATIONAL VALIDITY GENERALIZATION OF EFFECTS DURABILITY OF EFFECTS TRAINING SOCIAL CHANGE AGENTS COMPLIANCE NATURAL SPECIFIC GENERAL PROFESSIONAL SPECIALIZED INDEPENDENT VARIABLES 1404/03 D3-G© 2003 IABA OVE R TIME EPISODIC SEVERITY

15 What is the purpose of a Behaviour Support Plan (BSP)? ProactiveImmediate Response Strategies

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

17 Behaviour Support Plan (BSP) Proactive strategies Immediate response strategies Change the environment Personal factors Offer choices Positive interactions with person Predictability Teaching skills General skills Replacement skills Communication Independence Coping Short-term change strategies for rapid change to behaviour Changing setting events, triggers Incentive programs Situational control Follow the BSP Don’t teach new skills RIDs

18 Case Study: AAC strategies in BISP CHANGE THE ENVIRONMENT Daily schedules Weekly schedules Monthly schedules Who’s Here Today Chart Strategies for communicating “change” Key Word Signing A Book About Me including PCD TEACH SKILLS Choice Making Program Key Word Sign Wait Help Break Programs Social Stories * Key Word Signing Emotion Based Social Skills SHORT TERM CHANGE Augmentation of House Rules Rules and Expectations Visual augmentation of Incentives Program IMMEDIATE RESPONSE STRATEGIES Follow the BSP All of the above Use of AAC

19 “Communication and Challenging Behaviour” (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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