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Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 1 : Introduction Overview Hilary Johnson, Nick Hagiliassis, Barbara.

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Presentation on theme: "Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 1 : Introduction Overview Hilary Johnson, Nick Hagiliassis, Barbara."— Presentation transcript:

1 Communication Assessment for People who engage in Behaviours Of Concern (BOC) Module 1 : Introduction Overview Hilary Johnson, Nick Hagiliassis, Barbara Solarsh, Teresa Iacono, Jo Watson, Teena Caithness Office of the Senior Practitioner, Disability Services, Victoria

2 Introduction Overview Defines behaviours of concern Sets out legal boundaries of when you can limit a person’s Human Rights

3 Disability Act 2006 Protects the rights of people with a disability who: –show behaviours of concern –are subject to restrictive interventions and compulsory treatment

4 Victorian Charter of Human Rights and Responsibilities 2006 Is a law with an agreed set of human rights, freedoms and responsibilities Includes laws, policies and services provided by State, local government and other bodies

5 Roles of the OSP ProtectsDevelops Provides Evaluates & Monitors

6 OSP Evaluates & Monitors Restrictive Interventions (RI’s) –Seclusion –Mechanical restraint –Chemical restraint –Social Restraint Behaviour Support Plans (BSPs) Restrictive Interventions Data System (RIDS)

7 Overriding Philosophy of the OSP Human Rights and citizenship Quality of life and wellbeing Community Inclusion Positive lifestyle and behaviour support Dignity of risk Building relationships and collaboration with key partners to enable change to occur

8 Other activities of the OSP Provide training – sessions Human Rights, Risk Assessment, Chemical Restraint, Trauma, Attachment & Psychotherapeutic Interventions, Role of an Authorised Program Officer (APO) Support on-line training through Disability Professionals Victoria Positive Solutions in Practice articles enior_practitioner/positive-solutions-in-practice Grants Research

9 Resources quoted by OSP The Office of the Senior Practitioner, Disability Services, Department of Human Services provides useful online resources, practice guides, practice advice and templates for practitioners, clinicians and direct support workers. division/office_of_the_senior_practitioner Much of the Positive Behaviour Support training (2 day + 1 day follow-up) and the e-learning module is based on three resources: McVilly (2002); DDSG (2005); Bloomberg, West Johnson & Iacono (2009)

10 Positive Behaviour Support e-learning (1) e-learning course Positive Behaviour Support (1 hour) designed by the OSP for professionals Costs $ 55 AUD Go to DPV eLearning Centre companyId=dpv Click on “Community Services” Click on “Positive Behaviour Support for Disability Professionals”

11 Positive Behaviour Support e-learning (2) The purpose of Positive Behaviour Support module is to provide Disability Professionals with some of the important skills and knowledge needed to design a behaviour support plan that works both to increase quality of life and reduce restrictive interventions. The module includes information about restrictive interventions that must be reported in Victoria to the Senior Practitioner, and the important components of good planning.

12 Positive Behaviour Support e-learning (3) This e-learning training includes: An understanding of the possible reasons for the behaviours of concern How to target interventions to reduce behaviours of concern and increase quality of life. Ideas on how to make sure the interventions are implemented in the same way by all staff. Ways to check that the interventions are making a difference and how to review and make changes to behaviour support plans as needed.

13 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)

14 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)

15 BOC: people with Developmental Disabilities 1991 Aggressive behaviour hitting biting kicking head-butting spitting slapping pulling hair Self Injurious Behaviour (SIB) self-biting pinching scratching slapping hitting hair pulling

16 Motivational Assessment Scale (MAS) Durand & Crimmins (1992) Sensory Stimulation seeking entertainment seeking relief from boredom Social Contact seeking social interaction in general seeking social interaction with specific people Access to Tangible Items having things that they want having things that they need getting things they can’t get independently Avoidance of Demands escaping things they don’t understand escaping when can’t cope

17 Behaviours of Concern forms McVilly (2002) Internalised Behaviours being withdrawn or inattentive performing repetitive or unusual behaviours enacting self-injurious behaviours Externalised Behaviours being disruptive being destructive to property being hurtful to others Asocial behaviour being unco-operative enacting behaviours that others find offensive

18 Building the Foundations for Effective Comm n for Victorians with BOC Subject to Restrictive Practices 1.Identify the foundations of effective communication assessment through the development of a resource kit to support assessment and intervention in relation to communication and behaviours of concern, 2.Increase the capacity of speech pathologists to provide practice support to direct disability staff and others involved in the support of people subject to restrictive interventions. 3.Undertake an evaluation of the tool kit in a natural practice setting i.e., a residential support service

19 Assessment to inform intervention for behaviours of concern in people with acquired and developmental disabilities Hilary Johnson – Manager, Communication Resource Centre, Scope Teresa Iacono - Professor of Rural Allied Health, Latrobe University, Bendigo. Barbara Solarsh - Project Co-ordinator, Communication Resource Centre, Scope Nick Hagiliassis – Psychologist - Acting head of research, Scope Teena Caithness - Project worker, Communication Resource Centre, Scope Joanne Watson – Researcher – Scope

20 Office of the Senior Practitioner Contact Details (03)

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