1. BTEC Diploma in Health and Social Care
Unit 27 – Dealing with Challenging Behaviours

2. Aims of this lessons are ….
To be able to define and apply the concept of challenging behaviour,
To know the types of behaviours which are seen as challenging and how they are found in Health and Social Care settings,
To be able to apply the triggers of challenging behaviour to health and social care settings.

3. What is challenging behaviour ?

4. Challenging behaviour – a definition
Challenging behaviour can be defined as culyturally abnormal behaviour(s) of such intensisty, 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 use of, or result in the person being denied access to, ordinary community facilities.
Ref: Emerson, 1995, cited in Emerson, E(2001, 2nd edition)
Challenging behaviour: analysis and intervention in people with learning disabilities.

5. Task 1 – placement link
What types of challenging behaviours have you experienced throughout your health and social care work placement?
How did those events meet the definition pinned by Emerson?
What triggered those behaviours?

6. Does challenging behaviour actually occur ?
The latest release of an ongoing survey of more than emergency nurses nationwide finds that:
Rates of physical violence and verbal abuse against nurses did not decrease from May 2009 and January 2011,
53.4% of nurses reported experiencing verbal abuse,
12.9% reported experiencing physical violence over a 7 days period,
54% reported verbal abuse,
11% reported physical violence,
55.7% had been assaulted by someone under the influence of alcohol.

7. Types of challenging behaviours
Verbal abuse,
Non verbal abuse,
Physical abuse,
Self destructive behaviours,
Behaviour destructive to other people,
Behaviour destructive to items in the environment,
Behaviour destructive to property,
Illegal behaviour,
Impact of cultural variations.

8. Task 2

9. Triggers

10. Intrinsic Motivation
"Intrinsic motivation occurs when we act without any obvious external rewards. We simply enjoy an activity or see it as an opportunity to explore, learn, and actualize our potentials." (Coon & Mitterer, 2010)
Intrinsic motivation refers to behavior that is driven by internal rewards. In other words, the motivation to engage in a behavior arises from within the individual because it is intrinsically rewarding. This contrasts with extrinsic motivation, which involves engaging in a behavior in order to earn external rewards or avoid punishments.

11. Extrinsic Motivation
"Extrinsic motivation refers to our tendency to perform activities for known external rewards, whether they be tangible (e.g., money) or psychological (e.g., praise) in nature." (Brown, Psychology of Motivation, 2007)
Extrinsic motivation refers to behavior that is driven by external rewards such as money, fame, grades, and praise. This type of motivation arises from outside the individual, as opposed to intrinsic motivation, which originates inside of the individual.

12. Triggers
Temporary personal factors such as feeling discomfort or pain,
Persistent personal factors such as e the existence of a disability,
Temporary environmental factors such as living in temporary accommodation,
Persistent environmental factors such as excessive or prolonged noises,
Recognising potential effects of own behaviour on that of others.

13. Make me normal

14. P1 – Due 31st of January
In order to achieve P1, you will need to create a table style log in which you record various demonstrations and its triggers within your work placements or fictionally.
You will need to include ALL of the following behaviours:
Verbal abuse,
Non verbal abuse,
Physical abuse,
Self destructive behaviour,
Behaviour destructive to items in the environment,
Behaviour destructive to property,
Illegal behaviour,
The impact of cultural variations

15. P1 – Due 31st of January 2014 Verbal abuse Non verbal abuse
Physical abuse
Trigger 1 in context of your placement or fictional in HSC chosen from the list on the next slide

16. P1 – Due 31st of January 2014
For each of the behaviours as showed in the previous example, you will need to identify 3 triggers from the list below:
Intrinsic,
Extrinsic,
Temporary personal factors,
Persistent personal factors,
Temporary environmental factors
Persistent environmental factors
Recognising potential effects of own behaviour on that of others.

17. P1 – Due 31st of January 2014
You will need to ensure that you provide detailed example in context which demonstrate a clear link between your challenging behaviour and your chosen triggers.
Next week we will be looking at M1 which is also due on the 31st of January 2014.
Good luck