pbs & physical intervention
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PBS & Physical intervention. A child and adult support perspective. PBS & Physical Intervention. - PowerPoint PPT PresentationTRANSCRIPT
A C H I L D A N D A D U LT S U P P O RT P E R S P E C T I V E
PBS & PHYSICAL INTERVENTION
PBS & Physical Intervention
• ‘Positive Behavioural Support (PBS) is an approach that blends values about the rights of people with disabilities with a practical science about how learning and behaviour change occur. The overriding goal of positive behavioural support is to enhance quality of life for individuals and their support providers’
(Horner, 1999) • Restrictive Physical intervention is the use of
force to control a person’s behaviour.
What does PBS mean in practice?
• Practical & effective way of responding to challenges caused by problem behaviours.• Reverse relationship with Physical intervention. • Focus is on early intervention
What does Physical Intervention mean in practice
• Focus should always be on non- physical reactive strategies.• Risks assessment including medical risks.• The purpose of physical intervention.• It is not a sign of failure. • Routine assessment for physical or psychological
distress.• Clearly documented.• Debrief with all involved.
Working With Children & Young People in Schools
Legal Guidel ines
Working with adultsLegal guidel ines
Some things are the same
Physical Intervention good practice
• Why does Physical Intervention have a place as part of Positive Behavioural Support?
Use of Physical Intervention
• How can we ensure Physical intervention is used only when necessary for both children and adults?
• What needs to be in place to safe guard children and adults?
Policy Development & Review
Policy
Annual Review
Shared
Clear Definition
s
Training
Planned approach
Recording &
reporting
• Minimal Force• Minimal Time• Last resort
• Clear• Verbal/non-
verbal• Transparent
• Safe• Respect• Dignity• Understanding
• Honesty• Open• Treated fairly
Shared Values Holistic Approach
Reduce RiskCommunication
Behaviour Support Plans
Individual Risk Assessments
Recording & Reporting for children
Recording
Bound & Numbered
Book
Behaviour Frequency ABCC Charts
Physical Intervention
sReportin
g
OFSTEDLocal
Authority
Governors Parents/carers
25 Years
Recording and reporting Adults
Recording
Care records
Behaviour Frequency ABCC Charts
Physical Intervention
sReportin
g
CQCLocal
Authority
Within organization
Parents/carers
25 Years
Monitoring & Assessment
Trends
Individual targets
Level of Support & Interventio
n
Training needs
RAG
Conclusion
Workshop
• How can the successful use and assessment of physical interventions (PI) help support PBS in your setting?
• How is PI delivered in your setting?• Is it part of a proactive / positive approach?• How is it monitored? Could this process be more rigorous?• Are all PI carried out consistently as part of an individual
plan developed in the service users best interest?• How up to date is your policy?• Can you think of examples that highlight PBS and PI?