Unit 27 Dealing with Challenging Behaviour Triggers and

Unit 27 Dealing with Challenging Behaviour Triggers and Impact

Lesson Objectives • To identify a range of possible triggers to challenging behaviour. • To recognise the impact of challenging behaviour on the service users, their family, carers and service provider. • To identify types, triggers and impact of challenging behaviour in a case study profile of a service user.

Challenging Behaviour Any service user (or human being for that matter) has the potential to behave in ways which are anti-social, aggressive and likely to have a negative impact on themselves and others. There will always be a trigger …. . A cause (we just have to find it!)

What would make you? • • • Violence Aggression Hyperactivity Antisocial behaviour Withdrawn behaviour Self stimulation Speech problems Sexually inappropriate behaviour Psychological disturbances Eccentric habits Inappropriate personal habits

Triggers • Challenging Behaviour 1? • Challenging Behaviour 2? • Managing Challenging Behaviour

Intrinsic Use and abuse of power Knowing the effects of your behaviour Temporary personal Factors Alcohol /drugs Triggers Persistent personal problems Environmental factors Extrinsic

Finding the cause…. . • We can start to work out what the person is trying to tell us. • Important as it determines the best way to respond the behaviour. • The first thing you need to do is to determine what the antecedents to the behaviour are.

Triggers • Challenging Behaviour 1? • Challenging Behaviour 2? • Managing Challenging Behaviour

The Behaviour Response Cycle Calm Recovery Crisis Trigger Escalation

The Impact of Challenging Behaviour • • The service user The family The carers The service provider • • Physical Intellectual Emotional Social

Impact On the Service User • • • Sleep disturbance Self injurous behaviour Mental Health problems Limitations to social life Health/Social Service Dependence Medication – including its side effects

Family Impact • • • Social and leisure constraints Cost Ill health Sleep deprivation Isolation Mental Health Issues Stress Higher levels of stress for women Effects on siblings Respite care need

Carers/Service Providers • Cost • Need for specialised services • Lack of opportunity

“The detrimental effects of challenging behaviour are not confined to the person but to the total family and those in contact with the client. It is like a ripple spreading out from the person with challenging behaviour touching everyone around them. The closer anyone is to the person who displays the behaviour the harder the ripple hits” Slevin and Sines (2005) cited in Gates et al (2008)

Task Study the case study that you have been given and try to establish: What are the types of challenging behaviour shown? What might the overall cause be? What are the specific triggers for each of the behaviours shown? (relate to the triggers diagram) What might the impact be for the person, their family, carers and service provider?