Positive Behaviour Support

Question 1

Positive Behaviour Support

Answer 1

recognised as an evidence based, effective and ethical way of support people with behaviours that challenge including LD

Question 2

Aims of PBS

Answer 2

• prevention and reduction of challenging behaviour by improving the quality of life to the person and those around them
• develop and build skills of the person and of those who support them rather than using aversive or restrictive interventions
• work with the person and those around them inc family, friends, carers, other professionals and actively include them in assessments, defining targets, implementing interventions and reviews.

Question 3

Examples of extreme behaviour

Answer 3

• violence including against property
• self mutilation
• absconding
• sexually inappropriate behaviour
• splitting/manipulation
• isolating
• demanding

Question 4

Problem with punishment and extinction

Answer 4

punishment
- breeds resentment, highlights the problem behaviour, copied by others, breads fear, lack of motivation and does nothing to promote good behaviour

extinction
- assumes that if you walk away from the behaviour, then the person will stop doing it as they will no longer get a pay off, leading to a person upping the ante, consistency is impossible, seems uncaring, can be seen as condoning the behaviour

Question 5

Adaptive behaviour?

Answer 5

PBS suggests that instead of focusing on the challenging behaviour we focus on developing adaptive behaviour that will overwhelm the challenging behaviour.

(adaptive = works well for them and those around them)

Question 6

How and Why does BPS work?

Answer 6

• we model appropriate behaviour
• strengthens the relationship between carer and client
• look at why the person does what they do and help them find a better way of getting what they want
• noticing appropriate behaviour helps them feel more competent and less frustrated
• motivates staff and keeps us thinking in positive terms about clients

ABC model
Noticing adaptive behaviour

Question 7

Types of reinforcer

Answer 7

1. What the person is inclined to do anyway and use that as a reinforcer
2. Have the person mentally re-run successes
3. Non verbal reinforcers
4. Praise
5. Negative Reinforcement (reinforcement happens by something being taken away)

Question 8

Developing adaptive behaviour

Answer 8

1. create opportunities for adaptive behaviour
2. ensure enjoyable adaptive behaviour is not ‘spoiled’
3. reward adaptive behaviour; either tangibly or socially