Behaviour Support Protocol June

Question 1

From Behaviour Support the current plan we are using is called….

Answer 1

Behaviour Support Protocol

Question 2

The target behaviours for the direct intervention (PlayStation) were…

Answer 2

School Attendance and Attending Pieta House Appointments

Question 3

On the days that Pieta Appointments are scheduled activities before and afterwards are….

Answer 3

Low demand and Fun!!

Question 4

“Find an activity of interest to do with him every day, whether this is playing on the X-box with him, going out for a hot chocolate, cinema, suggesting you book something for him such as head massage (or something else he would like). Be creative and source activities in the local area”. Which part of the BSP is this taken from?

Answer 4

Relationship Building

Question 5

How many PBS plans have been in place so far?

Answer 5

Two - we started with an 1. Individualised Behaviour Support Protocol (IBSP) - this aimed to reduce gaming time, increase exposure to sunlight, exercise, and a health sleep routine. 2. Behaviour Support Protocol - Relationship Building, school, attendance, and attendance a therapy.

Question 6

Individualised Behaviour Support Plan is Tier ?? within the PBS framework….

Answer 6

It is Tier 2 - These are typically behaviours which are more frequent and severe and are having a more moderate to severe impact on the young person and those around him/her

Question 7

Behaviour Support Protocol is Teir ?? within the PBS Framework

Answer 7

Tier 1 - behaviours that are considered lower level or infrequent behaviours, with lesser impact on the young person and those around him/her.

Question 8

Intervention #1 - Continuous participation in Education involves

Answer 8

• Healthy Diet
• Sleep Hygiene
• Exercise
• Relaxation Window - Relaxing music, Reading with someone (joint activity of interest – both read separate books), Puzzles, Riddles, Movie together
• Monetary Incentive

Question 9

David was fully involved in reinforcement and consequences for PlayStation Incentive??

Answer 9

Yes - he met with Behaviour Analyst and Unit Manger to collaborate.

Question 10

Relationship building is key as…..

Answer 10

The most powerful tool the team have is their ability to build a relationship.

• positive relationships are the biggest protective factor in mental health.
• Key focus for the entire team is building a positive relationship with David.
• The aim is to support him in our professional roles by providing him with an environment that is both physically and emotionally safe,
• To connect with him at his level.
• This means we need to pair ourselves with reinforcement.

Question 11

Things to keep in mind when supporting David:

Answer 11

• When week is less structured, he is more likely to display low levels of motivation
• Less preferred team members working with David is a setting event for him to spend more time in his room.
• Naturally David is more likely to engage with team members he enjoys spending time with and is familiar with.
• Minimize the amount of time David spends alone or in unstructured time, David can perceive this as a lack of care or engagement from the team.
• Parise David in the most authentic way possible
• He responds well to humour.
• try and not “correct” his feelings. Instead empathise with him, remember empathy and compassion are the antidote to shame. Try saying “I feel sad for you, that must be hard, me too, I get that…..”
• a minimum of 2 staff members in Clondra at any one time, meaning there should always be someone present on the floor.

Question 12

Meal Times…..

Answer 12

Encourage David to have his meals at the table and encourage him to prepare some meals. David enjoys cooking, source recipes with him to prepare.

Question 13

Role Model Behaviours by…..

Answer 13

Be a “relationship coach” for David, model for him how to interact with others. Give immediate feedback when social situations do not go as planned (see attached document to BSP ).

Question 14

Key working to increase levels of motivation involved….

Answer 14

Work on 1. “Who are you?” And 2. “My valued Journey”. Ask David to complete the “My valued Journey” each week for the next four weeks.

Question 15

Examples of the Declarative language Protocol are…

Answer 15

David responds well to language that is non-directive or confrontational, use the declarative language protocol to “explore” with David what he values in life and what his goals are.
Sharing our thoughts out loud, such as:
I’m wondering …
I noticed that…
I was thinking we could… play Xbox together
I had an idea about..

Question 16

Inappropriate Comments are addressed by….

Answer 16

Team Response #1:

To explicit comments such as: 
“Can you show me a dick picture?” 
“Is your sex life dead?”	
Label the behaviour not David: 
“ David, I feel uncomfortable when you ask me questions like that because (INSERT REASON,  such as I am a professional person working here and you are a young person here). It makes me uncomfortable when you ask questions like that and to be honest most people would find that question/comment unacceptable. I am going to set a boundary here that you don’t say things like that to me again. Explain to David the importance of social norms and boundaries and what you can ask someone depends on the type of relationship you have with them. Are you able to respect that going forward?”

Question 17

Comments which could be interpreted as inappropriate are addressed by….

Answer 17

Team Response #2 Comments which are open to interpretation such as:

“This is a black hard remote”

“Anything can be taken by force” Ask a question: “David, I am not sure what you mean by that comment, can you explain it a bit more to me?”

Use the framework from team response #1 above to explain to David how others may interpret this comment and how it can affect relationships. David can use comments like this to use humour to connect with others, this is why its is important we outline for David the significance or reading a context or a relationship.

Be mindful of body language and tone of voice, try to avoid defensive gestures or a judgmental tone.