person centred active support Flashcards
what does quality of life depend on?
It is important to recognise that the quality of life depends very much on the support provided by staff and others in a supporting role.
who is the most important sources of reinforcement?
Staff are often the most important sources of reinforcement both in terms of helping the person to achieve success by providing just the right amount of assistance, and also in terms of shaping the behaviour of the people they support by the feedback, either verbal or non-verbal, and the reinforcement they provide.
how much assistance do staff provide?
Staff provide very little assistance, they provide assistance less than 10% of the time or less than 6 minutes and every hour shown by Mansell et al., those that need the most help levels of assistance are usually even lower typically less than 1 minute and every hour.
what are statistics from Emerson?
On average people with severe disabilities spend at least 50% of their time not engaged in any meaningful activities are interactions shown by Emerson.
what is the aim of person centred active support?
Person centred active support tries to provide enough help to enable them to make the most of all available opportunities at home, in the community and in their relationships.
what kind of approach does person centred active support adopt?
The support received by people with intellectual disability is distinctly active with the person-centred approach this distinguishes it from the more ‘passive’ minding that people with intellectual disabilities often receive. It is the difference between doing things for or to people and actively doing things with people people are being supported are put at the centre of what staff do, not sitting on the periphery. The person-centred approach puts clients in control of how when and for long they will take part in any activity.
what values have modern services developed overtime?
they include concepts such as social inclusion, participation, competence, independence, choice and control.
what did Mansell in 2005 argue?
that clients with intellectual disability are not socially included. if they were we would see them: they would be interacting with other people, they would not be spending most of their of their time sitting in a chair staring at the wall. We would see them and cafes, pubs, on public buses and elsewhere engaging in normal community activities.
how do people with intellectual disability learn?
They learn by trying new things but with just enough help to make it a positive experience, they may need more help or need help for longer than the neurotypic would.
what do people with int dis need in order to make decisions?
You can only make real choices if you have alternatives to choose from, some knowledge or experience of those alternatives.
If people with intellectual disability were to experience real choice and control we would also see them having their choices respected by their support workers and others where at all possible.
what is Beadle-Browne’s definition of Engagement in 2012?
Beadle-Browne in 2012 defines engagement in terms of meaningful activities and relationships, as one doing something constructive with materials such as washing the dishes, cutting the grass, putting items in the trolley, interacting with people like talking with people, listening to people as they talk to you or show you something, joining in group activities such as watching the ball and running after as in football game.
what is the key issue in person centred active support?
the key issues is for staff to support clients to be engaged for as long as the person is able or willing to be engaged.
what are issues with maintaining engagement?
Some people may be able to engage in a whole task continually, others may be only able to engage for a very short period of time, perhaps dipping in and out of the activity. it may last 5 seconds, 5 minutes or 5 hours.
who dictates how long a client should be engaged for?
How long a person engaged in an activity should be dictated by the clients, not by those who support them. The nature of activities should be determined by the person’s individual preferences and agendas.
who has control over what the client engages in?
clients have to be encouraged to try new things but they can still have control over how, when and for how long they engage in activities.
how do support staff interpret the word ‘meaningful’?
Sometimes support staff interpret the word ‘meaningful’ to mean something that is: meaningful/functional/pleasing/important to the individual even if that activity does not improve the person’s quality of life.
are repetitive behaviours ‘meaningful’?
Repetitive behaviours may be pleasing or functional but they are not meaningful because they do not improve quality of life taking.
why do we need to engage?
Engagement is vital for social inclusion and social relationships because it provides the basis for friendship and living together
