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Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers

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Presentation by Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers. Presented at the Western Australian Mental Health Conference 2019.

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  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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Kathryn Falloon, Dr Serene Teh and Tracy Coward - A positive behavior support approach for mental health consumers

  1. 1. A Positive Behaviour Support Approach for Mental Health Consumers 20 November 2019 Kathryn Falloon, Consultant Clinical Psychologist Department of Communities, Disability Services Dr Serene Teh, Clinical Psychologist HECS, Department of Health Tracy Coward, Clinical Nurse Specialist HECS, Department of Health Government of Western Australia Department of Communities
  2. 2. Overview • What is Positive Behaviour Support? • Graylands Hospital Positive Behaviour Support Project • Case example • Where to from here?
  3. 3. What is Positive Behaviour Support? Positive Behavior Support (PBS) is a set of research- based strategies used to increase quality of life and decrease challenging behavior by teaching new skills and making changes in a person's environment. (Code of Practice: A Guide for the Elimination of Restrictive Practices 2019) PBS may be applied within a multi-tiered framework at the level of the individual and at the level of large systems. (Kincaid, Dunlap, Kern, Lane, Bambara, Brown, Fox, Knoster 2015)
  4. 4. What is Positive Behaviour Support? “This is the expanding vision of PBS, • a vision that impels us to create meaningful lives and not simply to eliminate psychopathology, • a vision that spurs us to change systems and not just people, • a vision that motivates us to seek collaborative possibilities with our colleagues in many different sciences so that we can transcend our superficial differences and focus on deeper commonalities.” Source: Carr, Horner 2007 (emphasis added)
  5. 5. Challenging Behaviour: The Tip of The Iceberg Behaviour is just the tip of the iceberg. To change it we have to look at what lies beneath . Behaviour The Person Families Interactions Health Relationships Communication & Individual SkillsEnvironments
  6. 6. Focus on meeting needs instead of focusing on behaviour
  7. 7. Working Together This Photo by Unknown Author is licensed under CC BY-SA
  8. 8. Hospital Extended Care Service (HECS) Graylands Hospital
  9. 9. HECS PBS Project • Hospital Extended Care Service (HECS) • MHA 2014: least restrictive care • Collaboration with Department of Communities, Disability Services in 2015
  10. 10. What did we do? Focused on multi-level intervention: • Individual level • Employee level • Organisation level
  11. 11. What did we do? 2015 • Project Steering Group and meetings established 2016 • PBS workshop • Pilot study in Murchison West unit with 2 patients • Monthly PBS sessions in unit commenced 2017 • Patients in pilot study discharged • Addition of a third patient to the pilot study
  12. 12. What did we do? Early 2018 • Whole of unit approach • Working Party established • PBS workshops Late 2018 • Weekly practice sessions held in each unit • PBS workshops held • Review Steering Committee membership to rep all disciplines 2019 • Working party reviewed operational documents to reflect PBS approach
  13. 13. What were the outcomes? • Individual level • Employee level • Organisation level
  14. 14. PBS Case Example Knowing the person • How did we get to know Mr X? • What did we find out? • What were the unmet needs?
  15. 15. PBS Case Example Matching supports to needs • What did we do to better meet Mr X’s needs?
  16. 16. PBS Case Example Working together • How did we work together to support Mr X and improve his quality of life?
  17. 17. PBS Case Example Outcomes • Quality of life • Challenging behaviour • Restrictive practices
  18. 18. What’s Next? • Expansion to additional HECS wards – More PBS workshops – More practice sessions – More team collaboration • Involve Case Managers from CMHS • Disability Sector organisations • Consultative role
  19. 19. Further information on PBS • British Institute of Learning Disabilities website http://www.bild.org.uk/capbs/pbsinformation/ • Hamlett, Carr, Hillbrand 2016, “Positive behavioral support planning in the inpatient treatment of severe disruptive behaviors: A description of service features”, Psychological Services, Vol 13 (2), pp178-182
  20. 20. References • Department of Communities 2019 (3rd Edition), “Code of Practice: A Guide for the Elimination of Restrictive Practices • Kincaid, Dunlap, Kern, Lane, Bambara, Brown, Fox, Knoster 2015, “Positive Behavior Support: A Proposal for Updating and Refining the Definition”, Journal of Positive Behavior Interventions, Vol 18(2) • Carr, Horner 2007, “The expanding Vision of Positive Behavior Support: Research Perspectives on Happiness, Helpfulness, Hopefulness”, Journal of Positive Behavior Interventions, Vol 9 (1), pp3-14
  21. 21. When a flower doesn’t bloom, you fix the environment in which it grows, not the flower. -Alexander den Heiger-

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