Behaviour Intervention Plan Template

Document Sample
Behaviour Intervention Plan Template Powered By Docstoc
					    The Role of the CNS in Supporting People
      with an Intellectual Disability whose
              Behavior Challenges.
   Assessment and intervention development for people with
    an ID and challenging behaviour.
   CNS template for outreach work.
   Intervention documentation and monitoring.
   Ensuring consistency.
   Staff training and education
   Measuring and evaluating outcomes
   Expansion of role/ANP role.


DERMOT
                            23-5-07
COURTNEY CNS
Regional BEHAVIOUR SUPPORT SERVICE
Arras Iona
Drumillard, Castleblayney, Co Monaghan
Service consists of
(i) 4 Bedded residential assessment unit
(ii) Specialist Outreach Team
Catchment Area
•    Meath, Louth, Cavan, Monaghan
•    Covering an area of 6, 387 SQ kilometers Total
     population of approximately 308,000
•    Currently there are approximately 2,020 people with an
     intellectual disability on the boards database
    DERMOT
                                23-5-07
    COURTNEY CNS
     Specialist Outreach Team
 Consultant psychiatrist (sessional)
 Two senior psychologists
 Two clinical nurse specialists
 Unit manager-CNM 2
 Clinical nurse manager 3
 Principal social worker
 Manager
DERMOT
                     23-5-07
COURTNEY CNS
 CNS template for outreach work
MDT Referral meeting          Set up case referral       Write up intervention
                              meeting/roles and          plan
Case assigned to CNS          responsibilities

                              Assessment process         Intervention plan
Phone contact with referral                              meeting
                              begins
agency within 48 hrs
                              Development of interim
Assess appropriateness of                                Implementation &
                              reactive management
referral                                                 monitoring/interventi
                              strategies
                                                         on monitoring pack
Information-gathering         Conduct behavioural
meeting arranged within 7-                               Support, guide &
                              assessment and formulate
10 days                                                  empower staff
                              plan
Report back to MDT
                                                         Discharge
         Referral accepted                               arrangements

Referral not accepted         Refer back to referring
   DERMOT                     agency 23-5-07
   COURTNEY CNS
                  Assessment.
   Process of info gathering            Identify target behaviours
    and documenting same in              Rating scales,i.e
    measurable terms                      abs,abas,icap,conner’s,
                                          motivational assessment
 Holistic                                scale(MAS) etc.
 Systematic/multi-                      Pass-add checklist,mini-
  disciplinary                            pass add.
 Environmental                          Behaviour checklists
 Consultative


DERMOT
                                23-5-07
COURTNEY CNS
          Assessment Process
 Meeting the Person                Incident analysis sheets
 Direct observation                Epilepsy/Episodic
 History                            checklists
  behavioural/medical               Duration recordings
 Indirect observation              Event documentation
 Continuous recordings             Post incident reviews
 Hourly observational              Sleep monitoring charts
  recordings
 Hourly interval recordings


DERMOT
                           23-5-07
COURTNEY CNS
     Intervention Development
 All recordings sent to CNS on a weekly
  basis
 Review and analysis of same conducted
 ABC and Incident analysis sheets sent to
  CNS for review
 Feedback and pertinent advice given to staff
 Review meeting convened(if nec).

DERMOT
                     23-5-07
COURTNEY CNS
      Intervention Development
   Reactive management strategies          Hypothesis generation
    formulated(if nec)                      History,assessments,analysis of
   Evidence based                           recordings & incidents.
   Escalation cycle                        Direct observation &
   Env.Accommadations,de-                   consultation
    escalation,re-direction,physical        Constructional approach
    intervention.                           Positive behaviour support
   Discussed with MDT                      Lifestyle change, skills
   Staff training delivered                 teaching, reduction in problem
   Review and analysis of                   behaviour, increased quality of
    recordings                               life
   Functional analysis

DERMOT
                                   23-5-07
COURTNEY CNS
Behaviour Intervention Summary

                    Observation
                                  Environmental
                       & Data
                                    Strategies
               Collection Procedures


        Reactive Strategy
                                        General Skill-Building
      Behaviour Management
                                            Strategies
           Guidelines



                  Reinforcement    Positive
                    strategies  Interventions


DERMOT
                              23-5-07
COURTNEY CNS
    Intervention documentation
 Assessment report and intervention plan
 Person centred plan
 Reference in risk assessment
 Core files
 Behaviour management guidelines
 Specific behaviour protocols i.e. provision
  of intimate care, self-injurious behaviour
DERMOT
                     23-5-07
COURTNEY CNS
        Intervention monitoring
   Intervention management pack
   Behaviour intervention summary
   Intervention monitoring record
   Assigned key workers
   Daily procedure staff checklist
   Fortnightly outreach reviews
   Quarterly MDT case reviews
   Continuous review of all recordings by CNS
DERMOT
                         23-5-07
COURTNEY CNS
         Ensuring Consistency
 Consultation and inclusion
 Rationale & Philosophy
 Caretaking styles
 Intervention management pack
 Clearly written & understandable plans
 Modelling
 Ongoing review and direct support
DERMOT
                    23-5-07
COURTNEY CNS
     Staff Training & Education
    Local level                 Relevant & applicable
    Regional level              Practical
    Dept.level/Nurse             demonstrations
    education.                   Practice & self-
   Formal                        monitoring/evaluation
   Informal                     Individual support
   Identified need              Embedded within an
   Adult learning                overall organisational
    principles                    training strategy
DERMOT
                        23-5-07
COURTNEY CNS
         Measuring & Evaluating
              Outcomes
   Outcomes are a result         Continuous review
    of interventions              Incident reports
   Quantitative or               Hourly observational
    Qualitative                    recordings
   Agreed                        Data analysis
   Non-specific treatment        Baseline recordings
    outcomes                      Service user
   Person centred plan            consultation
DERMOT
                         23-5-07
COURTNEY CNS
               Expansion of Role
   Clinical focus               Nursing Interventions i.e.
   Consultant                   Behaviour management-
   Service user advocate        Over activity/Inattention,
                                   Case
                                   management,Documentati
                                   on,reduction of aggression
                                   during intimate care
                                 (Centre for Nursing
                                   Classification and Clinical
                                   Effectiveness) Univ.of
                                   Iowa

DERMOT
                            23-5-07
COURTNEY CNS
               Expansion of Role
 Education & Training         Autonomous
 Research & Audit             Leadership
                               Expertise
                               Action Research




DERMOT
                         23-5-07
COURTNEY CNS
      ANP Core Competencies
 Autonomy in Clinical Practice
 Expert Practice
 Professional & Clinical Leadership
 Research




DERMOT
                    23-5-07
COURTNEY CNS

				
DOCUMENT INFO
Description: Behaviour Intervention Plan Template document sample