LITERATURE REVIEW This chapter will be an in-depth review of the literature around the research question which is ‘An exploration into the experiences of staff who work with people with intellectual disabilities that present with challenging behaviours’ whilst focusing on the main concepts and methods that are already in place. The terms ‘intellectual disability (ID)’ and ‘challenging behaviour’ will be defined and discussed as to how it is perceived by staff working in the area of intellectual disability. Contributing causes and triggers to challenging behaviour will also be investigated within this chapter. The techniques and coping mechanisms used by trained staff within organisations will be examined and how the trained staff, use these …show more content…
(The Challenging Behaviour Foundation, 2014). Sub types of Aggression Mace and Mauk (1995) cited in Ingram 2011, suggests that ‘there are various dimensions of the activity caused by the neurotransmitter disturbance’. These are known as sub types of aggressions which are inflicted upon the individual by themselves. Functional Behavioural Assessments Functional Assessment or function analysis is carried out to assess challenging behaviour and to provide causes and reasons for the challenging behaviour being shown. This assessment is made to look at the person as a whole and view their life before intervening. A functional behavioural assessment is usually carried out by a multi disciplinary team which consists of: a psychologist, other behaviour specialists, a social worker/social care worker, family/parents and the persons key/link worker. A record of behaviours is recorded and collected over a period of time to get a clear picture of the challenging behaviour. The main purpose of this assessment is to help understand the individuals behaviours and to ensure that the persons needs are being correctly met. Once the behaviours are recorded and analysed, a care plan and behavioural support plan can then be put in place to help support the individual. Strategies to help minimise and reduce the behaviours can also be introduced at this point and it is vital that …show more content…
This section looks at crisis prevention techniques/interventions used by staff to protect themselves and to de-escalate a situation if the need arose. The Crisis Prevention Institute (CPI) was established in 1980 for people primarily employed as carers or public health staff. CPI offered training in ‘safe, respectful and non invasive methods for managing disruptive and assaultive behaviour in a way that is compatible with staff’s duty to provide the best possible care. (CPI Ireland, 2014). Within the disability sector the most widely used method of training provided is NCI (Nonviolent Crisis Intervention) training. This training helps with: reducing the risk of injury, complying with legislation mandates, meeting regulatory/accreditation standards, improving staff retention, minimising exposure to liability and promoting the philosophy of care, welfare, safety, and security. (CPI Ireland, 2014). This method focuses on teaching participants three main objectives which are as follows: preventative techniques, nonviolent physical crisis intervention and team intervention and situational role plays and postvention. (Nonviolent Crisis Intervention,
There is a risk in research involving individuals who have engaged with mental healthcare services as they might not be able to give this consent on their own behalf, lacking the capacity to do so. The Mental Capacity Act 2005 safeguards these individuals by inviting participants to consult with someone such as a carer, should their capacity to give consent be affected. Given the IAPT programme’s inclusion criteria to treat individuals with mild-moderate CMHPs, this was judged to be less of a risk. The programme also implements a number of specialist services for individuals whose capacity may be affected by a learning disability (IAPT, 2009) meaning this would likely be flagged
It is important not to stereotype a child with a disability, as this can lead to low self-esteem, for example a child with specific learning needs might be expected to do poorly in all subjects at school not just the ones affected by the learning need and this is not always the case. Since I have worked in our setting I have been introduced to quite a few children which have different types of disabilities. We aim to make sure that each individual is treated the same and included in all activities by adapting the activity to the child's individual
Reducing staff burnout and creating a positive workplace culture are two major steps in the right direction. Another topic is to determine what exactly makes a good direct care staff. If you ask any supervisor the quick response would be someone who shows up for their shifts, but there is so much more than that. The life experiences of people with an intellectual disability are largely shaped by their residential supports with the role of direct care workers being crucial to the success of people with disabilities achieving personally valued lifestyles (Dodevska & Vassos, 2013). It has been documented that the poor-quality of direct care staff has often lead to an increase in behaviors from the individuals being served.
This can be promoted in a health and social care setting by training staff so they make sure they are doing their best for the treatment of their service users. When training care workers would learn what kind of behaviour should be used in front of service users and it also teaches not to be judgemental. The care workers are made sure that they are clear about the consequences of discriminating and how the service user would feel in order to prevent it and promote anti-discriminatory
Individuality: all service users receiving care should be able to maintain their individuality by been able to choose what they were, who and when they socialize, the activities they join in with and maintain their own views and opinion. Choice: all service users receiving the care should be able to make their own choices from little things like mealtimes to when they get dressed to when they get out of bed but in different circumstances such as limited mental capacity sometimes choices can be made for them, but these are always in the best interests of the service user. By working with these values care workers have a good understanding of what is right and what is wrong in their job role, this is both best practice and embedded in legislation.
Introduction The prevention of patient-to-patient assault in an inpatient psychiatric unit is essential for the safety of patients and staff (Perez, 2014). The aim of this quantitative pilot study is to decrease patient-on-patient assaults which, in the long run, may improve patient safety during hospitalization (Staggs, 2015). This chapter discusses the study design and population plan and describes procedures for implementing the project, data collection, data analysis, the institutional review board (IRB) process, and challenges that may occur with initiating the quality improvement project. Design
Individuals with disabilities are victims of bullying and abuse. Bauer uses the statistic from University of Massachusetts, which found that “Almost half of the young people surveyed wouldn’t want to sit next to a student like Margaret on a school bus” (Bauer 445). That statistic is appalling. Students wouldn’t even want to sit next to their classmate who has Down Syndrome or a different intellectual disability. Another shocking fact that Bauer uses is, “More than half of parent’s didn’t want such
Nature and Nurture Influence on Aggression One psychology debate that remains in today's world is the argument between nature and nurture. Scientists who study behaviors, like psychologists or sociologists, are always arguing about the topic of nature and nurture. Whether nature or nurture plays a more significant role in terms of forming us. Our personality is influenced by many factors in our life, such as the environment or the inherited genes. Some people believe that genes play a bigger part in the formation of our mental traits, such as personality.
The framework states that every individual child will be observed on a certain topic. For example, a child being observed for their speech and language, behaviour or physical. Observations outline the weaker skills that each child contains and it will give the practitioners an idea of what the child needs to develop on for them to improve on their skills. Through observations, it outlines the full potential each child has so that the practitioner has an understanding to not have high expectations from each child as they may not be at that stage of development. The practitioners will find is easier to plan activities once they have an idea of each child 's potential as activities will then be planned to improve their weaker skills.
Protecting and preventing such activities is important and knowing the signs and recognising behaviour which may suggest that any of the mentioned may happen it is imperative to act
The evidence presented in this study also suggests that there are many reasons which prevent individuals with learning disabilities accessing effective health care. Further organisational barriers were presented which may impede effective communication between patients and staff. It may be that the need for written forms of communication or the use of poor signage caused issues for these individuals as reduced literacy skills may make it difficult to comprehend these types of communication. Rigid appointment systems may be a barrier to accessing health care if the patient is unable to tell the time or manage their time effectively. Tuffrey goes on to suggest that it is essential that staff have the appropriate attitude and knowledge to treat vulnerable patients and reasonable adjustments need to be made to address some of the barriers preventing this.
Unit 2 HEALTH AND SOCIAL CARE VALUE Learning aim A explore the care value that underpin current practice in health and social care We have done role play with young people with disabilities and old people and we demonstrate Confidentiality Dignity, Respect for the individual Safeguarding duty of care A person-centered approach to care delivery. Young people with a disability it was ok, we done with them how to decoration make Christmas card we down because Christmas is coming soon so we decided in group that we will do with them Christmas care and degradation it was very fun and there are very happy I use only some of them because we don't have enough time to play but still I use much I can.i have improved more about this. Aim A:Valuing
Aggression is a spoken or physical behavior that causes intentional harm to a person. There are many different theories that argue what the cause of aggression is but this can be divided into two major types: people who think that aggression is inborn and those that view it as a learning behavior. The Social cognitive theory states that we learn behaviors through observation and modeling and this could be implied that we learn aggressive behaviors through observing and imitating others. The Social Cognitive theory claims that people learn behaviors from observation, modeling, and motivation such as positive reinforcement. Psychologists mention that people learn behaviors by imitating models through observational learning; as well as through
(sources used) i. Violence (criminal behavior) ii. Aggression iii. Mental
In this experiment gender was looked at as factor that influenced aggression. Many people tend to see men as more aggressive than women. The findings of the research found that there is no difference in aggression between males and females. However it was found that men do use more direct aggression then women but between the two genders both use indirect aggression the same as one other. Social connections is another way to look and see what type of aggression is used in day to day life.