SLAM presentation Dr Abdul Sabir 15.11.16

46 Pages·2016·3.16 MB·English

Dr Abdul Sabir MD, MRCPsych
ST5 Wandsworth Mental Health
& Learning Disability Team
(cid:1) Definition of Challenging Behaviour
(cid:1) Common conditions with Challenging Behaviour
(cid:1) Turning moments in managing CB for PWLD
(cid:1) NICE Guidelines on CB Interventions for PWLD
(cid:1) Research Sources & Information
(cid:1) PBS definition & concept
(cid:1) PBS and the evidence of it effectiveness for CB
(cid:1) Traditional BIs and the evidence of it effectiveness for CB
(cid:1) Psychotherapy and the evidence of it effectiveness for CB
(cid:1) Summary
(cid:1) Questions & Comments
(cid:1) References
Defined as behaviours of an intensity,
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frequency, or duration that threaten the
physical safety of the person or others or
restrict access to community facilities
(Emerson et al, 2001).

Common
Conditions with
CB
NDD PD PSYCHOSIS DEMENTIA GD MD ABI ETC
ID EUPD/BPD
ASDs ASD
ADHD CD/ODD
ETC
I: The publication of the Royal College of
Psychiatrists'' Council Report CR116
Psychotherapy and Learning Disability(2004)
The report recognised the need to challenge
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the myth that PWLD are immune to emotional
problems and also unsuitable for PI.
Winterbourne View
This has led to a significant policy
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development with the main focus on the
reduction of the use of restraint, and
improved care based on PBS.
In terms of secondary , complementary
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evidence base approach to support behaviour
change , includes therapeutic approaches ,
systemic, individual and group PT.
Positive
Behavioural
Support
Traditional
Psychological
Behavioural
Int.
Int/Counselling
Pharmacological
Psychotherapy
Int.
Management of CB
Physical
Int./Restrains
Combine
Int.
(cid:1) PsycINFO Database Record (c) 2016 AP
(cid:1) Cochrane Database of Systematic Reviews
(cid:1) EMBASE
(cid:1) The British Psychological Society-Divisions of Clinical Psychology
(cid:1) RCPsych & International journals/reports/guidelines
(cid:1) Journal of Cognitive and Behavioral Psychotherapies, Sep 2008
(cid:1) EBSCOhostin Journal of Intellectual & Developmental Disability
(cid:1) EBSCOhostin Journal of Experimental Criminology
(cid:1) Journal of Behavioral Education,
(cid:1) International Psychogeriatrics
(cid:1) Research in Developmental Disabilities, October 2014
(cid:1) American Journal of Recreation Therapy,
(cid:1) Academic Journal, CINAHL,
(cid:1) TIZARD, University of Kent, The leading UK academic group, well
known internationally , working with PWLD and community care
(cid:1) Consider personalised interventions for children,
young people and adults that are based on
behavioural principles and a functional
assessment of behaviour, tailored to the range of
settings in which they spend time, and consist of:
(cid:1) clear targeted behaviours with agreed outcomes
(cid:1) assessment and modification of environmental
factors that could trigger or maintain the
behaviour (for example, altering task demands
for avoidant behaviours)