Statewide
Behaviour
Intervention Service
Building B, Level 1, 242 Beecroft Road
EPPING NSW 2121
Ph (02) 8876 4000
Fax (02) 8876 4041
Website: www.dadhc.nsw.gov.au
David Doyle
Senior Clinical Consultant
[email protected]
Session outline
1. How SBIS provides services.
2. How this service provision lead to the
development of the Practice Guide.
3. Information about the Practice Guide.
4. Show and tell.
5. Questions
What is SBIS?
• Statewide, specialist service within DADHC.
• SBIS provides clinical support for behaviour
intervention.
• SBIS works as a tertiary service.
Who do we provide services to?
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DADHC local clinical services
Non Government (DADHC funded)
Non Government (non DADHC funded)
Other government departments
Eg. Health, DoCS, DCS, DJJ, DET, OPG
What does SBIS do?
Provides:
• Clinical support to local services.
• Immediate response \ advice to clinicians
• Training
• Resource development.
SBIS Contributes to:
• The development of best practice in clinical services
• Policy and legislative development across agencies.
Services we offer :
SBIS provides advice and support in relation
to:
• Behavioural assessment
• Intervention design
• Implementation planning
• Implementation
• Monitoring and review of interventions
• Service system evaluation
When would you contact SBIS?
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Locally based intervention has been unsuccessful
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There is a need for an independent perspective – a
second opinion.
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Assistance is needed with training.
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Clinical experience in similar cases is needed.
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The clinicians general practice would benefit from
collaborative involvement.
Overview of inconsistencies in
practice highlighted by our process
of work.
•Extent of information collected and depth of
analysis varies.
•There is different understandings of what
constitutes a Behavioural Assessment.
•Process of assessment (knowing what to do).
•Practical knowledge (knowing how to do).
•Differences in use of language and terminology.
•Depth of understanding of the client \ behaviour
varies.
•The need to link assessment information collected,
the function / formulation and the intervention.
Understanding The Function Of
Behaviour: A Practice Guide
Resilience through capacity building
David Doyle and Brett Owens
Who is this guide for?
• This guide is for staff of
Government and Non-government
organisations whose role is to
attempt to understand a clients
challenging behaviour. These staff
include psychologists, community
workers, and other regional
behaviour intervention workers.
What is the practice guide?
• A clear presentation of the process of
developing an understanding of the function
of a clients challenging behaviour.
• Guidelines for developing an overall clinical
formulation around the clients behaviour.
• A clear explanation of how to conduct each
step of the process. Including:
•Definitions and explanations
•Tips and cautions
•Guidance in the analysis of information.
What is the purpose of the practice
guide?
Two key outcomes of implementing this practice guide
are:
1) a comprehensive assessment of the person
engaging in the challenging behaviour. Ultimately
the assessment hypothesises reasons why the
person is engaging in challenging behaviour in
order to meet his/her needs.
2) a Behaviour Intervention Plan (BIP)/ MultiElement Support Plan (MESP). These aim to
decrease the client’s reliance on challenging
behaviour.
Why is the guide needed?
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Not everyone enters this field knowing how to assess
behaviour. People also have different levels of
experience, confidence and support.
•
There are many job types and disciplines –
with no common skill set.
•
Some poor practice can be perpetuated via peer
advice eg use of indiscriminate and sole use of the
M.A.S. in assessing client behaviour.
•
Informed assessments improve:
• The effectiveness of interventions.
• The client’s image in the staffs perception via
explanation of their behaviour.
Who is it pitched at?
•
The information is pitched at people ranging
from novice staff to those who have had
moderate experience in conducting
behavioural assessments.
•
If you use this guide in an early attempt at
this kind of assessment, please utilise
support to do so.
•
Mentoring, peer support, and supervision
are important source of this support.
What does the guide cover?
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How to develop a lifestyle and environment review
(LER)
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Incident Prevention and Response Plan (IPRP)
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Gathering information for the assessment.
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How to deduce the hypotheses for the function\s of the
behaviour?
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How that function\s fit into a larger formulation of the
client and their context as a whole?
•
How to use this function and formulation to develop
recommendations into a MESP?
How to use this technology?
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This guide is produced in html (internet) format.
•
It will work inside a web browser.
•
It will be available on CD, via the web and
downloadable to your own CD.
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You can follow the guide sequentially to gain
knowledge about the process of developing a
functional understanding of challenging behaviour
and you can also branch off to gain more details
about the practicalities and pitfalls of implementing
this methodology.
Advantages of the guide.
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Fills the gap between policy and literature.
Creates a framework for clinicians to use.
Has both process and procedural
information.
Attempts to explain why each step is
included.
Easy to navigate and understand.
Can be used with parents and service
providers to explain what you are doing.
The guide can be used as a supervision,
collaboration or educational tool.
It will be free of charge and reproducible.
Will be updated regularly.