CHCDIS002 Follow established person centred behaviour supports

{`STUDENT ASSESSMENT BOOKLET CHC33015
CHCDIS002 Follow established person-centred behaviour supports
APEX Traning Institute
`}

Assessment plan

The following outlines the requirements of your final assessment for this unit. You are required to complete all tasks to demonstrate competency in this unit.

Your assessor will provide you with the due dates for each assessment task. Write them in the table below.

Assessment Requirements	Due date
1. Written questions
2. Role play
3. Case study
4. Journal

QUESTION 1

Provide three types of legislation both on a national level and within your state that is related to protecting human rights in disability services.

QUESTION 2

Identify the six National Standards that apply to disability service providers.

QUESTION 3

Marty is 53 years old and suffers from quadriplegia. He lives in a state government-funded group home and spent days with an undiagnosed broken left leg. Due to his condition, he was not able to verbally communicate his levels of pain and symptoms, including a protruding bone that went unnoticed by the staff on duty. After two days a staff member raised concerns to management; however, they decided it was best to wait until the next day to contact a doctor for treatment. Did the staff exercise their duty of care? Explain your answer.

QUESTION 4

The staff always have trouble with Jodie when it comes to taking her medications, as she becomes physically challenging towards staff on duty. Jodie has an intellectual disability and tends to become irritable quite frequently. To teach her a lesson, a staff member punches her and pushes her into a garage for ‘acting up’ and refusing to take her medication. Jodie was locked in the garage for nearly 24 hours with nothing but a bucket for a toilet, before they let her back inside.

QUESTION 5

What are the three types of constraints in the Leisure Constraints Model? How does this impact individuals living with a disability?

QUESTION 6

What is the UNCRPD? What is its purpose?

QUESTION 7

Describe each of the following articles in the UNCRPD.

QUESTION 8

How does the Disability Act 2006 provide support for:

People with a disability?

QUESTION 9

Identify at least five sociodemographic characteristics of prisoners with an intellectual disability.

QUESTION 10

Explain why individuals with a disability are often socially devalued.

QUESTION 11

What is the social model of disability?

QUESTION 12

What is the danger of being overprotective as a disability support worker? How does this impact an individual’s dignity of risk?

Question 13

Explain the why Positive Behaviour Support (PBS) is an effective approach for managing behaviours of concern.

QUESTION 14

What are some common immediate response strategies to behaviours of concern or challenging behaviours? Provide at least five examples.

Provide at least three communication strategies for people who are deaf or hearing impaired.

QUESTION 16

Provide at least three communication strategies for people who are blind or vision impaired.

Provide at least three communication strategies to reduce sensory overload.

QUESTION 18

What is the Triple C? Why is this used?

Provide at least five common reasons which drive behaviours of concern and challenging behaviours.

20 Explain the difference between a behaviour of concern and a challenging behaviour. Provide an example of each.

Behaviour of concern:
Challenging behaviour:

QUESTION 21 What is a Motivational Assessment Scale (MAS) and how is this used?

Question 22

Provide a definition of ‘aversive treatment’ and 3 examples.

Aversive treatment definition:

Example 1:

Example 2:

Example 3:

QUESTION 23

Provide an example of how you would apply the following lifestyle enhancement strategies when managing client behaviour.

Positive reinforcement

Motivation

Stress management

Engagement in meaningful activities

Support relationships

Nutrition

Environmental and systems improvement

QUESTION 24 Provide at least three examples of areas where people with disabilities have unmet needs.

QUESTION 25 Describe how each of the following factors are contributors to behaviour of concern or challenging behaviour.

Unrecognised pain or discomfort

Stress

Medications

Communication issues

INSTRUCTIONS:

The purpose of this task is for your assessor to observe how well you can respond to a critical incident involving adverse behaviour in a simulated environment, using appropriate support strategies and communication.

First you will need to watch the YouTube video titled Autism, Self-Injurious Behavioral Interventions.

You can find this video at https://www.youtube.com/watch?v=DXbe2VHa37w.

The video shows the self-injurious behaviour of James, who has severe autism and epilepsy. James is seen repeatedly hitting his head in a violent manner with both hands.

After you have watched the video, you will need to participate in a role play with your assessor playing the role of James. James has just been disturbed by a car going past and squealing its brakes.

You will be required to do the following during the role play:

Use appropriate interventions and positive behavioral support strategies.
Use a person-centred approach.
Address safety requirements and procedures.
Use effective communication strategies to meet James’s needs. James’s behavioural management plan states the following:

▪	James is often startled by loud noises, which cause a buzzing in his head.
▪	He becomes self-injurious, hitting himself around the head involuntarily. He may also experience a seizure.
▪	James only ever hits himself – never anyone or anything else.
▪	James responds to wearing headphones to reduce noise stimulus. These should be put on as soon as possible during an incident.
▪	James may wear padded mitts to prevent injury.
▪	James will respond to calm, repetitive instructions.
▪	Holding James’s hands in his lap reduces the risk of injury and can be calming. James does not find this restrictive.
▪	James reacts badly to sudden loud noises, shouting, complicated instructions, laughing or panic by anyone near him.
▪	James behaviour can be diverted by drawing his attention to objects he enjoys – for example, watching the ceiling fan, his pet dog, his toys and other family members.

Your assessor will be looking to see that you:

▪ Identify the triggers that cause James’s adverse behaviour.

▪ Respond to James in an appropriate manner, correctly carrying out behavioural strategies in response to his behaviour.

For example remaining calm, being consistent, showing empathy, following the details in his behavioural management plan, etc

▪ Consider and acknowledge James’s needs, strengths, capabilities and his preferences.

For example, acknowledge attempts made by James to control his behaviour; his likes and dislikes; keeping instructions simple; need for particular intervention strategies, etc.

▪ Make sure James’s environment is safe.

For example, by protecting James’s head and hands; by keeping your own self safe; reducing possibility of his triggers occurring again, etc

▪ Acknowledge James’s emotional state.

For example, by demonstrating empathy, acknowledging his distress, acknowledging him as he calms down, etc

ASSESSMENT TASK 3: CASE STUDY

1. Is the behaviour support plan for TJ person centred? Explain your answer.

2. Why is it important to note TJ’s likes and dislikes?

3. Are TJ’s needs, strengths and capabilities considered and supported in the strategies? What are they?

4. Describe the context in which the behaviour of concern is displayed.

5. What are the triggers that cause TJ to harm others?

6. In your own words, describe the frequency and duration of TJ’s behaviour.

7. What are the positive behaviour support strategies? 8. Were the strategies effective? Why/Why not?

9. Are his behaviours of concerned clearly documented in the plan? Explain your answer.

10. From the plan, are you able to ascertain what medications are required for TJ? Where do you find this information and what medication is prescribed?

11. What is the de-escalation strategy for assessing safety?

12. Are referral services noted in this plan?

13. Who are the key people involved in this plan?

ASSESSMENT TASK 4: SUPPORTING CLIENTS WITH BEHAVIOUR SUPPORT PLANS

Complete this journal for each of the clients that you work with. You must work with each client on at least three occasions. You must complete each part of the journal. As you complete the tasks, ask your supervisor to sign off each entry to indicate that it is a true account and that you correctly followed workplace policies and procedures.

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe the client’s disability or condition.

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe how you are able to support the individual’s activities of daily living.

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe the individual’s functional capabilities and challenges when completing their activities of daily living.

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
What problems or challenges did you experience in terms of motivating the individual? How was this managed?

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
What behaviours of concern have been identified in the individual’s support plan?

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe your experiences of these behaviours (what happened before, during and after – include frequency and timing).

CLIENT 1
Date 1:		Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How did you record the behaviour (ie what recording tool did you use)? Attach a copy of the recording tool to your journal. Make sure there is no identifying information in the tool. Remember to consider the client’s privacy and confidentiality.

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Explain potential factors (such as environment, physical or emotional), which may have triggered the behaviour.

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How did you ensure a safe physical environment?

CLIENT 1
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How might prescribed medications be impacting the client?

Positive behaviour support	Comments	Supervisor initials
Describe the type of behaviour support strategy you used to respond to the client.

Positive behaviour support	Comments	Supervisor initials
Identify the replacement skills.
Positive behaviour support	Comments	Supervisor initials
Explain whether the strategy used was effective/ineffective. Provide examples to support your response.

Monitoring and review	Comments	Supervisor initials
How do you think effectiveness of the strategy should be monitored?

Monitoring and review	Comments	Supervisor initials
Were referrals required?

Monitoring and review	Comments	Supervisor initials
Does the support plan require a review? Explain why or why not.
SUPERVISOR SIGN OFF CLIENT 1
I confirm that the student’s journal is an accurate account.
Supervisor name:
Supervisor signature:		Date:

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe the client’s disability or condition.

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe how you are able to support the individual’s activities of daily living.

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe the individual’s functional capabilities and challenges when completing their activities of daily living.

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
What problems or challenges did you experience in terms of motivating the individual? How was this managed?

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
What behaviours of concern have been identified in the individual’s support plan?

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe your experiences of these behaviours (what happened before, during and after – include frequency and timing).

CLIENT 2
Date 1:		Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How did you record the behaviour (ie what recording tool did you use)? Attach a copy of the recording tool to your journal. Make sure there is no identifying information in the tool. Remember to consider the client’s privacy and confidentiality.

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Explain potential factors (such as environment, physical or emotional), which may have triggered the behaviour.

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How did you ensure a safe physical environment?

CLIENT 2
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How might prescribed medications be impacting the client?

CLIENT 2
Positive behaviour support	Comments	Supervisor initials
Describe the type of behaviour support strategy you used to respond to the client.

CLIENT 2
Positive behaviour support	Comments	Supervisor initials
Identify the replacement skills.
CLIENT 2
Positive behaviour support	Comments	Supervisor initials
Explain whether the strategy used was effective/ineffective. Provide examples to support your response.

CLIENT 2
Monitoring and review	Comments	Supervisor initials
How do you think effectiveness of the strategy should be monitored?

CLIENT 2
Monitoring and review	Comments	Supervisor initials
Were referrals required?

CLIENT 2
Monitoring and review	Comments	Supervisor initials
Does the support plan require a review? Explain why or why not.
SUPERVISOR SIGN OFF CLIENT 2
I confirm that the student’s journal is an accurate account.
Supervisor name:
CLIENT 2
Monitoring and review	Comments	Supervisor initials
Supervisor signature:	Date:

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe the client’s disability or condition.

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe how you are able to support the individual’s activities of daily living.

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe the individual’s functional capabilities and challenges when completing their activities of daily living.

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
What problems or challenges did you experience in terms of motivating the individual? How was this managed?

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
What behaviours of concern have been identified in the individual’s support plan?

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Describe your experiences of these behaviours (what happened before, during and after – include frequency and timing).

CLIENT 3
Date 1:		Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How did you record the behaviour (ie what recording tool did you use)? Attach a copy of the recording tool to your journal. Make sure there is no identifying information in the tool. Remember to consider the client’s privacy and confidentiality.

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
Explain potential factors (such as environment, physical or emotional), which may have triggered the behaviour.

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How did you ensure a safe physical environment?

CLIENT 3
Date 1:	Date 2:	Date 3:
Client profile	Comments	Supervisor initials
How might prescribed medications be impacting the client?

CLIENT 2
Positive behaviour support	Comments	Supervisor initials
Describe the type of behaviour support strategy you used to respond to the client.

CLIENT 2
Positive behaviour support	Comments	Supervisor initials
Identify the replacement skills.
CLIENT 2
Positive behaviour support	Comments	Supervisor initials
Explain whether the strategy used was effective/ineffective. Provide examples to support your response.

CLIENT 2
Monitoring and review	Comments	Supervisor initials
How do you think effectiveness of the strategy should be monitored?

CLIENT 2
Monitoring and review	Comments	Supervisor initials
Were referrals required?
CLIENT 2
Monitoring and review	Comments	Supervisor initials
Does the support plan require a review? Explain why or why not.
SUPERVISOR SIGN OFF CLIENT 3
I confirm that the student’s journal is an accurate account.

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