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Welcome to the May 2014 edition of the Positive Behaviour Framework Disability Sector Update. This update is designed to inform the sector of developments underway in the continued rollout of the Positive Behaviour Framework.
The focus for 2014 is to broaden the networks with the disability sector and other government departments. Forums are planned in 2014, inviting contribution from the disability sector, people with disability and their families and carers and other government departments to showcase developments in the area of Positive Behaviour Support.
An overview of the current activities taking place under the framework in the areas of policy development, whole of government, disability service sector and community development and family leadership are detailed below.
What’s in this issue? How is everyone working together to eliminate restrictive practices?................................2
What are Behaviour Support Consultants and how are they contributing to the rollout of the Positive Behaviour Framework?................................................................2–4
What is the Positive Behaviour Support in Action interest group?......................................4
What are Positive Behaviour Support Panels and how do they help eliminate restrictive practices?...........................................................................................................4
What is the Behaviour Support Plan Quality Evaluation Guide II and how can it assist agencies with the new National Standards for Disability Services?.....................5–7
What other training is available under the Positive Behaviour Framework?.................8–14
How are families leading the way in Positive Behaviour Support with the “Is there a better way?” training and the Side by Side Project?..........................................8–9
What research is currently occurring under the Positive Behaviour Framework?............14
What is happening in regional WA under the Positive Behaviour Framework?..........14–15
How is the Commission working with other government departments in the area of Positive Behaviour Support?..................................................................................15–16
What’s on in 2014?...........................................................................................................16
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Positive Behaviour Framework Disability Sector Update May 2014 – Edition Number 5
How is everyone working together to eliminate restrictive practices?The Voluntary Code of Practice for the Elimination of Restrictive Practices was introduced in 2012 and reviewed in March 2014. The code provides the basis for the disability sector to develop operational policy and guidelines for eliminating the use of restrictive practices. It applies to all services provided and funded by the Commission for children and adults with disability.
The code is currently being re-written with input from people with disability and their families and carers, disability sector organisations and peak bodies. The revised code will be based on feedback received through two separate state-wide consultative processes. This includes the across-government review of the code at the Positive Behaviour Framework forum held 27 February. The forum was attended by government departments such as the Department of Health, Mental Health Commission, Department of Education, Department of Aboriginal Affairs and Department of Child Protection and Family Support.
National Disability Standards will support the increased emphasis on evidence-based, contemporary approaches to behavioural support with a focus on transparent decision making in the use of restraints. The Code of Practice will be important in assisting organisations to transition to the requirements of the National Disability Standards.
The Voluntary Code of Practice for the Elimination of Restrictive Practices is available at www.disability.wa.gov.au > Disability Service Providers > Behaviour Support.
What are Behaviour Support Consultants and how are they contributing to the roll out of the Positive Behaviour Framework?Workforce reforms have supported the appointment of Behaviour Support Consultants. The Commission’s Behaviour Support Consultation Team is working with 20 organisations who have appointed people to this position. Behaviour Support Consultants act as mentors and/or frontline coordinators to assist organisations to implement the Positive Behaviour Framework reform agenda. These positions also act as a point of contact across the sector to encourage collaboration and support transparency for organisations in the development of behavioural responses for people with disability who sometimes experience challenging behaviour.
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Pictured above from the Positive Behaviour Framework forum held November 2013 are: Commission Behaviour Support Policy Officer Fran Gresley (left), Midwest Community Living Association Behaviour Support Consultant (BSC) Tar Chikava, Valued Independent People BSC Jacqui Long, Commission Senior BSC Rachel Barron, My Place (WA) Pty Ltd BSC Michelle Atkinson, Autism Association of WA BSC Michele Thomas, Identitywa BSC Rachel Corridan, Rise BSC Jennifer Mofflin, Commission Behaviour Support Consultation Team Manager Mike Cubbage, Nulsen BSC Steve Van Vlijmen and Enable Southwest BSC Michael Finn.
A Community of Practice has been developed between Behaviour Support Consultants. The consultants meet in this Community of Practice to share information and support each other on the journey towards the reduction and eventual elimination of restrictive practices. The Community of Practice provides opportunities for Behaviour Support Consultants to share information, good news stories and resources.
Behaviour Support Consultants are taking the opportunity to access the Positive Behaviour Support Tool Box of resources available to agencies to support the implementation of Positive Behaviour Support. The Tool Box serves to aid the development of systems and operational processes that support high quality Behaviour Support Plans and their implementation in disability sector organisations. Contributions to the Tool Box have been made by several
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organisations. If you are wondering how to collect data about restrictive practices or develop a priority assessment matrix for example, contact Commission Behaviour Support Policy Officer Fran Gresley on 0478 320 333 or email [email protected] . If you would like further details about the Tool Box and how to access resources please see Appendix one.
What is the Positive Behaviour Support in Action interest group?The Positive Behaviour Support in Action (PBIA) interest group is a peer support group which provides an opportunity for workers to continue to develop their skills in implementing and applying Positive Behaviour Support principles in their workplace. The group is currently being co-chaired by Joanna Doraisamy from Mosaic Community Care and Jodie Smyth from UnitingCare West. There is a PBIA brochure on the ideaswa website (http://www.ideaswa.net/upload/editor/files/positive_behaviour_in_action_interest_group_brochure.pdf ) . This lists the disability sector organisations involved in PBIA, what the group aims to do and how to get involved.
The group has been running for some years and membership over that time has grown significantly. Meetings are now always held at the Commission’s West Perth office so a video link-up is available to regional providers. For further information please contact Jodie Smyth on 9203 7500 or by emailing [email protected]
What are Positive Behaviour Support Panels and how do they help eliminate restrictive practices?Positive Behaviour Support Panels have been introduced to review any Behaviour Support Plan that contains a restrictive practice. The use of the Behaviour Support Plan Quality Evaluation Guide II (BSP-QEII) detailed below provides everyone in the disability sector with the common language and focus that allows disability sector organisations to collaborate. The Behaviour Support Consultants have agreed to be an external panel member for other organisations to review any Behaviour Support Plan that contains a restrictive practice. This ensures a consistent application of evidence-based practice in behaviour support planning with a transparent decision-making process. This has the benefit of external scrutiny for the organisation and the person with a disability. The panels ensure the restrictive practice adopted is the least restrictive alternative, in place for the shortest possible time with consideration of consent and with a process for regular review put in place.
To support good practice in behaviour support planning and the elimination of restrictive practices Kathryn Falloon from the Commission’s Behaviour Support Consultation team has achieved inter-rater reliability in the use of the Behaviour Support Plan Quality Evaluation Guide II (BSP-QEII) with the Office of the Senior Practitioner in Victoria. Kathryn is available to provide support for the
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disability sector in assessing the quality of Behaviour Support Plans which have a restrictive practice. Kathryn can be contacted by emailing [email protected]
What is the Behaviour Support Plan Quality Evaluation Guide II and how can it assist agencies comply with the new National Standards for Disability Services?The Behaviour Support Plan Quality Evaluation Guide II (BSP-QEII) has been introduced to the Western Australia disability sector. This guide is a transparent, evidence-based and contemporary approach to assessing the quality of plans. It can be used as a method of capturing the thinking behind the consideration of use of restrictive practices.
The Office of the Senior Practitioner in the Department of Human Services in Victoria routinely uses the BSP-QEII as an evaluation guide to ensure good quality behaviour support plans and the Centre of Excellence for Clinical Innovation and Behaviour Support in Queensland is now providing training in the BSP-QEII.
The Behaviour Support Consultation team is working with the Office of the Senior Practitioner in Victoria to provide support to the disability sector in Western Australia to access training in behaviour support planning and “how to” training in the assessment of behaviour support plan quality.
The Behaviour Support Consultation Team has designed a Behaviour Support Planning Guide template. The planning guide incorporates references to the BSP-QEII and covers key areas for consideration in developing a quality Behaviour Support Plan.
Associated training in the BSP-QEII has been specifically developed by the Behaviour Support Consultation Team and will have direct relevance to the new National Standards for Disability Services. (Source: http://www.disability.wa.gov.au/disability-service-providers-/for-disability-service-providers/quality-system/national-standards-for-disability-services/).
The Outcomes for the training are described below.
Behaviour Support Plans and Behaviour Support Plan Quality Evaluation II Guide (BSP-QEII) Refresher Training Outcomes
SkillsBy the end of the training participants will have increased skills in:
• identifying, examining and addressing the link between a person’s needs, general quality of life and challenging behaviour
• developing and writing a person centred behaviour support plan using the stages of consultation and information gathering, analysis, planning, application and evaluation
• designing person centred behaviour support plans which support the elimination of restrictive practices
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• assessing the quality of a person centred behaviour support plan using the Behaviour Support Plan-Quality Evaluation Guide II (BSP-QEII).
KnowledgeBy the end of the training participants will have increased knowledge of:
• the importance of the environment in reducing or increasing challenging behaviour• the importance of proactive versus reactive interventions in supporting people who may
sometimes display challenging behaviour• the value of gathering information and recording to inform a person centred behaviour
support plan • the core content areas to cover in a person centred behaviour support plan• the key components of the BSP-QEII.
ValuesBy the end of the training participants will appreciate:
• the contemporary approaches to supporting people who may exhibit challenging behaviour and how approaches have changed over time
• the importance of working in strong partnership with all key people when developing a person centred behaviour support plan.
The most recent completed training event for the Behaviour Support Plans and Behaviour Support Plan Quality Evaluation II Guide (BSP-QEII) Refresher training took place in Bunbury in February 2014. Currently two further groups are being run in the metropolitan area. These groups include representatives from Senses, Therapy Focus, Disability Services Commission, Autism Association of WA, Midwest Community Living Association, Rocky Bay and Department of Education.
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Staff from Community Living Association Inc who took part in the BSP and BSP-QEII Refresher Training. From left to right Eric Glass Senior Coordinator, Adrian Valley Positive Support Manager, Maresa Gray Senior Coordinator, and Anna Whitaker Positive Support Facilitator.
The Behaviour Support Planning and Behaviour Support Plan Quality Evaluation II Guide (BSP-QEII) Refresher training forms part of a comprehensive and integrated training structure. It is intended to support the development of skills in Positive Behaviour Support at all levels throughout the disability sector and the general community. A sound knowledge of Positive Behaviour Support principles is important in delivering high quality services for people with disability, their families and carers who share experiences of challenging behaviour. There are other opportunities for training emerging under the Positive Behaviour Framework shown in the diagram on page 8.
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What other training is available under the Positive Behaviour Framework?The training framework below shows the training currently taking place under the Positive Behaviour Framework.
Training framework
How are families leading the way in Positive Behaviour Support with the “Is there a better way?” training and the Side by Side Project?
“Is there a better way?” training
The “Is there a better way?” training package (funded by the Commission and developed by families and people with disability) accompanied the release of the Voluntary Code of Practice for the Elimination of Restrictive Practices in 2013. This state-wide training initiative provided families and disability sector organisations the opportunity to explore ways of supporting people with disability using the principles of Positive Behaviour Support embedded in real life stories of how families themselves (and with professional support) have addressed issues of challenging behaviours in positive and contemporary ways.
Testimonies from families were very positive with multiple requests for further opportunities to access this training. Participants reported a significant gain in their level of understanding of Positive Behaviour Support including improved skills in communication. A greater awareness of the need to use a human rights framework to guide decision making for people with disability who
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may sometimes experience challenging behaviour was also expressed. One family group petitioned their local government who provided funding to enable other families to access the training. Additional funding has enabled the, “Is there a better way?” training to continue and through it, new family leaders to emerge. The training enables disability sector organisations and families to sit together in a safe space to open up the difficult conversation about the use of restrictive practices. People who may be interested in attending this training should email Susan Stanford at [email protected] or Jaquie Mills at [email protected]
Side by Side Project
The Side by Side family mentoring project brought families together to provide support, friendship, information and encouragement as families face the challenges of supporting a loved one who sometimes experiences challenging behaviour. This project has been evaluated and additional funding has been successfully sought to grow and develop this approach to building enduring supports for families at risk of losing capacity to care. This is a co-production model where families will be able to assist in the design and delivery of services as well as being part of the long term maintenance strategies.
Back row from left to right: Joanne Nunn, Gillian Rainer, Taryn Harvey Jaquie Mills. Front row from left to right: Julie Martin, Jenny Jay, Bronwynn Pike and Susan Stanford, who all attended the Family Leadership meeting in February 2014.
More than Talking
More than Talking training is designed to assist Behaviour Support Consultants to further develop their understanding of the role of communication in how we interpret behaviour, understand the unmet needs in people’s lives, how these influence behaviour and how we can support a better
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quality of life for people with disability who may experience challenging behaviour. The More than Talking training focuses on supporting people with complex communication needs but the underpinning principles have a broad application across disability. The most recent More than Talking Training ran in November 2013.
Positive Behaviour Support training
The Commission’s Learning and Development branch has rolled out Positive Behaviour Support training. This training is designed to provide staff with practical ways to support people using Positive Behaviour Support. This training will be available state-wide on a cost recovery basis. The most recent Positive Behaviour Support training took place in Geraldton in February and was attended by ATLAS and Mid-west Community Living Association. The training was well received with all participants agreeing or strongly agreeing they now have the skills and knowledge and tools to develop a Behaviour Support Plan with their team and manager. All participants said they would recommend the training to other staff.
Pictured are participants at the Positive Behaviour Support training run in Geraldton. From left to right: Fiona Burling, Christa Adami, Tar Chikava, Susan Crabbe, Ksenia Edwards, Marie Lamont, Jane Carrie, Jade Sutcliffe, Gidion Chiromo, Linda Moore, Karen Hills, and Nikki Rubin.
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Training has also been delivered to Belmont Oasis Leisure Centre to support them to include children with disability in their programs. The update below has been provided by the Commission’s Learning and Development branch.
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Belmont Oasis Leisure Centre offers specialised programs that cater to groups or individuals, including:
• Swim School offers 1 on 1 swimming lessons for people with disability
• Registered provider of Care Through Fitness
• Work Power Explore specialise in group fitness for people with disability
• Count Us In Senior health club program run for people with disability and minority groups.
Belmont Oasis is structured to incorporate the diverse learning needs of all children enrolled at the centre. It caters to the needs of individual children by providing inclusive activities which encourage group social skills and acceptance through Individual Support Service Plans based on Positive Behaviour Support strategies. Sensory equipment is available for the children and staff are provided with additional training to assist with various programs. Visual routines are supported and implemented into the daily program and a variety of open communication strategies between families, children and staff are encouraged.
Jackie Castle, the centre’s Childcare Manager recently contacted Behaviour Support Services to enquire about training opportunities in Positive Behaviour Support, to assist staff in supporting a young person with Autism. Jackie was advocating strongly for some training for their staff to ensure this young person could continue to enjoy the activities offered at the centre.
The Commission’s Learning and Development branch was able to provide a one day PBS program, tailored specifically towards the centre’s staff. The program was held at the centre to ensure factors such as the physical environment could be taken into consideration. The staff also received some instruction in personal safety techniques. Based on the feedback from those who attended, the training was well received and there were recommendations that it be offered to more centre staff.
.Belmont Oasis Leisure Centre training in Positive Behaviour Support. From left to right: Heidi Lumley, Jasmine Waller, Bianca Pattullo.
The Commission’s Fiona Burling (standing, second from left) joins Belmont Oasis Leisure Centre staff (left to right) Katelyn Isard and Jasmine Waller (sitting) and Jackie Castle , Bianca Pattullo, and Danica Ilich (standing) at the recent training in Positive Behaviour Support delivered by the Commission’s Learning and Development branch.
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How do I find out more or access future training opportunities?
Behaviour Support Consultants interested in attending More than Talking training, Positive Behaviour Support training or Behaviour Support Plans and Behaviour Support Plan Quality Evaluation II Guide (BSP-QEII) refresher training should contact Denise Wettermann in the first instance on 9301 3838 or email [email protected]. If your organisation is interested in accessing these training opportunities and does not have a Behaviour Support Consultant, contact Fran Gresley on 0478 320 333 or email [email protected].
People interested in attending “Is there a better way?” training should email Susan Stanford [email protected] or Jaquie Mills at [email protected] .
What training has been completed so far under the Positive Behaviour Framework?
So far, 416 people in metropolitan and regional areas have attended training opportunities as part of the rollout of the Positive Behaviour Framework. Training has been attended by families and staff from disability sector organisations including Activ, ATLAS, Community Living Association Inc, Enable Southwest, Identitywa, Lower Great Southern Family Support Association, Kira, Mosaic Community Care, Midwest Community Living Association, My Place, Nulsen Disability Services, Rise, Rocky Bay, Strive Warren Blackwood, Therapy Focus and UnitingCare West.
Training completed under the Positive Behaviour Framework till March 2014:
Training Regional Metropolitan Unknown Total
Behaviour Support Planning and Behaviour Support Quality Evaluation Guide II
12 23 0 35
Is There a Better Way? 106 103 0 209
More Than Talking 12 10 5 27
Positive Behaviour Support for direct care workers
0 44 0 44
Positive Behaviour Support for supervisors and coordinators
58 0 0 58
Behaviour Support Consultant Training
43 0 0 43
Totals 231 180 5 416
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Note: the ‘Unknown’ category in the table above denotes participants from various agencies in the “Is there a better way?” training.
What research is currently occurring under the Positive Behaviour Framework?The Commission has entered into a research partnership with the Business School at the University of Western Australia to examine the system wide application of Positive Behaviour Support. The research aims to find out what are the most effective and efficient investments for disability sector organisations to assist them to improve quality of life for people with disability and reduce restrictive practices. The outcome is intended to guide disability sector organisations to increase their capacity to respond more effectively to people who may sometimes experience challenging behaviour while safeguarding the human rights of the people who are their service users.
The researchers involved in the project, Assistant Professors Christine Soo and Mark Edwards wrote an article entitled “Positive Stories: Implementing the Positive Behaviour Framework in Western Australia” which will be presented at the International Association for the Scientific Study of Intellectual and Developmental Disabilities (IASSID) conference in Vienna in July 2014.
What is happening in regional WA under the Positive Behaviour Framework?The Sector and Workforce Development South West and Lower Great Southern Expansion Project is underway with disability sector organisations Strive Warren Blackwood (Bridgetown),
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Lower Great Southern Family Support Association (Albany), Enable Southwest (Bunbury) and Community Living Association Inc (Albany).
All four organisations have now introduced Positive Behaviour Support Panels to discuss and develop Behaviour Support Plans to reduce and eliminate the use of restrictive practices identified in the restrictive practice audits. Each panel includes a member external to the organisation, and Skype and other video-link facilities are being used to ensure continued participation across regional areas of Western Australia for disability sector organisations involved in the project. Although in the early stages, the panelling processes have already resulted in positive outcomes for individuals supported by these organisations, including medication reviews, person centred plans, improved supports exclusive of restrictive practices and increase in inclusive community activities.
Project team members have now completed “refresher” training in the use of the Behaviour Support Plan Quality Evaluation Guide II to assess the quality of behaviour support plans. They are now trying out the assessment guide as well as the revised Behaviour Support Planning Guide and Writing Template.
The project team is also very pleased to congratulate Anna Whitaker, Positive Support Facilitator with Community Living Association Inc (CLA) in Albany, who was presented with the “Emerging Leader Award” at the Disability Support Worker Awards event, held at the Crown Casino in Perth 15 March 2014. Alongside Positive Support Manager Adrian Valley, Anna has been instrumental in implementing the Voluntary Code of Practice for the Elimination of Restrictive Practices and introduction of the Positive Behaviour Support Panels at CLA over the past several months, and provides a great role model for positive behaviour support practices.
In addition to the activity in the South West, Midwest Community Living Association (MWCLA) has now completed a raft of training for their staff and has commenced the restrictive practices audit process. MWCLA has already used concepts from the Effective Service Design to achieve a highly improved quality of life for one individual and will continue to implement positive behaviour support strategies across their services.
How is the Commission working with other government departments in the area of Positive Behaviour Support?The Commission and the Department of Education are collaborating on a pilot project to investigate the optimal conditions that support the inclusion of children with behaviours that can sometimes be challenging in mainstream primary school settings.
Ongoing training initiatives and presentations to other government departments take place as part of the roll out of the Framework including Department of Corrective Services training for prison officers.
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Presentations on the Positive Behaviour Framework have been made to groups such as the Joondalup Mental Health Professional Network, Parenting WA, Edith Cowan University and Juvenile Justice. Commission consultant psychologist Nigel Cameron presented professional development events on 17 April 2014 at the Department of Corrective Services and 14 May 2014 at Hakea Prison regarding working with people with disability in the justice system and the Positive Behaviour Support approach.
These presentations are continuing to raise awareness and interest in the area of Positive Behaviour Support.
What’s on in 2014?
26 June 2014 Positive Behaviour Framework Forum This forum agenda will include an update on the some of the proposed changes following the review of the Voluntary Code of Practice for the Elimination of Restrictive Practices.Time: 9.30am to 12.30pm Location: Theatre at Technology Park, 2 Brodie Hall Drive, Bentley 28 August 2014Positive Behaviour Framework Forum
27 November 2014Positive Behaviour Framework Forum
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Appendix One
The Positive Behaviour Support Tool BoxThe Positive Behaviour Support Tool Box (the Tool Box) serves to aid the development of systems and operational processes that support high quality Behaviour Support Plans and their implementation in disability sector organisations. Contributions to the Tool Box have been made by several organisations. Resources available in the Tool Box include the following.
• Behavioural recording templates• Priority Assessment Matrix for Restrictive Practices and Challenging Behaviours• Process flow diagrams and associated forms for restrictive practice audits and positive
behaviour support panels• Sample terms of reference for positive behaviour support panels• Behaviour Support Consultant profiles• Behaviour Support Plan Planning Guide• Behaviour Support Plan Writing Template• Summary Behaviour Support Plan Template• Behaviour Support Plan Quality Evaluation II (BSP-QEII) Summary Scoring Guide• Other various graphs and templates.
If you would like to access resources available in the Tool Box contact Commission Behaviour Support Policy Officer Fran Gresley on 0478 320 333 or email [email protected]
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