Megan Middleton Strategy for dealing with challenging behaviour Unit 27. P3, M2, D1
P3- Suggest strategies to minimise effects of challenging behaviour in health and social care
settings.
M2- Discuss strategies used to minimise effects of one type of challenging behaviour in health and
social care settings.
D1- Evaluate strategies for dealing with one type of challenging behaviour in health and social care
settings.
Case study:
' Tony is a service user in a 4 bedded residential home for people with learning disabilities. He and
the other residents have challenging behaviour and all have person centred plans in place. Tony
has Down Syndrome. In a usual day Tony likes to wander around the home and in and out of the
garden. He also likes watching music channels on Sky and listening to his radio. He enjoys going
out in the car and for meals at the local pub. Tony also likes cookery lessons. Tony responds well
to staff but will target new staff and has been known to try to intimidate them. When he is bored
or in pain Tony will bang his head on the wall and will scratch at the skin on his arms to make
them bleed heavily. These wounds then require dressings. He will also, when very agitated his
behaviour escalates and he will try and grab female staff's hair or punch out or bite to cause
bruising on others, including other residents. This can have an effect on other resident’s
behaviour. When this happens, Tony has to be taken to his room and given 'time out' to calm
down. Some staff will shut the door on him and keep him locked in till he calms. On rare occasions
he needs to be restrained but this is not done often. When Tony has a very long and aggressive
episode of challenging behaviour he becomes very upset and apologetic afterwards. '
Person centred planning
Person Centred planning (PCP) consists of a number of ways to help an individual plan their life and
their support aids. It is used to provide support and improve the individual’s independence. Person
centred planning can help to identify Tony’s personality such as his;
Likes (making friends)
Dislikes (loud music)
Routines (outing on their t-shirt before their trousers)
Hobbies (drawing, painting)
This plan can be referred to by staff members when they are unsure what to do with Tony. This will
keep him calm and happy, as well as giving him a good quality of care. A person-centred plan
ensures that the individuals needs and requirements are put first. A plan like this can also allow the
individual to fulfil wishes that they may not have fulfilled otherwise. This may include becoming
more independent or becoming more employable.
Positive behaviour management
Positive behaviour management involved identifying why the individual demonstrates such
challenging behaviours, and what triggers these behaviours. The triggers should be avoided once
they are known, this is to prevent any challenging behaviours. Positive behaviour management will
improve the overall atmosphere in the residential home. This will make it less likely for residents,
such as Tony, to display challenging behaviour towards residents or staff members. This can be done
by praising residents if they are well behaved, an example of this may be to praise Tony of he cleans
up after himself or co-operates well with staff members. This will then be seen as a desirable
behaviour to other residents.
P3- Suggest strategies to minimise effects of challenging behaviour in health and social care
settings.
M2- Discuss strategies used to minimise effects of one type of challenging behaviour in health and
social care settings.
D1- Evaluate strategies for dealing with one type of challenging behaviour in health and social care
settings.
Case study:
' Tony is a service user in a 4 bedded residential home for people with learning disabilities. He and
the other residents have challenging behaviour and all have person centred plans in place. Tony
has Down Syndrome. In a usual day Tony likes to wander around the home and in and out of the
garden. He also likes watching music channels on Sky and listening to his radio. He enjoys going
out in the car and for meals at the local pub. Tony also likes cookery lessons. Tony responds well
to staff but will target new staff and has been known to try to intimidate them. When he is bored
or in pain Tony will bang his head on the wall and will scratch at the skin on his arms to make
them bleed heavily. These wounds then require dressings. He will also, when very agitated his
behaviour escalates and he will try and grab female staff's hair or punch out or bite to cause
bruising on others, including other residents. This can have an effect on other resident’s
behaviour. When this happens, Tony has to be taken to his room and given 'time out' to calm
down. Some staff will shut the door on him and keep him locked in till he calms. On rare occasions
he needs to be restrained but this is not done often. When Tony has a very long and aggressive
episode of challenging behaviour he becomes very upset and apologetic afterwards. '
Person centred planning
Person Centred planning (PCP) consists of a number of ways to help an individual plan their life and
their support aids. It is used to provide support and improve the individual’s independence. Person
centred planning can help to identify Tony’s personality such as his;
Likes (making friends)
Dislikes (loud music)
Routines (outing on their t-shirt before their trousers)
Hobbies (drawing, painting)
This plan can be referred to by staff members when they are unsure what to do with Tony. This will
keep him calm and happy, as well as giving him a good quality of care. A person-centred plan
ensures that the individuals needs and requirements are put first. A plan like this can also allow the
individual to fulfil wishes that they may not have fulfilled otherwise. This may include becoming
more independent or becoming more employable.
Positive behaviour management
Positive behaviour management involved identifying why the individual demonstrates such
challenging behaviours, and what triggers these behaviours. The triggers should be avoided once
they are known, this is to prevent any challenging behaviours. Positive behaviour management will
improve the overall atmosphere in the residential home. This will make it less likely for residents,
such as Tony, to display challenging behaviour towards residents or staff members. This can be done
by praising residents if they are well behaved, an example of this may be to praise Tony of he cleans
up after himself or co-operates well with staff members. This will then be seen as a desirable
behaviour to other residents.
