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Guests were entced into a spacious environment adorned with reams of buntng, pompoms, fags, CDs, umbrellas and ribbons.
       In the late summer sunshine the environment met people’s sensory needs and was appreciated by all.

       Behaviour Support at Dimensions.     support of individuals with behaviours   He stressed the importance of
       He examined theories of the nature/  that challenge.                     monitoring and reviewing the use of
       nurture debate, our understandings of                                    medicaton ensuring it is essental,
       communicaton and the purpose and                                        side efects are managed and the use
       functon of behaviour in enabling    CHALLENGING BEHAVIOUR               regularly reviewed. His message
       social interacton.                  The connecton between sensory needs   was that medicaton is not the
                                            and behaviours seen to be challenging   answer to managing behaviours
       He used a simple example of how      was discussed by Surrey and Borders   that challenge and should be used
       contexts of behaviour and communicaton   Community Living Disability Team.   cautously as part of a robust
       link directly to outcomes. For example,   They examined the wider infuences and   PBS plan – an ethos echoed in
       if someone feels unwell and is asked to do   triggers to challenging behaviour and   NHS England’s STOMP (Stopping
       an actvity such as washing up, an actvity   how it is ofen a response to a situaton   Over-Medicaton of People with
       which is not meaningful or a priority for   or sensaton that the individual fnds   learning disabilites) campaign.
       them, they are labelled ‘challenging’   difcult to understand.
       if they react negatvely.                                                CREATIVE CURIOSITY
                                                                                Finally, the importance of curiosity
       ACTIVE SUPPORT                             PBS is a framework to         in the workplace was discussed by
       A session led by Sarah Keane and Pippa   help understand a person’s      Lynsey Way, PBS Strategy Lead with the
       Woodford  of the Avenues Trust used                                      Care Management Group (CMG).
       group discussion and role play to teach     behaviour, and then use      The session encouraged creatvity in
       and develop awareness of the impact and   that knowledge to improve      atendees and enabled them to think
       benefts of actve support and person   the person’s quality of life     for themselves.
       centred approaches on the lives of       and decrease behaviours
       individuals with varying disabilites,                                   The group identfed obstacles that
       cognitve impairment and behaviours           that challenge.            would inhibit curiosity, such as
       that challenge.                      They linked the benefts of using     increasing regulatons, staf set in
                                                                                their ways, fear of being critcised
       The unannounced role play lef the                                       or failure.
       audience in silence as staf undressed a   PBS to identfy the needs and
       member of the audience showing litle   triggers to a person’s behaviour,    Lynsey ofered advice for managers on
       respect, dignity or communicaton.   ensuring knowledge of the person is    ways to encourage curiosity in their
                                            embedded in the plan. This enables    teams, develop a culture where staf
       Their performance created an         the support, environment, actvites,    felt able to make suggestons,
       intense learning experience and      and communicaton to be managed to   queston practces and ideas,
       awareness of how such treatment      give pleasure and engender          and make mistakes.
       would trigger challenging behaviours –   a state of calm and relaxaton,
       from abuse and withdrawal to         whilst managing and minimising      The festval showed us that PBS is
       physical aggression.                 recognised triggers. It is essental that   not an interventon sought only
                                            professionals and carers work with   when a problem arises – instead it
       INCORPORATING STANDARDS              families to help the individual engage in   is a means to ensure individuals are
       Louise Denne and Alison Branch from   meaningful actvites.             supported in line with their needs,
       the PBS Academy spoke about the PBS                                      with staf understanding the importance
       Competence Framework and standards                                       of person-centred approaches,
       identfed for service providers and   Jonathan Beebee, Chief Enablement   individual development and learning –
       teams. People of varying backgrounds,   Ofcer and Nurse Consultant with PBS4,   in short, supportng people with
       including professionals and providers,   led an inclusive group discussion on the   learning disabilites and autsm to have
       worked together looking at the standards   widespread use of medicaton to   the best life possible.
       and relatng them to how their       manage challenging behaviours,
       organisatons were functoning and how   ofen with individuals with no diagnosed    e o       a    oniken
       they could incorporate them into the   mental health issue.                o os     a  an  la ke   o o  a

      www.cl-initatves.co.uk                                                 Community Living      Vol 31 No 2 | Winter 2017     19
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