Unit 27 P3 M2 D1 Contribution to a strategy for dealing with challenging behaviour Megan Scully
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 residents 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) is a collection of methods intended to aid an individual in planning
their support requirements and their life. PCP is most often used as life designing model to facilitate
disabled individuals or individuals who require support to enhance and improve their self-
determination and independence. PCP is extremely important for Tony, as it aims to view his
personal needs, likes, dislikes, wishes and distractions. This would be crucial in Tony’s care as it
provides employees with a collection of guidelines that can be adhered to and referred to guarantee
that Tony obtains everything he requires in order to receive the best possible care. Person centred
plans are an expellant strategy as it allows for the individuals desires and requirements to be
prioritised, which will confirm that the needs of the individual are met. Person centred planning is
beneficial because it can introduce achievements into the life of the individual, this could be through
the promotion of independence, enhanced social inclusion, greater employment prospects, or less
reliance on benefits. Person centred planning is also beneficial on health and social care services as
the use of PCP continually provides knowledge on how services such as PCP can be enhanced to
better support individuals with challenging behaviours.
Positive behaviour management
Positive behaviour management is a method which is used in order to support behaviours. The
phases of positive behaviour management are identifying why the individual demonstrates
challenging behaviours, also known as the triggers. Positive behaviour management is also
concentrating on the issues of the individual in order to avoid continued episodes of challenging
behaviours. Positive behaviour management is beneficial as its use may improve the climate of the
residential home as less time may be spent on the re-direction and punishment of residents who act
out negatively. It will also increase the atmosphere and behaviours of residents through the
integration of statements of praise, for example, “Thank you, Tony, for listening the first time”. It can
also help with the behaviours of other residents with challenging behaviours as other residents may
learn from example. If Tony is adhering to the rules and acting positively, he will become a positive
peer model through displaying desirable behaviours.
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 residents 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) is a collection of methods intended to aid an individual in planning
their support requirements and their life. PCP is most often used as life designing model to facilitate
disabled individuals or individuals who require support to enhance and improve their self-
determination and independence. PCP is extremely important for Tony, as it aims to view his
personal needs, likes, dislikes, wishes and distractions. This would be crucial in Tony’s care as it
provides employees with a collection of guidelines that can be adhered to and referred to guarantee
that Tony obtains everything he requires in order to receive the best possible care. Person centred
plans are an expellant strategy as it allows for the individuals desires and requirements to be
prioritised, which will confirm that the needs of the individual are met. Person centred planning is
beneficial because it can introduce achievements into the life of the individual, this could be through
the promotion of independence, enhanced social inclusion, greater employment prospects, or less
reliance on benefits. Person centred planning is also beneficial on health and social care services as
the use of PCP continually provides knowledge on how services such as PCP can be enhanced to
better support individuals with challenging behaviours.
Positive behaviour management
Positive behaviour management is a method which is used in order to support behaviours. The
phases of positive behaviour management are identifying why the individual demonstrates
challenging behaviours, also known as the triggers. Positive behaviour management is also
concentrating on the issues of the individual in order to avoid continued episodes of challenging
behaviours. Positive behaviour management is beneficial as its use may improve the climate of the
residential home as less time may be spent on the re-direction and punishment of residents who act
out negatively. It will also increase the atmosphere and behaviours of residents through the
integration of statements of praise, for example, “Thank you, Tony, for listening the first time”. It can
also help with the behaviours of other residents with challenging behaviours as other residents may
learn from example. If Tony is adhering to the rules and acting positively, he will become a positive
peer model through displaying desirable behaviours.
