NICE Clinical Practice Guidelines for Challenging Behaviour

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The HSE National Service Plan for 2020 names ‘specialist behavioural support interventions’ p.57 for children and young people with complex / high support needs and intellectual disabilities as a service priority for 2020. Therefore, it is vital that professional communities with expertise in specialist behavioural interventions, facilitate dialogue and direct their colleagues towards best practice.

To support this dialogue the MBAF Journal Club will hold a facilitated discussion of the NICE guidelines. These guidelines outline best practice in the delivery of specialist behavioural interventions.  

The guidelines are available below

Challenging Behaviour and learning disabilities: prevention and intervention for people with learning disabilities whose behaviour challenges.

Date: 7th Jan, 2020 @ 19:00 – 20:00

Location: online. A link to the meeting room will be sent to registered participants.  

Number of Type 2 CEU’s: 1

Attendance Procedure: Sign in and Sign out with active participant responding and a feedback questionnaire.

Total Event Fee per participant:  Free to MBAF members and €5 to non-members

Names of Event instructors: The discussion will be chaired/facilitated by Alan Tennyson BCBA.

The event covers the following:

The National Institute for Health and Care Excellence (NICE) provides national guidance and advice to improve health and social care in the UK. The guidance provided by NICE is intended to direct the clinical activities of health and social care practitioners in the UK. This documents represents a significant review of the available evidence. Therefore the guidance they provide has a significant impact on training and delivery of services.  

These NICE guidelines pertain to interventions and support for children, young people and adults with a learning disability and behaviour that challenges. It highlights the importance of understanding the cause of behaviour that challenges, and performing thorough assessments so that steps can be taken to help people change their behaviour and improve their quality of life. The guidelines also covers support for family members or carers.

Attendees will be asked to consider and report on where these guidelines are congruent with their current practice and where they differ.  

Event is designed for: BCBA-D, BCBAs, BCaBAs and professional responsible for delivering services to children and adults who are described as challenging or who are at risk of challenging behaviour.

Event Level: Intermediate / advanced (BCBA / BCBA-D & BCaBA)

Learning Objectives for participants:

  1. Participants will read the NICE guidance.
  2. Participants will be asked to discuss two or more of the seven principal recommendations
  3. We recommend that BCBA’s attending review the BACB Fourth Edition Task List prior to attending

Specifically:

  1. General principles of care
  2. Support and interventions for family members or carers
  3. Early identification of the emergence of behaviour that challenges
  4. Assessment
  5. Psychological and environmental interventions
  6. Medication
  7. Interventions for coexisting health problems and sleep problems
  8. Participants will be asked to provide a critical appraisal.  Specifically, participants will be asked to consider and report on where these guidelines are congruent with the BACB Fourth Edition Task List and where they differ.  

Description of type 2 CEU Event:

These guidelines are specific to the remediation of challenging behaviour in people with an intellectual disability (learning disability in the UK).  It is therefore critical that BCBA’s working with this population have a through understanding of these guidelines.

This discussion group aims to;

  1. Develop participants skills identifying conceptually systematic interventions (4.01, Professional & Ethical Compliance Code for Behaviour Analysts)
  2. Confirm that participants are ‘maintaining competence in the skills they use by reading appropriate literature.’ (1.01, Professional & Ethical Compliance Code for Behaviour Analysts)
  3. Confirm that participating behaviour analysts have reviewed and appraised the literature with respect to ethical behaviour (2.09, Professional & Ethical Compliance Code for Behaviour Analysts)

Each participant will be asked to come prepared to provide a verbal report on the content of two or more of the seven principal recommendations and to answer questions from other participants on the contents.  Following this, a discussion of the topic will be facilitated/chaired by the identified facilitator. The facilitator will ensure that each participant contributes to the discussion.

Articles:

NICE (2015) Challenging Behaviour and learning disabilities: prevention and intervention for people with learning disabilities whose behaviour challenges.  

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