Specialist Behaviour Intervention Support (SBIS) is intensive personalised support for clients wishing to address any behaviour of concern that prevents them from reaching their goals.
JMS has built their procedures for delivering SBIS on Positive Behaviour Support (PBS) and Trauma Informed Care (TIC) principles. This creates an individualised and comprehensive approach that aims to reduce or eliminate the client’s need to utilise challenging behaviours.
JMS behaviour support is a collaborative process that includes the client and others with whom the client consents to be involved such as family, guardians, support workers and other allied health professionals. JMS practitioners methodically collect all the quantitative (numerical data), qualitative (descriptive data) and anecdotal (what people tell us) information available. This includes health and medical information. Compiling this information on a timeline and analyzing its meaning gives us the clearest individualised picture of our clients.
One of JMS Allied Service’s primary goals is to identify, reduce, and potentially eliminate any restrictive practices. Section 9 of the NDIS Act 2013 defines a restrictive practice as ‘any practice or intervention that has the effect of restricting the rights or freedom of movement of a person with disability’. There are five categories of regulated restrictive practices that are monitored by the NDIS Commission. These are:
1. Seclusion – the sole confinement of a person with a disability in a room or a physical space at any hour of the day or night where voluntary exit is prevented, or not facilitated, or it is implied that voluntary exit is not permitted.
2. Chemical Restraint – the use of medication or chemical substances for the primary purpose of influencing a person’s behaviour. It does not include the use of medication prescribed by a medical practitioner for the treatment of, or to enable treatment of, a diagnosed mental disorder, a physical illness or a physical condition.
3. Mechanical Restraint – the use of a device to prevent, restrict, or subdue a person’s movement for the primary purpose of influencing a person’s behaviour but does not include the use of devices for therapeutic or non-behavioural purposes.
4. Physical Restraint – the use or action of physical force to prevent, restrict or subdue movement of a person’s body, or part of their body, for the primary purpose of influencing their behaviour. Physical restraint does not include the use of a hands-on technique in a reflexive way to guide or redirect a person away from potential harm/injury, consistent with what could reasonably be considered the exercise of care towards a person.
5. Environmental Restraint – which restricts a person’s free access to all parts of their environment, including items or activities.
If a restrictive practice is being implemented practitioners must mandatorily report it to the National Disability Quality and Safeguards Commission. Following this, a functional behaviour assessment must be conducted.
Functional behaviour assessment (FBA) is a process for collecting information to determine why a type of behaviour is used and serves as the foundation for the clients’ Behaviour Support Plan (BSP). JMS practitioners will conduct a constellation of assessments which may include:
Using the collected information, and findings of the functional behaviour assessment JMS practitioners will design and create an individualised positive behaviour support plan. The plan will be specific to the individual and include proven strategies and techniques that aim to improve the client’s quality of life and personal well-being.
The plan may include strategies to help develop or improve skills such as communication or independent daily living. JMS behaviour support plans also include strategies to help others provide individualised support. The plans will help parents, family, carers and support workers understand the meaning behind the behaviours of concern and the actions they need to take to assist the person when they become dysregulated. Importantly, the plans set out guidelines for everyone when there is a risk to the person or their support network. The aim of the plan is to prevent the need for challenging behaviour and to improve the client’s personal well-being.
JMS Allied Services behaviour support plans are regularly assessed using the Behavior Support Plan Quality Evaluation tool 2nd Edition (BSP-QEII) by Specialist Practitioner Dr Matthew Snow.
JMS Allied Services clients must consent to, and sign their behaviour support plan, and any new versions created before they are provided to the client’s support network. We seek our client’s guidance, input and consent during all stages of our therapeutic relationship.
A central part of a BSP is monitoring the efficacy of the strategies it contains. Our client’s plans include a QR Code and URL link to the client’s online behaviour report form. During the training of the client’s support network, they will be requested to complete a report at the end of every shift. The data collected is customized to match the clients’ BSP. The data is checked and analysed for any irregularities on a monthly basis. Should the practitioner identify from the data that a strategy is not efficient they will conduct a mini review of the plan and replace the inefficient strategy with one that may be more effective. Any major episodes reported will trigger an automatic meeting with the client and their support network.
Plans are analytically reviewed to ensure the strategies and techniques are working and effective. Information is collected in a scientifically methodical way to inform practitioners of the plan’s effectiveness. If any adjustments need to be done, practitioners will be as informed as possible to do so.
It is mandatory for behaviour support practitioners to submit a Behaviour Assessment Report to the NDIS 6 weeks before the client’s next NDIS plan review meeting. The BAR informs the NDIS of the client’s progress, the barriers encountered and how they were / or are to be overcome, and a recommendation for the level of support the client requires to meet their new NDIS goals.
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Please complete the information on the following link for behaviour support referral. Our friendly team will be in contact once submitted.
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