e-book Challenging Behaviour

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Guideline Developer(s)
Contents:
  1. Antipsychotic medication for challenging behaviour in people with learning disability
  2. Common questions our doctors are asked
  3. Managing Challenging Behaviours - Care Matters
  4. What is challenging behaviour?
  5. Positive Behaviour Support

The service is available to families and care staff working with people who have diagnosed dementia and are behaving in ways that are challenging. This is why referrals are usually made by health professionals such as GPs, psychiatrists, community psychiatric nurses, or social workers. We know that caring for someone with dementia can be very hard work.

Antipsychotic medication for challenging behaviour in people with learning disability

Such behaviours can include:. We want to improve the wellbeing and quality of life of the person with dementia, and of the people caring for them. Whether at home or in a nursing home, we work with carers of people who have a diagnosis of dementia.

We understand that every case is different; it will take longer than one visit to develop an action plan. After the assessment, we will create a personal package that is suited to your circumstances. We will spend time with you, support you, and show you how best to care for the person with dementia — and specifically how to approach their difficult behaviours.

Often the people we work with are already in contact with mental health professionals, who will refer on to us.

Common questions our doctors are asked

If you are caring for someone with diagnosed dementia who is presenting with challenging behaviour and you are not in contact with a mental health professional, please give our contact details to your GP, who will be able to help. Once we receive a referral, we will contact you within 72 hours.

Get The Facts

These provided no evidence of whether antipsychotic medication helps or harms adults with learning disability and challenging behaviour. Antipsychotic medication for challenging behaviour in people with learning disability The term 'challenging behaviour', in the absence of psychiatric disorder, encompasses a wide range of behaviours that may be harmful to people or property, may be difficult to manage and may limit access to community facilities.


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Authors' conclusions:. Search strategy:.

Managing Challenging Behaviours - Care Matters

Selection criteria:. Data collection and analysis:.


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  • How to deal with challenging behaviour in adults?
  • What can you do to help??

Main results:. Some autistic people can display challenging behaviour. It includes what would normally be considered physically aggressive behaviour, but can also include other behaviours if they are having a negative impact on the person or their family.

Below we give some general ideas on strategies to try, and information on getting support. We also have specific information about the possible reasons for, and suggest strategies to address:.

What is challenging behaviour?

Behaviour has a function, and there could be a number of reasons for it. These may include difficulty in processing information, unstructured time, over-sensitivity or under-sensitivity to sensory stimuli , a change in routine , transition between activities, or physical reasons like feeling unwell, tired or hungry. Not being able to communicate these difficulties can lead to anxiety , anger and frustration, and then to an outburst of challenging behaviour. Completing a behaviour diary , which records what is occurring before, during and after the behaviour, could help you to understand its purpose.

Positive Behaviour Support

It is important to make notes on the environment, including who was there, any change in the environment and how the person was feeling. A diary may be completed over a couple of weeks or longer if needed. Be consistent in your approach to the behaviour, and ask others around the person to use the same consistent approach.

Speak clearly and precisely using short sentences. By limiting your communication , the person is less likely to feel overloaded by information and more likely to be able to process what you say. Support the person to communicate their wants, needs and physical pain or discomfort, eg by using visual supports. Using rewards and motivators can help to encourage a particular behaviour.