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BILD's Positive Behaviour Support mission

Around half of all people with learning disabilities and challenging behaviour are subject to physical interventions. The right policies and practice, and high quality training, to increase staff skills and confidence and reduce injuries, is therefore critical. Much had been achieved by BILD’s work in this area over the last 10 years through the BILD Code of Practice and Policy Framework and our physical interventions accreditation scheme.

However, we felt increasingly that it was time to change direction, to focus less on physical restraint, more on positive behaviour support; not how to ‘restrain better’ but how to ‘restrain less’. This year we set out a new positive behaviour support mission to challenge the misuse of restrictive practices including the use of seclusion, time out and mechanical restraint when supporting people whose behaviour organisations find challenging. The Mission statement is shown below, if you'd like to show your support for this approach, please do sign up using the 'signup' email address shown.

In the last six months BILD has launched two major new publications: 'Ethical Approaches to Physical Interventions, Volume II: Changing the Agenda' edited by Professor David Allen and the Third Edition of the 'BILD Code of Practice for the use and reduction of restrictive physical intervention' which sees a major revision of this key publication.
 
We have convened a Positive Behaviour Support Research Group to begin work on exploring and defining the research and evidence base for practice in this area and the work of this group will build over time.

At our International Research and Practice conference in Dublin in early May we  awarded the inaugural BILD Positive Behaviour Leadership Awards, recognising good practice in the field of positive behaviour support.

Our development manager for positive behaviour support, Sharon Paley, can be contacted at s.paley@bild.org.uk
 


BILD makes concerns clear to Minister on 'use of force' guidance for teachers

The British Institute of Learning Disabilities welcomes the announcement that there will be a review of guidance that covers measures to tackle behaviour and discipline in schools, including the Use of Force. Considerable confusion exists for teachers and others working within schools with regard to matters related to discipline, their powers to search pupils and the Use of Force. We also acknowledge that professionals who work within educational settings often work with a number of pupils who have behaviours which can be challenging to deal with or present a risk to themselves or others.

However, it is our strong belief that any review of guidance must take account of the needs of children and young people, recognising that those who exhibit behaviours that are challenging may also be very vulnerable themselves. They may have additional needs that contribute to the behaviours they display within a school environment, including children with communication difficulties, specific learning difficulties or autism. 

In his announcement to the Houses of Parliament on 7 July, Mr Nick Gibb MP, stated: “In the next Education Bill, we intend to give teachers a more general search power covering any item which may cause disorder or pose a threat to safety.”

Whilst accepting that children are now more likely to bring inappropriate items into school, BILD believes that the Minister should give further consideration to how such powers will be interpreted and used. In reality, such powers may not be welcomed by most teachers. Currently, we believe that insufficient consideration has been given to the practical implications of extending the power of teachers to search pupils. We believe that such an extension would increase the risks to teachers and pupils and be open to challenge under Human Rights legislation.
We are further concerned that an apparent ‘strengthening’ of guidance may give teachers, and others working in schools an impression that they can use force regardless of the specific circumstances. This will potentially increase the risk to them of allegations and prosecution.

Sharon Paley, BILD’s Development Manager for Positive behaviour Support, stated: “Any ‘right’ to search’ or ‘remove’ a pupil must be balanced by legal requirements and any individual would still have to ensure their actions were lawful. There is a real danger that if any further guidance is not absolutely clear in stating the legal position for a teacher, then this will actually lead to more teachers being accused of assault. I speak from first hand experience of supporting friends and colleagues in stating that this is not acceptable. In the most part, teachers are honest, decent people undertaking a very difficult task. It is my understanding, as an expert witness, that statutory legislation will not excuse unlawful behaviour.”

In his statement, Mr Nick Gibb MP, also said: “We will issue much shorter and clearer guidance which explicitly states that teachers can physically remove disruptive children from class and prevent them from leaving a room in situations where this is necessary to maintain order.”

If new guidance is to be helpful it should more clearly define terms like ‘disruptive children’ and clarify what is meant by such terms as ‘maintain order’. It would also be helpful if any further guidance on the use of force could be more succinct whilst clarifying terminology to make it much easier for professionals working in schools to interpret.

“In the past, phrases such as ‘significant disruption’ have been used in guidance to discuss when it may be appropriate to use physical force. This is unhelpful because it requires a degree of subjective assessment based on individual experience to assess what constitutes ‘significant disruption,” said Sharon Paley, “the Minister states that the revised guidance will be shorter and clearer. I suggest that the guidance will need a great deal of consideration if it is to be helpful in preventing yet more teachers being falsely accused of assault or worse by pupils.

BILD believes that if all children are to ‘achieve to the best of their ability’ it is also important to create an environment in which all children feel safe and valued for their contribution. Maintaining a safe and caring environment is an important aspect of school life, and any review of the guidance must positively contribute to such a culture and ethos.”

BILD has written to the Minister asking for clarification on the specific concerns it has raised, and for such clarification to be made absolutely clear in the guidance resulting from the Education Bill. 
 


Australian parliament debates the use of chemical and other restraints

Bill Shorten (Maribyrnong, Australian Labor Party, Parliamentary Secretary for Disabilities and Children's Services)

"I want to draw the attention of the House to the use of chemical and other restraints on people with an intellectual disability. The number of young people with an intellectual disability, particularly autism, being subjected to physical or chemical constraint is far too high in Australia today. A very useful report by the Victorian Senior Practitioner, Jeffrey Chan, on behalf of the Victorian government has highlighted this problem. He reports that in Victoria there are approximately 2,000 people in care facilities being restrained on an almost permanent basis. I should put this in the context that the use of restraint and seclusion is not peculiar to Victoria; it occurs in all Australian jurisdictions and in international jurisdictions. Indeed, I would submit that Victoria is leading the way in monitoring and ensuring that standards are followed and complied with, particularly within a human rights framework. Nevertheless, it is true that belts, body suits, solitary confinement and medication are being used to control behaviour in Australian facilities.
 
Dr Chan has urged a rethink about the treatment of 827 very vulnerable people he found to be living almost permanently under a heavy dose of drugs and other restraints. Most of these 827 had multiple disabilities, 35 per cent had autism and most were men aged between 15 and 44. Whilst restraint might be the right thing to do from a medical point of view and in some cases a health and safety point of view, there is no doubt in my mind that it is happening too often. It is a big thing to physically shackle a person, remove their independence and personality through medication or put them into solitary confinement. It should only ever be considered as a last resort. It should not be a substitute for proper care and treatment. It should not be a solution which removes the need to address the causes of a patient’s difficult behaviour. It should only be done to prevent self-harm or harm to others.

I do not wish to single out Victoria because I believe they are doing more to monitor this than any other jurisdiction in Australia. I believe it is a cultural problem which exists across all our jurisdictions and elsewhere it just has not been reported on with the thoroughness and openness that has happened in Victoria. I do know that both New South Wales and Queensland are working on positive behavioural intervention teams. Kevin Stoner, from the Victorian Advocacy League for Individuals with Disability, has said that the level of chemical restraint in Victoria is something about which we should hang our heads in shame. The issue, I am pleased to say, has been made a priority by the national government. With 2,000 people being restrained in Victoria alone, it is likely that there are upwards of 8,000 people being restrained as I speak. We are working with the states and territories on a national mental health seclusion and restraint project. We want to establish national standards and find out the extent of this practice across jurisdictions. We need national collection of data and national standardised definitions to inform policy and practice."

Dr Jeffrey Chan was a keynote speaker at BILD's recent International Conference for Research and practice in positive behaviour support held in Dublin in May.


Report of the First International Conference for Research and practice in Positive Behaviour Support, convened by BILD

The first International Research and Practice Conference held in Malahide, Dublin on 6th and 7th May 2010 marked the 10th annual behaviour support event hosted by the British Institute of Learning Disability (BILD). These conferences have in the past focused on best practice in the use of physical interventions and the drive to create and further raise standards in training and practice.

This conference offered delegates the opportunity to hear a number of key speakers, including Gary La'Vigna from Los Angeles (pictured above) and attend practice based workshops. Delivered over two days following an established and successful format, it proved to be a very popular event and  great opportunity to hear from acknowledged experts in the field and to gain a wealth of knowledge, engage in debate and exchange new ideas over two busy days.

Despite attempts by volcanic ash to disrupt the proceedings, the event was attended by in over 150 delegates and speakers over the two days, many using alternative modes of transport to ensure they could attend the event.

Download the conference report in Word format.
 


BILD National Positive Behaviour Support Conference 2011 - call for workshop papers

A popular event in the suite of events hosted by BILD, the National Positive Behaviour Support Conference is planned for 5th and 6th May 2011, to be held in the East Midlands.

This event will follow the first International Research Event hosted by BILD in 2010 in Dublin. It is hoped that the 2011 conference will attract a wide range of professionals and individuals who have an interest in this field including people with experience of using services. BILD is keen to encourage presentations from people who have learning disabilities and experience of using services.

The language of the event will be English

Download the Conference paper information and application form in Word or PDF format.


Latest:

Major boost to the campaign against the use of seclusion

In the United States of America, the House of Representatives has taken action to protect students with disabilities from abuse by passing the Preventing Harmful Restraint and Seclusion in Schools Act (H.R. 4247)

The Preventing Harmful Restraint and Seclusion in Schools Act will put significant restrictions on schools restraining children, confining them in seclusion rooms, and using aversive interventions to harm them. A Government Accountability Office study found hundreds of cases over the last two decades of alleged abuse and death from restraint and seclusion in public and private schools. The majority of students in the study were students with disabilities.

More information about this vote here.
 


Positive Behaviour Support Information

Behaviour Management Information from BILD

Books about Positive Behaviour Support

Training events about Positive Behaviour Support

BILD's Physical Intervention Accreditation Scheme

Induction workshops
These events are suitable for all organisations who train in the use of physical intervention, who are considering whether they wish to apply for accreditation under the BILD Physical interventions Accreditation Scheme.

Information is available for commissioners of training about the Physical Interventions Accreditation Scheme in Word or PDF format.

List of Accredited Organisations
 

 

Physical Intervention - Changing the agenda

 

BILD's new publication, 'Ethical Approaches Volume II - Changing the agenda' will be seen as a seminal publication by many and is a must for any service or professional working in this field with a genuine interest in improving evidence practice.

 

EthicalapproachescoverEthical Approaches II explores some of the most important and current issues and debates within the field of behaviour support. Contributions from researchers and practitioners give this book a focus on both evidence based research and practice issues. In real terms this is a book people can make use of in their own practice and use for research and reference.

This volume explores controversial topics such as chemical restraint, restraint related deaths, mechanical restraint and seclusion, as well as discussing less controversial subject matters including aspects of training including exploring issues related to training parents and carers, restraint reduction and proactive support for people.

Importantly, section 3 of the publication, 'The Paradigm Shift', takes the publication away from reactive management and the issues associated with it, allowing the reader to consider how we might effectively move towards implementing the strategies that will eventually reduce and eliminate the use of restrictive practices, inviting the reader to take a more strategic approach to prioritising our support of people who may challenge our services.

Find out more or place an order
 

 


York '09: BILD sets out a new mission to challenge restrictive practices

The 9th Positive Behaviour Support conference was hosted by BILD in York in May 2009. Attracting over 100 delegates the event focussed on highlighting positive approaches to supporting individuals who challenge services and reducing the use of restrictive practices.

Read all about the conference, speakers and workshops.


BILD's Positive Behaviour Support Mission

It is BILD’s mission to:

1. Make sure that all people with learning disabilities can exercise their
human rights and be valued members of their local communities.
2. Focus on vulnerable and disadvantaged groups including:

- People with complex needs
- People from black and minority ethnic communities
- People with autism
- Offenders and those in the judicial system
3. Work in partnership with families, carers, friends and the key individuals in people’s lives.
4.

Ensure that people’s individual communication needs are positively
addressed.

5. Develop and promote an evidence base for practice.
6. Develop a framework of good practice guidance that focuses on positive behaviour support and person-centred planning.
7. Identify, disseminate and promote good practice in reducing the use of restrictive practices and the implementation of positive behaviour support.
8. Educate all stakeholders that the use of restrictive practices is potentially dangerous.
9. Eliminate the use of unnecessary restrictive and aversive practice.
10. Ensure that appropriate training and learning opportunities are available for all staff and supporters.

Launched at BILD’s Annual Behaviour Support Conference
York, May 2009

You can download this statement as a Word file, or as a .pdf file.

If you would like to show your support for BILD's Positive Behaviour Mission please give us your details at signup@bild.org.uk - we will be listing the names of all those signing up on this website. Thank you.


 

   

BILD's
Behaviour Support publications



















The BILD Code of Practice
Third Edition

Find out more or place an order




Supporting Parents and Carers



Easy Guide to being Held Safely




Ethical approaches to physical interventions
Volume II. Changing the agenda


Edited by David Allen

The topic of physical intervention is still hugely important: the abuse of such interventions features all too regularly in national scandals, and people with intellectual disabilities and other individuals with complex needs are still dying in the UK as a result of the use of inappropriate restraint.
 
Through rigorous analysis of current policies and practices, careful examination of physical interventions and abusive practices, and clear discussion of objectives and needs for the future, this new publication offers a major overview of key developments and current best practice in the field.

2009   
ISBN 978 1 905218 11 0      
Publication cost: £25

Find out more or place an order


All these publications, and many more, can be bought online on this website now - see full details here.

 





 



 
 

 

 

 

 

 

 

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