Service Framework

Each service user receiving services from HQL will be provided with a comprehensive support package, comprising the following components:

• An Individual Care Plan incorporating a comprehensive Risk Assessment and Management Plan detailing support for all areas of the person's life.


• Each person would recieve Positive Behavioural Support Interventions based on the Multi Element Model (LaVigna & Willis, 1995) (within the Care Plan under the Section on Challenging Behaviour) as follows:

Click on the boxes with the ( i ) for more detail.

The Multi Element Model of Behavioural Support

The support framework at HQL is based on the Multi Element Model, devised by Dr Gary LaVigna and Dr Tom WIllis of the institute of Applied Behavioural Analysis. This model provides a framework for the development of Non-Aversive strategies to support people who present challenging behaviour, with strategies divided into the following areas:

1. Environment Strategies - aimed at reducing the occurrences of events or situations in the person's environment identified as potential factors increasing the likelihood that the person may present challenging behaviour.
2. Positive Programming - Aimed at developing the person's coping and tolerance skills for events of situations in which the currently present challenging behaviour.
3. Focussed Support - Aimed at supporting the person when unavoidable events occur that the person has not yet learnt to cope with. These strategies are intended to prevent a recognised but unavoidable behavioural trigger leading to an incident of challenging behaviour.
4. Reactive Strategies - Aimed at bringing about rapid and safe control of challenging behaviour of the above strategies are unsuccessful in preventing the behaviour from occurring, including Strategies for Crisis Intervention and Prevention (SCIP)

These strategies are presented in the form of Individual Support Guidelines for staff working with the individual, and developed through an on-going process of assessment.

Reference:

LaVigna, G W., & Willis, T. J. (1995). 'Challenging Behaviour: A model for breaking the barriers to social and community integration', Positive Practice 1 (1), 1, 8-15