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People with Challenging Behaviours

Challenging behaviours means doing something other people don't like. Examples are screaming, yelling at people, hurting yourself or another person. It is used to describe some people with disability. A person may do challenging behaviours for a particular reason. As a way of letting other people know something is wrong. If the person is unhappy but can't talk about it, they may get angry with themselves or other people. If the person does not understand why they have to do something or why they are not allowed to do something. These are some reasons why a person does challenging behaviours.

If a person has challenging behaviours, other people may get scared and say the person cannot live in the community. They may say the person needs to live in an institution so they don't hurt themselves or other people.

Michael Kendrick (2002) says "…individuals portrayed as 'behaviour challenged'…are relentlessly placed in homes that are not of their own choosing, forced to live with other people equally coerced into living with unrelated strangers, carefully controlled as to their smallest actions, regimented to conform to other people's vision of what their lives ought to be and perceived in the most profoundly prescriptive and pessimistic way as being incorrigible and malicious. Such are the outcomes of a failure to recognize that having a 'real' home, i.e. one comparable in character to that of most ordinary people, is a need that is fundamental to people's well-being."

Sally Barone is a Queensland mother of a young woman with severe disabilities including autism. She wants families to know that people with challenging behaviours can get supported living. Her daughter Sarah has challenging behaviours but she moved out of an institution into supported living.

Research shows that challenging behaviours often get better when people get the particular supports they need to live in the community. The supports have to be designed especially for the person. There is no single support that works for everyone. There are many different supports, depending on what works for each person. Michael Kendrick (2002) recommends for people with difficult behaviours, "…creating flexible individualised supports targeted on a person-by-person basis; not a single remedy but multiple remedies, one person at a time."

There are many examples of people with challenging behaviours who are living in their communities successfully with support.

 

  • Sally Barone describes how her family started the move to supported living for Sarah.
  • Lucyshyn & Horner (1995) discuss the results for one young woman with autism and self-injuring behaviour who left an institution and moved to supported living in the community. After the move people saw 'substantial improvements in Emma's behavior, community participation and social relationships'. After 2½ years of community living Emma was 'more alert, verbally assertive, conversational and affectionate… more independent, socially competent and happy.'
  • Laura Broderick (1997) describes a move to supported living for David, a young Scottish man with challenging behaviours. People who are important in David's life worked out a 'life plan' for David that said what he would want in life. Workers then helped David feel safe and relaxed, and helped him take more control over his life. David has moved into his own flat and he has a much better life now.
  • Karen Berkman (1993) describes the planning needed to get supported living for Eric, who lived in the USA in a prison section of a State Developmental Centre. Eric now gets support from room-mates, two small agencies, a case manager, friends, workers in an employment agency. He now makes his own choices, and has recreation, opportunities for social life and he is developing his communication skills.
  • Jay Nolan Community Services Inc. began working with people with autism and challenging behaviours. It now supports people with all kinds of developmental disability.

Read more stories

Barone S (2003). Negotiating Supports - One Family's Experience. Queensland Parents for People with a Disability. Family Advocacy's Inclusion Collection. File No: 11050.

Berkman K (1993). A home to call my own: individualising a community lifestyle for Eric. Network, 3(2) - May be accessed through Family Advocacy's Inclusion Collection. File No: 10494.

Broderick L (1997). David's Journey: From a locked ward to a life of his own. Community Living. Vol 10. No.3 - Family Advocacy's Inclusion Collection. File No: 10827.

Kendrick M (2002). Housing and Support for People with "Challenging behaviour"; Some Guidance, Presentation for Disability Services Queensland And The Queensland Department Of Housing, Brisbane, Queensland, Australia. March 11, 2002 - Kendrick Consulting.

Lucyshyn J, Olson D & Horner RH (1995). Building an ecology of support: A case study of one young woman with severe problem behaviors living in the community. Journal of the Association for Persons with Severe Handicaps (JASH). Vol 20, No 1, pp 16-30.

Steer M & Anniston J (1991). Severe behaviour: whose problem? Interaction. Vol 5, no. 3 .

 

People with Challenging Behaviours

People with complex medical needs

People with acquired brain injury

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