challenging / responsive behaviours symposium: developing an alberta action plan november 21, 2012...

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Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta, Edmonton, Alberta A joint initiative of The Alberta Challenging Behaviours Interest & Research Group & The Community Needs Driven Research Network in Continuing Care (ICCER) with support from the lnterprofessional Health Research Academy

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Page 1: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Challenging / Responsive Behaviours Symposium:

Developing an Alberta Action PlanNovember 21, 2012

Edmonton Clinic Health AcademyUniversity of Alberta, Edmonton, Alberta

A joint initiative of The Alberta Challenging Behaviours Interest & Research Group &

The Community Needs Driven Research Network in Continuing Care (ICCER) with support from the lnterprofessional Health Research Academy

Page 2: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Welcome!

Page 3: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Aim of the Symposium: Gathering together a network of health care providers, policy and decision makers, academics and researchers to: 1. Identify and discuss issues related to the provision of

health care services for individuals across Alberta, their families and caregivers, who live and cope with responsive behaviours associated with dementia, mental illness, addictions, brain injury, developmental disabilities and other neurological conditions.

Page 4: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Aim of the Symposium: Gathering together a network of health care providers, policy and decision makers, academics and researchers to: 2. Develop an action plan (involving clinical practice,

education/training, system change, clinical leadership/mentoring, and research priorities) to address this challenge across the continuum of care.

Page 5: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Roadmap (Behavioural supports Ontario (2012) Behavioural Education and Training Supports Inventory (BETSI) – A Decision Making Framework, p. 10, 19).

TransitionClinical Best

Practice

Education & training

Clinical leadership/mentoring

Systems Change

Research Priorities

Current State Future state

Page 6: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Anticipated Symposium Outcomes: Current and future state - where we are now and where

we want to goResearch priorities - informing of a research agendaIdentification of go forward mechanisms - for systems

change, health care service delivery, policy, education/training

Page 7: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Working GroupsClinical best practice; practice guidelines, competencies,

evidence-basedClinical leadership, frontline mentoring; team resources Education training; existing programs,

regulated/unregulated, formal training, continuing educSystem issues/supports; policies, structures, funding,

data collection, organization resources, strategic direction, system navigation/transition

Page 8: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Working GroupsIn each working group, please discuss: Current experiences (successes and challenges in

managing challenging responsive behaviours) Current barriers/challenges along with accompanying

suggestions for change/potential solutionsCurrent strategies/resourcesRecommendationsResearch Priorities

Page 9: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

System Levels of a BSS:BSS that integrates services provision on all of the following levels:

•System•Organization•Team•Person

Page 10: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Guiding Principles of a BSS:BSS that adopts the following guiding principles: Care is relationship-centred and person-directedCare system must be accountable and provide leadershipBehaviour is communicationCare is provided in the least restrictive environmentRespect is given for all Care includes health promotion and chronic disease

preventionHealth technology

Page 11: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Components of a BSS:BSS that incorporates the following components: An integrated Care SystemComprehensive Health servicesCollaborative care Culturally appropriate servicesContinuous quality improvementSupportive access to resourcesSupportive environmentsCaregiver supportEducation and training Health technology

Page 12: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Core Competencies of a BSS:BSS that aims to foster development of the following Core Competencies in all working with this population:

Knowledge Cultural Values and Diversity Person Centred Care Delivery Prevention and Self-Management Clinical Skills Resiliency and Adaptability Field Based Quality Improvement and Knowledge Transfer Collaboration and Communication Change Management Skills Technology Skills Leadership, Facilitation, Coaching and Mentoring Professional and Work Ethics

Page 13: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Roadmap (Behavioural supports Ontario (2012) Behavioural Education and Training Supports Inventory (BETSI) – A Decision Making Framework, p. 10, 19).

TransitionTransformation

Zone

Use Innovations

Develop Implementation

Infrastructure

Change Systems

Current State Future state

Page 14: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Interactions: Program Implementation & Interventions

(Behavioural supports Ontario (2012) Behavioural Education and Training Supports Inventory (BETSI) – A Decision Making Framework, p. 20).

Page 15: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

www.bsa.ualberta.cawww.behavioural supportsalberta.ualberta.ca

Page 16: Challenging / Responsive Behaviours Symposium: Developing an Alberta Action Plan November 21, 2012 Edmonton Clinic Health Academy University of Alberta,

Thank You!

[email protected]@iccer.ca