'Environments of concern': reframing challenging behaviour within a human rights approach.

While disability is recognised by the United Nations Convention on the Rights of Persons with Disabilities (CRPD) as an evolving concept, the language of positive behaviour support has not kept pace with the current human rights-based approach. The widely-used terms 'challenging behaviour' and 'beha...

Descripción completa

Detalles Bibliográficos
Publicado en:International Journal of Developmental Disabilities Vol. 69; no. 1; pp. 95 - 101
Autores principales: Jorgensen, Mikaela, Nankervis, Karen, Chan, Jeffrey
Formato: pictorial Journal Article
Publicado: Taylor & Francis Ltd Jan2023
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161688209&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 161688209
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        20473869
        F2SP
      jtl: International Journal of Developmental Disabilities
      issn: 20473869
      maglogo: N
    pubinfo:
      dt: Jan2023
      vid: 69
      iid: 1
      pid: 377
      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
    artinfo:
      ui:
        161688209
        161688209
        161688209
        10.1080/20473869.2022.2118513
        161688209
      ppf: 95
      ppct: 6
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: 'Environments of concern': reframing challenging behaviour within a human rights approach.
      aug:
        au:
          Jorgensen, Mikaela
          Nankervis, Karen
          Chan, Jeffrey
        affil: Senior Practitioner Division, NDIS Quality and Safeguards Commission, Sydney, Australia
      sug:
        subj:
          Persons with Intellectual Disabilities Psychosocial Factors
          Human Rights
          Social Behavior Disorders Therapy
          Language
          Positive Psychology
          Support, Psychosocial
          Social Environment
          Models, Theoretical
          Home Environment
          Residential Care
          Adaptation, Psychological
          Psychology, Social
          Depersonalization
          Interpersonal Relations
          Mindfulness
          Psychotherapy
          Psychological Well-Being
          Stigma Prevention and Control
          School Health Education
          Outcomes (Health Care)
      ab: While disability is recognised by the United Nations Convention on the Rights of Persons with Disabilities (CRPD) as an evolving concept, the language of positive behaviour support has not kept pace with the current human rights-based approach. The widely-used terms 'challenging behaviour' and 'behaviours that challenge' imply that the behaviour is inherent in a person with disability. Words have power in shaping practice: when the behaviour of the person with disability is framed as the problem, this leads to a pathologisation or labelling that can provide a rationale to medicate and restrain as a way of 'managing the challenging behaviour'. Many behaviours seen as being challenging could be better understood as 'adaptive behaviours to maladaptive environments', or legitimate responses to difficult environments and situations. In this paper, we argue that the language and implementation of positive behaviour support should better take into account the CRPD and contemporary evidence on behaviour change interventions, which support a shift away from focusing on individuals' behaviours towards putting environments front and centre. We outline how the social-ecological model could be used as a framework to more explicitly address 'environments of concern' in developing tailored and system-wide responses to behaviour support needs. We argue there is an urgency for this paradigm shift to better reflect the views of people with disability and improve outcomes.
      pubtype: Academic Journal
      doctype:
        pictorial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N