Lecture Series 1
Series 1 consists of six lectures covering core information, which forms the basis for developing individual programs for clients with ABI.
Lecture 1: ‘Understanding Acquired Brain Injury’ (22 minutes)
This lecture focuses on brain anatomy and how the functions of the brain are organised. Specific cognitive and behavioural changes following ABI will be explained. Particular emphasis is placed on the role of each of the lobes of the cerebral hemispheres and the importance of understanding the role of the ABI in behaviour change.
Lecture 2: ‘Impact of ABI on the person, their life and their family, and the support worker role’ (23 minutes)
The second lecture of the series explores the impact of ABI on the person and their life, as well as that of their family. This lecture will note the importance of remembering that everyone with an ABI is unique. With some areas of the brain affected by injury and others spared, expect to see a significant contrast between the person’s strengths and weaknesses. The lecture will look closely at the loss of independence and life roles experienced for the person, and how a situation might snowball and outcomes for the person worsen over time. The role of the support worker is also addressed, with a particular emphasis placed on the key elements of effective support, highlighting the importance of establishing a good working relationship.
Lecture 3: ‘Recovery following Brain Injury’ (30 minutes)
The third lecture of the series discusses recovery following brain injury. Neuroplasticity is explained and the importance of embedding the principles of neuroplasticity into slow stream rehabilitation programs is emphasised. Although recovery may never be complete, this lecture emphasises the importance of positive support to promote learning and in improving long-term outcomes for people with ABI.
Lecture 4: ‘Understanding behaviour change after ABI’ (38 minutes)
Lecture four, alongside lectures five and six, focuses on behaviour change after ABI. It commences with understanding ways behaviour may change after ABI, defines challenging behaviour / behaviours of concern, and considers why the presence of challenging behaviour is a key reason for poor long-term outcomes. As workers, we can experience emotional reactions to challenging behaviour, which can lead us to judge the person negatively. However, if we do this, it is likely that we will respond in unhelpful ways, escalate the situation and feed a downward spiral. This lecture will emphasise the importance of understanding the role of our attitudes and reactions to behaviours of concern, and consciously choosing to think and respond in a helpful way. It will also introduce and discuss the importance of documenting a Positive Behaviour Support Plan.
Lecture 5: ‘Proactive approaches to managing challenging behaviour after ABI’ (35 minutes)
The fifth lecture of the series is the second lecture focussing on challenging behaviour / behaviours of concern. It will look at the ‘A’ in the ABC model (i.e. antecedent), focussing on the importance of both background factors and triggers. It will consider why antecedents are so important in understanding challenging behaviours and how antecedents can be created to prompt adaptive replacement behaviours. Finally, the lecture will look at some examples of proactive strategies to managing challenging behaviour after ABI.
Lecture 6: ‘Understanding the function of challenging behaviour after ABI’ (34 minutes)
The sixth lecture is the final lecture of the series, and the third lecture focussing on challenging behaviour / behaviours of concern. It will look at understanding the function of challenging behaviour after ABI. This lecture will consider the ‘C’ in the ABC model, and look at what the term ‘consequence’ means. It will discuss how through logical and natural consequences we can shape replacement behaviours and reduce incidents of challenging behaviour.
You can watch a short introduction/preview of the lecture series here and purchase access to view the videos immediately via the Vimeo platform.
Lecture Series 2
Series 2 applies the core material from Series 1 to a number of case examples of people with ABI who display challenging behaviours.
Lecture 1: ‘Physical Aggression during Showering’
The first lecture in Series 2 discusses a man named Michael, who displayed physical aggression towards carers during showering. The lecture commences by using the ABC model to understand Michael’s challenging behaviours, including the antecedents to, and consequences of, the behaviours. The lecture then outlines the Positive Behaviour Support Plan developed for Michael. This plan emphasises the importance of proactively managing the antecedents to aggression as well as developing skills to assist him to communicate his needs verbally and to increase his independence in the activity.
Lecture 2: ‘Repetitive Questioning and Verbal Aggression’
The second lecture in Series 2 is divided into two parts for ease of viewing. The lecture discusses a man named Adam, who displayed significant levels of repetitive questioning and also verbal aggression towards staff and other residents in his shared supported accommodation.
Part 1 presents the assessment findings and uses the ABC model to outline a detailed understanding of Adam’s challenging behaviour.
Part 2 outlines the Positive Behaviour Support Plan developed for Adam, including building his strengths, applying proactive strategies, encouraging his skill development and increasing his participation in meaningful life roles. The intervention resulted in significant reduction in challenging behaviours and an increase in prosocial behaviours. The lecture concludes by reviewing his outcomes after 12 months.