CALM - Crisis, Aggression, Limitation and Management
Training programmes on the management of challenging behaviour in learning disability services.
"Challenging" behaviour can be the result of many factors. It is often "functional" and generally achieves important needs for the challenging person. However, the stresses imposed by such behaviours can result in unhelpful perceptions of, and responses to, the challenging person. CALM programmes help health, education and care services to understand the complexities of such behaviours, and to assess and understand the underlying needs, which can then be addressed through the promotion of alternative, constructive behaviours.
The CALM approach employs the Positive Behavioural Support approach which lies at the heart of current legislation and is recommended by bodies such as the Royal College of Psychiatrists.
Domiciliary services may chose to deliver training based on the “Active Support” model. A skill teaching approach which recognises that domiciliary staff may come to define their support role in purely domestic terms (i.e. cleaner cook, bottle washer etc). This lowers morale, reduces quality inter - action with service users , which , in turn maintains or promotes challenging behaviour. Adopting an explicit skills teaching perspective can effectively address this well recognised dynamic.
Module 1 CALM Theory courses in the Management of Challenging Behaviour are reconised as underpinning knowledge for NVQ/SVQ levels 2 and 3.