NAPPI training: Positively Supporting People in Distress
The overall aim of NAPPI training is changing lives, through the use of Positive Behaviour Support to improve the quality of the person's life and quality of life for those around them.
The NAPPI Positive Behaviour Support model consists of three sections along a continuum. An understanding of each section will improve how we support service users who present with behaviour of concern.
The green section of the model provides a framework for 'Active Support'. Understanding this section enables support staff to identify primary strategies. Used continuously, such strategies reduce stress and build resilience, in turn increasing quality of life. Training of the 'Lalemand Green Behaviour Scale' establishes how to work with each individual to promote their independence and encourage taking an active role in decision-making. In PBS this is about enhancing an individual's quality of life and increasing their wellbeing, thereby reducing the likelihood behaviours of concern will arise.
The amber section increases awareness of 'why' behaviour of concern occurs, and increases empathy for, and understanding of the service user. The top section identifies stress factors that can trigger behaviours of concern and when used as a person-centred tool, enables support staff to develop strategies which manage exposure to stress. The amber section also considers how a history of trauma can effect an individual's behaviour. The bottom section reviews the responsibility of the wider care team such as completing the 'Post Incident Review' process. A well completed post-incident review can be very informative and should lead to learning so that quality of life is not affected. The process will consider Behaviour Coaching, the importance of reflection, 'Functional Assessment' and 'Trauma Informed Care'.
The red section serves as a framework for behaviours of concern and responses of the support team. Training of the 'Lalemand Red Behaviour Scale' provides an assessment tool to gauge the level of concern ranging from early signs of an individual's distress to loss of self-control. Used as a person centred tool the red section provides a framework for secondary strategies to de-escalate the behaviour, or to support them to self-manage, and tertiary strategies to ensure safety for the service user and others in the environment. Support staff increase their understanding of appropriate responses to each level of behaviour which would most often be non-restrictive. Rationale for the use of self-protection skills and restrictive physical intervention skills are also clearly identified within this section of the model.