Discipline/punishment in the care setting

Hi everyone. I'm a support worker for adults with autism. They're non verbal and some can be quite hard to get to engage with things, even things like opening christmas presents with loads of chocolate and stuff they like inside. One of our residents enjoys using her iPad and is allowed it from 2pm until it dies (I personally think it's nonsense she can't just have it all day as she just watches tele the rest of the time or might do a puzzle with you but that's another topic. It has its pros, we can get her to go to the toilet before we give it to her or to go for a little walk before as she doesn't get much exercise. I'm sure she'd still do these things If she had her iPad in the morning too.) Anyway she will often have a bit of an episode often for not really any reason and hit a member of staff out of the blue that she really adores or her mum and then will get very upset and bite and hit herself. Mostly at the shock she just hit a person she loves I think and at someone shouting "oh my god No!". And then members of staff will say "right no iPad now then" and she will then lie on the sofa in the lounge for sometimes the rest of the day with her face against the back rest and it just makes me sad. I'm sure she doesn't understand why after lunch she then isn't allowed her iPad because of something she did in the morning that is over now. I feel that telling her what she did was wrong in the moment is fine, she signs sorry and genuinely is sorry. When she is punished it ruins the rest of her day and I feel like it doesn't improve the odds of her not doing it in the future at all. If we can't Learn that how can we expect her to learn?

I was just wondering if anyone thinks I'm wrong and the punishment is a valid behavioural technique. I have had absolutely no training at all on how to actually deal with autiatic behaviour and its been a year and a half now, i absolutely love the job and the residents. We have of course had studio 3 training on how to get out of being grappled which never happens. Punishment is the done thing at my work so I kind of feel like I'm the odd one of almost 30 staff

I'm certainly seen as quite liberal at work and have come to odds with other staff about giving them too many chocolate milks (maybe 2 in a 3 hour period) and other such things. I just feel like they should be allowed to have what they want. I eat a whole packet of biscuits when I buy a pack why shouldn't our bored residents indulge themselves every now and then. We don't even do pudding after dinner for goodness sake! What kind of institution doesn't at least do pudding?

Thanks everyone all advise would be welcome, I may show some answers to my boss. Thanks again 

Parents
  • Hi  

    your concern does you credit I believe

    Lots of good points made by  and  and yourself

    I'm saying the same things I think in respect of:

    Yes, doing the same thing and expecting different results is not generally considered to be wise behaviour

    finding out what is triggering it if possible?

    Are there signals that are can be observed in the person before the outburst occurs 

    Are there changes in the person's environment and experience that precede it that may be causing it - maybe a closer investigation of this might reveal something

    The person as you describe them is clearly upset by the outcome 

    Does the person themselves have any insight they are about to "have a bit of an episode" - if they do not then punishment seems unfair to me. Especially if others might reasonably be able to have that responsibility.

    "prevention is better than cure"

    Working with them to be able to identify what they might be about to do - calming before it happens seems an idea to me

    "de-escalate"

    If de-escalation is not possilble...

    If the behaviour is mpulsive and learning to restrain this is hard.  Reshaping the behaviour to use "soft hands" allows it's expression albeit with a literally different impact would be great thing to explore.

    Maybe worth considering what reward does the person have for behaving in a different way?

    The i-pad is itself used to stimulate the "good" behaviour of being docile and passive so removal of it as punishment seems a strange thing indeed.

    I suspect there may be other reasons why the person is so upset in respect of not having the i-pad - e.g. the evidence of withdrawl from social contact may be because they are upset with themselves, or upset at being "disciplined".

    Overall living with the disabilities the person is indicated to have seems to be a punishing environment in itself.

    Yes training for all, learning from it and using it to beneficial effect for all seems to be especially important in context...

    This website has this page as a resource Positive Behaviour Support (PBS)

Reply
  • Hi  

    your concern does you credit I believe

    Lots of good points made by  and  and yourself

    I'm saying the same things I think in respect of:

    Yes, doing the same thing and expecting different results is not generally considered to be wise behaviour

    finding out what is triggering it if possible?

    Are there signals that are can be observed in the person before the outburst occurs 

    Are there changes in the person's environment and experience that precede it that may be causing it - maybe a closer investigation of this might reveal something

    The person as you describe them is clearly upset by the outcome 

    Does the person themselves have any insight they are about to "have a bit of an episode" - if they do not then punishment seems unfair to me. Especially if others might reasonably be able to have that responsibility.

    "prevention is better than cure"

    Working with them to be able to identify what they might be about to do - calming before it happens seems an idea to me

    "de-escalate"

    If de-escalation is not possilble...

    If the behaviour is mpulsive and learning to restrain this is hard.  Reshaping the behaviour to use "soft hands" allows it's expression albeit with a literally different impact would be great thing to explore.

    Maybe worth considering what reward does the person have for behaving in a different way?

    The i-pad is itself used to stimulate the "good" behaviour of being docile and passive so removal of it as punishment seems a strange thing indeed.

    I suspect there may be other reasons why the person is so upset in respect of not having the i-pad - e.g. the evidence of withdrawl from social contact may be because they are upset with themselves, or upset at being "disciplined".

    Overall living with the disabilities the person is indicated to have seems to be a punishing environment in itself.

    Yes training for all, learning from it and using it to beneficial effect for all seems to be especially important in context...

    This website has this page as a resource Positive Behaviour Support (PBS)

Children
No Data