Studio III – Low Arousal Approach – Canada

Low arousal approaches were developed in the late 80s by Dr Andrew McDonnell BSc MSc PhD. The approaches are unashamedly non-aversive in nature. A central theme throughout this philosophy is the encouragement of carers to constantly question their own behaviour when working in care settings. Low arousal approaches are research-based and have been clinically tested by Studio III Training Systems, European leaders in the field of behaviour management.

The Studio III Low Arousal Approach

Autism Awareness Centre Inc. is pleased to announce a new training in Canada  – the Low Arousal Approach from Studio III UK. Created in 1990 by clinical director Dr. Andrew McDonnell, this training is for managing aggressive and challenging behaviour.

Low arousal approaches were developed in the late 80s by Dr Andrew McDonnell BSc MSc PhD. The approaches are unashamedly non-aversive in nature. A central theme throughout this philosophy is the encouragement of carers to constantly question their own behaviour when working in care settings. Low arousal approaches are research-based and have been clinically tested by Studio III Training Systems, European leaders in the field of behaviour management. Low arousal is the key to the philosophies and practices which underpin the Studio III training. These are now the chosen approaches of many services throughout the UK and Ireland.

Since the development of Studio III Training Systems in 1989, over 50,000 staff working in the statutory, private and voluntary sectors have been trained in the Studio III model of managing challenging behaviour. The Company’s courses have been developed and clinically tested to give staff the skills they require to meet the particular needs of the service user within a broad base of client populations. Topics covered in the training: working within the law; policy development, understanding the causes of challenging behaviour; the use of the “Low-arousal” approaches including interaction, defusion and distraction strategies; coping with challenging behaviours including debriefing – why it is necessary and how to do it, managing versus changing behaviours, physical avoidance skills and physical intervention strategies, are just a few.

Studio III Canada Training Systems provides a non-aversive approach to challenging behaviour. Studio III offers criterion-based training, working with staff to develop specific skills to meet the particular needs of the service user. It is essential that the background to the service user’s problems is understood by all staff and that this understanding is used to define the direction in which these problems may be addressed. Studio III is not a provider of generic physical intervention strategies as the majority of our work is designed to promote the management of challenging behaviour in a totally non-violent, gentle and dignified way by the use of “low-arousal” techniques and gentle physical skills.

The Studio III has developed a unique approach to managing challenging behavior – person-centred crisis management training.

Person centred crisis management training has five key elements:

Reflective Practice

Our training emphasises Reflective Practices. Staff/carers are often inadvertently causing challenging behaviours. If people realise they are part of the problem they can then accept that THEY are part of the solution.

Demand Reduction in Crisis

Our Low Arousal Philosophy often recommends the short term reduction of demands (sometimes including elements of behavioural programmes) on services users by staff. This allows for a ‘ cooling off’ period. We train staff that this approach is both realistic and humane although it often challenges their own behaviour and attitudes.

Restrictive Practices

Studio 3 trainers aim to use the least restrictive physical interventions. Part of this philosophy involves actively Restricting a number of physical interventions. (especially ‘face down’ and ‘face up’ restraint holds). This does not make us the easiest system to employ as the approach challenges services providers to avoid ‘quick fix’ physical techniques. Please read the Studio III position on physical interventions.

Service User Consultation

Applied research has been conducted into the physical restraint system developed by Studio 3 staff to ascertain the viewpoint of service users (Cunningham, McDonnell, Sturmey & Easton, 2002). We actively canvass the views of service users about physical interventions.

An Organizational Approach

Studio 3 provides Training Systems, not training courses. Services that adopt our training philosophy often have to alter policies and encourage a culture of openness and honesty about behaviour management practices. Most importantly, the behaviour management philosophy needs to be reinforced both by frontline and senior decision makers.

 

Training Staff

andrew_mcdonnellDr. Andrew McDonnell

BSc., MSc., PhD. Consultant Clinical Psychologist to and Director of Studio III Clinical Services; Director, clinical consultant and Team Leader to Studio III Training; formerly Clinical Psychologist to Monyhull Hospital Birmingham, UK. Andrew has particular interest in the design of community settings for people who challenge. He has extensive experience of working with service users with a learning disability and/or an ASD who self-harm.

Dr. McDonnell has been presented at several Autism Awareness Centre Conferences in 2013 in Victoria, BC, Edmonton, AB, Ottawa, ON and Halifax, NS. He is the author of Managing Aggressive Behaviour in Care Settings: Understanding and Applying Low Arousal Approacheshttp://autismawarenesscentre.com/shop/alphabetical/managing-aggressive-behaviour-in-care-settings-understanding-and-applying-low-arousal-approaches/

michael_mcreadie

Michael McCreadie

Michael is a Health Psychologist with specialist knowledge and experience in Neuro-Developmental conditions and Acquired Brain Injury. Michael provides clinical support, advice and consultancy to Statutory and Non-Governmental Organizations in Scotland, England, Ireland and Scandinavia. Along with Andrew McDonnell and others Michael has been involved in promoting the notion of well-being in service delivery as a means of meeting the holistic needs of people with neurological issues and their families.

 

Family Training

linda_woodcock

Linda Woodcook

BSc. (Hons) Applied Social Sciences. PG Cert. Adults with Intellectual Disabilities with Severe and Complex Needs. Before joining Studio III, Linda worked for Autism West Midlands as Family Services Manager. For some years Linda worked in the field of mental health and counselling psychology during which time she became very aware of the needs of families and informal carers. She worked for several years in Gloucestershire managing the advice and advocacy team at the Princess Royal Trust for Carers.

Over the past four years Linda has been involved in the development and delivery of the management of challenging behaviour courses, including physical interventions, to families. She is a qualified Studio III trainer and is also the parent of a young man with ASD and challenging behaviours.

Linda Woodcook is the author of Managing Family Meltdown: The Low Arousal Approach and Autismhttp://autismawarenesscentre.com/shop/alphabetical/managing-family-meltdown-the-low-arousal-approach-and-autism/

 

Training Cost

3 Day Workshop

Fees to be determined based on what the needs and requirements are. Fees will be sent to Autism Awareness Centre Inc.

Maximum attendees in a workshop – 16 – 20

Venue

Organization requesting the training can provide the space or Autism Awareness Centre can assist with this. Venue cost is the responsibility of the organization requesting the training.

Autism Awareness Centre Inc. will make arrangement for the trainer which includes their fee, travel expenses, and accommodation.

Training completion certificates will be provided upon completion of the 3 day training.

Parent Training can also be provided. Fee structure will vary based on number of attendees, length of training and topic.

 

Testimonials

Ever since I participated in a Studio III course in Managing Challenging Behaviour, I have been totally convinced about the importance of low arousal and person-centred approaches, and to focus on providing positive skills and attitudes among the staff and carers who support the individual. Since qualifying as a trainer, I have brought this philosophy to literally thousands of residential staff, teachers, volunteers, special needs assistants and families, and I never get tired of delivering this simple but very powerful message. The physical skills aspect of the Studio III course is, in fact, secondary to the low arousal theory and the main focus is really on trying to get each person to reflect more on their own thoughts, beliefs and behaviours and to develop greater empathy and understanding of the person they support.

However, it is acknowledged that there are times when staff/carers might need to use some physical skills to ensure safety for all and to encourage greater confidence and less stress if someone presents with physically challenging behaviours. In my experience the Studio III physical skills are the least aversive I have come across, and I have first-hand experience of other approaches, including Crisis Prevention Intervention (CPI).

Paul Phillips, Staff Development Officer with the Brothers of Charity Galway, specializing in the area of Challenging Behaviour for the past 12 years

Dr. Andrew McDonnell was an outstanding presenter. I enjoyed his sense of humour. His presentation was practical and will help me to apply a more person-centered approach with clients, students and families.

Educational Assistant, Halifax, Nova Scotia

This conference (with Andrew McDonnell) has given us hope. I’ve been dealing with staff who are persistent in calling/labeling everything as behavioural. This conference affirms to me my thoughts that it’s not behavioural all the time. There are many other reasons. Thank you!

Residential Worker, Small Options Homes, Truro, Nova Scotia

Loved Andrew’s wonderful sense of humour and human approach.

Teacher, Edmonton, Alberta

Train the Trainer

Introduction

Studio 3 Training Systems is a highly specialized research based training organization, which provides high quality and specialized behaviour management training. Over 70% of our work is in the field of learning disabilities and autism, however, in recent years ‘low arousal’ behaviour management training has been developed specifically for staff working with people with an acquired brain injury, older adults, people with mental health problems and children/young people with emotional behavioural difficulties.

Challenging behaviours are an area of concern for carers and support staff and often represent a significant challenge to services leading to a breakdown of placement and injuries to care staff and the service users. However, research shows us that many incidents of challenging behaviour can be relatively easily managed by well trained and experienced staff.

Research also shows us that confident, well trained staff know when to intervene or withdraw, that they can often quickly defuse situations before they become critical and that positive management of situations using person centred, non-punishment and non-aversive based approaches often leads to a reduction in incidents involving physical and verbal aggression over a longer period of time.

 

The Training the Trainer Plan

High Quality Trainers

Many of our competitors use cascade training approaches to train people to be trainers in less than five working days, some in only three. Once trained many of these trainers are ill equipped to help their colleagues in challenging situations and often have extreme difficulty developing problem solving approaches.

At Studio 3, we decided that our philosophy is to train high quality trainers who are capable of delivering both behaviour management training and providing the ‘state of the art’ knowledge about the development of specialized behaviour management plans.

Ten years ago, we piloted a trainer scheme and over half of those who entered did not successfully complete the programme. It is our belief that Studio 3 trainers have to behaviourally demonstrate both the ability to deliver training and relate theoretical knowledge to everyday work settings.

There are two aspects to Studio 3’s ‘Training the Trainer’ plan. The first is the completion of the 3 four day intensive training weeks as described in Detail and Delivery Section.

During this time, trainees will be expected to achieve competency in delivering all aspects of the course to the point where they can be formally assessed in the last week of the course.

The second component of the plan requires trainees to attend Trainers Events to maintain their continuing professional development. These are normally one-day workshops which cover teaching the various elements of the course as well as other topics which contribute to a broader knowledge base on behaviour management. It is important to achieve this level of knowledge so that the trainer can become a valuable in-house resource, not only to deliver training but supporting staff in other aspects of behaviour management.

What Kind of People Make Good Trainers?

Based on our experience, professional qualifications are not in themselves prerequisites for successful outcomes. Successful candidates have included: clinical psychologists, qualified and unqualified nursing staff, service managers, staff from residential children’s homes and care assistants. The following section represents a person specification that will aim to provide services with an outline of what can make a successful trainer.

Essential Skills

• Commitment to a non-aversive approach to behaviour management
• The ability to role-play people who present with challenges
• A minimum of five years of practical experience of working with people who present with challenges
• Computer literacy
• The ability to respond to constructive criticism
• The ability to present to a room full of people
• A commitment to completing the training
• Empathy and a sense of humour
• Good health record
• Honesty

It’s Not Just Training

Studio 3 is not the only organization that provides training in the management of challenging behaviour, but we are the leaders in our field. The three-day course creates strong emotional reactions amongst course participants and trainers have to be able to manage this. The trainer’s role is to assist and facilitate change in attitude as much as behaviour management skills. Training is not just teaching; it’s about learning too.

An often heard expression is: “it’s one thing talking about it.” Well, it’s not just about reading a manual and becoming a trainer. Trainers have to literally perform, in front of people, and demonstrate that they are highly proficient in and passionate about their subject area. It is also important to Studio 3 that trainers develop their individual training style. There are many ways to deliver the course as past course participants who have met different tutors will have already seen. This is because it’s not just about what a trainer says, it’s also about the way the trainer presents the course.

Many trainers have told us that it is not an easy course to teach. There are theoretical, practical, emotional and physical elements to the training. However, once mastered, teaching the course is a fulfilling and rewarding experience. Accordingly, we accept people onto the scheme who genuinely believe in our philosophy of care and feel passionately about working within a non-aversive framework and promoting the low-arousal approaches. Once trainees embark on the programme, our tutors will work with them and support them to meet all the criteria to become competent Studio 3 trainers.

What Types of Training are Trainers Expected to Deliver?

Successful trainers will generally run a range of behaviour management training within their own organization. It is expected that trainers can best develop these skills by learning to deliver our core three day training course in the management of challenging behaviours (see McDonnell, 2010 and McDonnell et al, 2008 for further information).

Core Three Day Course Aims

The defined objectives of the course are:

• To increase staff confidence in the management of challenging behaviour
• To instill in staff the principles and benefits of working within a non- aversive framework
• To demonstrate to staff the importance of understanding how their own behaviours can affect others
• To provide staff with the skills to defuse challenging situations with the aim of negating the need for physical intervention
• To provide staff with an understanding of some of the causes of challenging behaviour to help view service users in a more positive way
• To make staff aware of the importance of working within the law and the need for and use of policies
• To emphasize the importance of de-briefing after incidents
• To help staff understand the difference between managing and changing behaviour and when to address or avoid difficult behaviours
• To provide staff with a range of physical intervention skills which are safe and acceptable to both staff and service users alike

 

Course Content

The three days of the training course have three separate themes:

Day 1:
Philosophy of Studio 3 Training Systems and the management of challenging behaviours. This is an important day. It sets the tone for the course and outlines the agenda and objectives of the three days. During the day, challenging behaviour and the context within which these behaviours are displayed and managed will be explored.

Day 2:
Passive Avoidance Training, non-violent methods of managing physical behaviours. This is also described as philosophy in practice or the Low Arousal Approach in action. Simple physical movements designed to reduce injuries to staff and individuals within their care that are used to manage some of the most common physical behaviours within the client group specified.

Day 3:
A non-violent physical restraint method is taught to care staff and its reason for use and its design is discussed at length. During this final day, the three-day course is consolidated and participants are assessed through the use of role plays. On each of the days various training aids and teaching tools and methods are used.

 

Details and Delivery of the Trainers Plan

Assessment Process

The training process occurs in 3 clear teaching phases totaling 12 working days.

Phase 1: Introduction to the programme – 4 days

This is a full 4 day induction workshop which covers all elements of teaching content and delivery. Candidates are provided with a framework to deliver the programme. At the end of this course, trainees are allocated specific components that they must deliver on phase 2 of the programme.

Topics in this phase include:

• Methods of teaching
• Use of audio visual materials
• Teaching physical interventions
• Health and safety issues
• Low arousal approaches.
• Use of role play
• Risk assessment

Phase 2: Training Rehearsal – 4 days

In this phase participants practice delivering elements to their peers. The first two days of the training course are practiced in this manner. There is a strong emphasis in this phase about training staff to debate issues pertaining to low arousal approaches and de-escalation. In addition, the lower key physical interventions have to be delivered to the group. Each candidate is then allocated teaching goals in phase 3.

Phase 3: Training Teaching Assessments – 4 days


At this stage candidates will be assessed in terms of their competency. Candidates are expected to present the key elements of the course and are assessed on their competency to deliver the full programme. Participants will receive feedback from Studio 3 trainers after completing each session. Trainees will be advised in writing at the end of phase 3 and they will receive one of four grades at this point.

1. Pass: they have satisfied the trainer that they can successfully deliver the programme.
2. Pass with areas of support: in this situation pairs of candidate will be deemed Passed, but with specific areas of minor improvement which they will have to provide evidence that these are remediate.
3. Remedial work required: A candidate may have to repeat phase 3.
4. Fail

Monitoring of Trainers

Each trainer who has successfully completed the assessment process must maintain a personal CPD log in the password protected trainer’s ‘back office’ section of the Studio 3 website. The trainer’s senior manager or training supervisor and senior Studio 3 Trainers use this system to monitor and aid the trainer’s progress on the system.

 

Cost

$5000 /per person

 


Studio III Launches in Canada

By Maureen Bennie, Director,
Autism Awareness Centre Inc.

Studio III UK has partnered with Autism Awareness Centre Inc. in Calgary, Alberta, Canada to begin offering Low Arousal Approach training to Canadians. Autism Awareness Centre (AACI) has been organizing conferences and workshops across Canada for 11 years; introducing the Low Arousal Approach was a natural evolution in training for the Centre.

AACI has been receiving requests for new and innovative ways to manage challenging behavior. Since the launch of Studio III Canada this spring, requests for information about training have been coming in weekly. There is a great deal of interest in this approach which is new for Canadians.

Studio III Canada ran their first 3 day course July 30 – August 1st at the Horizon School in Olds, Alberta. Horizon is a special needs school catering to students ages 4 – 20. Their students face a variety of challenges including communication difficulties, physical disabilities, cognitive development delays and independent life skills. Principal Heather Linski was looking for a new way to address the challenging behavior of some of her students.

UK trainer Kit Howe made his first trip to Canada and spent 5 days with the Horizon team; 3 of those days were dedicated to teaching the Low Arousal Approach to staff. The staff worked well together and spoke openly, asked excellent questions, and gave it their all when working on the physical skills section. There were many “ah-ha” moments and a shift in attitude as the days went on. The environment was one of nurturing, caring and respect for students and staff. Kit worked well with the group, creating a relaxed and safe atmosphere in which to practice new skills. We will continue to support Horizon School with their growth and quest for positive change.

Studio III Canada organized an Eastern Canada tour September 16 – 22nd for UK Director Dr. Andrew McDonnell and Swedish trainer Bo Elvén. The pair began their trip in Ottawa, Ontario, Canada’s capital city, and spoke to a large group of educators from various schools and post-secondary institutions. Their talk was very well received and the interest was high for training.

Next was a 4 day stop in Sydney, Nova Scotia in the Maritimes. Andrew and Bo delivered a 3 day training for the Breton Ability Centre (BAC) which serves individuals who are coping with complex challenges due to severe developmental disabilities, mental health challenges and/or complicating physical disabilities. They also gave a two hour evening talk for the larger community to introduce people to the Low Arousal Approach concepts. BAC’s director, Harman Singh, is eager to implement this new knowledge and she sees changes in the near future that will enhance the quality of life for her service users.

The last stop of the tour was Toronto, ON for a talk to the York ASD Partnership. The York ASD Partnership was formed to improve the current system of supports for people with an ASD and their families in York Region. While many services exist in York Region, access and coordination is confusing and frustrating for families. A variety of representatives from various organizations came to listen to the Low Arousal Approach overview. Andrew McDonnell captivated the participants and they are already buzzing about adopting the training in Ontario.

Studio III Canada is off to a strong start and the word is spreading. Autism Awareness Centre’s motto is “Believe in Change” and we believe it will happen in a positive way through this collaboration with Studio III UK.

To request more information about the Low Arousal Approach (articles, research papers, past training clients), please contact us using the form below.

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Autism Awareness Centre Inc.

56 Sussex Cr. SW
Calgary, Alberta T2W 0L5
Toll Free: 1-866-724-2224 or (403) 640-2710
E-mail: maureen@autismawarenesscentre.com

Last updated: June 4, 2018