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eSAY National Learning Disability and Autistic Spectrum Disorder Dataset V4.0 Map |
Section List / Section 4 - Health / Item 38 - Challenging Behaviour
Definition : Challenging behaviour could be described as those behaviours that occur to such intensity, frequency and duration that they are perceived to challenge the service/carer and also the person reaching their full potential. Challenging behaviour is a very broad and descriptive term, not a diagnosis.
The behaviour is persistent and pervasive. It is present across a range of personal and social situations, although may be more severe in certain identified settings. It results in a significant negative impact on the person’s quality of life or the quality of life of others. This may be owing to restriction of his or her lifestyle, social opportunities, independence, community integration, service access or choices, or adaptive functioning.
Purpose : Specific needs with regard to challenging behaviour should be addressed in individual assessment and care planning but this item is suggested here as an ‘alert’ for staff involved with the person to the need, in some instances, to ensure additional support for the person.
Aggregate data may be used to indicate where there are training requirements for staff and carers.
Recording Guidance : Challenging behaviours should not be recorded here if they are the direct result of psychiatric disorders, drugs or the result of provocation.
Codes : eSAY Project
Code |
Value/Definition |
00 |
None |
01 |
Verbally aggressive behaviour For example the person uses his or her voice in a violent or threatening manner. This may be impulsive or planned. |
02 |
Physically aggressive behaviour For example the person uses or threatens physical violence. This may be impulsive or planned, and occurs in the context of minimal or no provocation by others. Severity may range from pushing, slapping, and physically intimidating, to punching, kicking, biting, pulling the hair of others and more serious physical assault. |
03 |
Destructive behaviour Examples range from the person damaging property, such as tearing paper and fabrics, smashing furniture and glass, to more serious property damage and fire setting. This may be impulsive or planned. |
04 |
Self-injurious behaviour Self injury, sufficient to cause tissue damage, such as bruising, scarring, tissue loss and dysfunction. The behaviour may range from skin-picking/scratching, hair pulling, face-tapping/slapping to biting hands, lips, and other body parts, rectal/genital-poking, eye-poking and head banging. The self-injurious behaviour is not a deliberate suicide attempt. |
09 |
Pica Includes strong cravings for non-food items. For example : dirt and clay, paint chips, plaster, chalk, cigarette ashes and other items not usually considered to be food. Some pica can be harmless if the items consumed are non-toxic, however, ingestion of non-food substances may require medical treatment and, in extreme cases, hospitalisation. |
98 |
Other challenging behaviours Specific challenging behaviours, not individually classified by name in the categories listed above, must have occurred on at least weekly occasions in the preceding 6-month period.
|
99 |
Not known |