• Meeting needs and reducing distress with a human-rights based approach to managing behaviours of concern

    Older Adults and People Living with Dementia

    Maybo works extensively in services supporting older adults and people with a dementia-related illness, including general acute NHS hospitals, inpatient wards and care homes.

    Training focused on meeting needs and reducing distress

    Maybo training develops carer's understanding of dementia and behaviours of concern with a focus on specific models of communication and de-escalation for people with cognitive impairment.

    We focus on positive approaches, communication and safer ways of doing common tasks such as providing personal care.

    Our human rights-based approach to training aims to ensure people are treated with respect and dignity, as well as ensuring their individual and unique needs are understood and being met, helping to prevent distress and improve quality of life.

    In some more challenging contexts, we provide a unique low arousal physical intervention skill set that is consistent with positive care values. It builds confidence and reduces risk for all involved.

    Our focus is on teaching safer methods and targeting a reduction in restrictive practices with an end goal of restraint elimination wherever practicable 

    Maybo Training Programmes

    Explore the range of training modules in Maybo's Older Adults curriculum below

    • eLearning

    • Classroom

    • Train the trainer

    • Blended learning

    • Promoting Human Rights and Reducing Restrictive Practises: Older Adults and Dementia

      This module introduces the principles of supporting people's needs through a human rights approach. It highlights how to take measures to reduce restrictive practices that might be used intentionally, or in some cases, without realising they are restricting the person's liberty or autonomy.

      • Underpinning legislation, principles and definitions
      • Strategies to improve quality of life and reduce risk
      • Recognising restrictive practices
      • Ethical decision making

        

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Understanding the Needs and Behaviours of People Living with Dementia

      This module explores how to provide person-centred support to people living with dementia.
       

      Principles of Person-Centred Support

      • Understanding person-centred support
      • Principles and values of person-centred support


      Characteristics of Behaviour 

      • Behaviour considerations
      • Behaviours of concern
      • Effects of behaviours of concern


      Factors That Influence Behaviour

      • Factors that can influence behaviour
      • How inhibitors can influence behaviour


      Functions of a Person's Behaviour

      • Fast and slow triggers
      • Identifying the function of a person's behaviour

       

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Positive Approaches to Behaviour: Older Adults and Dementia

      This module provides learners with positive and proactive approaches to managing behaviours of concern based on respect for the individual.

      Risks, Rights and Responsibilities

      • Behaviours of concern
      • Rights and responsibilities
      • Planning to reduce risks and vulnerabilities

      Factors That Influence Behaviour

      • Common functions of behaviours of concern
      • Instinctive reactions to emotional or threatening situations
      • Potential triggers in self and others
      • Levels of escalation

      Positive Interactions and Choices

      • People's needs and expectations
      • Influencing positive outcomes
      • Overcoming barriers to communication 

       

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Safer De‑escalation: Older Adults and Dementia

      This module covers person-centred de-escalation strategies to alleviate a situation and prevent distress or behaviours of concern from escalating.

      Dynamic Risk Assessment

      • Maybo SAFER model
      • Risk identification
      • Informed decision-making


      De-escalation Skills

      • Positive, non-aggressive approaches
      • Safer positioning and teamworking skills
      • Strategies to defuse, calm and resolve older adults in distress


      Personal Safety and Post-incident

      • Confronting behaviours of concern
      • Heightened risk indicators
      • Exit strategies in higher-risk situations
      • Post-event impact and responsibilities

       

      Delivery methods:

      • eLearning eLearning
      • Classroom Classroom
      • Train the trainer Train the trainer
      • Blended learning Blended learning
    • Personal Safety and Disengagement: Older Adults and Dementia

      This module provides additional practical strategies for delivering safer care to older adults and people with dementia. It can include low arousal guiding and re-direction skills and is relevant where behaviours can present risks of harm for people and/or those that support and care for them.

      Risks, Rights and Responsibilities

      • Defining defensive skills and interventions
      • Risks of using physical skills with older adults
      • Authority for the use of physical skills
      • Individual and team responsibilities
      • The importance of primary and secondary strategies to reduce the need for physical skills


      Defensive Personal Safety Skills to Avoid Assault and Disengage

      • Training and operational risks associated with the use of Maybo's physical skills for older adults
      • Low arousal positioning and defensive skills to avoid assault and reduce risk
      • Low arousal skills to release from wrist and clothing grips
      • Contextual applications of Maybo disengagement skills

       

      Delivery methods:

      • Classroom Classroom
      • Train the trainer Train the trainer
    • Clinical Holding: Older Adults and Dementia

      This BILD (PIAS) Accredited module provides non-aggressive physical intervention skills for use as a last resort to prevent harm.

      Recognising and Reducing Risk

      • Key risk factors of restrictive interventions 
      • Individual and team responsibilities to reduce risk and respond to medical emergencies 

      Clinical Holding Skills

      • Training and operational risks of clinical holding skills
      • Non-aggressive restrictive clinical holding skills

       

      Training in the use of restrictive interventions must only be provided within the context of a commitment to the reduction of the use of all restrictive interventions and the provision of person-centred support.

      Some services and roles may require training in higher levels of intervention and equipment, which Maybo can provide subject to controls.

      See Standard 2.8 of the BILD RRN Training Standards 2019 for further guidance on providing staff with restrictive intervention training. 

       

      Delivery methods:

      • Classroom Classroom
      • Train the trainer Train the trainer
    • Working with Maybo has helped us to achieve our goal of providing our staff with high-quality training that works. The course facilitators are happy to create bespoke sessions and are excellent at pitching the content to different employee groups. We get excellent feedback from course delegates who also receive an accredited qualification after attending the sessions.

      St Mungo's

    • Maybo training has helped our colleagues spot early signs and trigger points where behaviour may become challenging, empowering them to address the situation before it escalates.

      Cornwall Care

    • We at Autism Jersey have developed an excellent working relationship with Maybo. I would recommend Maybo to any organisation supporting people who have an Autistic Spectrum Condition.

      Autism Jersey - Chief Operations Officer

    • Regarding the introduction of the Safety Pod, everyone who has attended has seen how this will improve on the reduction of using floor restraints. We all feel this is a massive improvement in reducing risk to the service user, as well as staff, and can see how this is less invasive for the service user.

      Cygnet Health Care - Regional Trainer

    • Maybo training is paced to meet the learning needs and styles of each and every course participant and there is a healthy balance between theory and practice.

      Autism Jersey - Chief Operations Officer

    • We use Maybo eLearning as an introduction as this reduces the time spent away from the workplace and allows more time to be spent developing and practising practical skills.

      Cornwall Care

    • Maybo were fantastic, taking the time to talk to staff and managers to create a programme that works for that service.

      Turning Point

    • We use all levels of Maybo training, including some bespoke courses that have been created by Maybo visiting our services to understand their unique ways of working in a person-centred way to enable positive outcomes for all.

      Turning Point

    • As parents running our own team of carers to look after our severely autistic son, Charlie, Maybo techniques offer our staff effective ways to both de-escalate Charlie’s outbursts and to restrain him safely if necessary. Everything we learnt was relevant and tailored to ours and Charlie’s needs.

      Parent

    • It has been a pleasure working with Maybo to coordinate St Mungo’s conflict management learning programme. This solution is ideal for staff and the pre and post support from Maybo is excellent.

      St Mungo's

    • There was a significant reduction in the need to use physical interventions and staff and young people’s injuries are minimal, almost non- existent, as a result of using the Maybo techniques.

      CareTech Holdings

    • We now have a team of carers who are confident in their ability to handle our son's outbursts and violent behaviour with a safe and consistent approach which minimises any risk to both Charlie and those looking after him.

      Parent

    • As a newly qualified Maybo trainer, I am very much looking forward to getting started on training up our staff and can’t wait to attend my next Maybo trainer development course.

      Barnardos - Children's Services Manager

    • Maybo have continued to be supportive, collaborative and have added value in keeping our services a safe and positive place to be for staff and the people we support.

      Turning Point

    • We receive a truly outstanding and professional level of service from Maybo. Using their training approach has made a difference to the care of our patients.

      The Huntercombe Group

    • All of the Maybo training is connected to the situations that we face at work. As a result, I feel safer and more confident I can support the people in our care.

      Turning Point - Learning Disability Carer

    • I just wanted to take this opportunity to let the Maybo team know that this week’s training was a pleasure to attend. I have now had a few hours at home to process the experience and to reflect on what we accomplished. The guys were excellent tutors and made the whole week enjoyable as well as a superb learning experience.

      Jersey Hospice Care - Training Co-ordinator

    • Our staff team absolutely loved the training and found it to be the most useful and thought-provoking training they had ever been on. One person said ‘why did we not have this 30 years ago when I started?’.

      States of Jersey - Head of Service, Children, Young People, Education and Skills

    • Maybo have supported Turning Point in creating a flexible, service user-focused training programme that enables us to support the people we work with in a safe environment.

      Turning Point

    • The MLP programme has revolutionised our conflict management and physical intervention training.

      CareTech Holdings

    • Maybo training is second to none and is delivered by professionals who understand the complexities involved in supporting people on the Autism Spectrum.

      Autism Jersey - Chief Operations Officer

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