An External Assessor will rely on informants for collecting disruptiveness over a recent time period (last 7 days). Recalling the most frequently disruptive behaviour in the past week that required an intervention should be easier and less subjective than recalling and estimating numerous frequency events. They should ask if the behaviour occurred less than daily, daily, 2/day or more often (refer to Table A5.2). Disruptiveness is not a new concept, as all current behaviour recordings must receive staff interventions to meet the eligibility criteria. The level of disruptiveness is to be validated by informants and file notes. The Disruptiveness Rating produces an objective outcome of the type of staff intervention. If the disruptiveness was rated mild it is considered to be part of standard care. The behaviours (Wandering, Verbal or Physical) must occur at least daily to be allocated above Rating A (i.e. B, C or D rating). Table A5.2: Frequency and Disruptiveness Matrix for determining the A, B, C, D Ratings for R-ACFI 7 Frequency Frequency Disruptiveness Frequency Frequency Twice per day, More than twice Ratings Less than daily Daily everyday per day, everyday None or mild A A A A Moderately A A B C Severely A B C D Extremely A C D D Determining the A, B, C, D Rating for each of the three Behaviour Groups (Wandering, Verbal and Physical) Steps for the RACF to determine the Behaviour ratings (e.g. A, B, C, D) for Wandering, Verbal Behaviour and Physical Behaviour: Complete the Behaviour Records over 7 days; Record every eligible event, total the daily frequency score. Record a daily disruptiveness level. Complete the Behaviour Assessment Summary; Complete individualised behaviour descriptions for all claimed behaviour groups. Record the frequency scores based on the Behaviour Records. Less than daily is scored 1; daily is scored 2; 2/day everyday is scored 3 and more than 2/day everyday is scored 4; Record the disruptiveness scores based on the most frequently scored (over the 7 days) in the Behaviour Records. None or mildly is scored 1, moderately is scored 2, severely is scored 3, and extremely is scored 4. Complete the Behaviour Checklist; Use the Frequency-Disruptiveness matrix to determine the A, B, C, D rating for each Behaviour Group (Wandering, Verbal Behaviour and Physical Behaviour).
An External Assessor will rely on informants for collecting disruptiveness over a recent time period (last 7 days). Recalling the most frequently disruptive behaviour in the past week that required an intervention should be easier and less subjective than recalling and estimating numerous frequency events. They should ask if the behaviour occurred less than daily, daily, 2/day or more often (refer to Table A5.2). Disruptiveness is not a new concept, as all current behaviour recordings must receive staff interventions to meet the eligibility criteria. The level of disruptiveness is to be validated by informants and file notes. The Disruptiveness Rating produces an objective outcome of the type of staff intervention. If the disruptiveness was rated mild it is considered to be part of standard care. The behaviours (Wandering, Verbal or Physical) must occur at least daily to be allocated above Rating A (i.e. B, C or D rating). Table A5.2: Frequency and Disruptiveness Matrix for determining the A, B, C, D Ratings for R-ACFI 7 Disruptiveness Ratings Frequency Less than daily Frequency Daily Frequency Twice per day, everyday Frequency More than twice per day, everyday None or mild A A A A Moderately A A B C Severely A B C D Extremely A C D D Determining the A, B, C, D Rating for each of the three Behaviour Groups (Wandering, Verbal and Physical) Steps for the RACF to determine the Behaviour ratings (e.g. A, B, C, D) for Wandering, Verbal Behaviour and Physical Behaviour: Complete the Behaviour Records over 7 days; Record every eligible event, total the daily frequency score. Record a daily disruptiveness level. Complete the Behaviour Assessment Summary; Complete individualised behaviour descriptions for all claimed behaviour groups. Record the frequency scores based on the Behaviour Records. Less than daily is scored 1; daily is scored 2; 2/day everyday is scored 3 and more than 2/day everyday is scored 4; Record the disruptiveness scores based on the most frequently scored (over the 7 days) in the Behaviour Records. None or mildly is scored 1, moderately is scored 2, severely is scored 3, and extremely is scored 4. Complete the Behaviour Checklist; Use the Frequency-Disruptiveness matrix to determine the A, B, C, D rating for each Behaviour Group (Wandering, Verbal Behaviour and Physical Behaviour).
acfi_review_report_part_3_appendices.docx