Preview of key themes in the new DCP/BPS guidelines for the management of behaviours that challenge

Abstract

This article previews some of the content of the new DCP/BPS guidelines on the management of Behaviours that Challenge (BtC). A number of the main themes in the guidance are outlined, such as: the nature of BtC; unmet needs; the evidence-base across settings; training; caregiver communication; the role of formulation; and management strategies.Since the publication of the previous DCP/BPS guidance. (Brechin et al., 2013) large randomised controlled trials (RCTs) have been conducted. There is also greater acknowledgement of the relevance of ‘good’ carer communication skills and acceptance of the potential benefits of the positive behavioural support approaches. Further, there is a call for psychologists to assist with the management of high levels of stress and distress in people living with dementia, and assisting caregivers to feel more confident and competent in dealing with such presentations. It is noteworthy that the management of high of levels arousal is frequently the reason for calling on the assistance of psychologists. Hence, it is essential that we have the skills in this area to provide appropriate support and guidance; otherwise psychotropics will be deployed unnecessarily.The paper discusses these new perspectives and concludes with an important with a request to heighten our focus on the implementation of existing knowledge and good practice. Indeed, psychologists have recognised the features of good practice for many years, yet have often struggled to embed the concepts in their clinical settings.