• This strategy can be implemented during whole-group lessons, small-group work, or independent work. Hi there, this sounds exactly like the class I have now. Challenging behaviour, also known as behaviour that challenges or behaviour of concern, is defined as behaviour that is of such an intensity, frequency, or duration as to threaten the quality of life and/or the physical safety of the individual or others; it is likely to lead to responses that are restrictive, aversive, or result. rarechromo. Bedroom Furniture. Challenging behaviour, also known as behaviours which challenge, is defined as "culturally abnormal behaviour (s) of such intensity, frequency or duration that the physical safety of the person or others is placed in serious jeopardy, or behaviour which is likely to seriously limit or deny access to the use of ordinary community facilities". . Smashing your car’s windshield. 01588 674340. Reduce talking. Selecting the right contract furniture for care homes requires careful consideration of several crucial factors. Of course, no classroom structure—regardless of how thoughtfully executed—can prevent every instance of every disruptive behavior. Most of us never expect to face these behaviors from our children, but it happens all too often with defiant children and teens. 50 per item. Extremely durable and tough furniture for adults and children with challenging behaviours including autism and psychiatric conditions. Challenging behaviour was higher among participants meeting threshold levels on the psychiatric screen. With everything from bookcases to coffee tables available, there's everything you need. ). It may be that disrupting a routine or an unexpected event will cause a behaviour that is challenging to be displayed. Buy now!Challenging Behaviour Furniture Collection for the hospital’s lounge, dining and reception zones. and address. However, this “break” sends an unintended message to the child: "If you want my attention, engage in challenging behaviors and I will come. Here's how to stay calm, patient, and consistent as you help your child understand your expectations. Remember that ADHD is a neurodevelopmental disorder. Challenging Behaviour Furniture. Email us at: sales@craftworkupholstery. behavior. The first tier of the Pyramid Model is designed to be in place for all children and includes both nurturing and responsive relationships and high quality, supportive environments. biting, picking, head banging) and many other behaviours fall under the. The ABC model is an effective way to understand challenging behaviour and develop suitable responses within a. g. Mindfulness or paying attention to what’s happening in these conversations. What is challenging behaviour? Challenging behaviour is a term used to refer to problematic or testing behaviours that children, young people and adults can present. Information TechnologyPositive behavior strategies are evidence-based, proactive approaches to changing challenging student behavior. The frequency or duration of behavior within a larger period of. Conflict is basically a disagreement through which everybody involved perceives a threat to their needs, interests, values, or goals. Just as adults use calendars, grocery lists, and “to do” lists to enhance memory, children alsoa practical paper in relation to the assessment and management of challenging behaviour generally. g. Solid Foam Box Bed. RISK LEVEL. Challenging Behaviour Furniture. 13 per. Services include: 1:1 Behaviour. g. Addressing children’s challenging behavior has become a primary focus for practitioners, researchers, and policymakers (Hemmeter & Conroy, 2018; Ostrosky & Sandall, 2013). According to Rachel Wagner Sperry, MSW, with the Devereux Center for Resilient Children, the ICK in a child's life can cause challenging behavior. Be Knowledgeable. Bolting out of the classroom or other setting. Common causes of challenging behaviour include: Pain or health reasons: A reaction to something that hurts e. . Doing so might also prevent negative outcomes, such as academic failure and peer rejection, for thoseAlthough there are several instruments that record these features, 1 many have poor internal consistency and reliability or only assess one component of challenging behaviour, and others with much better psychometric properties such as the Aberrant Behaviour Checklist Reference Tyrer, McGrother, Thorp, Donaldson, Bhaumik and Watson 2 are a. Conversely, young clients confined to residential aged care facilities live in impoverished environments that often contribute to challenging behaviour that can be enormously disruptive. Questions have been raised as to PBS. There’s a lot to think about when it comes to teaching. Edgebanded in 2mm ABS. When the children is meeting expectations, I. Our address is 88 Armley Road. Refusing to work, refusal to cooperate, talking back. a mental health problem. Applying a multilevel approach, we investigated (1) whether higher individual communication skills at the first measurement were related to a subsequent decrease in challenging behaviour. Challenging Behaviour - Seating. Refusing to work, refusal to cooperate, talking back. Alexander lounge chair. Once hitting starts, it can become dangerous for the child and for others. £769. £45 minimum delivery charge. Patients become ‘challenging’ for a number of reasons. There are a number of alternative behavior examples you might teach your child instead of throwing and screaming. There are positive ways and there are negative ways of keeping control. All our challenging environment furniture collections have been specifically designed to meet the demands of the most challenging behaviour, including dementia, while. Filters. The scale was subsequently used in a randomised. We see many kids who purposely destroy family property out of anger or for spiteful, vengeful reasons. View the Tough Dining Tables range at Knightsbridge Furniture. Accentuate the positive. 1. Many students come to school ready to learn and possess the skills they need to support that learning. , shouting What is challenging behaviour? Challenging behaviour is a term used to refer to problematic or testing behaviours that children, young people and adults can present. Research suggests 4 general functions or reasons for problem behaviour as outlined below: Escape: individual engages in challenging behavior to escape and/or avoid tasks and demands. A manufacturer or retailer with a demonstrated track record of manufacturing and selling furniture for challenging behaviour is the best option. Positive reinforcement and focusing on your child’s good behaviour is the best way to guide your child’s behaviour. What you raise can make. And sometimes it helps to have the furniture you need. For example, you can start each morning. Showing 12 of 25. Or not having enough free play. Button Back. And to assure his safety, you have to intervene. The result of extensive research and. Kicking others. Date may depend on service options and postcode. Request Quote. " To break this cycle, I follow the 2 minutes for 10 consecutive days strategy to build a stronger relationship with the child with challenging behaviors. Even your tone of voice or the expression on your face can affect your child. Give children plenty of appropriate opportunities to move around and expend their energy to help prevent any behavioral problems from occurring. 4 main purposes, or functions, of challenging behavior. They make their needs known in constructive ways, manage frustration, and interact smoothly with adults and peers alike. Self-injury, like hitting themselves or banging their head against a wall. It also lists some information to carefully consider that can help to improve safety and protect the home. Our wide range of furniture for challenging environments includes a variety of safe and robust furniture designed to stand the test of time. Request Quote Tenby 1 Drawer Bedside Cabinet. 8. Challenging behaviour has a variety of causes, including illness. Our Challenging Environment collection showcases a variety of beds for disability which are suitable for people with a mental health condition. But it’s often effective. All our products are built without any sharp edges and so that they cannot be picked up and thrown and so that nothing can be hidden within them. Tough Furniture’s unique collection of TV protection units all feature screens of immensely strong high quality 6mm polycarbonate to keep the contents safe anywhere that challenging behaviour can occur. "ICK refers to the negativity or risk factors in an individual's life," explains Sperry in FLIP IT!® Transforming Challenging Behavior. Defining various challenging behaviors is a critical step in responding to and treating the behavior. Download our Catalogue. Challenging behaviour is not limited to people with learning disabilities, but the term has been particularly applied in this context. Exclusively manufactured Tough Furniture range for a variety of settings including autistic furniture, ligature-reduction furniture, mental health units, challenging behaviours, receptions, SEN schools and more. 1. Have open conversations. with challenging behaviors. Earnings estimates for 2023 have increased to $3. Behavioral Momentum. All our contract furniture is manufactured to order, so for upholstered furniture you can choose any suitable fabric and select from 6 standard wood stain colours - we can also colour match to your own wood samples. The collection includes anti-ligature furniture , special needs chairs for schools and care units, reinforced bedroom furniture , foam seating and sensory bean bags . The student learns that the surest thing to get adults to attend to him is to climb on the furniture. Features include - anti ligature rail, sloping top and anti climb shelves. | Teal LifeCare furniture collections are designed to meet the specific requirements of challenging behaviour, learning disabilities, eating disorders, autism and mental health. Internet vigilantes. Est Delivery: 10-14 Days. Examples of challenging behaviour include: Withdrawn behaviours such as shyness, rocking, staring, anxiety, school phobia, truancy, social isolation or hand flapping. The use of metal, wood and poly materials gives you the flexibility to create the look you want whilst working within your budget. About Tough Furniture Limited is a family run business and is unique in that we have over 25 years experience in designing and manufacturing exclusively for the challenging behaviour furniture market giving us an. , throwing items can be measured by counting the items on the floor, destroying furniture may be measured by counting the disconnected pieces). So ignore it. Tenby Bedside With Open Shelf. , & Lipsey, M. Challenging. Dining chairs, wing chairs, sofas and bedroom furniture packages for elderly, dementia & challenging behaviour care. For more product details, please contact the. The subtleties of interior design can have huge impacts on our mental health, in ways we often don't fully understand. head banging, biting self, hitting self) Shouting/swearing. "ICK includes factors within ourselves, our families, and our. Interferes with teachers' ability to teach and all of the children's opportunities to learn. from £379. There are many different possible types of challenging behaviour. The term “challenging behaviour” is a product of the 1980s and of political correctness. challenging behavior, we need to be able to identify and define the problem clearly. However, one of the causes of challenging behavior in children, in my experience, has been the inability to ‘express’ emotions. About. 1. 1. Small items - dining chairs, coffee tables, headboards - £12. Challenging behaviours are behaviours that may cause injury to self or others, damage environments and equipment, or interfere with learning and the development of pro-social relationships [1] [2]. org. edu 122118 2 nmntl ill t Things To Keep in Mind • Proximity control can be used to address the behavior of one or more students. Examples of challenging behaviour include: having lots of angry outbursts or ‘tantrums’. Humping. Phone. 2 Measures 2. As they get older, are put in new social settings, and interact with their peers, they begin to pick up new. Stokewood Road, Craven Arms Business Park, Shropshire, SY7 8NR. It’s normal for toddlers and young children to have tantrums and break rules while their social and emotional skills are developing. una combinación de problemas físicos, problemas de salud, dificultades. Keywords aggression, assault, challenging behaviour, de-escalation, patient safety, safety, violence, violence preventionGraphQL error: GraphQL Request must include at least one of those two parameters: "query" or "queryId". A manufacturer or retailer with a demonstrated track record of manufacturing and selling furniture for challenging behaviour is the best option. There’s a lot to think about when it comes to teaching. Explain what you expect, and help the child. Exclusively manufactured Tough Furniture range for a variety of settings including autistic furniture, ligature resistant furniture, mental health units, challenging behaviours, brain injury units, probation hostels, SEN schools and more. o. When we design furniture for mental health facilities, our goal is to provide peace. Here at Barons, we offer an outstanding range of challenging behaviour chairs that you can view below. The most widely used definition describes challenging behaviour as ‘culturally abnormal behaviour (s) of such intensity, frequency or duration that the physical safety of the person or others is likely to be placed in serious jeopardy, or behaviour which is likely seriously limit use of, or result in the person being denied access to ordinary. Our wide range of furniture for challenging environments includes a variety of safe and robust furniture designed to stand the test of time. 2. A common example is moving furniture to eliminate a large open space that children used for running. 2018. Table of Contents show. 50 per item. At Tough Furniture we specialize in producing furniture for challenging environments, all designed and manufactured in our purpose-built facility in Shropshire,. At Carechair, we recognise that certain care home residents require specialised furniture to cater to their unique needs. The term challenging behaviour is used to describe a range of behaviours which can put the person displaying the behaviour or those around them at risk. Home > Blog > The Role of Furniture in managing Challenging Behaviours – Part 1. Indi-Struct Display Cabinets. We are easily reached from the M1, M62 or M621 motorways if travelling by car or from Leeds Central Train Station if arriving by rail and taxi. Post materials that support student learning (e. Biting another person. Some examples of positive behavior strategies are pre-correcting and prompting and nonverbal signals. All Indi-Struct care home living room furniture units for challenging behaviour are constructed and tested to conform to BS4875, Parts 7 & 8. Request Quote. Responding to challenging behaviour. We offer an optional additional service on delivery where we can place the furniture in the required room within the property and remove all packaging. £498. Read MoreWhen it comes to care homes, creating a comfortable and nurturing environment for residents is of utmost importance. Filter. Aggression (hitting out, biting, pinching), destruction of property (breaking things), self-injury (e. Destructive behaviour (destroying furniture or objects) Peeing/pooing in the house. The main aim is to help parent/carers to find high quality sources of information. Sometimes a person with a learning disability may display challenging behaviourThis resource contains practical information about specialist equipment for children and adults with severe learning disabilities who display behaviour described as challenging. and Drew, C. Lyon and O'Connor note that, despite the fact that challenging behaviour attracts a lot of attention, its precise nature is open to discussion and debate. Sort by: Recommended. These packages of challenging behaviour furniture combine youthful design and robust construction and can be installed in your service within 5 working days. This is subject to the property having working lifts, if delivery is required to other. This way, parents, teachers and caregivers can recognize the behavior. g. Challenging behavior: Interferes with children's learning, development, and success at play, affecting not only the disruptive child but also the other children. 5 YEAR GUARANTEE. Indi-Struct Dining Table. Showing 12 of 25. Barking at other dogs or people. Screaming, shouting or having angry outbursts. We work alongside many care groups who regularly order our items to fulfill their needs for certain disabilities including autism, aspergers, ADHD and some lower risk. 3ft High Risk Anti-Vandal Mattress. Tenby Bedside With Open Shelf. Our tough contract furniture for extreme environments is designed for mental health and other challenging environments - the range includes extreme sofas, extreme chairs and tough tables as well as an extreme wardrobe, dressing table, chest, bed and bedside cabinet. The top four groups of challenging behaviors most often targeted for intervention were: (a) screaming, yelling, shouting, or crying (fifteen studies); (b) stereotypy (fourteen studies); and (c) noncompliance and aggression (eleven studies each). Challenging behaviour and communication skills were measured by teacher reports in 1125 students with ID attending special needs schools. Dining & Side Chairs. Phobias or anxiety like separation anxiety. Designed for contract. Furncare supply challenging environment furniture and mental health furniture designed specifically to withstand the demands of service users. Challenging behaviour can occur in the absence of a psychiatric disorder and not all people with mental illness exhibit challenging behaviour. Products within our Autism Bedroom Furniture collection are designed for children and adults showing challenging behaviour. Too much attention can include trying to “talk through” the problem. Built to withstand heavy use, the Ellerton chair and sofa have wooden feet, are boarded out with no visible staples and have a removable cushion for easy cleaning. Stokewood Road, Craven Arms Business Park, Shropshire, SY7 8NR. , eye poking or head banging) and, in such cases,Manhattan low coffee table. In each of these cases, we were able to build on our successes to deliver. Request. These ranges are designed for environments where residents may be at risk and include excellent safety features. Como Cabinet Furniture Price low to high Price high to low Show All Challenging Behaviour - Seating Challenging Behaviour - Tables Como Cabinet Furniture Wardrobe - OpenOn May 5, 2016, the U. ] en el aprendizaje y/o comportamiento desafiador. Product Code: BQA01. To find out more about how we can help you with your challenging behaviour furniture requirements please contact us at: Tough Furniture Ltd. Within the context of the school, children who exhibit challenging behaviors are considered at increased risk of academic failure, delinquency, dropping out, gang membership and adult incarceration. Coffee table with shelf, extreme. Website. anxiety. Notice that this definition is broad and open to interpretation, not a list of specific behaviors. Structurally tested for severe situations and smoothed edges for reduced impact and injury, including anti-ligature point features. Getting access to necessary furniture and appliances is still a huge mountain to climb for many. Unless recognised early and effectively managed it can lead to aggression and personal injury. Challenging behaviour is a significant cause. o. Chair - Queen Anne front leg. Sometimes, children who display challenging behaviour need a space to calm down. All units are available in a variety of anti-microbial. offered the opportunity for debriefing. Nearly three-quarters of respondents (74%) reported that challenging behavior had a moderate to severe impact on their ability to attend to the needs of other children. Nov 2021 - Present2 years. Is harmful to and threatens the safety of the child, the other children, and even the adults. Here are common behavior problems that many families experience, and how to handle them when they happen. There are lots of different types of challenging behaviour and behaviours that one person finds challenging another person may not. If implemented effectively, comprehensive classroom behavior management should prevent or address the challenging behavior of approximately 80% of students. Challenging Behaviour Furniture; Special Offers; Sectors Hospital Furniture; Hotel Furniture; Care Home &. Tough Furniture gets at least 70% of its business from repeat customers for a reason: a history of designing and building durable, accommodating furniture, and decades’ worth of experience meeting. Our minds tend to lean more towards behavior management that positive reinforcement with 20 children. Sort by: Recommended. Tenby Bedside With Open Shelf. The most common treatment chosen to treat screaming, yelling, shouting, or crying was a social. Abuse towards others - hitting, scratching, punching, verbal abuse. It is very difficult to practice PBIS with so many challenging behaviors. Tough Furniture is a family run business and is unique in having over 25 years experience in designing and manufacturing exclusively for the challenging behaviour furniture market, giving us an unmatched level of evidence-based experience and track record in this field. Home > Blog > The Role of Furniture in managing Challenging Behaviours – Part 1. RISK LEVEL. Parents/caregivers are coached by a Behaviour Consultant, giving them the confidence and knowledge necessary to help their children succeed. This is a shorter version of the Behaviour Problems. Errorless Learning. Give children plenty of appropriate opportunities to move around and expend their energy to help prevent any behavioral problems from occurring. The chair is heavily weighted with clean lines and no visible staples - dual fabrics can be used to enhance a scheme and weight added to make them even more robust. Pulling on the leash. Challenging behaviour refers to any behaviour that presents a challenge to the individual, their caregivers, or the community. Page 1: Challenging Behavior. cigarette butts, pen lids, bedding). Disruptive behaviours such as being out-of-seat, calling out in class, tantrums, swearing, screaming or refusing to follow instructions. Tenby Challenging Behaviour Range. Solid Foam Box Bed. Sensory modulation is becoming well embedded in New Zealand as part of an increasing effort to reduce and eliminate seclusion and restraint. Page 7: Use Surface Management Strategies. Teacher stress and frustration. This can include: Visuals. We need to be knowledgeable in appropriate expectations for the ages that we serve and, therefore, knowing what might trigger negative behaviors in our group. Supporting children with challenging behaviour. window furniture, to lighting, and plumbing etc. Challenging behaviour can include: aggression. As well as being tough enough to tolerate the rigours of challenging behaviour, furniture for mental health facilities has to meet essential regulations. In the literature,. BEHAVIOUR Quality Area 5 | Supporting children to manage their own behaviour From birth, children begin to explore how the social world works. Step 1: Get their attention. Do contact us to arrange an appointment sales@craftworkupholstery. residents injuring either themselves or staff. 6. Indecisive customers. All furniture is built-to-last, made for those with mental health challenges. The first video takes a closer look at what Nora’s behavior looks like within the context of the acting-out cycle (time: 4:25). Bulky / heavy items - extreme sofas, bed bases - £30 per item. 2 years. Models from the upholstered Millie, Lynx, Clarence, Rossetti, Melrose and Shelley collections have been installed in lounge areas, with smart Ticino seating in the reception,Page 1: Early Childhood Environments. Teal LifeCare | 126 followers on LinkedIn. 2 Mayfair chairs without wings covered in ILIV Dalton Mulberry (Band E fabric) with Dark Walnut stain (£200) 2 Kensington High Backs in Agua Paintpot Ink with Beech legs (£135)Challenging Preschool Behavior Coping Strategies for YOU! Before we can "guide", "manage", "discipline" or "modify" behavior, we need really need two things: 1. Solid back to all units. hair pulling, hitting, head-butting) Destructive behaviours (e. They are ideal for hotels, care homes, nursing homes and sports and social clubs. Tough furniture for high-risk environments, for mental health furniture, prison furniture, dementia and autism care furniture. 582], p = <. Details; Wood Colours; Delivery; Enquire; Name: Coffee table with shelf, extreme. When fitting out healthcare facilities for clients with behavioural issues there are numerous factors which should be taken into consideration, all of which are important to the client/patient, doctors, nurses as. MAT-HIGH-3/4-HR. Every one of us is different, with diverse reactions and behaviour. Inevitably, we will have disagreements and. Products within our Autism Bedroom Furniture collection are designed for children and adults showing challenging behaviour. 9324; inquiries. Knightsbridge Furniture is launching its Challenging Behaviour Furniture Collection, which includes seating tables and cabinet units that are designed to be safe, robust and yet stylish in order to create effective therapeutic settings. Some teachers left because of the challenges of teaching during a pandemic, while others were fearful they would contract Covid-19 and some were offered higher-paying jobs. To start, have your child focus on his head and face, tighten all of the muscles there, then relax them. 87 RPM). Understanding the cycle of challenging behaviour can help teachers develop effective strategies to prevent and manage these behaviours. Bolting out of the classroom or other setting. Fax. Book an assessment for your child. Challenging behavior is any persistent behavior that negatively affects a child’s learning or interactions with peers and adults. Up to 87 percent of customers do online research before they ever walk into a store, which means your website needs to be a core pillar of your furniture marketing strategy. This is subject to the property having working lifts, if delivery is required to other. Tough Furniture Limited is a family run business and is unique in that we have over 20 years experience in designing and manufacturing exclusively for the challenging behaviour furniture market giving us an unmatched level of evidence-based experience and track rec ord in this field. Est Delivery: 3-4 Weeks. PRODUCTS. 2. Tough Furniture Limited is a family run business and is unique in that we have over 25 years experience in designing and manufacturing exclusively for the challenging behaviour furniture market giving us an unmatched level of evidence-based experience and track record in this field. And when it happens, the parents naturally feel a variety of hurtful and. Sofas & Armchairs. The overlap in symptoms between ADHD and bipolar disorder can cause the two conditions to be confused with each other but there are some key differences. ), Handbook of Early Literacy (Vol. challenging behavior, we need to be able to identify and define the problem clearly. These chairs are incredibly popular with our. g. Such environments also help to prevent challenging behaviors and serve as a core component of interventions for infants and young children with identified. Redirect (“back to work” first — then “check your schedule” etc). 1. Take a second andExamples of challenging behavior in elderly individuals include physical aggression, verbal outbursts, agitation, wandering, hoarding, and refusing care. These simple, nonintrusive. This is subject to the property having working lifts, if delivery is required to other. One key aspect that significantly contributes to the well-being and overall experience of residents is the choice of contract furniture. See full list on toughfurniture. In a 2004 survey, 75% of teachers noted that they would spend more time teaching and teaching effectively if they had less disruptive behavior in their classrooms (Public Agenda, 2004). Trusted contract care home supplier. 545], p = . Behaviour that challenges can take many forms, including verbal, non-verbal, and physical forms of behaviour. g. Throwing or damaging objects. Bespoke Furniture. Positive Behavior Strategies: A Guide for Teachers. 3. BEDROOMS. An individual’s behavior can often vary considerablyExamples of challenging behaviour include: Withdrawn behaviours such as shyness, rocking, staring, anxiety, school phobia, truancy, social isolation or hand flapping. Contract Mental Health Furniture suitable for Challenging Behaviours We have a wide range of furniture suitable for mental health and challenging behaviour environments. As children are ‘primarily’ emotional, their need of ’emotional acceptance’ is critical at this age. Scanning can give you plenty of opportunities to address challenging behavior as well as acknowledge appropriate behavior. g. Sexualised behaviour in publicThe showroom is available during working hours 8. Lost instructional time (up to 50%, according to some sources) Lowered academic achievement for the disruptive student and fellow classmates. Structurally tested for severe situations and smoothed edges for reduced impact and injury, including anti-ligature point features. Shared Control. Treatment. A person's behaviour can be defined as "challenging" if it puts them or those around them (such as their carer) at risk, or leads to a poorer quality of life. A person's behaviour can be defined as "challenging" if it puts them or those around them (such as their carer) at risk, or leads to a poorer quality of life. Try our top five tips for developing your own positive behaviour management strategies. This can be because of: curiosity. Inherently safe, secure, and robust, it has been specifically designed with the very particular needs of mental health and secure units in mind. Request Quote Tenby Door & Drawer Bedside Cabinet. The second video illustrates Kai’s behavior during the acting-out cycle (time: 4:57). 2. Living with a difficult dog can be unpredictable and sometimes even frightening. Hospital Furniture. Challenging Behaviour Beds - including Autism. A-Z. Violent and/or unsafe behaviours such as. You can have your contract furniture covered in any suitable fabric - the most popular fabrics are featured on our website. , [Google Scholar] Erturk, B. Proximity Control iris. Beyond practical obstacles to behavioral assessment, it may also be difficult for clinicians to design comprehensive packages that can demonstrate more global change in challenging behavior due to the nature of behavior-analytic research relying heavily on single-case designs (SCD) and the analytic focus on evaluating specific procedural details over large-scale treatment packages (Smith, 2013). Almost “as common as sleep disturbances,” says Root, “a lot of food issues come down to a child with autism’s preference for sameness. ‘Challenging behaviour’ is how we talk about a range of behaviours which some people with severe learning disabilities may display to get needs met. Browse our anti-ligature mental health & challenging behaviour furniture.