Transcript Document

Services For Children & Young
People Who Display Challenging
Behaviour
Well Matched and Skilled Staff
A Pamphlet for commissioners
Dr Sarah H Bernard
Consultant Psychiatrist
The Michael Rutter Centre
London
Services For Adults with Learning
Disabilities who Display Challenging
Behaviour
Well Matched Skilled Staff
A pamphlet for commissioners
Dr Peter Baker
Consultant Clinical Psychologist
Sussex Partnership NHS Foundation Trust
Why Have These Pamphlets Been
Written?
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Suggestion arose at a CB-NSG meeting
during an action planning group on
commissioning.
Child and adult pamphlets
In order for commissioners to be well
informed
Background
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Challenging behaviour is more common in
people with LD
Underlying causes are multiple
Association with childhood mental health
problems
Communication difficulties increase risk of CB
Not a diagnosis – descriptive
Early intervention important
Family breakdown more common
Isolated siblings
Contents
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1. Which professionals should be involved?
2. What should you look for from a
service?
3. Skills required
4. Monitoring
5. Case vignette
The Workforce
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Psychological/Mental health services
Physical needs
Social care
For children & young people: Education
Key point – best practice guidance emphasises
the need to have a multi-disciplinary approach
to the assessment and treatment of challenging
behaviour in order to meet the individual needs
of each person
What should you look for from a
service?
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Comprehensive assessment
Holistic approach
Key point – to understand the individual needs
of a person who is displaying CB, a range of
assessments are required and this information
should be used to inform how the person is
supported
Skills
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Training
Supervision
Communication strategies
Key point – Supporting a person with severe
learning disabilities perceived as challenging is a
skilled role and support staff must have
appropriate, adequate and on-going training and
supervision
Monitoring – children’s version
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Satisfaction surveys
Burden of care surveys
Measures of behavioural disturbance
Monitoring – adult’s version
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Robust organisational framework
Behaviour support plans include preventative
strategies
Individualised timetable of community activities
Skill development
Key point- good services use a range of ways of
checking and improving the quality of their
services to ensure it delivers good outcomes for
people and their families
Conclusions
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Commissioners need to be well informed
It is not just about using the cheapest
service
Communication between those
commissioning the service, those offering
the service and those using the service is
essential