To read the full version of this content please select one of the options below:

Redesigning a community-based challenging behaviour intensive support service

Jasmin White (Southampton and Hampshire Intensive Support Team, Southern Health NHS Foundation Trust, Hampshire, UK)
Matt Symes (West Hampshire Community Learning Disability Service, Southern Health NHS Foundation Trust, Hampshire, UK)
Carrie Pearce (Southampton and Hampshire Intensive Support Team, Southern Health NHS Foundation Trust, Hampshire, UK)

Advances in Mental Health and Intellectual Disabilities

ISSN: 2044-1282

Article publication date: 29 May 2019

Issue publication date: 22 July 2019

Downloads
200

Abstract

Purpose

The purpose of this paper is to discuss outcomes of a service redesign, involving an Intensive Support Team (IST) for adults with learning disabilities and challenging behaviour, working in conjunction with a Community Learning Disability Service (CLDS).

Design/methodology/approach

Two IST staff were physically based as “Inreach workers” within a CLDS for six months. Inreach workers provided support with existing resources and consultation for specific clients presenting with challenging behaviour. CLDS staff confidence, understanding and implementation of existing challenging behaviour resources was evaluated before and after service redesign. An online questionnaire was used to gather further data relating to experiences of the Inreach project.

Findings

CLDS staff confidence, understanding and implementation of existing challenging behaviour resources increased over the six-month inreach period. Questionnaire results indicated CLDS staff found Inreach support to be beneficial, having a perceived positive impact for clients, and providing clarity on the skills and resources provided by the IST.

Research limitations/implications

The long-term effects of this pilot have yet to be established. Consideration is given to how demand characteristics may have influenced CLDS responses.

Practical implications

Careful consideration should be given in terms of how ISTs interface with CLDSs. ISTs may consider being based physically within CLDSs, to provide more readily accessible support.

Originality/value

Providing CLDS staff with more accessible support from ISTs may increase the effective implementation of available resources for adults with learning disabilities and challenging behaviour.

Keywords

Acknowledgements

The authors would like to thank staff working in the Southampton and Hampshire Intensive Support Team, and West Hampshire Community Learning Disability Service, for their participation in this service redesign, and also Dr Sarah Horsley (Principle Clinical Psychologist) and Samuel Berry (Assistant Psychologist) for their involvement in the local service evaluation.

Citation

White, J., Symes, M. and Pearce, C. (2019), "Redesigning a community-based challenging behaviour intensive support service", Advances in Mental Health and Intellectual Disabilities, Vol. 13 No. 3/4, pp. 123-132. https://doi.org/10.1108/AMHID-11-2018-0047

Publisher

:

Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited