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An audit of an Intensive Interaction service

Cecily May Donnelly (Honorary Assistant in Psychology, Psychological Services, Southern Health NHS Foundation Trust, Oxford, UK)
Julie Elsworth (Senior Clinical Psychologist, Psychological Services, Southern Health NHS Foundation Trust, Oxford, UK)
Jules McKim (Intensive Interaction Coordinator, Psychological Services, Southern Health NHS Foundation Trust, Oxford, UK)

Tizard Learning Disability Review

ISSN: 1359-5474

Article publication date: 6 July 2015




Following the development of the post of Trust Intensive Interaction Co-ordinator, it was decided to assess the state of provision of Intensive Interaction within the social care provision of an NHS Trust in the South of England. The purpose of this paper is to: map strengths and weaknesses of current provision; identify successful provision; identify obstacles to successful provision or factors associated with the maintenance of provision throughout the organisation.


Feedback after training sessions offered by the Trust Intensive Interaction Co-ordinator was reviewed; data about teams supporting people needing Intensive Interaction was analysed to ensure the recommended number of people within a team had received training; opinions of managers and support workers on the provision of Intensive Interaction were gathered.


In total, 96 per cent of Trust employees thought training was right for them; 81 per cent of house teams/services had at least three staff and a manager who had received Intensive Interaction training; three areas of concern were identified from the opinions of managers and support workers: discussion of Intensive Interaction in supervision; responsibility for Intensive Interaction happening; and sharing knowledge of successful Intensive Interaction with those connected to the service user.


This is one of the first published audits of an Intensive Interaction service. For the Trust, it provides a baseline to allow monitoring of the maintenance of current levels of service provision over time and, following action taken to address areas of concern, whether future provision has been improved.



With grateful thanks to all the participants; to Joanna Stuart and Alice Fixsen (previous Honorary Assistants in Psychology) for all their hard work; to Dr Judith Samuel (Head of Psychological Services) for her support and her helpful feedback on an earlier draft of this report; and to Graham Firth, author of the Intensive Interaction Self-Assessment Checklist for Managers, for allowing the authors to use and to amend the checklist that he developed.


Donnelly, C.M., Elsworth, J. and McKim, J. (2015), "An audit of an Intensive Interaction service", Tizard Learning Disability Review, Vol. 20 No. 3, pp. 111-116.



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