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Care pathways for people with intellectual disabilities who present with behaviours that challenge

Ashok Roy (Coventry and Warwickshire Partnership NHS Trust, Coventry, UK)
Peter Baker (Tizard Centre, University of Kent, Canterbury, UK)
Sue Carmichael (The Challenging Behaviour Foundation, Chatham, UK)

Tizard Learning Disability Review

ISSN: 1359-5474

Article publication date: 27 November 2020

Issue publication date: 14 December 2020

201

Abstract

Purpose

Care pathways are being increasingly used in the national health service to outline an anticipated programme of care in relation to a particular illness, condition or set of symptoms. The purpose of this paper is to inform those using the service of what they might expect within what time frame. They are designed to reduce variation in practice and allow optimal quality of care across a variety of care settings. Care pathways map out a patient’s journey, providing coordination of services for users. They aim to have: “the right people, doing the right things, in the right order, at the right time, in the right place, with the right outcome”.

Design/methodology/approach

This paper outlines care pathways in relation to people with intellectual disabilities who present with behaviour that challenges.

Findings

It is likely that many people will have a lifelong need for support, so discharge from clinical services should only be considered if it is genuinely appropriate. Reductions in a person’s behaviours that challenge are likely to be a consequence of changes that have been made to the person’s environment and supports. Therefore, any reductions in the level or type of support that the person receives may lead to an escalation of the behaviour again.

Originality/value

Standards in relation to care pathways are presented.

Keywords

Citation

Roy, A., Baker, P. and Carmichael, S. (2020), "Care pathways for people with intellectual disabilities who present with behaviours that challenge", Tizard Learning Disability Review, Vol. 25 No. 3, pp. 99-107. https://doi.org/10.1108/TLDR-07-2020-0016

Publisher

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Emerald Publishing Limited

Copyright © 2020, Emerald Publishing Limited

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