Self‐injury and other challenging behaviour at intervention and ten years on: a case study

Sandy Toogood (Bangor University & Betsi Cadwaladr University Local Health Board, UK)
Steven Boyd (Betsi Cadwaladr University Local Health Board, UK)
Andy Bell (Betsi Cadwaladr University Local Health Board, UK)
Helen Salisbury (Betsi Cadwaladr University Local Health Board, UK)

Tizard Learning Disability Review

ISSN: 1359-5474

Publication date: 31 January 2011

Abstract

In 1997 Tom was a 32‐year‐old man with a diagnosis of severe intellectual disability and autism who engaged in high‐rate challenging behaviour. Tom's out‐of‐area placement was about to break down and he needed help urgently. For 16 months specialist challenging behaviour services supported Tom directly in a single‐occupancy service. They conducted functional assessment and delivered multi‐level intervention, including medication withdrawal, environmental enrichment, skills teaching, augmented communication and targeted behavioural intervention. Support was then transferred to mainstream learning disability services. Following intervention, the rate of challenging behaviour shown by Tom fell significantly from more than 200 instances per day to almost none. Community involvement and engagement increased. Tom moved into shared accommodation with support from mainstream learning disability services at no additional cost. Improvement at intervention was still apparent 10 years later. Tom's story adds to a growing number of articles showing how focused intervention can deliver lasting improvement in quality of life. Four aspects of Tom's story are discussed in the light of the Mansell Report.

Keywords

Citation

Toogood, S., Boyd, S., Bell, A. and Salisbury, H. (2011), "Self‐injury and other challenging behaviour at intervention and ten years on: a case study", Tizard Learning Disability Review, Vol. 16 No. 1, pp. 18-29. https://doi.org/10.5042/tldr.2011.0004

Download as .RIS

Publisher

:

Emerald Group Publishing Limited

Copyright © 2011, Emerald Group Publishing Limited

Please note you might not have access to this content

You may be able to access this content by login via Shibboleth, Open Athens or with your Emerald account.
If you would like to contact us about accessing this content, click the button and fill out the form.
To rent this content from Deepdyve, please click the button.