Challenging behaviour in community services

Citation
T. Joyce et al., Challenging behaviour in community services, J INTEL DIS, 45, 2001, pp. 130-138
Citations number
28
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Rehabilitation,"Neurosciences & Behavoir
Journal title
JOURNAL OF INTELLECTUAL DISABILITY RESEARCH
ISSN journal
0964-2633 → ACNP
Volume
45
Year of publication
2001
Part
2
Pages
130 - 138
Database
ISI
SICI code
0964-2633(200104)45:<130:CBICS>2.0.ZU;2-E
Abstract
The implementation of community care in the UK has led to the requirement t hat services should be able to meet the needs of adults with intellectual d isability (ID) and additional needs in terms of challenging behaviour. Howe ver, the extent to which people with challenging behaviour are present in t he community and the extent to which community services can support them ef fectively still requires significant research. The present study examines t he prevalence of challenging behaviour amongst adults with ID residing in t hree London boroughs and the issues which arise from service delivery to th is client group. All service providers and general practitioners in the are a were contacted and asked to identify any individuals with ID and challeng ing behaviour. All responses were screened, and then key staff were intervi ewed for information on a range of demographic factors and on the Checklist of Challenging Behaviour. The reliability of the instrument was also asses sed. Four hundred and forty-eight individuals were identified from a total borough population of 670 000. There was consistency in the types of behavi our which were frequently identified across the three boroughs. There were significant levels of self-injury as well as a range of behaviours of the ' hard to engage' type. Most individuals had more then one challenging behavi our and some individuals with seriously aggressive behaviour used local com munity services. Twenty-five per cent of the sample lived at home with thei r families and 50% were in community residential services. The boroughs dif fered in their ability to manage those with challenging behaviour in that o ne borough had many more people placed out-of-borough. Significant numbers of individuals with challenging behaviour were living in the community. The range and number of behaviours suggest that staff need to be very skilled in supporting such individuals, and that effective planning and support are essential if people with challenging behaviour are to be maintained in com munity settings.