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The All Wales Learning Disability Strategy: current status and implications for people with current status and implications for people with mental health needs or severe challenging behaviour
- Authors:
- FELCE David, ALLEN David
- Journal article citation:
- Advances in Mental Health and Learning Disabilities, 1(1), March 2007, pp.33-36.
- Publisher:
- Emerald
This article briefly summarises the main Welsh policy principles that apply to all people with learning disabilities, including those with mental health needs or severe challenging behaviour. The authors briefly review progress in supporting people with complex behavioural needs, reflect on areas where development in practice has not lived up to policy rhetoric and also examine the consequences of this policy to practice gap. The authors then describe current barriers to further service development. Finally they suggest a number of changes that are necessary for the current inadequacies to be resolved.
Working with people who have severe learning difficulty and challenging behaviour: a practical handbook on the behavioural approach
- Authors:
- MCBRIEN Judith, FELCE David
- Publisher:
- British Institute of Learning Disabilities
- Publication year:
- 1992
- Pagination:
- 109p.
- Place of publication:
- Kidderminster
The impact of autism or severe challenging behaviour on lifestyle outcome in community housing
- Authors:
- FELCE David, et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 24(2), March 2011, pp.95-104.
- Publisher:
- Wiley
This study examined whether the characteristic of autistic spectrum disorders had an impact on lifestyle among adults living in staff-supported community housing. Data included adaptive and challenging behaviour, social impairment, attention from staff, social and community activities, household participation and engagement in activity of 427 adults living in 146 staff-supported community houses in south Wales. Findings revealed that, after controlling for adaptive behaviour, there were no significant differences between those with and without the triad of impairments, although people with severe challenging behaviour received significantly more staff attention but were similar in terms of social, community and household activities. Results support previous findings that low adaptive behaviour had a negative impact on lifestyle. Compared with this, the presence of autistic spectrum disorders or severe challenging behaviour has little effect.
The definition of challenging behaviour in practice
- Authors:
- LOWE Kathy, FELCE David
- Journal article citation:
- British Journal of Learning Disabilities, 23(3), 1995, pp.118-123.
- Publisher:
- Wiley
Two studies explored how severely challenging behaviour might be defined in practice. Associations between behaviour and severity of management problem in the first study suggested that outer-directed behaviour tended to be rated as more challenging. The characteristics of people referred to specialist challenging behaviour services were compared in the second study to similarly labelled people not so referred. Differences again highlighted outer-directed behaviour disruptive to the material or social environment.
Exploring the relationships between costs and quality of services for adults with severe intellectual disabilities and the most severe challenging behaviours in Wales: a multivariate regression analysis
- Authors:
- FELCE David, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 25(4), December 2000, pp.307-326.
- Publisher:
- Taylor and Francis
A survey in Wales of people with severe intellectual disabilities and the most severe challenging behaviour identified adults living in new specialist community housing and 19 in traditional services. This study explored the relationships between resident characteristics, service characteristics, service processes, quality of life outcome and costs in a series of mutivariate regression analyses.
Residential behaviour and staff interaction with people with intellectual disabilities and seriously challenging behaviour in residential services
- Authors:
- FELCE David, LOWE Kathy, BLACKMAN Derek
- Journal article citation:
- Mental Handicap Research, 8(4), 1995, pp.272-295.
- Publisher:
- BIMH Publications
The behaviour of residents with severe intellectual disabilities and severely challenging behaviour and the interactions they received from staff were observed. Eight people lived in traditional hospitals and eight in community settings. The two groups were individually matched by adaptive ability. Looked at two case studies which, with other recent research, point to the impact which the content and focus of staff attention can have on resident activity patterns. Comparison to research on people with less severe challenging behaviour supports the contention that individuals with the most severe challenging behaviours tend to lead more impoverished lives.