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Developing better commissioning for individuals with behaviour that challenges services: a scoping exercise
- Authors:
- McGILL Peter, COOPER Vivien, HONEYMAN Gemma
- Publisher:
- Tizard Centre; Challenging Behaviour Foundation
- Publication year:
- 2010
- Pagination:
- 35p., bibliog.
- Place of publication:
- Canterbury
The main problems faced by people with learning disabilities whose behaviour presents challenges are community placements breakdown, increasing use of out of area placements, and persistence of poor quality institutional solutions. The Department of Health commissioned this report and the work it describes as part of the delivery plan for the Government's strategy for people with learning disabilities. As a scoping exercise, the overall aim was to map out the issues and determine where future work was most likely to be useful. The report draws on 3 sources: in-depth consultations with the families of 6 individuals with behaviour that challenges services to provide a picture of the outcomes of services for individuals and families, extended interviews with 8 local authority and health commissioners of learning disability services to identify obstacles to progress and the kinds of supports that might assist local service development, and the literature on both challenging behaviour and commissioning. It provides an overview of the problems, and presents the findings from the family consultation and commissioner interviews. It makes recommendations about national action and support for commissioners.
Arranging services for people with a learning disability and behaviour that challenges: a quick guide for commissioners
- Authors:
- NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE, SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publishers:
- National Institute for Health and Care Excellence, Social Care Institute for Excellence
- Publication year:
- 2018
- Pagination:
- 4
- Place of publication:
- London
People with a learning disability and behaviour that challenges should have the support they need to live how and where they want. Organising and developing services in the right way is the first step to making this happen. This quick guide focuses on achieving good outcomes for people through effective commissioning of services. It looks at planning and delivering services, providing services in the community, and considering housing options. The content is based on NICE’s guideline on learning disabilities and behaviour that challenges: service design and delivery. (Edited publisher abstract)
Implementing policy and good practice in services for people with learning disabilities: factors influencing commissioning and service provision
- Authors:
- KERRIGAN James Colman, HOPPER Caroline
- Journal article citation:
- Tizard Learning Disability Review, 22(1), 2017, pp.28-37.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore the implementation of learning disability (LD) policy among LD commissioners and managers in Kent (South East England) and a neighbouring area. Design/methodology/approach: Participants’ views were elicited by semi-structured interviews focussed on two key national policy documents: Valuing People (DH, 2001) and the Mansell report (DH, 1993; 2007a). Findings: Valuing People had a significant impact at the time of publication but initial enthusiasm and impetus faded over time. The Mansell report was thought to have had little impact on local services. Good progress was reported with respect to the development of more integrated services. Limited progress was identified with respect to the development of local mental health and challenging behaviour services. Factors influencing policy implementation were identified. Originality/value: The similarity of findings to those of McGill et al. (2010) suggest their more general relevance. In the light of the subsequent investigation into Winterbourne View, common themes from both studies are considered in relation to the current Transforming Care programme in England. (Publisher abstract)
The personalisation challenge: personalisation for people with learning disabilities and behaviour described as challenging
- Author:
- LINGARD Jane M.
- Journal article citation:
- Tizard Learning Disability Review, 19(1), 2014, pp.3-10.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to report on a personalisation project run by the Challenging Behaviour Foundation (CBF) which aims to share the identified barriers and solutions to personalisation for people with severe learning disabilities and behaviour described as challenging. Design/methodology/approach: A small project team consisting of a project manager, housing specialist and positive behavioural support specialist worked as consultants with selected East Midlands local authority and NHS commissioners and with six families from other areas. Findings: The main barrier to personalisation was the volume of, and priority given to, safeguarding referrals by frontline commissioning social care workers. This reduced capacity for a proactive approach to support planning. Workers who participated in the project appreciated the expertise and support of the project team and the opportunity to reflect on their work. However, a major project limitation was a lack of time for commissioning workers and managers to engage with the project. Practical implications: The project report provided a series of recommendations for action for commissioners of health and social care support and for families. The Winterbourne View scandal broke as the project was established and its findings are helpful to anyone taking forward action plans to improve commissioning practices to avoid the continued commissioning of poor quality care. Originality/value: The project sought direct engagement in planning in “real time” with frontline commissioning staff and the families of people with severe learning disabilities and behaviour described as challenging. It is hoped that the value of the paper will be to influence NHS and LA commissioners to improve their response to people with severe learning disabilities. (Publisher abstract)
Services for adults with learning disabilities who display challenging behaviour: well-matched and skilled staff
- Author:
- BAKER Peter
- Publisher:
- Challenging Behaviour Foundation
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- Chatham
The distress and trauma which can be experienced if someone is placed in an inappropriate and poorly monitored setting is all too evident with recent exposure of abuse and poor practice. Those commissioning often expensive placements must be able to access evidence-based information which demonstrates what a good service should offer. This pamphlet has been produced as a guide for professionals who commission services for adults with learning disabilities who display challenging behaviour. These individuals have complex health and social needs. Service provision must be directed by the needs of the individual and there should not be an expectation that these people can be fitted into existing services if such services do not address the complexities of their needs. The pamphlet suggests which professionals should be involved, what should be looked for in a service, what skills are required by the workforce and how service provision can be monitored.
Services for children and young people who display challenging behaviour: well-matched and skilled staff
- Author:
- BERNARD Sarah
- Publisher:
- Challenging Behaviour Foundation
- Publication year:
- 2011
- Pagination:
- 11p.
- Place of publication:
- Chatham
The distress and trauma which can be experienced if someone is placed in an inappropriate and poorly monitored setting is all too evident with recent exposure of abuse and poor practice. Those commissioning often expensive placements must be able to access evidence-based information which demonstrates what a good service should offer. This pamphlet has been produced as a guide for professionals who commission services for children with learning disabilities who display challenging behaviour. These individuals have complex health and social needs. Service provision must be directed by the needs of the individual and there should not be an expectation that these people can be fitted into existing services if such services do not address the complexities of their needs. The pamphlet suggests which professionals should be involved, what should be looked for in a service, what skills are required by the workforce and how service provision can be monitored.
Falling through the net
- Author:
- PITT Vern
- Journal article citation:
- Community Care, 23.6.11, 2011, pp.22-24.
- Publisher:
- Reed Business Information
In light of Panorama's investigation of abuse at the private hospital Winterbourne View, this article discusses why people with learning disabilities are still placed in hospitals despite agreement from experts that this often not the best option. Poor commissioning, funding and barriers to providing alternatives are highlighted. Expert Jim Mansell also sets out an eight-part plan for preventing abuse in services for people with learning disabilities and challenging behaviour.
Facing the commissioning challenge: responding effectively to people whose behaviour is challenging
- Author:
- BERING Sandy
- Journal article citation:
- Advances in Mental Health and Intellectual Disabilities, 4(2), June 2010, pp.4-12.
- Publisher:
- Emerald
Securing better health and better care outcomes for people by effective use of public resources is at the heart of the commissioning agenda. Commissioning should ensure that the needs and wishes of people are well understood, and the market managed, so there are a range of local supports and provision available at a reasonable price. This is particularly important for people with intellectual disability whose behaviour is challenging, where effective clinically informed leadership is essential. Although models of good practice have been demonstrated for more than 20 years, making this happen on a wider scale remains the real challenge. Common wisdom about positive practice is not common practice in meeting identified needs. This paper aims to demystify the elements of effective commissioning roles, processes and the relationship of this work to positive outcomes in intellectual disability services, and to challenging behaviours. It highlights the case for a change in current common practice, explores some of the key barriers that must be addressed, and suggests key ways to achieve better outcomes.
The self-assessment checklist for monitoring services for people with learning disability and challenging behaviour
- Author:
- LEARNING DISABILITY IMPLEMENTATION ADVISORY GROUP
- Publisher:
- Wales. Welsh Assembly Government
- Publication year:
- 2007
- Pagination:
- 48p.
- Place of publication:
- Cardiff
In order to support agencies to monitor and further develop services for people whose behaviour poses challenges to services, the Learning Disability Implementation Advisory Group (LDIAG) has produced a Self-Assessment Checklist. This is a tool intended for use by commissioners and providers from health and social services to establish what is in place and working well for people with learning disabilities and challenging behaviour in local areas. Ideally, the self-assessment should be based on a process that involves key stakeholder services, users and carers. The checklist can be used as a first step towards service improvement and development and afterwards at regular intervals to track developments, celebrate achievements and maintain progress towards better services and support for people with challenging behaviour.
Arranging and paying for training in positive behavioural support
- Authors:
- SKILLS FOR CARE, SKILLS FOR HEALTH
- Publisher:
- Skills for Care
- Publication year:
- 2019
- Pagination:
- 23
- Place of publication:
- Leeds
A guide for people involved in designing, delivering or commissioning positive behavioural support (PBS) training in adult social care organisations. The guide explains what staff need to know to deliver high-quality positive behavioural support, outlines standards for PBS training and provides advice about commissioning or designing training. It includes links to key organisations. (Edited publisher abstract)