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Why we need local pathways for children with learning disabilities and/or autism whose behaviours challenge (including those with a metal health condition)
- Authors:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION, CHALLENGING BEHAVIOUR FOUNDATION
- Publishers:
- National Development Team for Inclusion, Challenging Behaviour Foundation
- Publication year:
- 2017
- Pagination:
- 5
- Place of publication:
- Bath
Building the Right Support (NHS England et al., 2015) sets out a national plan to develop community services and close inpatient facilities for people with a learning disability and/or autism who display behaviour that challenges. This plan covers children and young people, and includes a new service model of local support arrangements to prevent admission. This explanatory note explains why local pathways are needed to improve outcomes for children and families, target public funding more effectively, and fulfil the duties under the Children and Families Act 2014. It also lists the range of organisations who are responsible for the development and delivery of local pathways. It is one of a set of three resources commissioned by the NHS England Transforming Care Programme help Transforming Care partnerships, local authorities and CCGs to work together with local families. (Edited publisher abstract)
An all age strategy for people with learning disabilities who challenge: sharing learning from the Gloucestershire strategy
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2016
- Pagination:
- 2
- Place of publication:
- Bath
This insight draws on learning from the Gloucestershire Challenging Behaviour Strategy and evaluation of the strategy by the NDTi over an 18 month period. The strategy has three key elements: a peer support network of families; an all age intensive support service; and positive behaviour support and positive behaviour management training for all provider services. The paper argues that having an all age strategy that works across social care, health and provider services, and ensuring this is co-ordinated so that it is seen as one strategy rather than a collection of initiatives has been an important factor in the success of the strategy. In addition to the outcomes delivered by the strategy, there have been a number of knock on benefits, including, the increased engagement of family carers in service development. Key to its success has been the flexible approach of the strategy and its ability to respond to the learning from implementation. While it is hard to get good information on the cost effectiveness of preventive services, there is anecdotal evidence of improved outcomes, and good data from the use of the Health Equalities Framework for adults using intensive support services. (Edited publisher abstract)
Getting it right with young people whose behaviour challenges: commissioning for lifelong outcomes
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2015
- Pagination:
- 2
- Place of publication:
- Bath
Summarises key findings from work carried out by the NDTi in the East Midlands and NHS East Midlands which aimed to investigate the support available for young people with learning disabilities whose behaviour challenges and to examine how to improve outcomes. The study gathered views of people with learning disabilities whose behaviour challenges, their families, social care and health staff, managers and commissioners. It included both the views of people with positive outcomes who were living in the community or connected to family and friends and also people with poor outcomes who have moved away to institutional placements. Findings discuss the changes that need to be made to services in three main areas: strategy and structure, commissioning and service management; and practice. The report highlights the need for a lifelong perspective when planning for children and young people, and ensuring that support is designed and delivered in ways that will be successful and sustainable into adult life. The findings will be of interest to commissioners and managers in social care, public health, health and education who are responsible for services to children, young people and adults with learning disabilities. (Edited publisher abstract)
Avoiding another Winterbourne View
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2014
- Pagination:
- 2
- Place of publication:
- Bath
The Government has produced a report on the action that should be taken to help make sure that people with learning disabilities who are labeled as challenging services are not at risk of abuse – as happened at Winterbourne View. This Insights is a summary from the NDTi of what has been learnt over the years about how to develop services and the supports that wil do that. It has links to useful resources. (Edited publisher abstract)
Reviewing the commissioning of services for children and young people who challenge: end of project report
- Authors:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION, IN CONTROL
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2016
- Pagination:
- 26
- Place of publication:
- London
Summarises some of the learning from a pilot project to review of local commissioning arrangements for children and young people with learning disabilities and/or autism who challenge. The report briefly describes the project, provides feedback from the young people and families consulted, and pulls together key themes from the pilot sites in Newham, Leeds, Cheshire East, and Rutland. The key themes cover education, preparing for adulthood, early intervention and prevention, support for families. The findings from the review included the need for a greater focus on preparing for Adulthood (PfA) from children’s services, the need for more support for families, and to ensure that the ‘Transforming Care Programme’ not just focused on adults but is also linked to wider local commissioning strategies for children and young people. Examples of good practice from the pilot sites in the areas of commissioning, service delivery and support for parents are also included. (Edited publisher abstract)
Guide for commissioners of services for children and young people who challenge services
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2017
- Pagination:
- 28
- Place of publication:
- Bath
This guidance has been developed following a project to review the commissioning arrangements for children and young people with learning disabilities and/or autism whose behaviours challenge. It aims to support local authorities and clinical commissioning groups (CCGs) to jointly commission services for children and young people with SEND as required by the Children and Families Act (2014). The guide focuses on the overall culture that needs to be in place to enable good services to flourish. It sets out seven commissioning considerations, including: visions and values, leadership, relationships, the model of service, skilled providers and staff; and an evidence base. Each section includes a description of what good looks like, provides links to further resources and concludes with recommendations for what effective action by commissioners should consist of. The guide will help commissioners and planners to review their current practice and develop an agenda for change. (Edited publisher abstract)
Guide for commissioners of services for people with learning disabilities who challenge services
- Author:
- NATIONAL DEVELOPMENT TEAM FOR INCLUSION
- Publisher:
- National Development Team for Inclusion
- Publication year:
- 2010
- Pagination:
- 42p.
- Place of publication:
- Bath
This good practice advice is intended primarily for NHS and local authority commissioners of services to assist them to commission high quality, cost effective services for people with learning disabilities whose behaviour challenges services. It follows the principles of Department of Health policy as described in the Mansell Report and is based on reviewing the experience and learning from commissioners in several locations in England who have made progress in implementing that policy. The report is divided into sections based on the factors that were identified to be important for success in the selected locations, with descriptors of good practice and advice for specific actions that, based on experience elsewhere, are likely to result in more effective commissioning and thus better life outcomes for people who are labelled as challenging. Seven broad areas of evidence are explored: vision and values; strong, knowledgeable and empowered leadership; strong relationships and a ‘no blame’ culture; an evidence based service model; skilled providers and support staff; evidence based commissioning; areas of high risk.