Challenging behaviour services review finds specialist congregate services use more restrictive approaches with limited effect.


This literature review looked at evaluations of service provision in the UK for people with challenging behaviours, reviewing the literature from 1990 to 2010 looking at studies that evaluated a range of UK service provision in terms of impact on challenging behaviour and other quality of life indices. The author found very few evaluations, although the studies included indicated that specialist congregate services appeared to appear to use more restrictive approaches which have limited effect on reducing challenging behaviour. There was less clear evidence on the outcomes for peripatetic teams. Two studies found showed positive outcomes, but with significant methodological considerations. There was only one evaluation of a community based service. The lack of good quality evaluations suggest difficulties in generalising results.

Providing services in the United Kingdom to people with an intellectual disability who present behaviour which challenges: A review of the literature, McKenzie K, in Research in Developmental Disabilities, 32, 2, 395-403.

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John Northfield

After qualifying as a social worker, John worked in community learning disability teams before getting involved in a number of long-stay hospital closure programmes, working to develop individual plans for people moving into their own homes. He worked for BILD, helping to develop the Quality Network and was editorial lead for the NHS electronic library learning disabilities specialist collection. This led him to found the Learning Disabilities Elf site with Andre Tomlin as a way of making the evidence accessible to practitioners in health and social care. Most recently he has worked as part of Mencap's national quality team and also been involved in a number of national website developments, including the General Medical Council's learning disabilities site.

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