No differences in adaptive behaviour found in those with triad of impairments and severe challenging behaviour.


This study set out to investigate whether the triad of impairments and severe challenging behaviour had an impact on the lifestyle of adults living in staff-supported community housing using data collected on 427 adults living in 146 staffed houses.

The authors found that after controlling for adaptive behaviour, there were no significant differences between those with and without the triad of impairments.

They found that those with severe challenging behaviour received more staff attention, but were similar in terms of social, community and household activities.

The authors conclude that low adaptive behaviour had a negative impact on lifestyle outcomes, and that compared to this the presence of autistic spectrum disorders or severe challenging behaviour had little effect.

The Impact of Autism or Severe Challenging Behaviour on Lifestyle Outcome in Community Housing, Felce, D. et al, in Journal of Applied Research in Intellectual Disabilities, 24: 95–104.

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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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