Case Studies

Robert

Robert started receiving support from us two years ago. At the time he was transitioning to adult services from a specialist residential college. Due to learning disability and autism with associated communication and behavioral needs his Social Worker and family had been struggling to find an appropriate place for him to live. They were quite rightly reluctant to look at residential facilities and wanted him to have more independence living in his own flat.

Following a thorough assessment and robust transition plan, we helped Robert move into his own flat. We worked alongside him and his family to furnish this to meet his specific requirements. We provide a minimum of 24hr 1:1 support for Robert and his Positive Behaviour support plans and personalised interventions are regularly reviewed by our PBS practitioner and Clinical Nurse Specialist.

It took Robert a little while to adapt to living in his own place and whilst he was settling in he required additional support. Skilled staff supported him when he felt anxious to use his calming techniques and strategies and to enable him to communicate his needs more appropriately without resulting to behaviours that challenge. There were a number of hiccups and incidents at first, but reflective practice and debriefs were used as learning opportunities to help identify what was working well or what needed adapting, which then led to improvements in the PBS plan and staff getting to know Robert better.

He has now settled and is very active in the local community being out and about most days. Robert still needs staff support at all time to ensure his safety and independence but seems really happy living where he is. Regular reviews and assessment tools are used to ensure Robert is engaging in meaningful activities, learning new skills and enjoying a good quality of life. His family have fed back that his current placement has exceeded his expectations.

Natasha

Natasha’s Social Worker referred her to us due to the breakdown of her then current residential placement. She has mild learning disabilities, autism and ADHD. An articulate and independent young woman, Natasha was in constant conflict with an inflexible system that was actually reinforcing a number of unhelpful behaviours and preventing her developing appropriate coping strategies.

We helped Natasha move into a one bedroom flat and provided 24hr access to support staff and 1:1 input at times of stress. This support included specialist input from our Clinical Nurse Specialist and PBS practitioners.

Initially things were tough for Natasha and staff who were still getting to know he and her specific needs. She would often direct her anger and frustration at support staff and break things within her flat and around the tenancy complex. Weekly incident reviews took place with the clinical and operational teams, to reflect on the incidents and analyse the data which supported the development of her PBS plan and interventions. As trust was built and coping strategies developed the frequency of the incidents decreased and Natasha and staff were able to build a therapeutic relationship.

There are still times when Natasha feels angry and stressed, requiring a great deal of emotional and physical support from staff, but this doesn’t happen as often and she spends her time engaged in a number of activities and pursuits that interest her. She is currently looking at employment opportunities.

Ana

Ana is a young lady who lives in her own flat with 24hr background support and 1:1 support in the community. She has autism and sometimes struggles with accepting her diagnosis which causes her to have low self-esteem, anxiety which sometimes result in challenging behaviours. A functional assessment was completed to help identify the triggers to the behaviours she was exhibiting and to develop a positive behaviour support plan to help staff provide consistent and proactive support. In order to ensure staff fully understood the PBS plan and how Ana wanted to be supported, a staff workshop was facilitated by the PBS practitioner.

Ana often found it difficult to manage her internal emotions and stress which could often result in self-harm. Due to this, the clinical nurse specialist spent a number of 1:1 sessions with Ana to discuss the feelings she was having and what triggered them, so that coping strategies and interventions could be developed as an alternative to self-harming. As a result of the work completed, a Wellness Recovery Action Plan (WRAP) was put together for Ana to refer to daily and for staff to have an additional toolbox to use to provide proactive and personalised support. Ana has just been awarded a certificate of achievement for not self-harming for three months! Ana’s support staff meet with her regularly to set goals as part of her person-centred plan. In the past year Ana has achieved a number of goals, including walking over the O2 in London and she completed the Duke of Edinburgh gold award which was presented to her at Buckingham Palace! Ana has also just been to London on the train independently to meet friends, which was a real achievement for her. She is now planning more activities and trips independently!