Hillgreen has developed a pathway to independence approach which systematically supports and enables individuals with learning disabilities/dual diagnosis to address the issues regarding their specific vulnerability. Central to Hillgreen’s capacity to offer this is our in house multi-disciplinary team (MDT) which includes a clinical psychologist and behavioural specialist . Working in partnership with professionals from outside agencies, carers and service users Hillgreen’s MDT underpin not only the initail assessment process and the creation of support and behavioural strategies but also are fundamental to the assessing the ongoing effectiveness of our support provision.
This is achieved by using a unique system of person centred quantitative monitoring which captures and aggragates the five primary quantitative indicators.
The benefits of this approach include more in depth risk assessment and risk management, a reduction in re-admission and offending and a very clear link between level and quality of support and outcomes.
The following are real cases anonymised to protect confidentiality.
Case 1) J. was referred to Hillgreen from hospital, he was under section which had been the response to a series of previous placement breakdowns which themselves were a consequence of difficulties in managing his behaviour, which was frequently violent and presented a serious challenge to those supporting him.
Following a rigorous assessment process Hillgreen was able to offer J a support service in the community, initially in a registered transition service, that addressed his behaviours to the extent that the frequency and intensity of incidences reduced so significantly that he was able to positively engage with a wide variety of community resources including college and work placements. His social network improved to the extent that he is currently being supported to move into his supported living flat in the community. The day to day support that J. received was enhanced by input from Hillgreen’s in house multi-disciplinary team.
Significantly, during the 3 years that J has been with us he has not required re-admission to hospital.
Case 2) Ms. B is a young woman in her mid-twenties who has a learning disability and autism. She began to receive support from Hillgreen in 2005 following a series of previous placement breakdowns.
When Hillgreen first started to work with Ms. B her behaviour both in it’s frequency and intensity presented a significant challenge.
Presenting a risk to herself and other people around her, these behaviours manifest as self- injurious behaviour, removal of clothing, acute continuous screaming and physical aggression towards others.
Clinical psychologist Dr. Brian Leaning and behavioural specialist Andy Fenwick from Hillgreen’s in house multi-disciplinary team developed a behaviour management strategy and worked along side support staff to supervise it’simplementation.
Ms.B’s progress has been gradual but positive to the extent that the extreme behaviour which was a regular occurrence when Hillgreen first starting working with her is no longer presented.
The cessation of the behaviours which challenged support has meant that Ms.B is now able to access a wide range of activities both specialist and main stream which had previously been very difficult to do.
The multi-disciplinary team has more recently worked with the support staff to build in a re-ablement element to compliment the behavioural management strategy. This has been sufficiently successful for supported living to be considered as a viable future care option for Ms.B.