Care pathways for people with intellectual disabilities who present with behaviours that challenge

Purpose – Care pathways are being increasingly used in the national health service to outline an anticipated programme of care in relation to a particular illness, condition or set of symptoms. The purpose of this paper is to inform those using the service of what they might expect within what time frame. They are designed to reduce variation in practice and allow optimal quality of care across a variety of care settings. Care pathways map out a patient’s journey, providing coordination of services for users. They aim to have: ‘‘the right people, doing the right things, in the right order, at the right time, in the right place, with the right outcome’’.Design/methodology/approach – This paper outlines care pathways in relation to people with intellectual disabilities who present with behaviour that challenges.Findings – It is likely that many people will have a lifelong need for support, so discharge from clinical services should only be considered if it is genuinely appropriate. Reductions in a person’s behaviours that challenge are likely to be a consequence of changes that have been made to the person’s environment and supports. Therefore, any reductions in the level or type of support that the person receives may lead to an escalation of the behaviour again.Originality/value – Standards in relation to care pathways are presented.