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

Roy, Ashok, Baker, Peter, Carmichael, Sue (2020) Care pathways for people with intellectual disabilities who present with behaviours that challenge. Tizard Learning Disability Review, 25 (3). pp. 99-107. ISSN 1359-5474. E-ISSN 2042-8782. (doi:10.1108/TLDR-07-2020-0016) (KAR id:88562)

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https://doi.org/10.1108/TLDR-07-2020-0016

Abstract

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.

Item Type: Article
DOI/Identification number: 10.1108/TLDR-07-2020-0016
Uncontrolled keywords: Standards, Intervention, Care pathways, Assessment, Behaviours that challenge, Functional behavioural analysis
Subjects: R Medicine > RA Public aspects of medicine > RA421 Public health. Hygiene. Preventive Medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research
Depositing User: Peter Baker
Date Deposited: 05 Jun 2021 08:16 UTC
Last Modified: 21 Jun 2021 12:12 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/88562 (The current URI for this page, for reference purposes)
Baker, Peter: https://orcid.org/0000-0003-1421-9639
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