Step 4a

Development of Service Specification

Q5 Does the person have complex needs – challenging behaviour/ASD/forensic needs – and how will these be managed in the service(s) being commissioned?

Dept of Health (2007) Services for people with learning disability and challenging behaviour or mental health needs. (Mansell Report-Revised edition). http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_080129

Challenging Behaviour Foundation (2010) The Challenging Behaviour Easy Read Charter. Challenging Behaviour National Strategy Group.
http://www.challengingbehaviour.org.uk/learning-disability-files/Easy-read-Charter-for-website.pdf

Royal College of Psychiatry/British Psychological Society/Royal College of Speech and Language Therapists (2007) CR144. Challenging Behaviour: A Unified Approach. Clinical and service guidelines for supporting people with learning disabilities who are at risk of receiving abusive or restrictive practices.
http://www.rcpsych.ac.uk/files/pdfversion/cr144.pdf

Baum, N. T. (2009), Diagnostic Manual-Intellectual Disability: A Textbook of Diagnosis of Mental Disorders in Persons With Intellectual Disability. Journal of Policy and Practice in Intellectual Disabilities, 6, 66–67.

Whitaker, S. and Read, S. (2006) The Prevalence of Psychiatric Disorders among People with Intellectual Disabilities: An Analysis of the Literature. Journal of Applied Research in Intellectual Disabilities, 19, 330-345

LaVigna, G. and Donnellan, A. (1986) Alternatives to Punishment: Solving behavior problems with non-aversive strategies. Irvington, New York.

Campbell, M. (2007) Staff Training and Challenging Behaviour– Who Needs It? Journal of Intellectual Disabilities, 11, 2, 143-156.

British Institute of Learning Disabilities (2002) Physical Interventions: BILD Guide. British Institute of Learning Disabilities, Kidderminster.
http://www.bild.org.uk/our-services/books/positive-behaviour-support/easy-guide-to-physical-interventions/

British Institute of Learning Disabilities (2010) Code of Practice for the Use and reduction of restrictive physical interventions. Third Edition.
http://www.bild.org.uk/our-services/books/positive-behaviour-support/bild-code-of-practice/

Allen, D (2004) Ethical Approaches to Physical Interventions: Responding to Challenging Behaviour in People with Intellectual Disabilities. Journal of Applied Research in Intellectual Disabilities, 17, 3, 227-228.

Allen, D., James, W., Evans, J., Hawkins, S. and Jenkins, R. (2005) Positive behavioural support: Definition, current status and future directions. Tizard Learning Disability Review, 10, 4–11.

NHS Evidence (2010) Health Needs Annual Evidence Update 2010: Challenging Behaviour - RCTs & Understanding Challenging Behaviour.

Health Needs Annual Update 2010 –

Annual Evidence Update on Health Needs of People with Learning Disabilities: 28 June - 2 July 2010
http://www.library.nhs.uk/rss/newsAndRssArticle.aspx?uri=http://www.library.nhs.uk/resources/?id=379461

Journal of Learning Disabilities and Offending Behaviour (2010) Sample contents.
http://www.emeraldinsight.com/products/journals/journals.htm?id=jldob

Scottish Executive/University of St Andrews (2005) Improving the Quality of Life for People with Learning Disabilities: Research into Practice. Conference Report.
Conference proceedings and speakers presentations available at:
http://www.jitscotland.org.uk/action-areas/learning-disability/

NHSQIS (2004) Outcome of the Scoping of a HTA in Psychotropic Medications and Psychosocial Interventions for people with Challenging Behaviour. http://www.healthcareimprovementscotland.org/previous_resources/hta_report/scoping_reports/hta_learning_disabilities.aspx

Additional Resources
1. Crisis, Aggression, Limitation and Management (CALM) Training – A BILD accredited training provider which offers training programmes to enable better organisational and individual responses to challenging behaviour, including aggression and violence from users of the human services. http://www.calmtraining.co.uk/
2. Forensic Network – Forensic Mental Health Services Managed Care Network. At the Inter Regional Group meeting on 17 February 2012 it was agreed that a list of all policies for Forensic Services would be placed on the network website for information. The purpose of this is to enable services to compare their lists of policies and contact each other for further information if they wish to develop something similar. http://www.forensicnetwork.scot.nhs.uk/Regional Policies.html
3. Care Services Improvement Partnership (2007). Positive Practice, Positive Outcomes: A Handbook for Professionals in the Criminal Justice System working with Offenders with Learning Disabilities. http://www.nacro.org.uk/data/files/nacro-2007030700-395.pdf
4. The National Autistic Society – Challenging Behaviour During Transition Times http://www.autism.org.uk/living-with-autism/understanding-behaviour/behaviour-common-questions-answered/challenging-behaviour-during-transition-times.aspx
5. The National Autistic Society – Change: Preparing a Person with Autism http://www.autism.org.uk/living-with-autism/understanding-behaviour/change-preparing-a-person-with-an-autism-spectrum-disorder-for-change.aspx
6. The Richmond Fellowship Scotland – Implementing Positive Behaviour Support...From Theory to Practice http://www.fhcommunities.org/userfiles\file\Learning Disability\LD Seminar\Workshops/Positive Behaviour Support.pdf
7. Docherty, G. (2010) The Challenges of Running a Learning Disability Service in a Scottish Prison. Learning Disability Practice, 13 (2), 23-27. http://learningdisabilitypractice.rcnpublishing.co.uk/archive/article-the-challenges-of-running-a-learning-disability-service-in-a-scottish-prison
8. Rethink Mental Illness (2011) Forensic Mental Health Services http://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&ved=0CFoQFjAB&url=http://www.rethink.org/document.rm?id=13626&ei=dVszUKW7G5SM0wXTrYDwBQ&usg=AFQjCNEqXgArswrauzrv4xxVzK-Q5L6fDA&sig2=3wl46Hnd2RLvVRlcNPpcDw
9. Understanding Individual Needs – Care & Support Services – Achieving Best Practice: Challenging Behaviour http://www.understandingindividualneeds.com/page.php?identity=challenging_behaviour

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