Case Studies

 Case Study A: Sophie

Sophie has difficulties with communication and social relationships, which are related to her diagnosis of autism. When very distressed, she bangs her head and sometimes hits out at those around her. The local authority planning to offer Sophie and her family support as she became eligible to use services for adults wanted an independent opinion on Sophie’s strengths and difficulties, and what she might need in the future.

An assessment was carried out with Sophie and her family, in partnership with involved clinicians and the team hoping to plan her future support. This involved spending time with Sophie at home and at school, talking to her family and staff at the school about strategies that they had worked on together and finding out about how Sophie makes her views known to others. The findings were used to develop the basis of a transition plan that placed Sophie and her family at its heart.

 Case Study B: Kieran

Kieran’s profound disabilities can make it difficult for those supporting him to know what he likes and how he want to get involved in the world around him. He needs support with all aspects of daily living, placing him at risk of being a passive observer rather than an active participant in his own life.

Person-specific training gave Kieran’s support network ideas, principles and motivation for thinking about him in a completely different way which valued his perspective and built on his skills and strengths. Introducing simple ways of monitoring and evaluating the ways in which Kieran was being supported developed stronger partnership working between Kieran, his family and the staff and clinicians involved in his life.

 Case Study C: Working with providers

An agency working with people who can challenge others was keen to develop its staff and provide them with the tools for engaging people with complex needs. A training programme was developed in partnership with service managers, family representatives and local clinicians. Encouraging sessions to be co-facilitated between family members and staff helped develop a culture of ownership and a commitment to shared objectives. Content included engagement and participation skills, positive behaviour support and positive risk taking.

Keeping the training materials focused specifically on individuals supported by the provider organisation ensured its relevance for participants, leading to hopes for a change in culture rather than just a ‘quick fix’.