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Positive behavioural support for adults with intellectual disabilities and behaviour that challenges: an initial exploration of the economic case

Iemmi, Valentina ORCID: 0000-0003-3301-0689, Knapp, Martin ORCID: 0000-0003-1427-0215, Saville, Maria, McLennan, Kathy, McWade, Paul and Toogood, Sandy (2015) Positive behavioural support for adults with intellectual disabilities and behaviour that challenges: an initial exploration of the economic case. International Journal of Positive Behavioural Support, 5 (1). pp. 16-25. ISSN 2047-0924

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Abstract

Background: Since the closure of long-stay hospitals, positive behavioural support and person centred approaches have been recognised and encouraged to support people with intellectual disabilities in the community. Method and materials: A small before-after study was conducted to explore the economic case for a positive behavioural support service for five adults with intellectual disabilities and behaviour that challenges in a small local authority in England. Evidence from a Delphi exercise was used as comparator. Results: The service was effective in improving the outcomes (behaviours that challenge, activity engagement, community participation) at a total cost of services of £2,296 per week. By maintaining persons with less severe challenges in the community (£9 to £164 per week) and those with more severe behavioural needs in less service-intensive residential accommodations (£1,213 to £3,696 per week), the service may potentially reduce public services cost in the long term. Conclusions: The positive behavioural support service may have the potential to improve outcomes and lower cost of care in the long term.

Item Type: Article
Official URL: http://www.ingentaconnect.com/content/bild/ijpbs
Additional Information: © 2015 The British Institute of Learning Disabilities
Divisions: Social Policy
Personal Social Services Research Unit
Subjects: H Social Sciences > H Social Sciences (General)
Sets: Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > NIHR School for Social Care Research
Date Deposited: 02 Jun 2015 15:07
Last Modified: 03 Feb 2020 00:08
URI: http://eprints.lse.ac.uk/id/eprint/62165

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