The proposed model

Community teams for people with learning disabilities (CTPLD) will:

  • Have a regular caseload, and
  • Be able to respond more proactively and preventatively than before to all service user groups as a result of increased capacity

An Intensive Support Team (IST) will aim to provide services that:

  • Include proactive high quality functional community based assessments of people with learning disabilities who present with behavioural challenges and/or have associated mental health needs.
  • Use intensive, safe, responsive and non-invasive strategies (including Positive Behaviour Support approach) and person-centred support based models that focus on the needs of the individual and their families to alleviate problems identified
  • Focus on improving quality of life and a reduction in behaviours that post a risk to self and others
  • Provide advice and support on the implementation of packages of intervention in a community setting
  • Seek to enhance the skill base of all Berkshires learning disability services, including supporting other providers, when dealing with behavioural challenges and/or attempting to meet mental health needs
  • In conjunction with social care, minimise the risk of people with learning disabilities being taken into specialist services for assessment and treatment (unless clinically warranted)
  • Provide advice and support to transition and education teams where children and young people preparing for adulthood present with behaviours that can challenge and/or associated mental health needs.
  • Reduce the rate of readmission by working with people post discharge for 12 weeks.
  • Make recommendations and identify the use of assistive technology and telehealth including ‘just checking’ technology to deliver greater independence, social inclusion, privacy and dignity to people with a learning disability.
  • Ascribe to CQC regulations and registration

The Therapeutic Assessment and Treatment Unit will be located at Prospect Park and provide:

A therapeutic inpatient unit for planned and emergency admissions for people with learning disabilities who require specialist assessment and treatment that cannot be safely and effectively provided in the community.

Sitting across all new developments, and in line with national guidance, the Berkshire TCP Board is using the principles of the Positive Living or Positive Behavioural Support Model in its approach to providing care for service users, families and carers.

It is a framework for developing an understanding of the challenging behaviour displayed by an individual based on an assessment of social and physical environment and the broader context that exists. Using this knowledge, and the involvement of stakeholders, a personalised and lasting model of support is created that improves the quality of life and outcomes for the service user. This model is then continually evaluated and monitored.

More information on the need for this approach is available here.