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Challenging Behaviour Managed Practitioner Network. Des Sowerby Joint Director, Learning Disability. SUMMARY. Some indicators of the level of CB in Kent What happens at the moment? Is there a strategy? What do we need to do The idea of the Managed Practitioner Network. Who is challenging.
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Challenging BehaviourManaged Practitioner Network Des Sowerby Joint Director, Learning Disability
SUMMARY • Some indicators of the level of CB in Kent • What happens at the moment? • Is there a strategy? • What do we need to do • The idea of the Managed Practitioner Network
Who is challenging • depends how well we understand what the person needs, and how well we provide this • what about people with autism, complex physical or mental health needs? • What about people who don’t cause problems but who do not appear to thrive?
Some Indicators: • District estimates of people at risk of breakdown = 17-27 • West Kent Districts place : • 101 people Out of County • 50 people in East Kent • 54 people in Mid Kent • average 17 in other West Kent Districts • range from 9-50 in own District (total 136) • + NHS placements
Some Indicators cont. • West Kent NHS placements = 450 • ?60 have very challenging needs • East Kent NHS placements = 320 • ? 50 have very challenging needs • 1500+ people placed in Kent from elsewhere • ? How many have very challenging needs
What happens at the moment? • Some specialist services • in county & out of county • some staff with special skills • statutory agencies + independent • struggles about the money • eligibility + crisis response
Is there a strategy? Valuing People • some specialist services • local • Person Centred approaches • In Control Kent • Supporting Independence • more options - reduce residential
Working Together in Kent • Whole System reviews • Integrated Working • Pooled budgets • Intensive Support Service • Managed Practitioner Network
So what do we need? Coherent approaches to commissioning • what sort of support / provision is wanted? • individually planned approaches that develop with the person • mixed economy • collaboration • resources being spent well • outcomes / VFM / reinvestment
Coherent approaches to practice • value specialist knowledge and skills • be pragmatic about the reality and extent of people’s needs, and what they can provide • promote independence • invest in comprehensive systems Early Identification Early Intervention Crisis management Long term support
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