Tony is 37 and has a moderate learning disability and autism as well as Fragile X (a chromosomal disorder that can make people prone to aggressive outbursts) and a personality disorder.
When he came to NobleCare, Tony had spent long periods in hospital after breakdowns at other placements. He felt comfortable within a hospital, where the external stimuli were well managed, but still required 18 separate medications. He had tendencies to self-harm, display impulsive aggressive behaviour and did not engage with others.
At NobleCare our team designed a set of care and risk management plans that got to the root of how his medical issues interplayed with his autism and psychological issues.
We then developed a Positive Behaviour Support (PBS) Plan in conjunction with our consultant behavioural specialist. Staff were trained in how to implement the PBS plan and other specific support plans by our in-house trainers alongside a consultant psychologist.
The plans included an individual programme of support for Tony to control his aggressive behaviours together with thoughts diaries, reminder cards and our SPELL approach.
Tony has done well. He has not self-harmed in over 12 months, displays far less aggressive behaviour and has built friendships in the local area, particularly at the local bingo club. He is now mapping out his first move into supported living.