Lee’s Story – Courtwick Park
* names have been changed to protect privacy
Lee came to Courtwick Park with a history of significant challenging behaviour. However, after just a short time with the support team he was able to participate in a range of community activities including shopping, going to the disco and engaging with other residents. At this point, his medication was changed and his behaviour became increasingly challenging which required a new approach to his support.
Following a required change in epilepsy medication, Lee became agitated, physically confrontational and would obsess about clothing and certain foodstuffs, particularly coffee. He became non-cooperative in activities both within the service and externally and also began to neglect his personal care and hygiene.
The staff team at Courtwick Park carried out a full re-examination of Lee’s needs. They worked closely with Lee, Consensus’ Positive Behaviour Intervention Team and a speech therapist from the County’s Healthcare Team to set up a clear plan of support. A comprehensive range of areas that Lee required support in was identified, from personal care and social behaviour to cognitive skills and access to the wider community.
A clear and consistent plan was then agreed with the involvement of Lee and the entire support team. A new approach to verbal communication utilised simple phrases, short sentences and one word requests, reinforced with sign-along. Lee was encouraged to choose and then make use of an agreed space in the garden or lounge that he would go to when he started to feel angry or display aggressive behaviour. His diet was modified to remove unnecessary stimulants such as coffee and he was supported to reduce anxiety about specific items of clothing.
By enabling Lee to develop techniques with which he can self-regulate and de-escalate behaviour, he has substantially reduced his instances of aggressiveness. Subsequently Lee feels more in control and is more able to work with the staff team on the other outcomes identified in the agreed support plan.
Lee’s family have already seen improvements in personal care and overall wellbeing. As he continues to make progress Lee is looking forward to re-engaging in favourite activities, such as going to the disco and eating out.
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