[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-184409-en":3,"doc-seo-184409-105":30,"detail-sidebar-cat-1-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":11,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},184409,137451207643,"Margaret","https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2",1,17,"Forms","Care Pathway For Behaviours of Concern - Version dates September 2016","Specialist Services Division care pathway for addressing behaviours of concern in adults with learning disabilities. Establishes a locally agreed, multi-disciplinary approach grounded in NICE NG11 and related guidance, using Positive Behavioural Support and including audit and monitoring through a pathway flowchart. Defines referral acceptance criteria for Lincolnshire residents, eligibility requirements, triage screening via the Trust’s Single Point of Access, and processes for high-urgency referrals to the Crisis Home Assessment and Treatment (CHAT) team. Outlines stepwise stages from referral through assessment, formulation, intervention, evaluation, to discharge.","Specialist Services Division\nCare Pathway For Behaviours of Concern\nVersion dates September 2016\nOriginal document developed by Dr Samantha Harris, Consultant Clinical Psychologist\nIn collaboration with:\nDr Peter Speight, Consultant Psychiatrist\nMrs B Browne, Parent and Expert by experience\nMr K & Mrs L Tomlin, Parent and Expert by experience\nBased, with permission, on a document written by Dr Ursula McCann, for Northamptonshire Partnership Foundation Trust, 2008.\nContents\n\u000f1.  Care Pathway Overview\nIntroduction\nNICE Guideline NG11 (2015) describes a clear approach to working with people who show behaviours of concern. It explains that some people with a learning disability display behaviour that challenges, although goes on to state that this is not a diagnosis per se, but the behaviour is a challenge to services, family members or carers. The Royal College of Psychiatrists, British Psychological Society and Royal College of Speech and Language Therapists (2007) defined behaviour that challenges as,\n“…… when it is of such an intensity, frequency or duration as to threaten the quality of life and/or the physical safety of the individual or others and is likely to lead to responses that are restrictive, aversive or result in exclusion.”\nThis definition and the NICE guideline (2015) suggest that behaviours that challenge are constructed socially, often serving a purpose for the individual and resulting from an interaction between personal and environmental factors.\nA Care Pathway is defined as “locally-agreed, multi-disciplinary practice based on guidelines and evidence, where available, for a specific client group” (Overill, 1998).  This Care Pathway aims to develop a multi disciplinary approach to working with referrals where the primary concern is a behavior that challenges. It is based on two main documents; the NICE Guidance (2015) and the The Royal College of Psychiatrists, British Psychological Society and Royal College of Speech and Language Therapists’ report, ‘A Unified Approach’ (2007).\nA Positive Behavioural Support Framework is followed, in line with NICE and Department of Health Guidance (Positive and Proactive Care: reducing the need for restrictive interventions, 2014). Appendix 1 outlines an audit tool for this care pathway to encourage self evaluation of the process. Appendix 2 shows a comprehensive flowchart of the pathway.\nSummary Flowchart of Care Pathway for Appropriate Referrals\nReferral into the Community Team for People with a Learning Disability\nAnd Initial Triage Assessment\nAllocation of Referral\nReferral stays\nwith Community Team\nHigh urgency; Referral to CHAT Team\nAllocated to the appropriate members of the Team\nASSESSMENT\nDifferent care pathway may be indicated\nFORMULATION\nDifferent type of professional input may be required\nINTERVENTION\nMONITOR & EVALUATE\nDISCHARGE\n\u000f2.  Service Pathway\nStep 1. Referral pathway\nStep 2. Allocation\nStep 3. Assessment\nStep 4. Formulation\nStep 5. Intervention\nStep 6. Monitor & Evaluate\nStep 7. Discharge\n\u000fStep 1. \tReferral into CCG Locality Community Team\nThe Locality Community Teams operate an open referral system, thus accept referrals from a wide variety of sources including: self-referrals; family carers, support agencies; general practitioners; education professionals; social services professionals, and so on. For a referral to be accepted, the individual must:\nBe 18 years or over;\nHave a learning disability as defined in NICE Guidance NG11 (i.e. significantly reduced intellectual ability , usually an IQ of less than 70, significant impairment of adaptive functioning and onset in childhood);\nBe an ordinary resident of Lincolnshire, with a Lincolnshire GP;\nHave a health need which is commissioned by Lincolnshire SW CCG, as part of the service agreement with Lincolnshire Partnership NHS Foundation Trust (LPFT).\nIn addition, the service user must be in agreement with the referral, when they have capacity to do so.  If they lack the capacity to agree, LPFT staff will be","cbCair6GUEI3lefy","https://ap.wps.com/l/cbCair6GUEI3lefy","doc",303104,55,"English","en",105,"# Care Pathway Overview\n## Introduction\n## Summary Flowchart of Care Pathway for Appropriate Referrals\n# Service Pathway\n## Step 1. Referral pathway\n## Step 2. Allocation\n## Step 3. Assessment\n## Step 4. Formulation\n## Step 5. Intervention\n## Step 6. Monitor & Evaluate\n## Step 7. Discharge\n# Step 1: Referral into CCG Locality Community Team","[{\"question\":\"What is the purpose of the Care Pathway for behaviours of concern?\",\"answer\":\"It provides a locally agreed, multi-disciplinary approach for managing referrals where behaviours of concern are the primary issue, based on relevant guidelines and evidence.\"},{\"question\":\"What definition is used for behaviours that challenge?\",\"answer\":\"Behaviours that challenge are defined by their intensity, frequency, or duration and their impact on quality of life and/or physical safety, leading to restrictive, aversive responses or exclusion.\"},{\"question\":\"What are the key steps after a referral is received?\",\"answer\":\"New referrals are screened through the Trust’s Single Point of Access, eligible non-urgent referrals receive telephone triage assessment within two weeks, and the pathway then proceeds through allocation, assessment, formulation, intervention, monitoring/evaluation, and discharge.\"}]","Care Pathway For Behaviours of Concern - Version dates September 2016 | DOC",1788359108,19,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":87,"head_meta":89,"extra_data":91,"updated_unix":28},"care-pathway-for-behaviours-of-concern-version-dates-september-2016","",{"@graph":36,"@context":86},[37,54,69],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,51],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/template/","Template",2,{"item":49,"name":13,"@type":43,"position":50},"https://docshare.wps.com/template/forms/",3,{"item":52,"name":14,"@type":43,"position":53},"https://docshare.wps.com/template/care-pathway-for-behaviours-of-concern-version-dates-september-2016/184409/",4,{"url":52,"name":14,"@type":55,"author":56,"headline":14,"publisher":58,"fileFormat":61,"inLanguage":23,"description":15,"dateModified":62,"datePublished":63,"encodingFormat":61,"isAccessibleForFree":64,"interactionStatistic":65},"DigitalDocument",{"name":9,"@type":57},"Person",{"url":41,"name":59,"@type":60},"DocShare","Organization","application/octet-stream","2026-09-05","2026-09-02",true,{"@type":66,"interactionType":67,"userInteractionCount":50},"InteractionCounter",{"@type":68},"ViewAction",{"@type":70,"mainEntity":71},"FAQPage",[72,78,82],{"name":73,"@type":74,"acceptedAnswer":75},"What is the purpose of the Care Pathway for behaviours of concern?","Question",{"text":76,"@type":77},"It provides a locally agreed, multi-disciplinary approach for managing referrals where behaviours of concern are the primary issue, based on relevant guidelines and evidence.","Answer",{"name":79,"@type":74,"acceptedAnswer":80},"What definition is used for behaviours that challenge?",{"text":81,"@type":77},"Behaviours that challenge are defined by their intensity, frequency, or duration and their impact on quality of life and/or physical safety, leading to restrictive, aversive responses or exclusion.",{"name":83,"@type":74,"acceptedAnswer":84},"What are the key steps after a referral is received?",{"text":85,"@type":77},"New referrals are screened through the Trust’s Single Point of Access, eligible non-urgent referrals receive telephone triage assessment within two weeks, and the pathway then proceeds through allocation, assessment, formulation, intervention, monitoring/evaluation, and discharge.","https://schema.org",{"og:url":52,"og:type":88,"og:title":14,"og:site_name":59,"og:description":15},"article",{"robots":90,"canonical":52},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":93},[94,99,104,109,114,119,122,127,132],{"id":95,"doc_module":11,"doc_module_name":46,"category_name":96,"show_sort_weight":97,"slug":98},11,"Presentations",90,"presentations",{"id":100,"doc_module":11,"doc_module_name":46,"category_name":101,"show_sort_weight":102,"slug":103},12,"Resumes",80,"resumes",{"id":105,"doc_module":11,"doc_module_name":46,"category_name":106,"show_sort_weight":107,"slug":108},14,"Invoices",70,"invoices",{"id":110,"doc_module":11,"doc_module_name":46,"category_name":111,"show_sort_weight":112,"slug":113},15,"Posters",60,"posters",{"id":115,"doc_module":11,"doc_module_name":46,"category_name":116,"show_sort_weight":117,"slug":118},16,"Social Media",50,"social-media",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":120,"slug":121},40,"forms",{"id":123,"doc_module":11,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},18,"Letters",30,"letters",{"id":128,"doc_module":11,"doc_module_name":46,"category_name":129,"show_sort_weight":130,"slug":131},21,"Paper Templates",5,"papers-templates",{"id":133,"doc_module":11,"doc_module_name":46,"category_name":134,"show_sort_weight":4,"slug":135},158,"General","general-158"]