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A Positive Step For Simon*


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Simon* was referred to Hollyhurst from children’s services at the age of 18. He had previously presented with behaviour that challenged services. He proved to be extremely aggressive towards furniture, property, other service users and staff.

Simon* was assessed at the beginning of his stay, and a person centred plan and positive behaviour approach was developed with him. He needed communication to be clear and unambiguous. Frequent tests of his understanding needed to be made. We also needed to measure staff members’ understanding of his communication. He had a speech and hearing disability, which proved to be a barrier to a therapeutic relationship, but with care and patience supported by robust care plan systems it was overcome. This success helped increase trust and confidence in the team at Hollyhurst.

Although he continued to test and challenge boundaries, robust risk assessments and management plans helped to ensure that his life was still positive and meaningful to him. He was aware that he didn’t possess sufficient control in order to manage his behaviour.

The team worked with him in this and promoted a more positive, confident perception of his self and his abilities.

In consultation with Simon* a side step was taken in terms of a future pathway and it was felt by all that a move into an environment with fewer service users and staff would be preferable as a half-way house to more independent options. The need for a nursing presence was no longer felt to be appropriate and could be considered as a step forward for him.

A service was chosen which would return him to his home area again and after a short transition he moved on, maintaining some telephone contact. Things continue to be positive for Simon*.

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