Complex needs and behaviours are, technically, behaviours that challenges services. Typically these include self-injurious behaviour, verbal and physical aggression, inappropriate sexual behaviour and destructiveness. It can have a variety of causes including biological (such as pain or medication), environmental causes (noise or change in the environment), psychiatric (mental disorder), psychological (anxiety or apprehension) or social (unwanted attention or demands). For most people with learning disabilities it is a way of communicating their feelings when they have compromised language skills.

How we support people with this diagnosis:

We use Positive Behaviour Support (PBS) to engage people in sociable tasks and skills so that any possible complex behaviours are minimised, as people do things they enjoy and do not need to communicate any discomfort or unhappiness. If there are problems, we first investigate any physical or mental health issues that can cause complex behaviours. We then analyse the difficulty to understand what the person is trying to tell us. We find ways of enabling effective communication in a sociable way so that the person does not need to display complex behaviours.

PBS is a core principle in how we work and all staff are trained in PBS during their induction.