Abstract
A survey was completed of services for people with an intellectual disability in the 20 health districts comprising an English health region, in order to identify specialist services for people with a ‘challenging behaviour’. It was found that services varied greatly. Nine health districts had access to specialist challenging behaviour teams, ten had staffed housing designated for this client group, six had assessment and short-term admission units, and ten had access to respitecare facilities. Other districts relied mainly on hospital admission. This diversity of services means that entitlement to appropriate treatment is more dependent on place of residence than on the severity of the behaviour problem.
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