J’s a 55 year old woman with mild intellectual disability and emotionally unstable personality disorder who’s detained under the Mental Health Act (MHA 1983). Before she moved to Eldertree, she’d been a resident in a mental health hospital. This was after a breakdown of numerous community placements because of difficulties managing her self-injurious behaviour, including cutting, wound interference, tying ligatures and pulling her own hair out.
Previous practice was to use physical intervention to prevent physical harm and restrictive practices, for example she was required not to present any behaviours which challenge for 48 hours, before she could access the community.
When J was appointed a new responsible clinician they requested a consultation from the PBS team to reduce restrictive practices. They identified that J required a PBS-based plan with regard to her self-injurious behaviours (predominantly wound interference), and worked with Eldertree Lodge to implement this.
They hoped this would increase J’s quality of life by reducing the frequency and intensity of her self-injurious behaviours and, in turn, reduce the environmental restrictions and enhance the opportunity for her to move into a community placement. To find out how a Positive Behaviour Support (PBS) plan helped J, please click on the link below:
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