Supporting People with Complex and Challenging Behaviour

Challenging behaviours are relatively common for adults with intellectual disabilities. The presence of these behaviours can cause harm to the person and others, negatively impacting quality of life. Evidence demonstrates that for some people with intellectual disabilities, receiving high-quality services is sufficient to reduce or prevent challenging behaviours. For others, specialist intervention may be required. This chapter considers the different types and reasons for challenging behaviour and the importance of quality service delivery. Examples are provided throughout to demonstrate the discussed evidence-informed principles in practice. Behavioural and psychodynamic interventions are considered for people with challenging behaviours who require specialist interventions. The chapter closes with a framework of the practices that must be in place to ensure the quality of life of adults with intellectual disabilities and challenging behaviours in the context of accommodation supports.