A presentation by Sam Sly from Beyond Limits to the Challenging Behavior Foundation Board including Chris Bull the new DH Lead for the joint transformation programme after Winterbourne.
This document discusses a 3-year project to support 20 people with complex needs who had been placed in specialist hospitals far from their homes to return to their local communities. Through individual service funds, service design, and detailed support plans, the project aims to provide tailored support and housing to allow each person to have a meaningful life in their community. The document outlines some of the challenges faced, including professionals blocking discharge and a lack of local support options. It stresses the importance of early planning and flexible funding to support individuals in community living.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Planning - How does it all work- Eric Platt, Self Advocate
Promoting active inclusion for young homeless peopleFEANTSA
Presentation given by Brigita Jankauskaite, Vilnius Caritas (LT) at the 2013 FEANTSA conference, "Investing in young people to prevent a lost generation: policy and practice in addressing youth homelessness"
http://feantsa.org/spip.php?article1596&lang=en
Krishna Old Age Home is a non-governmental organization located in Gandhinagar, Gujarat that provides shelter and care for older adults aged 60 and above who have no family. It houses around 30 members and provides meals, medical care, and other basic necessities using funds from donations. A survey found that while the organization meets basic needs, improvements could be made to infrastructure and activities to better engage and support members. Recommendations included expanding housing, adding entertainment, creating a website, and helping members develop skills.
Kara Bobowski is a member of the Erasmus+ Day Centres Without Walls programme. Here participants describe how Kara Bobowski works to ensure everyone gets the chance to travel, work and learn about different cultures.
This session looks at developing an understanding of the shared needs between generations, the types of spaces required to support intergenerational usage and the experiences these spaces would provide.
The work of PFG Doncaster demonstrates the enormous power and efficiency of peer support. In the latest phase of its development they are working in a way which is very similar to community development.
This document discusses a 3-year project to support 20 people with complex needs who had been placed in specialist hospitals far from their homes to return to their local communities. Through individual service funds, service design, and detailed support plans, the project aims to provide tailored support and housing to allow each person to have a meaningful life in their community. The document outlines some of the challenges faced, including professionals blocking discharge and a lack of local support options. It stresses the importance of early planning and flexible funding to support individuals in community living.
We are Worth the Investment. NSW Council for Intellectual Disability Conference 16-17 July 2015. Planning - How does it all work- Eric Platt, Self Advocate
Promoting active inclusion for young homeless peopleFEANTSA
Presentation given by Brigita Jankauskaite, Vilnius Caritas (LT) at the 2013 FEANTSA conference, "Investing in young people to prevent a lost generation: policy and practice in addressing youth homelessness"
http://feantsa.org/spip.php?article1596&lang=en
Krishna Old Age Home is a non-governmental organization located in Gandhinagar, Gujarat that provides shelter and care for older adults aged 60 and above who have no family. It houses around 30 members and provides meals, medical care, and other basic necessities using funds from donations. A survey found that while the organization meets basic needs, improvements could be made to infrastructure and activities to better engage and support members. Recommendations included expanding housing, adding entertainment, creating a website, and helping members develop skills.
Kara Bobowski is a member of the Erasmus+ Day Centres Without Walls programme. Here participants describe how Kara Bobowski works to ensure everyone gets the chance to travel, work and learn about different cultures.
This session looks at developing an understanding of the shared needs between generations, the types of spaces required to support intergenerational usage and the experiences these spaces would provide.
The work of PFG Doncaster demonstrates the enormous power and efficiency of peer support. In the latest phase of its development they are working in a way which is very similar to community development.
This document provides an overview of Sam Sly and their work with Beyond Limits. [1] Sam is a social worker who became frustrated with the lack of change in social services. [2] They started their own consultancy to design more personalized services and eventually founded Beyond Limits. [3] Beyond Limits uses service design principles and individual budgets to create tailored support plans for 20 people transitioning out of hospitals or with reputations for having complex support needs.
This document discusses how a large health and social care charity is using Quality of Life standards to change their organizational culture. They will focus on three main projects: implementing the "Voice of the People We Support" to give people more choice and control through advocacy; increasing personalization of services; and using the standards to "drive up quality", challenging the organization to provide best practice support. The standards promote a rights-based, person-centered approach where people experiencing services help evaluate quality of life. Overall, the charity aims to respect, enable, and include the people it supports through committing to the Quality of Life standards.
This document discusses creative options for care at home from Home Instead Senior Care. It describes Home Instead as an independent provider with over 1,000 offices worldwide that offers choice and flexibility. Home Instead supports self-directed support which allows personalized care built around a client's needs. They provide dementia training and public awareness programs. Case studies show how Home Instead supports clients with daily visits and overnight care. The document also discusses Home Instead collaborating with The Good Care Group to support a client as his needs increased.
Chain Reaction began as a pilot project in Newcastle to provide alternatives to traditional day opportunities for older adults aged 55 and over. It focuses on using existing community resources, developing new groups, and providing a personalized and member-led service to reduce social isolation. Key elements include one-on-one support, connecting members to activities in their community, and creating a network of natural support. The program has now expanded to work with additional organizations, roll out services across the city, and implement preventative support for more older adults.
This document outlines the mission and goals of "The Found Ones", an organization that aims to educate adolescents ages 10-21 about substance abuse and set them on a path to recovery. Their mission is to transform lives through treatment and education tailored to each individual. They plan to establish a program that provides mental health support, therapy, and recovery coaching to help participants discover themselves outside of addiction. The document acknowledges the social stigma and lack of funding challenges they may face serving rural communities, but outlines plans to overcome these issues through anonymous support, grants, donations, and being inclusive to all.
The program was created to help our children who are addicted. This program will help families understand addiction and how they can help their children in the future from addiction.
This document outlines the mission and goals of "The Found Ones", an organization aimed at educating adolescents ages 10-21 about substance abuse and peer pressure. Their mission is to transform lives through treatment and education tailored to each individual. They plan to educate clients, parents, and communities to help adolescents discover themselves outside of addiction and maintain sobriety. The organization faces challenges like social stigma in rural areas where substance abuse is not openly discussed. They outline budgets, staffing, and evaluation plans to measure success through digital systems and regular client and team feedback. Their goal is to provide family-oriented care and help build a better future.
The document outlines what will be covered in a training on values and action at Merry Glen, including: the history of attitudes and services for people with disabilities; Merry Glen's unique history as a family cooperative established in the 1970s; residential guidelines and client services; positive behavior support planning; and The Merry Glen Way values of kindness, skill, reliability and teamwork. It provides context on developmental disabilities and an overview of non-profit residential service models before concluding with a message about creating a kind workplace environment through our beliefs and actions.
This document provides information on trauma care services, old age homes, orphanages, and homes for the destitute. It discusses the definition of trauma and types of injuries. It outlines the key steps in caring for trauma patients. It describes the relevance of old age homes in India and different types. It defines an orphanage and lists some charities. It discusses the causes and management of poverty and destitution in India.
Social Enterprise Trading for Good provides decluttering and home cleaning services to create safer homes and improve life chances for young adults in Suffolk. Their services include home and garden decluttering, small jobs assistance, hospital discharge cleaning, downsizing assistance, and hoarding disorder support. Hoarding disorder is now recognized as a mental health condition involving excessive acquiring and disorganized storing of items. Self-neglect involves lack of self-care that threatens one's health and safety. Building rapport, avoiding judgment, and partnership between individuals and organizations are essential to help those affected by hoarding disorder and self-neglect.
Realizations at Alberta Association for Community Living Apr 2012Realizations
"A Partnership Approach to Supporting People with Complex Needs and Challenges to Live a Rich and Inclusion Life" - Presentation at Alberta Association for Community Living by Hope Leet Dittmeier and Anne Scott
Sam Sly has worked in social care and helped improve services for people with learning disabilities and mental health needs. He developed an approach called "Hands Off Its My Home" to promote citizenship. Currently he is directing a 3-year project using individual budgets and service design to create personalized support for 20 people in hospital placements to transition them back to their local communities. Research shows personalized community support can save money compared to out-of-area institutional placements. The project aims to give people control over their lives rather than isolating them in large, distant facilities that cannot meet individuals' needs.
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing schemes like Griot Village provide homes for grandparents raising grandchildren, along with supportive services and activities for all ages. This stable housing helps grandparents and improves children's wellbeing.
Learning from intergenerational housing projects in the USAAlison Clyde
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing projects in various cities provide homes and support services for grandparents raising grandchildren. Activities aim to support both grandparents and children while fostering community. Residents feel they receive needed assistance.
The document discusses redesigning healthcare systems and environments to promote health and prevent disease. It argues that healthcare must go beyond just treating illness to designing ways to keep people healthy through improvements to physical, social, economic and genetic environments. The ultimate goal is to change how people live by creating healthy habitats that design out risk factors and envision an optimal level of population well-being. This will require converging different disciplines and testing new community designs.
This document provides an overview of Sam Sly and their work with Beyond Limits. [1] Sam is a social worker who became frustrated with the lack of change in social services. [2] They started their own consultancy to design more personalized services and eventually founded Beyond Limits. [3] Beyond Limits uses service design principles and individual budgets to create tailored support plans for 20 people transitioning out of hospitals or with reputations for having complex support needs.
This document discusses how a large health and social care charity is using Quality of Life standards to change their organizational culture. They will focus on three main projects: implementing the "Voice of the People We Support" to give people more choice and control through advocacy; increasing personalization of services; and using the standards to "drive up quality", challenging the organization to provide best practice support. The standards promote a rights-based, person-centered approach where people experiencing services help evaluate quality of life. Overall, the charity aims to respect, enable, and include the people it supports through committing to the Quality of Life standards.
This document discusses creative options for care at home from Home Instead Senior Care. It describes Home Instead as an independent provider with over 1,000 offices worldwide that offers choice and flexibility. Home Instead supports self-directed support which allows personalized care built around a client's needs. They provide dementia training and public awareness programs. Case studies show how Home Instead supports clients with daily visits and overnight care. The document also discusses Home Instead collaborating with The Good Care Group to support a client as his needs increased.
Chain Reaction began as a pilot project in Newcastle to provide alternatives to traditional day opportunities for older adults aged 55 and over. It focuses on using existing community resources, developing new groups, and providing a personalized and member-led service to reduce social isolation. Key elements include one-on-one support, connecting members to activities in their community, and creating a network of natural support. The program has now expanded to work with additional organizations, roll out services across the city, and implement preventative support for more older adults.
This document outlines the mission and goals of "The Found Ones", an organization that aims to educate adolescents ages 10-21 about substance abuse and set them on a path to recovery. Their mission is to transform lives through treatment and education tailored to each individual. They plan to establish a program that provides mental health support, therapy, and recovery coaching to help participants discover themselves outside of addiction. The document acknowledges the social stigma and lack of funding challenges they may face serving rural communities, but outlines plans to overcome these issues through anonymous support, grants, donations, and being inclusive to all.
The program was created to help our children who are addicted. This program will help families understand addiction and how they can help their children in the future from addiction.
This document outlines the mission and goals of "The Found Ones", an organization aimed at educating adolescents ages 10-21 about substance abuse and peer pressure. Their mission is to transform lives through treatment and education tailored to each individual. They plan to educate clients, parents, and communities to help adolescents discover themselves outside of addiction and maintain sobriety. The organization faces challenges like social stigma in rural areas where substance abuse is not openly discussed. They outline budgets, staffing, and evaluation plans to measure success through digital systems and regular client and team feedback. Their goal is to provide family-oriented care and help build a better future.
The document outlines what will be covered in a training on values and action at Merry Glen, including: the history of attitudes and services for people with disabilities; Merry Glen's unique history as a family cooperative established in the 1970s; residential guidelines and client services; positive behavior support planning; and The Merry Glen Way values of kindness, skill, reliability and teamwork. It provides context on developmental disabilities and an overview of non-profit residential service models before concluding with a message about creating a kind workplace environment through our beliefs and actions.
This document provides information on trauma care services, old age homes, orphanages, and homes for the destitute. It discusses the definition of trauma and types of injuries. It outlines the key steps in caring for trauma patients. It describes the relevance of old age homes in India and different types. It defines an orphanage and lists some charities. It discusses the causes and management of poverty and destitution in India.
Social Enterprise Trading for Good provides decluttering and home cleaning services to create safer homes and improve life chances for young adults in Suffolk. Their services include home and garden decluttering, small jobs assistance, hospital discharge cleaning, downsizing assistance, and hoarding disorder support. Hoarding disorder is now recognized as a mental health condition involving excessive acquiring and disorganized storing of items. Self-neglect involves lack of self-care that threatens one's health and safety. Building rapport, avoiding judgment, and partnership between individuals and organizations are essential to help those affected by hoarding disorder and self-neglect.
Realizations at Alberta Association for Community Living Apr 2012Realizations
"A Partnership Approach to Supporting People with Complex Needs and Challenges to Live a Rich and Inclusion Life" - Presentation at Alberta Association for Community Living by Hope Leet Dittmeier and Anne Scott
Sam Sly has worked in social care and helped improve services for people with learning disabilities and mental health needs. He developed an approach called "Hands Off Its My Home" to promote citizenship. Currently he is directing a 3-year project using individual budgets and service design to create personalized support for 20 people in hospital placements to transition them back to their local communities. Research shows personalized community support can save money compared to out-of-area institutional placements. The project aims to give people control over their lives rather than isolating them in large, distant facilities that cannot meet individuals' needs.
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing schemes like Griot Village provide homes for grandparents raising grandchildren, along with supportive services and activities for all ages. This stable housing helps grandparents and improves children's wellbeing.
Learning from intergenerational housing projects in the USAAlison Clyde
Three intergenerational housing models in the USA were summarized:
1) H.O.M.E. in Chicago houses older residents, resident assistants of college age, and families in the same buildings. This fosters a sense of community and intergenerational friendships have formed.
2) Judson Manor in Cleveland houses older residents alongside artist-in-residence college students who participate in arts activities in exchange for housing. Close bonds have developed between students and residents.
3) Grandfamily housing projects in various cities provide homes and support services for grandparents raising grandchildren. Activities aim to support both grandparents and children while fostering community. Residents feel they receive needed assistance.
The document discusses redesigning healthcare systems and environments to promote health and prevent disease. It argues that healthcare must go beyond just treating illness to designing ways to keep people healthy through improvements to physical, social, economic and genetic environments. The ultimate goal is to change how people live by creating healthy habitats that design out risk factors and envision an optimal level of population well-being. This will require converging different disciplines and testing new community designs.
Similar to Challenging Behaviour presentation (20)
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
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• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
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Challenging Behaviour presentation
1. Too complex? Too challenging?
Breaking down the barriers and
supporting people placed in out of
area Specialist Hospitals to return to
their local communities
2. My background
Social Worker for people with learning
disabilities and mental health needs
CSCI (CQC)
Change Team Cornwall (changing housing and
support that had gone badly wrong)
Cornwall PCT continued to improve quality
Bournemouth Campus re-provision
United Response improving quality
Developed ‘Hands Off Its My Home – a path to
Citizenship’
Director for Beyond Limits with Doreen Kelly
Columnist for Learning Disability Today
3. Beyond Limits
• 3 year project with NEW Devon CCG Personalising
Commissioning
• Using Individual Service Funds (3rd Party)
• Using Service Design & Working Policy
• 20 people currently in Hospital placements
• 20 people with big reputations
• 20 people who will get a tailor made service
• 20 people who will get a life that makes sense to
them
4. People Involved Year 1 & 2
• All have been abused
• Have moved between 6-25 Institutions
• Youngest 28 Oldest 56
• First admission to an Institution aged 14-22
• All on MHA Section for between 5-14 years
• Many have moved to more and more secure
accommodation as they have fought the system
• All families have felt loss of control, marginalised and
physically unable to stay in touch
• All people have the same hopes and dreams as all of
us
5. Why do people end up in
Hospitals miles from Home
and loved ones?
6. • Reactive traditional commissioning
• Help not provided when families needed it (often
in adolescence)
• People not ‘listened to’ or understood
• Families are seen as the problem
• Lack of local resources and expertise
• Risk averse systems and professionals
• Statutory Agencies don’t see Providers as
partners
8. You can’t plan without a Budget!
• A service fund
• Planning and pre-move
transition is funded (one
off payment clawed back
through reductions from
years 2 onward)
• On-going budget (slight
increase in year 1)
• A pot for emergencies is
kept for the person
• Greatest reductions after
year two and three
9. Service Design
(The solutions are in the detail)
• Take time getting to know person and
significant others
• In a comfortable environment
• Telling their story
• Being in control
• Direction
• Money
• Home
• Support
• Contribution (Giving something back)
10. From the Service Design……..
• ‘Dream Team’ characteristics, hobbies,
interests, make up and skills (including
support from loved ones)
• Housing needs
• What my day, week and year will look like
• How others will work together
• My gifts and skills
• My hopes and dreams for the future
11. The ‘how to’ bit!
(Working Policy)
• Many great plans are made and fall down
because they are not followed up by a detailed
‘how to’ bit.
• It is fundamentally important that once a service
is designed a ‘how to’ plan is written. Partners for
Inclusion and Beyond Limits call this a Working
Policy.
• Involves the person (if they wish), present and
past professionals and family. It covers every
eventuality and so can be distressing
12. A story (then)
• Man aged 56
• Lived and in and out of in Institutions since aged
8
• Had £1000’s of pounds but no life
• Autism, abused and mental health needs
• Last Hospital 350 miles from home
• Been there 14 years in the admission section of
Hospital
• Last ill-planned move led to him refusing to go
out for 6 years
13. A story (Now)
• A dedicated matched team who spent 6 weeks
getting to know him
• Move here went without a hitch
• A home of his own (with tenancy rights)
• Looks out for his neighbours
• He started to go out on day one! Shops, cafe,
walks
• Still some problems from a lifetime of Institutions
14. It is not all a ‘bed of roses’
• Only 4 people have made it home so far although we have planned
with 12 and been awarded contracts for 9
• People often come out more damaged than they went in
• Without life skills (been in a false environment for far too long)
• Picked up behaviours they did not have before going in
• We are not accepted with open arms
• Professionals still block discharge and people still are not coming
home
• Teams take a while to ‘bed down’
• The reality of moving from living within 4 walls to a world of
freedom and choice can be scary
• Even with detailed planning there are still things you have to learn
about people
15. We all still have a long way to go to
achieve a better World!
• Hospital doesn’t work long
or medium term
• Hospital away from home
NEVER works
• Being away from family and
community is destructive
• Planning for a normal life
has to start from day one
• Matching teams makes the
difference
• Individual flexible budgets
• Cultural change is required
• People want lives
16. My Contacts
Sam Sly
Beyond Limits
sam@beyondlimits-uk.org
sam.sly@enoughisenough.
org.uk
07900 424144
www.beyondlimits-uk.org