Home for people with challenging behaviours

This paper describes the first three years in the life of a group home for two men with learning disabilities and seriously challenging behaviour. After initial optimism, problems were soon encountered, resulting in high levels of staff turnover and sickness associated with an increase in the residents' challenging behaviour. A number of changes were introduced, aimed at both staff and residents, which seem to have improved staff well-being and reduced challenging behaviour. The importance of a clear structure and effective support system, combined with focused intervention for residents, is emphasised as important for success.