Services for People with Learning Disabilities and Challenging Behaviour or Mental Health Needs (Dept of Health, 2007)

Services for People with Learning Disabilities and Challenging Behaviour or Mental Health Needs www.library.nhs.uk/learningdisabilities concludes that “The failure to develop appropriate services has led
 to an increase in the use of placements which are expensive, away from the person’s home and not necessarily of
good quality.  The main reason is that commissioning has been too reactive and has therefore become dominated by
trying to manage crises.”

He suggests that “councils need to strengthen their commissioning to combine expertise about challenging
behaviour with the ability to actually develop services for individuals so that they are ready when needed. 
This is entirely consistent with the Government’s focus on personalisation and prevention in social care.”