Overview

AFG were awarded George’s care and support package in 2018 following a breakdown of his previous support. He was underweight and would become aggressive daily, assaulting staff members and causing serious damage to his environment.

Our approach

Medical support

George’s support team trained in Positive Behaviour Support and met regularly with his multi-disciplinary team, which included a Psychiatrist and Advanced Nurse Practitioner.

The team worked hard to understand why George displayed challenging behaviours and following a visit to the dentist, they found he had an exposed nerve in his gum causing severe pain.  In addition to this, a visit to the GP resulted in discovering he was on the incorrect medication which was corrected. This attention and management of his pain helped to improve his behaviours and trust between him and the team.

Introducing technology

George’s support team were keen to understand his communication methods and signals.  They noticed George would tap his chin, indicating he would like to participate when staff were using the company tablet. They introduced him to the tablet by showing him photos and playing music and films. The team noticed that George was fascinated by this when he would usually have a very short attention span.

The team advised George’s family, and in 2022 they purchased him his own tablet. He has since learnt how to stream his favourite programmes and navigate around YouTube, which has enhanced his quality of life, improved his communication skills, and allowed him to take control of his own life.

Outcomes

Significant reduction in frequency of serious incidents

George now trusts the team and has not assaulted a staff member in two years.

Increased independence

Previously George would need to see his mother very regularly, however due to him now being more settled and happy he communicates with her via his tablet daily and she has been able to reduce visits to once a week.

Regular access to the community & friendships

He goes out into the community most days and has developed a friendship with another person supported by AFG, who he regularly invites to his home and participates in local activites with, like discos and beach walks. 

Reduction in medication and psychiatrist withdrawn support

George’s consultant has recommended the STOMP programme reduce his risperidone and his psychiatrist commented this is the best he’s ever seen him. His ANP, who had been seeing George since he was seven, has withdrawn support.

Testimonial

George’s mum: “AFG treat him like a family member.”