The engagement of people with learning disabilities in social communication is crucial to the development of relationships with others, a sense of social inclusion and self-worth. Intensive Interaction is an approach that can help carers develop their skills to engage people with severe and profound learning disabilities in personally relevant…

Social inclusion and citizenship form the key objective of "Valuing People Now" (2009), but achieving this meaningfully with people whose behaviour can challenge services remains elusive for many services. This article describes the philosophy, development, operationalisation and evaluation of a person-centred day opportunities and supported…

People with Down syndrome have a greater risk of developing a range of health problems, including cardiac problems, thyroid disorders, sensory impairments, reduced muscle tone (hypotonia) and Alzheimer's disease. Despite this increased risk, regular screening is not typically offered to individuals with Down syndrome. A multidisciplinary health…

Intensive Interaction is an empirically researched approach to developing fundamental communication and sociability for people with severe and profound learning disabilities and/or autism. However, it is the author's contention that certain aspects of Intensive Interaction are not universally conceptualised in a uniform manner, and that there are…

The purpose of this paper is to present a model of practice termed "Network Training" which describes a structured approach to working with the network of support around an individual with learning disabilities. Within learning disability services there are many contexts in which the support system has opportunities to come together. For example,…

The rise of new public management has seen the role of the social worker becoming increasingly administrative and less about face to face contact with service users. When commissioning managers seek to help people with learning disabilities plan their services, who actually makes the decisions? Direct payments are proposed as the answer for people…

Securing meaningful involvement in service development and provision can be seen as a particular challenge for people with learning difficulties. The National Health Service & Community Care Act [(1990) HMSO, ISBN 0105419907] and more recently Valuing People [Department of Health (2001) "Valuing people: a new strategy for learning…