Background: The present authors examined changes made in disability service organizations supporting residents with intellectual disabilities and challenging behaviours, because these changes may influence residents' support and subsequently their challenging behaviours. Method: In this multiple case study, the present authors collected and…

Background: We examined the influence of the organizational environment on challenging behaviour in people with intellectual disabilities to increase understanding of the quality of support services for people with intellectual disabilities. Method: Twenty-one professionals and managers from four specialized Dutch disability service organizations…

Background: Adults with severe challenging behaviour can achieve good "quality of life" outcomes in small supported accommodation services. Yet, the research indicates that they typically experience poorer outcomes than other adults with intellectual disability. This raises questions about the degree to which research has informed…

Background: Individuals with intellectual disabilities are more likely to experience a breakdown in their community residential placement if they display "challenging" behaviour. However, some individuals with behaviour that poses a severe challenge live successfully in community services long-term, indicating that other factors are also…