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Complex Care Needs & Challenging Behaviour

What We Mean by ‘Challenging Behaviour’
Behaviours that challenge are often expressions of unmet needs, pain, distress, or communication difficulties. These may include physical or verbal aggression, self-injury, property damage, or withdrawal. We do not label or define individuals by these behaviours—instead, we use them as insight into what support, structure, or adaptations are needed.

Skilled, Supportive, and Safe Care for Individuals with High and Complex Needs

At Chiltern Support and Housing Ltd, we provide specialist support for individuals with complex care needs and behaviours that challenge. We understand that behind every behaviour is a person with unique experiences, communication styles, and emotional needs. Our approach focuses on understanding the individual, building trust, and creating a safe, structured environment where they can thrive.

We support adults who may present with high-level behavioural needs alongside learning disabilities, autism, acquired brain injury, neurological conditions, and co-existing mental health diagnoses. Our aim is not only to manage behaviour but to improve quality of life through compassionate, evidence-based, and person-led care.

Whether you’re a family member, social worker, or individual seeking support, we’re here to help you take the next step.

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If you or a loved one needs help at home, we’re here to provide the support you deserve with professionalism, kindness, and respect.

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How We Support Individuals with Complex Needs and Challenging Behaviour

  • Person-Centred Planning: Every person receives a bespoke support plan shaped around their history, preferences, needs, and aspirations.
  • Positive Behaviour Support (PBS): Our teams are trained in PBS principles to identify triggers, reduce restrictive practices, and promote positive alternatives.
  • Proactive Risk Management: We use robust, multi-agency risk assessments to ensure safety while supporting autonomy and inclusion.
  • 24/7 Support and Supervision: High staffing ratios and consistent, well-trained teams create calm and predictable environments.
  • Clinical and Therapeutic Input: Where needed, support is overseen by our in-house clinicians, including behaviour specialists and nurse-led health teams.
  • Communication-Focused Support: We use visual tools, sensory supports, and communication aids to reduce frustration and increase understanding.

Specialist Tools and Frameworks We Use

To support individuals with significant behavioural needs, we utilise a range of evidence-based assessments and management tools, including:

  • HCR-20 – to assess risk of aggression or violence

  • ARMIDILO-S – for those with a risk of offending behaviours

  • Good Lives Model – a strengths-based framework for individuals involved with the criminal justice system

  • Self-Harm and Fire-Setting Risk Plans – personalised strategies to manage safety concerns

  • PBS Plans and Behaviour Support Protocols – to reduce distress and increase engagement