Purpose

The purpose of this paper is to consider the needs of children and young people with intellectual disabilities (ID), autism and challenging behaviour including those with mental health difficulties in the light of the article “A reflective evaluation of the Bradford Positive Behaviour Support – In Reach Service”.

Design/methodology/approach

The author’s reflections on experiences of working with this cohort as a clinician and manager are presented in this paper. Also, this paper presents the following: consideration of recent policy, guidance and literature associated with the provision of support to children and young people with ID or autism at risk of residential placement or hospital admission; reflection on gaps in research and practice in how to best support this group of children, young people and families with complex and diverse needs.

Findings

The success of the Bradford and other similar services is discussed along with a reflection about the benefits and potential gaps in Positive Behavioural Support services working to meet the needs of this group of children and young people, and their families.

Originality/value

The importance of areas providing more consistent and high quality multi-agency early preventative support and intensive support for those in crisis is discussed. The need for further research and development of ways of working with this cohort, including harder to reach young people and families, is discussed.

中文翻译：

---

关于“对布拉德福德积极行为支持进行的反思性评估–到达服务”的评论

目的

本文的目的是根据“对Bradford积极行为支持的反思性评估–在到达服务”。

设计/方法/方法

本文介绍了作者对与这个队列的临床医生和管理人员的合作经验的反思。此外，本文还提出以下内容：考虑与为有居留或住院风险的身患ID或自闭症的儿童和青少年提供支持有关的最新政策，指南和文献；反思在研究和实践中如何最好地支持这一具有复杂多样需求的儿童，年轻人和家庭方面的差距。

发现

讨论了布拉德福德（Bradford）和其他类似服务的成功，以及对积极行为支持服务的收益和潜在差距的思考，这些服务旨在满足这一组儿童和年轻人及其家庭的需求。

创意/价值

讨论了为危机中的人们提供更加一致和高质量的多机构早期预防支持和强化支持的领域的重要性。讨论了需要进一步研究和开发与该人群合作的方法，包括更难接触到年轻人和家庭的方法。