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Moreover, the credibility of services for all people with learning disabilities is intimately connected with how we cope with chal lenging behaviour, a point made recently by a Department of Health Working Group chaired by Jim Mansell (Department of Health, 1993).
One The Nature of the Challenge.- 1 Introduction.- 2 The size of the problem.- 3 Understanding challenging behaviour.- 4 Conceptualizing service provision.- Two Service Options.- 5 Ordinary housing for people with severe learning disabilities and challenging behaviours.- 6 Individually designed residential provision for people with seriously challenging behaviours.- 7 Towards meaningful daytime activity.- 8 The Behavioural Services Team for people with learning disabilities.- Three Determinants of Quality.- 9 Values, attitudes and service ideology.- 10 Organizing community placements.- 11 Maintaining local residential placements.- 12 Assessing costs and benefits.- 13 Policy and policy implications.- Afterword.