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The NDT's work in secure services
Tough Times
Raising the profile of adults with learning disabilities ‘stuck’ in the secure care system.


The “Tough Times” project is an initiative from the NDT in partnership with the Department of Health that started work in 2004. It has focused on the needs of people with learning disabilities who find themselves in secure services. Many of those people will have behaviours that severely challenge service systems, mental health problems, or who have, or are at risk of offending.

These are the people who remain at greatest risk of placement within services distant from their homes, relatives and localities, and who are least likely to return. They are also the people who are most likely to be placed as a ‘crisis’ response in high cost services that are not always appropriate to their needs.

The financial and human cost of continuing these arrangements is too high a price to pay for the individuals and their families – out of sight must never be out of mind!

Lead by Wendy Silberman, Associate Consultant with the NDT and an expert in mental health and forensic services, the project has brought together key stakeholders to identify local issues and service deficits. You can access reports of the work and its outcomes of work here.

The learning from the project has also informed a new consultancy package focused on supporting people to return home from secure and out-of-area placements.

 

 

Information about the NDT's work with secure services
Support to the commissioners and providers of secure services, and to the people living inside them, is an important strand of the NDT's work. On this page there is a summary of the NDT's Tough Times project, and on linked pages there is more information about -
The learning that has emerged from the Tough Times project
An account of the challenges and successes of developing person-centred planning at Rampton Hospital
   

 

 

 

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The NDT is registered in England No. 27566R

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Last updated 6th October 2006
Comments on the site are welcomed.

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