Neil

Learning Disability Services

Neil is a 20 year old man with a severe learning disability and autism. He has little speech and communicates through Makaton (a multi-modal language programme). Before his admission to Oaktree Manor, all previous placements had broken down due to his aggression. After assaulting his carers, Neil came to Oaktree Manor via the police cells.

Neil's early days at Oaktree Manor were particularly challenging. He caused a great deal of damage to his bedroom and the ward environment. His parents are very close to him and were initially concerned that Partnerships in Care would manage their son's behaviour through medication alone, as previous placements with other providers had done, but this is not our philosophy.

After a year of patience, tolerance, consistency and boundaries, the changes in Neil are remarkable. We now work with a young man who has a greatly improved understanding of social boundaries and can express his needs without the use of aggression. His use of medication is greatly reduced and his vocabulary has increased significantly. Neil is no longer isolative and can join in activities with other residents, even attending club activities in Colchester. We have also developed a supportive relationship with Neil's parents.

Our work with Neil is by no means over, but, with his local team, we have identified a care pathway that will eventually see him returning to London to live close to his parents. We believe that Neil has acquired the skills to achieve the goals that only 12 months ago seemed totally unrealistic.

Case studies are based on real events, but names have been changed to protect the identity of the individuals involved.