Learning disability or intellectual disability (ID) is characterised by significant impairment of both cognitive functioning and adaptive behaviours, and an onset in early childhood. Complex mental and physical health problems as well as social issues are common and are associated with communication and cognitive difficulties that result in maladaptive behaviour patterns (often referred to as ‘behaviour that challenges’). Ideally, all people presenting with behavioural concerns would be assessed by a specialist health and social care team to develop a behaviour support plan with tailored treatment strategies and appropriate specialist follow-up.

A report of events at Winterbourne View private hospital highlighted …