Evaluation of an Individualized Package of Care for a Young Person with Autism & An Intellectual Disability: Implications for Reducing Restrictive Practice

Using a single case study design, we evaluated the progress of a young person in terms of incidents of challenging behaviours, and restrictive practice use following the introduction of a single-person package of care tailored specifically to his needs. This person had diagnoses of autism and intellectual disability as well as a history of severe challenging behaviours and was detained in a secure mental health unit. Analysis based on classical test theory for evaluating single case repeated measures data, revealed significant reductions in challenging behaviours and the use of physical restraint. Qualitative data obtained by interviewing a family member suggested improvements in emotional management and wellbeing, as well as in the service user’s confidence and independence. To our knowledge this is the first study to evaluate a single-person package of care as an approach to supporting individuals with autism and severe challenging behaviours.