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The service is providing supported living for a number of people, male and female, age 21 to 55, who all have intellectual disability and a range of extra needs. These include physical disability, communication difficulties, trauma related personality difficulties, self-harming behaviour and aggression towards others. They are all perceived to have emotional developmental needs, all having suffered traumatic experiences in early childhood, causing developmental delay. All have difficulties with relationships associated with attachment disorders. All direct support staff are trained in models of emotional development and how to assess the emotional level, which leads to identifying the needs. Managers of services are alto trained to support the staff to provide the level of support needed, and to understand the systemic effects of trauma so as to be able to provide trauma-informed-care. The training, supervision, support and individual therapy for clients, where needed, is provided by psychologists and psychotherapists trained in Disability Psychotherapy. The comprehensive approach allows people with very complex and distressed behaviour to live in ordinary housing in the community. Data is provided on 10 people, the history, the initial problem behaviour and the present position after being provided with the emotionally nurturing environment.

(2001) J Adv Nurs 34, 582. Kearney PM, Griffin T. . Between joy and sorrow: being a parent of a child with developmental disability. . Jun; . : . –92 . [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] QUESTION: What are experiences of parents who have children with significant developmental disability? Hermeneutic phenomenology. Penrith, New South Wales, Australia. 6 parents (2 couples and 2 single mothers) of 4 children (age range 3–6 y, 3 boys and 1 girl) participated in the study. Participants were recruited from the first author's practice experience. An initial series of individual face to face interviews with parents were conducted. Parents were asked to talk about their experiences of living with a child with a developmental disability. The couples completed subsequent joint interviews. Interviews were audiotaped and transcribed. Transcripts and contextual notes were coded and then indexed against various starting categories. Patterns in the coding system allowed for reconceptualisation of data into fewer and denser categories. Relationships between the categories were developed. Themes, patterns, and relationships were reviewed with participants to check for intent and validation. Parents' experiences were interpreted as dynamic moving between joy and sorrow . Contributing to … [1]: {openurl}?query=rft.jtitle%253DJournal%2Bof%2Badvanced%2Bnursing%26rft.stitle%253DJ%2BAdv%2BNurs%26rft.aulast%253DKearney%26rft.auinit1%253DP.%2BM.%26rft.volume%253D34%26rft.issue%253D5%26rft.spage%253D582%26rft.epage%253D592%26rft.atitle%253DBetween%2Bjoy%2Band%2Bsorrow%253A%2Bbeing%2Ba%2Bparent%2Bof%2Ba%2Bchild%2Bwith%2Bdevelopmental%2Bdisability.%26rft_id%253Dinfo%253Adoi%252F10.1046%252Fj.1365-2648.2001.01787.x%26rft_id%253Dinfo%253Apmid%252F11380726%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1046/j.1365-2648.2001.01787.x&link_type=DOI [3]: /lookup/external-ref?access_num=11380726&link_type=MED&atom=%2Febmental%2F5%2F1%2F29.atom [4]: /lookup/external-ref?access_num=000168979700004&link_type=ISI