ABSTRACT
This chapter focuses on what is needed to enable staff to provide the necessary nurturing environment. Some individuals are being held in secure or semi-secure environments because their behaviour is either not understood or not tolerated. It is always difficult to maintain an attachment based programme of support in temporary settings but a start can be made, and built on when the person returns to their usual place of residence. The staff monitor behaviour daily at regular intervals throughout the waking hours and keep file notes and incident forms. This information is used to identify any significant behavioural, personal, and environmental changes that occur across the duration of the care plan. There is much focus on behavioural interventions used with people with intellectual disabilities and challenging behaviours, but there is limited literature outlining the use of interventions informed by emotional developmental models linked to early trauma for these individuals.
