Background: We describe current care arrangements in England for children, young people and adults with learning disabilities and behaviour that challenges, and estimate their comparative costs.Materials and Methods: A two-round Delphi exercise was performed in March and April 2014, followed by a costing exercise.Results: The study ﬁnds a mixed picture: participants reported that 60–87% of children, 66–88% of young people and 34–47% of adults were like ly to be living within the community. Annual cost of care would range between £39 612 and £74876 for children, between £35 235 and £52 832 for young people and between £81 478 and £94 799 for adults.Conclusion: While residential-based care may continue to be necessary for respite or for individuals with particular needs, community-based care may be an economically attractive alternative, supporting the inclusion of people with learning disabilities and behaviour that challenges within their communities, potentially at a lower cost.
Iemmi, V.ag ,
a Personal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London, United Kingdom
b Tizard Centre, University of Kent, Canterbury, Kent, United Kingdom
c Challenging Behaviour Foundation, c/o The Old Courthouse, New Road Avenue, Chatham, Kent, United Kingdom