The perspective of people related to the health and social care services changes with the time. Most of the health and social care practitioners as well as health care workers are giving more emphasis on understanding the needs of society as well as individuals. It helps the care workers to transform and improve their services for patients in effective way (Clark, 2003). The following report is based on understanding the specific needs in health and social care. The given case study defines the illness and disabilities of Mr. Holland Park and their specific needs and expectations from the health and social care services. This report helps in understanding the perceptions of health, disabilities, illness and behaviour of person along with supportive services that helps in finding the specific needs. Different approaches and intervention strategies which support the individual needs and various strategies that helps in facing the challenges of change in behaviour will also be discussed in the report (Jackson and, 2011).

Task 1

1.1 Concept of health, disabilities, illness and behaviour in relation to users of health and social care services

As per the given case study, Mr. Holland Park has some specific needs and for this, there are many concepts that have been analyzed. These concepts are based on the health, disabilities, illness and behaviour of Mr Holland park (Alaszewski and Alaszewski, 2005). The meaning of these are changing and vary with person to person. The meaning of health in terms of medical science is complete physical and it also refers to mental well being of a person. Disability states the physical and mental state of Mr. Holland Park which restricts him to live a normal life and due to this, he is not able to move and cannot perform the daily activities. In this situation, a person is not in such condition in which he can communicate his needs to the other (Game,2007).
In this condition, the person requires an extra care and attention by his family and health care workers. From the given scenario, it is clear that the needs of Mr. Holland Park are diverse and the result is that his family searching a health care service organization which can give him a complete care by understanding the specific needs in right way. (Hadad and, 2013) Illness is count as a disease which affects the physical and mental state of a person.

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Illness is also changes the behaviour of patient and due to this, it is required to understand the various aspects of illness and its impact on the human body. In the case of Mr. Park, the illness and the different types of disabilities affects the behaviour of him (McCrery and Pearce, 2011). In this case, he becomes more dependent on his family but they are not able to give him attention and care. Due to this thing, it creates the negative thoughts in his mind and he will start misbehaving with the family member. So, as per the above discussion, it can be concluded that according to the needs of Mr. Holland Park, he can be placed in all these three categories and then health care firm can provide the right treatment to him.

1.2 Perceptions of specific needs have changed over time

In the past time, the aim behind establishment of the large hospitals and healthcare centres were giving the complete care to the people by understand the needs and expectations. In this context, few years back, health care practitioners were more responsible about the roles and duties and perform it in well manner (Lloyd and Marjorie., 2010). Yet, the treatments and the medical facilities were not that much developed but the quality of the services were good. On the other hand, some medical facilities were in the part time were more expensive and they were out of the reach of poor and average income people.

From the given case, it can be seen that the perception about specific needs of a person has changed with the time and for this, health care organizations have to find the reason of change in perception of the people as well as their needs. These perceptions are generally related to the type of illness, disabilities, behaviour and health of a person (Goetzel and, 2008). The perception of people in the modern time is completely different from the ancient time regarding illness, disabilities and health. In past, the aim of health care firms was to provide the services to people as per their needs and requirements. But with the time, care service centres become over crowded and they have not maintained the quality of services.

On the other hand, the professional doctors and medical practitioners shifted to the good medical organization and start working for those people which have the specific needs regarding learning disabilities (VanVactor, 2013). The aim of professional care people are improving the effectiveness of treatment and they try to provide the care as per specific needs. By providing the complete care to disabled people, they can be prepared to live a normal life in community and they can compete with the general population for health care. These things have changed the perception of people which is related to the specific needs (Heginbotham, C., 2012). This information is enough for Mr. Park family to compare their own expectations with the East London health care organization services. So, it will give the assurance to Mr. Park family that he will be in safe hand and the treatment services will be good in quality.

1.3 Analysis of impact of legislation, social policy, society and culture

As per the given case study, Mr. Park has some specific needs and as per their needs, so for this, he has required some specific and extra care by the health care services centres. But as per the past and present legislation of government, social policies, society and culture on the services, they create a barrier in the services of health care organisation (Davies and, 2012) . There are some pasts and present legislation which are as follows:

Health act 1991: As per this act, there is power which is given to the health and social care workers which are such as pool their budgets, develop a leading commission arrangement and integration of the various service providers (Harris, Olsen and Walker, 2012).

Care trust: This is the merger of 10 health and social care organizations in England and it works as a care trust for the mental ill people (Seddon and, 2013).

Personal health budgets: It is related to the health care policies of adults in which the patients receive some cash from the government for his or treatments. These all initiatives in the direction of health and social care gives a new height to the good health services and now government has also started to actively participate for providing better health services in the near future.

On the other hand, culture and social policy also create impacts in specific needs of individual (Keeling and, 2013). If the ill person is excluded by society due to his/her disease, then it may lead to depression and can affect his/her health. It is a right of disabled person to get the proper treatment, dignity and respect in the society. In addition to this, culture discrimination also affects the health and mental state of patient. This discrimination can be on the basis of colour, cast, gender, nationality etc. These types of discrimination counts in crime which is bigger than the physical abuse because it leaves the patients in isolation from the normal life (Rushton, 2005).


2.1 Analysis of care needs of individuals with specific needs

As per the given case study, Mr. Park is visually impaired, hearing impaired and due to this, his behaviour is completely changed. These all are the early stages of dementia. There is a strong correlation between dementia and hearing issues (Lloyd and Marjorie., 2010). In case, if the hearing problems are not addressed in the early stage, then it will be more dangerous with the time which causes dementia. In this case of Mr. Holland, this problem was not addressed in the staring time and now, he is suffering from dementia (McCrery and Pearce, 2011). This changes the behaviour of him and due to this, he has become short tempered, self harming, uncooperative and showing his anger on other people by shouting or throwing the things.

So in the case of Mr. Park, the different care needs which will be given and is available to Mr. Holland are as follows.

Care needs in visually impaired:
  1. Provide a proper guiding and support at the time where the person wants to go.
  2. Complete exercise for eyes to increase the visions (McKeown and, 2011).
  3. Optimum lighting in the room and help him at the time of reading
  4. Care needs in hearing impaired:
  5. Speck clearly and slowly
  6. Use the ear machines (Amado and McBride, 2002)
  7. Proper treatment and teach them sign languages so that he can able to explain his thoughts.
  8. Care need in exhibits challenging behaviour:
  9. Help him in anger management
  10. Understand the core reason of change in behaviour (Reeves and, 2011).
Care need in the early stages of dementia:
  1. Use short and simple sentences and helping him to describing his views and perception.
  2. Use positive body languages and giving the proper medicines.

2.2 Current system for supporting individuals with specific needs

The current system plays an important role in finding and supporting the specific needs and demands of Mr. Park. The various organisations work in this directions and try to meet the needs of individual. In this list, Standards of Disabled People’s organization and Disabled people corporation gives their contributions (Ndetei and Gatonga, 2011). SDS organisation helps Mr. Park and provide the support in case of visual impaired and hearing. This health care centre gives the complete efforts in treatments and able him to live a normal life in society. This organisation also support the East London small and medium health care centres that are working in such directions. Firm also appoint a person who lives always with Mr. Park and guide them in his each and every activity (Birnbaum, 2012). It also gives the training to the medical care workers about hoe to handle the visual impaired and hiring person. This will help Mr. Park to live a normal life and able to do his daily activities. On the other hand, government set a Disability and equality, 2010 act in which all types of medical facilities will provided to Mr Holland to resolve their health issues (Tidy, 2014).

On the other hand, by making the legislations, policies, giving the training to the health care employees and supervisions, its easy for the health care organisations to determine and support individual specific needs (McKeown and, 2011). In this context, when the people are not getting the proper services by the health care workers than they can make the complain to management about it. On the other hand, by making the several policies, the management of the health care organisation can measure performance of the care workers (Heginbotham, C., 2012). The adoption of the different motivation strategics also assist the care organisation to motivate the services providers. Due to this, they will able to determine the needs of Mr. Holland Park. Along with this, giving training to the employees and their supervision helps in improving quality of the health care services. With help of the training and development sessions, the health care service provider able in determining the specific needs of every single service users (Amado and McBride, 2002).

2.3 Evaluation of services available in a chosen locality for individuals with specific needs

From the given case study, the different types of services available in East London which can identify the specific needs of Mr. Park. The various medical and health care centres avail the wide range of health care facilities to Mr. Holland (Ham, 2012). Park family have three options and they can select the care services as per their budget. The services available in East London are as follows.

General practitioners: These are playing an important role in health care services. These helps the Mr. Park family to give them a right advice and treatments (Learning disability. 2014). Family members can take the advice from these persons and able to provide the complete care to Mr. Park at home by appointing a person (Clark, 2003).

NHS centre: It offers the various type of medical services to the patients and locate in different location in England where the MR. Park family can go and make a discussion. This centre provide the home taker services to the people which is most useful for Mr. Park (Game, 2007). His family also take the advice from the good medical doctors on phone and precautions that are required in extra care of Mr. Holland.

Primary care centre: These centres provides the primary care services to people and Mr. Park family can also go for this. The staffs are more dedicated in health care services and overcome inequalities in the local communities (Rushton, 2005).

Day care centres: These type of centres are provide the services to the those people who are not able to live the normal person life and generally depends on the other people for the help (Clark, 2003). These care centres provide the supports to that people and advice towards independent living. In the case of Mr. Holland Park, the day care centres helps him to gain the practical skills which are required for living the independent living (Jackson and, 2011). Along with this, these care service providers helps Mr. Park to learn the new equipments by which he will able to perform the his daily activities. They also organize the activities like craft, games etc to learnt the things more easily.


Leisure centres : These are the centres where the disable people can learn the things by games, fun activities etc. There are the various centres in the UK who provide the different leisure services to the different types of disable people. In the case of Mr. Holland Park, with the help of the leisure centre, he will learn the things by playing the games, fun activities, sports with this his age people etc (Alaszewski and Alaszewski, 2005). The aim behind the leisure centres are make the disable people more strong and brining the change in the behaviour as well as make them independent so that they can do their work by themselves.


3.1 Explanation of approaches and interventions available to support individuals with specific needs

As per the given scenario, for improving the quality of services, a audit is happing in the care centre and in this audit the various approaches and interventions will be explain by care take of specific need of Mr park. The approaches are as follows.

Self Help: This is a self approach which is used in finding the changes in condition of Mr. Park.

Advocacy: It gives the emphasizes on change those practices and policies, behaviour and attitude of a person which work as a obstacle in development against disabilities (Davies and, 2012).

Evidence based practice: This is related to the effectiveness of the care take people.

Autonomy and empowerment: Its related to providing the opportunities to Mr. Park to live as a normal life in society.

The interventions are as follows.

Physical interventions: It is related to the exercise for joint of the body that helps in movement by using external appliances. It helps Mr. Park to restore those functions which he was losing in past to build a good stamina and live a normal life (Goetzel and, 2008).

Psychological interventions: To tackle the abnormal behaviour of Mr. Park, this is the most important intervention which helps his to develop a positive attitude and moral for living the life.

Educational intervention: It is required to give the complete information to Mr. Park about his health and disease by making a proper communication (Jackson and, 2011).

Vocational intervention: This help Mr. Park to earn for himself by learning the skills and live an independent life.

3.2 Evaluation of effectiveness of intervention strategies for an individuals with specific need

To recover Mr. Park from illness and diseases, intervention strategies play an crucial role. This helps to find the various ways for improving his current state of disabilities and other diseases. If we talk physical intervention that it restore the physical health of Mr. Holland and build a good stamina (Seddon and, 2013). There are various exercise and therapies which helps him to move his joints and able them to move and its done by using the external appliances. On the other hand, psychological intervention make Mr. Park to develop a new perception about the life and give a reason to live a life (VanVactor, 2013). The positive attitude of his helps him in treatments and recovery from illness. It overcome the negative feeling of Mr. Holland such as depression, suicidal tendency etc. Vocational and eduction intervention helps Mr. Park to get the complete information about his illness, treatments regarding to resolve the diseases and the current situation during the treatment so that he can live a independent and normal life (Reeves and, 2011).

3.3 Potential impact of emerging developments on support for individuals with specific needs

There are always new developments and innovations held and these make the life of human being more easy. The advance technologies in medical field gives the benefits to the doctors for finding the diseases (Keeling and, 2013). These emerging development are such as medical advancement, change in policy and legislation in local, national and international level organisations etc. The impact of emerging developments are as follows.

Protection versus rights of the patients and practitioners.
  1. Independence and autonomy versus risk
  2. Alleviation of needs verses remedial
  3. Choice and preferences
  4. Service dilemmas and policies (Hadad and, 2013).
  5. Medical and technology advancement
  6. Change in legislation and policy of the government
  7. Improvement in the health care services (Tidy, 2014)
  8. New ways of training for the health care practitioners
  9. Development of new medical equipments and treatments
  10. Easy to determine the individual needs of the service users.

The above impact can be understand by an example. The government of UK has designed and launched a green document which is based on the social welfare of community to adopt health food and proper diet. This document contains the proper diet chart of every age person and the disease of not taking the healthier diet (Lloyd and Marjorie., 2010). So it helps in stabilizing the health of people. The following green document helps Mr. Park to take healthy food and live in good and positive environment. This helps in changing the perception of Mr. Holland about the life and able to him live a normal person life.


4.1 Different concepts of challenging behaviour

There are various ways which affects the behaviour of a person and change its mental states. Due to change in behaviour he can self harm, throwing the thing on others, short temper, shouting of someone else etc (McCrery and Pearce, 2011). Such type of situation occurs due to the surrounding environment, culture of the society and in office etc. Another reasons of change in behaviour of person are metal unstability, disabilities of learning's, hearing and vision, physical impairment etc (McKeown and, 2011).

Challenging behaviour is a most common things which are find in the dementia, mental ill people, learning disable people etc (Birnbaum, 2012). These things make the changes in behaviour which are not acceptable by society. Some challenging behaviour which are determining in Mr. Holland Park as follows.

Verbal abuse such as bullying, threats and racist comments.
  1. Self harming behaviour.
  2. Physical abuse such as assault.
  3. Illegal behaviour

Destructive behaviour for other and to property as well as surrounding environment of a person (Harris, Olsen and Walker, 2012). Verbal abuse is the most common thing which is count in the challenging behaviour. In this behaviour, the person using the abuse language with the family members during making the conversations. For example, Mr. Holland Park use the various abuse words when the family members try to start conversation with him. This is due to the mental unstability of Mr. Park. On the other hand, self harming is also comes under the challenging behaviour which is not acceptable by the society and family members of a patient (McKeown and, 2011). In the case of Mr. Holland Park, most of the time he tries to start self harming and some time throw the things on the family members or on the wall. The reason behind this thing is he is at the first stage of dementia. So in this stage, her tries to harm himself when he is alone in the room. Along with this, assault or attack on the other person is also related to the challenging behaviour (Harris, Olsen and Walker, 2012). For example, Mr. Holland Park some time attack on the care worker who is stay in his home for his care. The attacks are made by using stick, knife, any heavy things etc which injurious the care worker. So these are the some challenging behaviours that are generally find in mental ill people.

There are various factor which are responsible for challenging behaviour of a human being.
  1. Serious diseases
  2. Physical disabilities
  3. Illhealth
  4. Fatigue
  5. Pain
  6. Sexuality
  7. Sleep disturbance
  8. Alcohol and drugs (Heginbotham, C., 2012)
  9. Understanding and learning difficulties
  10. Expectations and perceptions regrading the things
  11. Emotional conditions such as fear, frustration etc.
  12. Social and community factors such as culture, values, relationship etc (Ndetei and Gatonga, 2011).

4.2 Potential impact of challenging behaviour on health and social care organisations

There are various factors which are responsible for change in behaviour of a person and affects his health by physical and metal way. There are several risk factors that can also be responsible challenging behaviour of a person which are as follows (Ham, 2012).

  1. Health care practitioners inability to adjust or manage and cooperate with the patients.
  2. Depression among the health care workers.
  3. Health care worker are not too much supportive.
  4. Drugs and alcohol addicted (Tidy, 2014)
  5. Intensity of dementia in older age people
  6. Social isolation
  7. Patient of domestic violence
  8. The level of mental and physical aggression of elder people (Learning disability. 2014)

The impact of these type of challenging behaviour of a human being can create a impact on health and social care organisations. It is a most difficult task for every health and social care centre to deal and manage these such type of challenging behaviours of people. For example, to deal with dementia illness person or a patient who is suffering from physical disabilities, health care centre can gives their efforts to give the complete training to its staff and make a good communication to know the status of patients (Alaszewski and Alaszewski, 2005). On the other hand it requires the great financial investments from the side of health care organisation. But some time, most of the care worker not understand their duties and run away from responsibilities. So for this, management of health care organisations to motivate the care workers and gives them monitory rewards. Overall it can be said that such type of changes has its positive impact on the working of health and social care enterprises (Amado and McBride, 2002).

4.3 Strategies for working with challenging behaviours associated with specific needs

For dealing with the mental ill people who has some challenging behaviours and they needs some extra care, it requires to form some strategies to work with them and able them to make a normal person. The various factors change the behaviour of a person and make them as a patients who are suffering from the several disease such as visually impaired, hearing impaired, exhibits challenging behaviour etc (Birnbaum, 2012). For dealing those people, health care organisations appoint some experts and practitioners who can handle them in effective way. This will be beneficial for patients to recover from such type of illness. Doctors and other care workers have to create a good and friendly environment so that patient can feel safe and comfortable and this will help in finding the reason of raise of diseases as well as treatments (McKeown and, 2011). Management also have to make coordination with the staff and suggest them to adjust with the patients as soon as possible. With the help of it nursing staff are able to know the condition of their patients in appropriate manner. Thereby they will be able to exert their best services towards the customers (Harris, Olsen and Walker, 2012).


From the above report, it can be concluded that it is required to understand the specific needs of patients and try to gives the proper treatments as per the situation. It is required to change the perception of the people regarding the health and social care services. There are various care needs which are providing to the patients as per his illness. The different type of intervention and approaches can be used to fulfill the needs of the patients. It is needed to frame different strategies for handle the challenging behaviour of a person.


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