Understanding specific needs is important study that makes understand about perception that people have about different aspects of health and social care. It includes health, disability, illness and behaviour of people towards health and social care context. This paper will look into attitude towards individual with specific needs (Hewitt, 2013). In this paper researcher will try to make understand the readers about perception of health, disability, illness and behaviour. This paper will also focus on service systems that are beneficial for specific needs in health and social care. Other than this, it will also spot on approaches and strategies that can support individual needs. Furthermore, this paper will also focus on challenges and strategies to overcome issues of specific needs.


1.1 Concept of health, disability illness and behaviour in relation to user of health and social care services

The concept means models and classification of different aspects related to health and social care services. As per the meeting with Mr. Jack, it can be said that there are some issues of user of health and social care, which are related to health, illness, disability and behaviour.

Health: This can be said that it is a condition of person which is related to complete mental, social and physical aspects. Another explanation might be that health is all about efficiency of human being while performing the daily activities or accessing the appropriate education, vocation and recreation (Iliffe, 2005).

Disability: It is related to physical condition that control person or individual to lead a normal life and limit individual to have appropriate knowledge about different aspects. It also force person to not perform task related to daily activities.

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Illness: It can be definite disability or disorders which can affect the physical strength or condition of person for some time. In this physical condition person or individual is more dependent on others (Moriarty, 2014).

Behavioural issue: It refers to change in behaviour or attitude or people. These changes can lead sometimes to serious mental illness and depression in people. In this condition or aspect person can become sad or quite. It has also been identified that person can also become aggressive towards others.

1.2 Perception of specific needs have changed over time

It has been identified that people with different learning disorders have some specific needs from social care workers. The people with disability can lead towards diverse groups in relation with age, disability degree and other associated problems. In earlier days the hospitals and care homes main aim was to provide care to people with specific needs due to increase in physical and mental illness. But now a day’s hospitals and care homes are became overcrowded that has affected the quality of services (Adams, 2003). Increase in crowd is also leading health and social care towards decrease in standards. It negatively affecting industry and organizations were closed after some time.

This has resulted that professional staff get shifted to specialist work associations, who are working for people with specific needs due to learning of disabilities. This has also helped in increasing effectiveness of treatment and care that is given to people with specific needs. Other than this, it also motivates people with specific needs to live in community and have equal rights with general population for health care (Schneider, 2009). Another explanation might be that the change in conditions has also changed the perception of specific needs with time. It can also be said that hospitals and social care organizations need to focus on standards of service to meet the needs of people.

1.3 Impact of legislation, social policy, society and culture on ways that service are made available for individual with specific needs

There are number of legislation that can affect the business of health and social care such as, Health Act 1999, Care Trust, Children Act, Personal Health Budget. It is necessary for firm to operate its services with a consideration of these legislations. Firstly, Health Act includes some powers of health and social care service providers like to create integration of service provider and lead to commission arrangements (Morgan, 2013). Children Act protects children and adults from some unwanted issues like, child labour, etc. At last, personal health budget is a policy that allows patients to gain cash for services from health providers. It is helpful for poor people and motivates them to get good health services.

The health and service providers are also taking initiatives and working according to legislation that is increasing the standard of health and social care. Governments are also looking for better working of health and social care with consideration of policies. It has also been identified that society, social policies and culture can also affect the people with specific needs. Society plays a key role in person behaviour and health because if society will not cooperate with individual then they will get disappointed and lead to negative changes in behaviour (Adams, 2008). The increase in depression will also lead to decrease in effectiveness and health conditions will convert in worse conditions. The people with specific needs have right to get proper treatment without any bias or discrimination between colour, caste, etc. Discrimination is major issue that leads people towards physical abuse and affect health of person.


2.1 Care needs of individual with specific needs

According to case of Mrs Murky is having a communication difficulty that is leading to challenging behaviour. She comes under the category of helpless person with specific needs. It may also lead her to change in behaviour like self harming, anger, temper, etc. This situation occurs due to differences in language and physical illness of Mrs Murky. It is necessary for care home to understand the core reason behind his behaviour (Nolan, 2005). Nurses and other authorities have to motivate her to deal with environment and social issues. GP and other members can provide her language teaching through verbal conversation in polish. It will overcome the issue of language and make her feel more comfortable. Doctors can also have constant communication with Mrs. Murky to know about the improvement in health conditions.

Another explanation might be that care home has to ensure the transparency of medial product agencies and also try to develop effective source to provide better treatment (McWilliam, 2010). Organization also need to focus on communication between health professional and patient with having a consideration of comfortable language.

2.2 Current system for supporting individual with specific needs

Governments have made several health strategies and models for better health promotion. It is important for respite care homes to consider these models for better support to Mrs. Murky health conditions. The strategies are classified as, community engagement and health promotion strategic framework. Community engagement means it is primary responsibility of care home to get engage and consult with local communities about health and health care needs. It is necessary to create a trust between local community and patient to have better improvement in health conditions (Bentovim, 2006). The professionals of care home have to work in collective manner with local authorities, agencies and other voluntary organizations for creating a trust and making feel better.

While on other side, health promotion strategic framework model is structural element that plays keys role in health promotion. It is important for Mrs Murky health that she gets more involves with community to have better improvement in health conditions. In this model care home authorities can adopt various approaches to provide better experience and overcome the language issue. Such as, organization must ensure that adoption of health practice will be beneficial for Mrs. Murky (Tassoni, 2003). Increase the capacity of organization staff by teaching them different languages and signs. It will also help in fulfilment of other specific needs. The main focus must be to reduce the health inequalities. This will improve behaviour and health of individuals.

2.3 Service available in chosen locality for individuals with specific needs

The situation in north London and people with discriminated caste is affecting access to fundamental health services. People are facing problems of social economic status, mental stress and other serious issues. The differences in language and other discrimination are reacted to mental problems in adults and affecting the health of individual. Lack of knowledge and increase in differences is also affecting the socio economic status and leading to decrease in effectiveness of services. It also leads to increase in impairments and illness (Chaplain, 2014). It is necessary for professionals to focus on these issue and changes for better service in health and social care.

There are different professionals that can help care home in solving these issues and provide better experience to service users with specific needs. The most important role is of GP (general practitioners), they are more responsible for providing better health services. It is because they are first person who have contact with people at time of service. They can focus on identification of needs of individuals (Farrell, 2003). Secondly, primary care trust is responsible for providing primary service to people; they must have dedicated team for providing better health services to service users. Their dedicated work can reduce health inequalities in local communities. At last, NHS centre can also improve conditions of health and social care organizations by ensuring that professionals are well skilled and experienced. This will provide better service by sharing of tips on particular health conditions, etc.


3.1 Approaches and interventions to support individuals with specific needs

There are number of approaches to meet the specific needs of Mrs. Murky such as, self help, advocacy, evidence based practice, medication and autonomy and empowerment. Self help means professionals can motivate Mrs. Murky to have approach towards improvement in condition. Secondly, advocacy means organization can adopt approaches and methods to have change in policies, attitudes, behaviour, etc to reduce the discrimination against disabled. Evidence based practice means services that constantly demonstrate the effectiveness of treatment to people (Lister, 2010). At last, autonomy and empowerment means motivating Mrs. Murky and creating a better opportunities for improvement in health conditions. This will also highlight the responsibilities of society. Other than this, care home can also provide medication and other required therapies for improvement in health conditions.


While on other side, there are some interventions which can be beneficial for Mrs. Murky health conditions. Physical interventions mean appropriate exercise and therapies for eye and ear movements that can improve conditions of Mrs. Murky. It will improve physical status of patient and motivate to get back to normal life. Secondly, psychological interventions means organization or health care will focus on improving behaviour and mental condition of patient. It will improve morale of Mrs. Murky and build positive attitude toward life. It will also reduce depression of patient (Robert, 2014). At last educational intervention will provide proper knowledge of health condition to patient. Organization will have proper communication with Mrs. Murky that will also resolve issue of communication.

3.2 Effectiveness of intervention strategies for individual with specific needs

It has been identified that intervention strategies will play a key role in improvement of health condition of Mrs. Murky. The physical intervention is helpful for restoring the physical strength. It will improve physical condition of patient and improve hearing power of Mrs. Murky. It is combination of various therapies for improvement in physical conditions. The therapies will also undertake with consideration of provision (Richel, 2014). It will help Mrs. Murky in re-establishing the lost functions and helps in maintaining physical status so that she can move back to her normal life.
It has also been identified that for the success of physical intervention, psychological intervention is also important. This will improve the morale of Mrs. Murky and motivate to feel better than earlier. It will also build the positive attitude of patient towards life and make positive behaviour conditions. This therapy will also reduce power of other negative aspects like, depression, suicidal tendency, etc. After improvement in morale and behaviour the educational and vocational interventions will help Mrs. Murky to have increase in independence in her life (Adams, 2003). This will also provide correct information and knowledge of current health condition and motivate patient to have more concentration on therapies. Another positive outcome of these interventions will also motivate Mrs. Murky to have better approach of self help to make life more easy and independent or normal.

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

The change in time has leads to various developments in health and social care industry with having a consideration of medial and technological advances, changes in policies, perception of person, etc.

The change in health and social care has also leads to some tensions like:

  • Right versus protection of other and self.
  • Remedial therapy versus alleviation of needs.
  • Preferences and choices.
  • Policies and service dilemmas (Morgan, 2013).

For example, the administration of care home has launched green document that main focus is on importance of social welfare by cooking good and healthy meal. This documentation needs information regarding meals that is cooked for patients. It will reduce the risk and help in improving health condition in more effective manner (Bentovim, 2006). There are several organizations that can help in improving health conditions by providing better environment in organization. It will also improve behaviour condition of Mrs. Murky and positively lead to improvement in health condition of patient. These implementations will also motivate and improve self efficiency of person.
Other than this, changes in health and social care services will also improve skills and knowledge of service provider and help them in having better career opportunities. This will also improve communication level between patient and professionals. It will also resolve the issues and lead to efficiency of business and service.


4.1 Different concepts of challenging behaviour

A person with challenging behaviour has various aspects like temper, uncooperative, self harming and display of anger on others. This situation occurs due to physical impairment, learning disabilities, physical or mental ill health, brain injury, etc. According to case, Mr. John was model patient of mattock nursing home. He was over involved in activities of care home. He was treating car home as his home and personal room (Bentovim, 2006). This has also leaded him to anger and changes his behaviour. He became rude to staff and other people. It shows spotted the challenging behaviour of Mr. John.
The challenging behaviour is also considered as unacceptable and abusive behaviour that can affect the health condition. It includes verbal abuse like threats and hurting comments over others. This also includes physical abuse like assault and self harming behaviour. Person may also lead to illegal behaviour with having a destructive behaviour towards care home property. It will also affect the environment of care home and reduce effectiveness of treatments (Tassoni, 2003).
Some factors has been identified that can affect the challenging behaviour like, physical disability, ill health, sexuality, pain, drugs and alcohol, sleep disturbance and learning difficulties. Other than this, care home also has to focus on emotional conditions of Mr, John for better health conditions. Emotional conditions include fear, dependency, temperament, loss, etc.

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

There are number of impacts of challenging behaviour on health and social care organizations. The challenging behaviour of people will also affect the performance of overall organization; it is possible because behaviour of person may also affect the concentration of other patients. Other than this it also possible that other patients may also get motivated by that person and they also started treating people like Mr. John. The challenging behaviour mostly occurs due to person is not having any contact with family, friends or neighbours (Schneider, 2009). It may also possible due to memory problems and face difficulty in communication with others. If person is alcoholic then he may also lead to challenging behaviour.
There are some more risk factors that can lead patient towards challenging behaviour such as, increase in stress level and increase in demands. Patient may be depressed due to behaviour of care giver or care home staff. There may be social isolation that is affecting behaviour. These occurrences of challenging behaviour will also lead to decrease in effectiveness of organizations and professionals may not able to concentrate on other patients due to increase in demands of Mr. John.

4.3 Strategies for working with challenging behaviours associated with specific need

Care home and other health and social care organizations can deal with challenging behaviour with having a consideration of legislation, policies, code of practices, etc. The code of practice is set of responsibility of employer that motivates him to deal with these issues. It will make understand the employees about their roles and responsibilities (Brand, 2012). Organizations can conduct training sessions and teach them to handle these conditions. Training will also provide an ability to work in different conditions. It will help employees to make ensure that behaviour of patient is correct and it will not harm anyone. It will also create a trust between other patients and make them feel confidence and secure.
Other than this, care homes can also have partnerships with other behaviour consultants that will help in controlling of abusive behaviour. These consultants will make sure that patient is nor crossing limits or boundaries (Tassoni, 2003). He will also provide some psychological therapies to have control an improvement over behaviour of person. Staff can also pay more attention on patients like Mr. John to avoid any issue or harm.


As per above study it can be concluded that it is necessary for every health and social care organization to understand the specific needs of patients for better operation as well as to avoid any issue or problem. It is important for firms to understand the concept of health, illness, disability and behaviour to have better understanding of needs. The working according to legislation and policies will lead firm to better performance and increase in effectiveness. Other than this, care home can also overcome the issues by proper monitoring and improvement in skills of employees.


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