Who we can help

Background: “Lily” has a moderate learning disability and epilepsy and is currently supported in a main stream school. Transition to secondary school created anxiety, regression in independence skills, and increased safeguarding concerns.

Challenges: Reduced independence, high parental anxiety, health monitoring complexity, social isolation.

The Engage Approach: We implemented a transition support plan, travel training and support programme, structured independence-building goals, multi-agency communication with school and health teams.

Outcome: Lily now travels short distances with support led by Lily, self-care skills improved, parent confidence increased, emergency health incidents reduced.

Benefit of the Engage Model: Holistic transition planning prevented dependency increase and promoted gradual independence.

Background: “Daniel” had experienced multiple placement breakdowns due to behaviours that challenge. Previous services relied on reactive strategies.

Challenges: High staff turnover, escalation patterns, community exclusion, low self-esteem.

The Engage Approach: We established a consistent, specialist-trained team, Implemented Positive Behaviour Support, analysed behavioural triggers, developed structured daily routines, introduced meaningful community interaction so Daniel felt his life had purpose and meaning.

Outcome: Reduction in incidents, no placement breakdown, increased community engagement, improved emotional regulation, Improved self-belief and self-value.

Benefit of the Engage Model: Understanding behaviour as communication reduced crisis-driven responses.

Background: “Caroline” lives with a mild/moderate learning disability and complex trauma history. Periods of mental health crisis led to hospital admissions.

Challenges: Emotional dysregulation, medication instability, social withdrawal, safeguarding concerns.

The Engage Approach: We implemented trauma-informed care, collaborative crisis planning, structured wellbeing routines, close liaison with other professionals including the community mental health team.

Outcome: Reduced hospital admissions, increased daily structure, improved engagement in meaningful activities, stronger multi-agency coordination.

Benefit of the Engage Model: Proactive, preventative support reduced crisis escalation and hospital reliance.

Background: “George” has a moderate learning disability and was recently diagnosed with early dementia. George and his friend live with minimal support in the local community. George was increasingly relying on his friend who also has a learning disability. This resulted in George staying at home more and withdrawing from social interaction.

Challenges: Memory deterioration, reduced confidence outdoors, loneliness, anxiety around his relationship with his best friend

The Engage Approach: We introduced a consistent companion support worker, structured cognitive stimulation activities, supported interaction into a community group, provided reassurance and communication between George and his best friend. Relationship-led care reduced isolation and preserved dignity.

Outcome: Increased community engagement, stabilised mood, improved daily routine, reduced stress both with his best friend and within the home.

Background: “Fred” has a moderate learning disability and downs syndrome he recently experienced reduced mobility following hospital discharge. Confidence declined and risk of readmission was high.

Challenges: Falls risk, loss of independence, low mood, Increasing reliance on his friend as his care provider was at risk of breaking down the relationship.

The Engage Approach: We developed a graded independence plan, coordinated with professionals, including occupational therapist, district nurses and providers of his in-home direct care, encouraged both confidence and strength-building daily tasks, focused on empowerment rather than dependency.

Outcome: No hospital readmissions, improved mobility confidence, increased participation in daily tasks, emotional wellbeing improved, relationship with best friend returned to one of companionship not care.

Benefit of the Engage Model: Holistic reablement approach preserved independence and reduced long-term care dependency.