Case Studies

Below are some examples of young people our Clinical Care team have expertise in working with.

Case Study 1

Referral background
The team was approached by a Leaving Care Team who outlined concerns that one of their 17 year old clients was at serious risk and if Rialto Care Services could facilitate an immediate placement. Within 24 hours of the initial referral, the Rialto Care Services assessment team were meeting with the young person at his placement within a medium secure facility for mentally disordered young offenders.

Assessment and treatment
With a serious criminal history and learning disability, Rialto Care Services were requested to provide an out of borough placement for the young person. On his release from the medium secure facility , the young person was introduced to his new placement and therapeutic living environment.

Progress
During his time with us, our client has developed considerably, with his self confidence being restored. Supporting our client to choose local training providers and suitable courses, he has now achieved a number of vocational qualifications, and has been praised for his excellent attendance and punctuality. Confidence and social skills have further been developed through gaining voluntary work experience within the Rialto Care Services gym. On completion of his placement with Rialto Care Services, our client has expressed his desire to maintain his residency and live independently within the local community in which we integrated him within.

Case Study 2

Referral background
Rialto Care Services were approached by a Local Authority within the Midlands who needed a supported living placement for a client whose numerous placements within nursing homes and specialist facility settings had continuously broken down.

Assessment and treatment
With a history of arson, alongside his Acquired Brain Injury and Moderate Physical Disability, meant that following our assessment, we were able to offer a suitable supported tenancy on a 1-1 basis. When our client initially under took his tenancy, he still abused alcohol to a significant degree and remained to voice pyromaniac ideation. He would also attempt to intimidate female staff with threats of sexual harm.

Progress
After living in a very specialised supported tenancy where all of his rehabilitative and therapeutic needs were met, our client now lives in a partially supported tenancy where he has a very valued role within his local community. Confidence has grown significantly, regularly chatting with his elderly neighbours and shopping for them when out with his support workers. The client has had his support reduced through his own endeavours to 8 hours per day.

Case Study 3

Referral Background
Following a number of serious attempts to take his own life whilst in a hospital unit in Wales, Rialto Care Services were approached by Social Services to facilitate an intensive support package for a young man with severe ASD with a depressive illness.

Assessment and treatment
Following an assessment carried out on the same day by the Rialto Care Services assessment team, an intensive support package was put into place to prevent the young man from taking his own life and from endangering the lives of other. As a result, he moved into a placement where he had 24 hour 2-1 support within a community that best suited his complex needs. Within the initial 6 months of the placement, the young man had voiced suicidal and homicidal ideation, some very graphic and individualised. However over the coming months, the young man realised that his actions did not result in him being judged as he had previously been and that he could approach his support team and discuss his anxieties without showing then in a suicidal or homicidal way.
In line with emerging good practice guidelines the team employed a Good Lives Model (GLM) approach to group living and individual therapy. This approach identified specific roles for each professional involved with Chris to help him move on to his preferred future without harmful sexual behaviour. Chris received daily education, weekly therapy and weekly key working sessions.
In line with the Integrated Therapeutic Model implemented at Rialto, staff who supported Chris on a daily basis engaged in monthly systemic consultation with our Senior Clinical Psychologist.

Progress
The young man was naturally very isolated and did not mix easily with others. He was given the opportunity to cohabitate with another supported person. After meeting our other client and building a friendship they both decided that it would be good to share a tenancy and cut their living costs. With some input from their support workers this was achieved and both young men developed a close friendship. At this point we had been able to establish a very settled pattern with the client and were pleased to be able to dramatically recommend a cut in his support from 2-1 to 1-1.