'Keith became really quiet... He completely withdrew from what was
going on. It was unbelievable... He was unhappy all the time. He
wouldn't eat at the dinner table. He would throw his plate on the
floor. We couldn't believe it.'
People with learning disabilities living in residential care
regularly experience separation and loss when their keyworkers move
away. Clinical experience suggests that these transitions are
critical for the emotional well-being of clients, for whom
supportive relationships with staff are essential. In Saying
Goodbye the authors aim to raise awareness of some of the processes
that occur when keyworker relationships end, in the hope that such
endings can become less painful for both staff and clients.
Specific recommendations of how to plan the end of staff-client
relationships are included.
The book draws extensively on the words of the participants
themselves, looking at parallel accounts of loss and change. People
with learning disabilities are rarely asked about their experience
of care and this is the first study to examine how these clients,
as well as staff, experience the end of keyworking
relationships.
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