Therapeutic support & HELPWorks

We employ a range of therapeutic approaches. Support is individualised and at the level people require at any one time. A highly experienced and specialist multi-disciplinary clinical team work with managerial and support staff to optimise the provision of individualised care and therapeutic interventions.

The philosophy which underpins therapeutic provision, as within services across Hesley Group, is encapsulated within the Hesley Enhancing Lives Programme (HELP).
All staff attend training in HELP, a positive behaviour support approach based on Therapeutic Crisis Intervention (TCI), and on Applied Behavioural Analysis (ABA). TCI is accredited by the British Institute of Learning Disabilities (BILD). It is an internationally recognised crisis prevention and management system that reduces the reliance on high-risk interventions. TCI recognises that it is the actions and reactions of those around people that strongly shape and influence their behaviour, including their social interactions and emotional responses. Its emphasis is on empathy and proactive support, while physical interventions are very much considered a last resort.
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The care and well-being of the people we support are paramount and everything we do is to ensure that each person’s best interests are met.

In order to keep people safe there are times when the use of physical interventions may be needed. This would be as a last resort to support people in crisis, in order to reduce both stress and risk and discontinued as soon as it is safe to do so.

Any potential interventions are fully discussed with the person concerned and/or their family and other appropriate representatives - as far as possible before their application.

Physical interventions are delievered in line with PRoACT-SCIP (r) UK guidance and the BILD Code of Practice.

Both of these approaches can be explored further via the BILD website –

HELPWorks at Hesley encompasses a number of key component which all interlink. This framework, with HELP, together represent the essence of what we do. More information on HELPWorks can be found here.