HELPWorks - Hesley Enhancing Lives Programme

The care and well-being of the people we support is paramount and everything we do is centred on ensuring their best interests are met. We help them stay safe and calm enough in the short term to learn the skills that will improve their quality of life in the long term.

HELPWorks imageAll Hesley Group staff attend the Hesley Enhancing Lives Programme (HELP), a behaviour support approach based  on Therapeutic Crisis Intervention (TCI), which is accredited by the British Institute of Learning Disabilities (BILD). TCI is an internationally recognised, crisis prevention and management system that reduces the need to rely on high-risk interventions. TCI recognises that it is the actions and reactions of those around people that strongly shape and influence  behaviour, as well as social and emotional development. The emphasis is on empathy and proactive support.

To keep young 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, to reduce both stress and risk. In such instances we follow BILD guidance. Hesley Group have BILD accreditation for both children’s and adult services.

Our approach encompasses physical interventions contained within TCI strategies and those from PROACT-SCIP (r) UK. Any potential physical 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 will continue to remain as infrequent as is possible and be reviewed with the ongoing aim of reducing and stopping their use, as soon as it is safe to do so.

Both of these approaches can be explored further via the BILD website – www.bild.org.uk – in the section: Physical Intervention Accreditation.

Where additional measures of physical intervention do become necessary, our procedures: are clear; fall within government guidelines; are agreed between family/carers and local authorities as permissible in certain circumstances to make dangerous situations safe; and are always documented.

HELP could not be effective without the framework provided by the excellent staff of all disciplines and departments, the positive values of Hesley, the focus on progressive workforce development, the high quality facilities providing class-leading therapeutic settings; and a range of other key components.

This framework of key elements, with HELP, together represent HELPWorks – the essence of what we do at Hesley, to give children, young people and adults with autism, learning disabilities and complex needs, as much as we can, to support them to achieve and progress.

HELPWorks Venn imageHELPWorks encompasses a number of key components which all inter-link. They include:

• The Hesley Enhancing Lives Programme (HELP) – a modern, ethical approach to positive behavioural support, based on the principles of Therapeutic Crisis Intervention (TCI) and Applied Behavioural Analysis (ABA). HELP teaches us to recognise that our actions and reactions powerfully shape the emotional well-being and development of those
we support.

• The Values of the Group – of being person-centred, outcome focused and quality driven – and of being intent on keeping those who live in our services safe – and happy.

• The belief that the collective, positive efforts of ALL our staff, at every level and in every department of every service, are vital in enabling the positive progress of those we support – AND of each member of staff too.  EVERYBODY is important – those who live in services and staff.


• A commitment to ensuring that each person who lives in services has their own individual pathway to facilitate their ongoing sustainable positive progress.

• An emphasis on meaningful person-centred educational, vocational and other activities.

• The provision of high quality, purpose-built, evolving therapeutic environments and of extensive therapeutic green space.

• Experienced, highly trained staff in every service, supported by a workforce development team who ensure ongoing training of staff matches the evolving needs of those they support.

• An experienced and expert multidisciplinary therapeutic team, including occupational and speech therapists, psychologists and applied behavioural analysts, psychiatrists and therapy assistants, working directly with people in services; and with staff teams to inform and support their work.

• A belief in close and respectful partnership working, with those who live in services and their families, with care managers and commissioners and with regulatory agencies and all others key to supporting those with complex needs.