Stepping Out Blog

Client Groups Stepping Out Support

What type of client group can Stepping Out support?
Stepping Out is renowned for helping clients with varying difficulties achieve positive outcomes, typically we specialise in working with clients whom display severe challenging behaviour, we are able to provide outreach support in a number of locations to clients, alternative we provide specialist semi-independent provisions (accommodation and support) to clients with:

 

Autistic Spectrum Disorder

Mental Health Issues

Borderline Personality Disorder

Challenging Behaviour

Moderate Learning Disabilities

Physical Disabilities

Sexually Harmful

Sexualised Behaviour

MAPPA Cases

Drug & alcohol abuse

Self-harm

Suicidal tendencies

Dual Diagnosis

Conduct Disorder

NEET Clients

Ex-Offenders

Alzheimer’s

Early On-set Dementia
If you have a client who may benefit from receiving services from us please contact us.

Stepping Out
439 Green Lanes
London
N4 1HA
0208 342 7217
info@stepping-out.org
www.stepping-out.org

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Dementia: The Next Global Health Time-bomb.

Dementia should be made a top health priority on a par with cancer and lung disease, a leading expert has said, after it was described as the next global “time bomb”. Professor Peter Piot, former Under-Secretary General of the United Nations, compared dementia to the AIDs epidemic and said one person is diagnosed with the mental illness every seven seconds.

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Early Onset Dementia

Dementia and its symptoms

Dementia’ is a term used to describe the symptoms that occur when the brain is affected by specific diseases and conditions.  It is an umbrella term used to describe the effects of closely linked diseases. These include Alzheimer’s disease and sometimes are the result of a stroke. Dementia is progressive, which means the symptoms will gradually get worse. How fast dementia progresses will depend on the individual. Each person is unique and will experience dementia in their own way. There are approximately 750,000 people in the UK with dementia.

Symptoms and how we can help

Below are just some of the symptoms that our service will manage and seek to reduce where possible:

  • Loss of memory − this particularly affects short-term memory, for example forgetting what happened earlier in the day, not being able to recall conversations, being repetitive or forgetting the way home from the shops. Long-term memory is usually still quite good.

Stepping Out offers the client regular guidance, support and prompts; the semi-independent project will provide a 24 hour on site staff member whom is able to offer timely aid. In General the regular use of planning documents such as weekly activity plans, shopping lists, goal setting plans, timetables, visual image based tool etc. will aid the client remember important tasks. The plans can be posted around the client’s private living area in order to aid the client’s memory.

  • Communication -The person with dementia will experience increasing problems understanding what is being said to them and what is going on around them. They are likely to find it difficult to communicate with other people. They may gradually lose their speech.

Stepping Out ensure its staff members receive regular training on effective communication, where they are able to understand a client’s feelings via certain behaviour and or body language, eye contact and tone of voice. Our staff are trained to actively listen to clients whilst positioning themselves accordingly as to not cause any distress, tension or anxiety to the client. Visual tools and other interactive communication aids are to be used in order to ensure effective communication. Staff members must employ patience and always ensure they communicate with respect towards the client.

  • Challenging Behaviour – The person with dementia may display puzzling and or at times challenging behaviour this may be in the form of physical aggression or verbal abuse.

Our staff members receive regular training on managing challenging behaviour. Importantly a client with dementia may display challenging behaviour due to feeling distressed, anxious and or frustrated. At such times, staff members must provide proactive, dedicated 1-1 support and use communication methods best suited to the client in order to alleviate the client’s anxieties. Various rules and boundaries have been put in to place that clients must adhere to. Our Company operates a no physical contact/physical intervention policy. This means we will not physically restrain and or challenge a client. If the clients behaviour becomes aggressive and or unmanageable and once we have exhausted all means of calming and effectively communicating with the client, our staff members are instructed to contact the local police whom will work to stabilise the clients behaviour.  The client will be made aware of this and will be introduced to our project rules and the boundaries that must be adhered to on initial placement with of course regular reminders.

Stepping Out is a registered and regulated (CQC) independent social care provider delivering person centred care services to children, young people and adults meeting the range of low through to critical high support, high supervision needs.Stepping Out has built a great reputation for providing specialised up-to 24 hour semi-independent living options for adults and young people.

We provide Services to:

The type of clients we accommodate and support have varying needs to include:

  • Autistic Spectrum Disorders
  • Mental Health Issues
  • Attention Deficit Hyper Activity Disorder
  • Borderline Personality Disorder
  • Challenging Behaviour
  • Moderate Learning Disabilities
  • Physical Disabilities
  • Schizophrenia
  • Sexually Harmful Behaviour
  • Sexualised Behaviour
  • Drug & alcohol abuse
  • Self-harm
  • Suicidal tendencies
  • Auditory Hallucinations
  • Command Hallucinations
  • Delusional Ideation
  • Early onset Demen
  • Dual Diagnosis
  • Dementia
  • Fabricated & Induced Illness

In order to make a referral and or to obtain further information about our company please contact us using the information provided below:

Stepping Out, 439 Green Lanes, London, N4 1HA

020 8342 7217

Info@stepping-out.org

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Home Care: Comfort & Familiarity

Home care, live-in care or domiciliary care means receiving the care and support you need at your own home, at your preferred times.

Often, receiving care means having to leave home and move into a care setting or facility. In some cases, this can be distressing. Additionally, not everybody needs 24 hours of supervision and care. The benefits of home care and support services, is that we allow the service user the familiarity and comfort of their home whilst they receive the support they need.

Stepping Out can visit your home for a duration of just half an hour, all the way up to 24 hour live-in care, depending on your needs.

For more information on what we can assist you with, and our methods of doing so, visit our Home Care page, or call 0208 342 7217.

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What is Dementia?

Overview:

‘Dementia’ is a term used to describe the symptoms that occur when the brain is affected by specific diseases and conditions.  It is an umbrella term used to describe the effects of closely linked diseases. These include Alzheimer’s disease and sometimes are the result of a stroke. Dementia is progressive, which means the symptoms will gradually get worse. How fast dementia progresses will depend on the individual. Each person is unique and will experience dementia in their own way. There are about 750,000 people in the UK with dementia

The symptoms:

* Loss of memory – for example, forgetting the way home from the shops, or being
unable to remember names and places, or what happened earlier the same day.
* Mood changes – particularly as parts of the brain that control emotion are
affected by disease. People with dementia may also feel sad, frightened or angry
about what is happening to them.
* Communication problems – a decline in the ability to talk, read and write.

In the later stages of Dementia, sufferers may have difficulty carrying out everyday tasks, and will eventually need the assistance of another person in order to do even the smallest of tasks.

What causes Asperger’s syndrome?

Dementia can be caused by a number of diseases and conditions:

* Alzheimer’s disease – The most common cause of dementia. During the course of
the disease the chemistry and structure of the brain changes, leading to the death of
brain cells.
* Vascular disease – The brain relies on a network of vessels to bring it oxygen-
bearing blood. If the oxygen supply to the brain fails, brain cells are likely to die
and this can cause the symptoms of vascular dementia. These symptoms can occur
either suddenly, following a stroke, or over time through a series of small strokes
* Dementia with Lewy bodies – This form of dementia gets its name from tiny
spherical structures that develop inside nerve cells. Their presence in the brain
leads to the degeneration of brain tissue. Memory, concentration and language
skills are affected. This form of dementia shares some characteristics with
Parkinson’s disease.
* Fronto-temporal dementia (including Pick’s disease) – In fronto-temporal
dementia, damage is usually focused in the front part of the brain. At first,
personality and behaviour are more affected than memory.

All of the above conditions can be cased as a form of dementia. However, There are many other rarer diseases that can cause dementia. These include progressive supranuclear palsy, Korsakoff’s syndrome, Binswanger’s disease, HIV and AIDS, and Creutzfeldt-Jakob disease (CJD). Moreover, People with multiple sclerosis, motor neurone disease, Parkinson’s disease and Huntington’s disease may also be more likely to develop dementia as they get older.

Is there a cure?

 

There isn’t a cure for dementia. However, for some types of dementia there are medicines that can treat your symptoms and prevent them coming on as quickly. The treatment you’re offered will depend on which type of dementia you have.

Group and individual therapy is also recommended. these aim to stimulate the mind (this is sometimes referred to as cognitive stimulation therapy)

Reminiscence therapy may also help. Discussing past events in groups, usually using photos or familiar objects to jog the memory, although there are conflicting opinions on whether this is effective

How Stepping Out can help:

Stepping Out have the facilities and staff to care for anybody suffering with Dementia. Our staff are both experienced and qualified to handle such cases. Stepping Out are able to provide home care, helping with daily tasks which a Dementia sufferer may find difficult.
Or, in extreme cases where the sufferer needs full-time support and care, Stepping Out provide their own 24-hour staffed provisions.

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