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People with challenging behaviour are commonly referred to the National Health Service for assistance and support. Good clinical practice would indicate that such interventions should be routinely monitored and evaluated in order to be maximally effective. Challenging behaviour has many impacts and, while monitoring frequency, duration and severity of behaviour is fundamental, equally key is attention to monitoring the impacts on the quality of life of the individual and those with whom they share their environments. Such outcomes are unlikely to be represented by one instrument, and a battery of measures currently holds most promise in relation to representation of what would be considered valid acceptable outcomes.

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