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This case study focuses on a young man with severe intellectual disability and autism who engaged in high‐frequency self‐injurious behaviour. Permission to publish this article was given by the individual's mother. The case study offers a review of the input from the local Learning Disabilities Team, particularly from the behaviour support service. The input concentrated on co‐ordination of care, as part of the care programme approach. The care programme approach (CPA) was introduced by the Department of Health in 1990 to provide a framework for effective mental health care for people with severe mental health problems.

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