Service : Learning Disability Intensive Support Team
Service overview
We are the Intensive Support Team, also known as IST.
We can help if you are an adult with a learning disability, and you are at risk of going into a psychiatric hospital.
This may be because your mental health or behaviour puts you or other people at risk of harm.
We can also make sure you have support ready when it's time to leave psychiatric hospital.
Our aim is to make sure you have help in your community, to reduce stays in hospitals.
- We can offer rapid response if you are in crisis, and avoid stays in hospital
- We can help you understand what causes challenging behaviour
- We can use Positive Behaviour Support (PBS) plans
- We can make your care plan with you and your family
- We can help your other care teams understand challenging behaviour
- We can give advice to your carers and other team on how to reduce the use of restraint, seclusion, and out-of-area placements
Accessing our service
Referrals to the Intensive Support Team are only accepted from the Community Learning Disability Team (CLDT).
To make a referral, please contact the relevant CLDT.
Contact us
Learning Disability Intensive Support Team
Contact number: 0300 365 4787 We are available 9am to 5pm, Monday to Friday (excluding bank holidays)
Email: LD.IST@berkshire.nhs.uk
Preparing for an assessment
We will try to make your appointment in your own home, or a place you feel comfortable like a day centre.
Sometimes your appointment might be at one of the Community Learning Disability Team offices.
We will tell you where your appointment is and make sure you can get there.
You are welcome to bring someone with you, like a family member or carer. They may need to wait outside while we talk to you.
You can talk to us if you need help.
Contact us and FAQs
Frequently asked questions
What is a learning disability?
A person has a learning disability when their ability to learn new things (intelligence) and cope independently (social functioning) is reduced by a large amount compared to most other people’s abilities.
Learning disabilities start before adulthood and have a lasting effect on development.
Problems with intelligence or social functioning which start later in life due to ageing, illness, or injury, are not learning disabilities.
A learning disability is not the same as a learning difficulty, like dyslexia.
A learning difficulty affects specific areas of learning, but a learning disability affects overall intellectual ability.
What causes a learning disability?
A learning disability is usually caused by something that affects brain development before birth, during birth, or in early childhood.
In many cases, the exact cause is unknown.
Common factors can include:
- genetic conditions, such as Down’s syndrome or Fragile X syndrome
- illness or infections during pregnancy
- exposure to harmful substances, like alcohol, during pregnancy
- complications during birth that reduce oxygen to the baby’s brain
- being born very early (premature birth)
- serious illnesses, such as meningitis or measles, in early childhood
- head injuries in early childhood
Conditions like cerebral palsy, epilepsy, and autism are more common in people with a learning disability.
What is specialist health support?
Specialist health support is care that cannot be provided by mainstream health services because extra skills, knowledge, or equipment are needed to give the right help.
What are the signs that a person with a learning disability is constipated?
Common signs of constipation include not eating much or at all, frequently touching their anus, or signs of streaking on underwear or pads.
People with a learning disability are at higher risk of constipation and if left untreated it can cause serious problems.
We can also help you with
Is there any information for friends, family and carers?
If you’re a family member, carer, or you look after someone, there’s practical, financial, and emotional support available from a range of local communities and national organisations.
How do I request an interpreter?
We can provide language translation and interpretation support.
Tell our staff which language you prefer to use, and we will make sure the right communication support is in place for your assessment and treatment. Please let us know as early as possible so we can ensure the appropriate translation or interpreting support is available.
We offer a range of professional services to ensure everyone can understand and be understood:
- Telephone interpreting
- Video remote interpreting (VRI)
- Face‑to‑face interpreting
- Written translation
- British Sign Language (BSL) interpreting
How can I get information in an accessible format?
Anyone with a disability, impairment, or sensory loss has the right to get information in a format that meets their needs.
The Accessible Information Standard (AIS) is a legal requirement for all health and adult social care providers. This means making sure that people who use our services, including carers and families, can understand our information and communicate with us easily.
We can offer information in a range of accessible formats, including:
- British Sign Language (BSL)
- Large print
- Braille
- Audio
- Easy read
- Text message
- Face‑to‑face support with a carer or advocate present
If you need information in any of these formats, please tell a member of our team and we will make sure your communication needs are met.
Are service dogs allowed to my appointment?
Yes, you are welcome to bring your registered service animal, such as a guide dog, hearing dog, medical alert dog, or other trained assistance dog to your appointment.
These animals are recognised as essential support and are permitted in most areas of our services.
To help us prepare, please let the team know before your appointment if you will be attending with a service animal. This allows us to make sure the environment is safe and comfortable for you, your animal, and other patients.
Please note that service animals may not be able to enter certain restricted clinical areas for safety or infection‑control reasons, but we will always work with you to find an appropriate alternative.
What does it mean to treat our team with respect?
Respect is important.
We will be polite and kind and we expect that you treat our staff in the same way.
Abuse, hate and discrimination against our staff is unacceptable.
We will take strong action against anyone who is verbally, racially, physically, or sexually abusive to them.
This may include contacting the police to prosecute, and stopping future access to our healthcare services.
How do I find my NHS number?
The easiest way to find your NHS number is using the official NHS online service which can be accessed below.
You may also want to read our guidance page for more information about other ways to find your NHS number or what to do if you cannot find yours.

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Share your feedback: Have your sayRelated services
Community Learning Disability Service for adults
- Adults
Specialist treatment and support for over-18s who have a learning disability and complex physical or mental health needs.
Community Learning Disability Service for adults: Go to serviceLearning Disability Inpatient Service
- Adults
A specialist ward for adults who have a learning disability and mental health needs or behaviour that puts them at risk of harm.
Learning Disability Inpatient Service: Go to serviceLearning Disability Service for children and young people
- Children & young people
Mental health support for children and young people aged 5 to 17 who have a moderate to severe learning disability, and their families.
Learning Disability Service for children and young people: Go to serviceCrisis Resolution and Home Treatment Team
- Adults
Mental health assessment at home or a community setting and, where possible, treatment to avoid admission to hospital.
Crisis Resolution and Home Treatment Team: Go to serviceExternal support
To get help from your local Adult Social Care service, visit their website:
- Bracknell Forest Council - Health and social care
- Reading Borough Council - Adult social care and public health
- Royal Borough of Windsor & Maidenhead - Adult social care
- Slough Borough Council - Adult social care
- West Berkshire Council - Care for adults
- Wokingham Borough Council - Care and support for adults

