Service : Learning Disability Intensive Support Team
Service overview
Our Intensive Support Team (IST) works with adults who have a learning disability and are at risk of admission into a psychiatric hospital because their mental health or behaviour puts them, or others, at significant risk of harm.
The IST also works with people currently admitted into a psychiatric hospital, to support timely and effective discharges.
Our aim is to improve individuals’ quality of life through community-based support, prevent hospital stays, and make moves between services easier.
We provide:
- rapid response to individuals in crisis to prevent stays in hospital
- support during moves from inpatient to community settings.
- assessments to understand the causes of challenging behaviours
- develop and apply Positive Behaviour Support (PBS) plans
- care plans that are co-produced with the individual and their family and carers (person-centred planning), enabling independence, choice, and control
- training and support to other services and carers to manage challenging behaviours
- advice to carers and services 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
We are available 9am to 5pm, Monday to Friday (excluding bank holidays)
Email: LD.IST@berkshire.nhs.uk
Call: 0300 365 4787
Preparing for an assessment
Appointments will usually be held either in your own home, or a place you regularly attend, like a day centre. Sometimes, an appointment might be held at one of the Community Learning Disability Team offices. We will always let you know where the appointment will be held and make sure you are able to get to the location.
You will usually be able to have another person (a family member, carer, or friend) with you during your appointment, but sometimes they may need to wait outside. If you need their support, just let us know.
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.
It’s also important to know that 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, but 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 to you from a range of local communities and national organisations.
How do I request an interpreter?
We can provide language translation and interpretation support whenever you visit or contact us.
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 receive information in a format that meets their needs. Under the Accessible Information Standard (AIS)—a legal requirement for all health and adult social care providers—we must ensure that people who use our services, including carers and families, can understand the information we provide and communicate effectively with us.
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.
Treating 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 includes contacting the police to prosecute, and stopping future access to our healthcare services.

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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

