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Summary This article describes some of the considerations made in reviewing the possibility of meeting within local provision, the needs of pupils with severe learning difficulties who exhibit severe and challenging behaviour. It provides an epidemiological review of such problems in one local authority. As breakdown of the home placement appears to be the primary reason for residential placement it also discusses the need to plan support on a collaborative basis between health, social services and education.
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Roger Norgate (1994) studied this question.
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