John is a young man with profound and multiple learning disabilities (PMLD). When his family, who lacked support, felt they could no longer care for him, he moved into a group home.
The staff at John's new home struggled to understand his communication and what he wanted. Frustrated and confused, John's behaviour got worse. Soon John was admitted to a psychiatric unit (a hospital for people with mental health problems).
Eventually John got an advocate who understood how to work with him. The advocate spent time with him, got to know him and worked with those who knew him best to find out how he communicated. The advocate supported relationships to be slowly built between John and the staff at his residential home.
If John had had an advocate sooner he might never have had to go to the psychiatric unit which was both inappropriate and distressing.