The Ermha transitional dependence model of support: Increasing independence for people with a dual disability and high and complex support needs

This article explores the Transitional Dependence Model (the Model) developed by Ermha to provide a diversely experienced and qualified workforce with a clearly defined and effective model of practice to assist them in the provision of support for people with a dual disability (an intellectual disability and co-occurring mental illness) who have high and complex support needs and are displaying behaviours of concern. The Model offers a simple and practical framework for engaging clients diagnosed with a dual disability in their journey to increased independence. The Model examines the practice implications of the understanding that for people with intellectual disability, behaviour can be used as a dominant form of communication, including in the communication of the symptoms of any mental illness that is present. The Model sees the relationship between the client and worker, or team, as central to the change process and explores the importance of consistency in supporting positive behaviour and an optimal personal identity.