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The losses associated with living in restricted environments for people with an intellectual disability (PwaID) in the United Kingdom (UK) are likely to be diverse and vast. Such potential losses include loss of independence, freedom, familiarity and autonomy. However, such losses are rarely acknowledged or explored and the evidence surrounding this remains weak. This chapter will introduce and define the client population; integrate a case study to depict the transitional journey of a man with an ID; and critically describe the strategies employed to support him from within a medium secure environment. Finally, the chapter will suggest best professional practice for future, proactive support that promotes well-being and recovery in individuals who have experienced a loss.
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