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A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities

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Morrissey, Catrin, Langdon, Peter E., Geach, Nicole, Chester, Verity, Ferriter, Michael, Lindsay, William R., McCarthy, Jane, Devapriam, John, Walker, Dawn-Marie, Duggan, Conor and Alexander, Regi (2018) A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities. BJPsych Open, 3 (1). pp. 41-56. doi:10.1192/bjpo.bp.116.003616

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Official URL: http://dx.doi.org/10.1192/bjpo.bp.116.003616

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Abstract

Background:
There is limited empirical information on service-level outcome domains and indicators for the large number of people with intellectual disabilities being treated in forensic psychiatric hospitals.
Aims:
This study identified and developed the domains that should be used to measure treatment outcomes for this population.
Method:
A systematic review of the literature highlighted 60 studies which met eligibility criteria; they were synthesised using content analysis. The findings were refined within a consultation and consensus exercises with carers, patients and experts.
Results:
The final framework encompassed three a priori superordinate domains: (a) effectiveness, (b) patient safety and (c) patient and carer experience. Within each of these, further sub-domains emerged from our systematic review and consultation exercises. These included severity of clinical symptoms, offending behaviours, reactive and restrictive interventions, quality of life and patient satisfaction.
Conclusions:
To index recovery, services need to measure treatment outcomes using this framework.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR)
Journal or Publication Title: BJPsych Open
Publisher: Royal College of Psychiatrists
ISSN: 2056-4724
Official Date: 2 January 2018
Dates:
DateEvent
2 January 2018Available
Volume: 3
Number: 1
Page Range: pp. 41-56
DOI: 10.1192/bjpo.bp.116.003616
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
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