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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
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: |
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| 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 | ||||
| Related URLs: |
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