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Psychiatric inpatient admissions and discharges of people with intellectual disabilities : a time series analysis of English national data

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Langdon, Peter E., Thompson, Paul A., Shepstone, Lee, Perez-Olivas, Gisela, Melvin, Clare L., Barnoux, Magali, Alexander, Regi, Roy, Ashok and Devapriam, John (2022) Psychiatric inpatient admissions and discharges of people with intellectual disabilities : a time series analysis of English national data. Journal of Applied Research in Intellectual Disabilities . doi:10.1111/jar.13051

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Official URL: https://doi.org/10.1111/jar.13051

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Abstract

Background
We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce.

Method
Using linear regression, with auto-regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021.

Results
Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post-admission CTRs were associated with increased discharges over time.

Conclusions
Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.

Item Type: Journal Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
R Medicine > RJ Pediatrics
Divisions: Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR)
Library of Congress Subject Headings (LCSH): Learning disabilities, Learning disabled -- Hospital care , Developmental disabilities , Developmentally disabled-- Hospital care , Hospitals -- Administration
Journal or Publication Title: Journal of Applied Research in Intellectual Disabilities
Publisher: Wiley-Blackwell Publishing Ltd.
ISSN: 1468-3148
Official Date: 2022
Dates:
DateEvent
2022Published
15 November 2022Available
3 November 2022Accepted
DOI: 10.1111/jar.13051
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access
Date of first compliant deposit: 16 November 2022
Date of first compliant Open Access: 16 November 2022

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