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A systematic review of in-patient psychiatric care for people with intellectual disabilities and/or autism : effectiveness, patient safety and experience
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Melvin, Clare L., Barnoux, Magali, Alexander, Regi, Roy, Ashok, Devapriam, John, Blair, Robert, Tromans, Samuel, Shepstone, Lee and Langdon, Peter E. (2022) A systematic review of in-patient psychiatric care for people with intellectual disabilities and/or autism : effectiveness, patient safety and experience. BJPsych Open, 8 (6). pp. 1-8. E187. doi:10.1192/bjo.2022.571 ISSN 2056-4724.
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WRAP-systematic-review-patient-psychiatric-care-people-intellectual-disabilities-autism-effectiveness-patient-safety-experienc-Langdon-2022.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution Non-commercial No Derivatives 4.0. Download (876Kb) | Preview |
Official URL: https://doi.org/10.1192/bjo.2022.571
Abstract
Background:
An increasing number of children, adolescents and adults with intellectual disabilities and/or autism are being admitted to general psychiatric wards and cared for by general psychiatrists.
Aims:
The aim of this systematic review was to consider the likely effectiveness of in-patient treatment for this population, and compare and contrast differing models of in-patient care.
Method:
A systematic search was completed to identify papers where authors had reported data about the effectiveness of in-patient admissions with reference to one of three domains: treatment effect (e.g. length of stay, clinical outcome, readmission), patient safety (e.g. restrictive practices) and patient experience (e.g. patient or family satisfaction). Where possible, outcomes associated with admission were considered further within the context of differing models of in-patient care (e.g. specialist in-patient services versus general mental health in-patient services).
Results:
A total of 106 studies were included and there was evidence that improvements in mental health, social functioning, behaviour and forensic risk were associated with in-patient admission. There were two main models of in-patient psychiatric care described within the literature: admission to a specialist intellectual disability or general mental health in-patient service. Patients admitted to specialist intellectual disability in-patient services had greater complexity, but there were additional benefits, including fewer out-of-area discharges and lower seclusion rates.
Conclusions:
There was evidence that admission to in-patient services was associated with improvements in mental health for this population. There was some evidence indicating better outcomes for those admitted to specialist services.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine R Medicine > RZ Other systems of medicine |
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| Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||||
| Library of Congress Subject Headings (LCSH): | Intellectual disability , Intellectual disability -- Residential treatment, Developmental disabilities, People with mental disabilities -- Care, People with mental disabilities -- Services for , Mentally ill -- Care , Autistic people -- Care, Patients -- Safety measures | ||||||
| Journal or Publication Title: | BJPsych Open | ||||||
| Publisher: | Royal College of Psychiatrists | ||||||
| ISSN: | 2056-4724 | ||||||
| Official Date: | 21 October 2022 | ||||||
| Dates: |
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| Volume: | 8 | ||||||
| Number: | 6 | ||||||
| Page Range: | pp. 1-8 | ||||||
| Article Number: | E187 | ||||||
| DOI: | 10.1192/bjo.2022.571 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Date of first compliant deposit: | 21 October 2022 | ||||||
| Date of first compliant Open Access: | 21 October 2022 |
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