The Library
Clinical and cost evaluation of two models of specialist intensive support teams for adults with intellectual disabilities who display behaviours that challenge : the IST-ID mixed-methods study
Tools
Tools
Tools
Hassiotis, Angela, Kouroupa, Athanasia, Hamza, Leila, Marston, Louise, Romeo, Renee, Yaziji, Nahel, Hall, Ian, Langdon, Peter E., Courtenay, Ken, Taggart, Laurence, Morant, Nicola, Crossey, Vicky and Lloyd-Evans, Brynmor (2023) Clinical and cost evaluation of two models of specialist intensive support teams for adults with intellectual disabilities who display behaviours that challenge : the IST-ID mixed-methods study. BJPsych Open, 9 (4). e116. doi:10.1192/bjo.2023.74 ISSN 2056-4724.
|
PDF
clinical-and-cost-evaluation-of-two-models-of-specialist-intensive-support-teams-for-adults-with-intellectual-disabilities-who-display-behaviours-that-challenge-the-ist-id-mixed-methods-st.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (563Kb) | Preview |
Official URL: http://doi.org/10.1192/bjo.2023.74
Abstract
Background
Intensive support teams (ISTs) are recommended for individuals with intellectual disabilities who display behaviours that challenge. However, there is currently little evidence about the clinical and cost-effectiveness of IST models operating in England.
Aims
To investigate the clinical and cost-effectiveness of IST models.
Method
We carried out a cohort study to evaluate the clinical and cost-effectiveness of two previously identified IST models (independent and enhanced) in England. Adult participants (n = 226) from 21 ISTs (ten independent and 11 enhanced) were enrolled. The primary outcome was change in challenging behaviour between baseline and 9 months as measured by the Aberrant Behaviour Checklist-Community version 2.
Results
We found no statistically significant differences between models for the primary outcome (adjusted β = 4.27; 95% CI −6.34 to 14.87; P = 0.430) or any secondary outcomes. Quality-adjusted life-years (0.0158; 95% CI: −0.0088 to 0.0508) and costs (£3409.95; 95% CI −£9957.92 to £4039.89) of the two models were comparable.
Conclusions
The study provides evidence that both models were associated with clinical improvement for similar costs at follow-up. We recommend that the choice of service model should rest with local services. Further research should investigate the critical components of IST care to inform the development of fidelity criteria, and policy makers should consider whether roll out of such teams should be mandated.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | H Social Sciences > HV Social pathology. Social and public welfare R Medicine > RC Internal medicine |
||||||
| Divisions: | Faculty of Social Sciences > Centre for Educational Development, Appraisal and Research (CEDAR) | ||||||
| Library of Congress Subject Headings (LCSH): | Intellectual disability, Intellectual disability facilities, People with mental disabilities, People with mental disabilities -- Care, People with mental disabilities -- Services for -- Cost effectiveness, People with mental disabilities -- Behavior modification | ||||||
| Journal or Publication Title: | BJPsych Open | ||||||
| Publisher: | Royal College of Psychiatrists | ||||||
| ISSN: | 2056-4724 | ||||||
| Official Date: | July 2023 | ||||||
| Dates: |
|
||||||
| Volume: | 9 | ||||||
| Number: | 4 | ||||||
| Article Number: | e116 | ||||||
| DOI: | 10.1192/bjo.2023.74 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||
| Copyright Holders: | Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists | ||||||
| Date of first compliant deposit: | 27 June 2023 | ||||||
| Date of first compliant Open Access: | 27 June 2023 | ||||||
| RIOXX Funder/Project Grant: |
|
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
