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

Alexander, Regi T., Chester, Verity, Langdon, Peter E. (2017) A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities. European Psychiatry, 41 (Suppl). S152. ISSN 0924-9338. (doi:10.1016/j.eurpsy.2017.01.2008) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:62242)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1016/j.eurpsy.2017.01.2008

Abstract

Aims

In response to the Winterbourne scandal, and the large number of people with intellectual disabilities (IDs) and offending behavior being treated in psychiatric hospitals, this study identified the domains that should be used to measure treatment outcomes of this group.

Methods

A systematic search of relevant databases was undertaken to identify domains. Sixty studies met the eligibility criteria, and findings were synthesized using content analysis. The findings were refined within a consultation and consensus exercises with carers, service users, and experts.

Results

The final framework encompassed three a priori super-ordinate 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 behaviors, reactive and restrictive interventions, quality of life and patient satisfaction.

Conclusions

To index recovery, services need to measure outcome using this framework.

Item Type: Article
DOI/Identification number: 10.1016/j.eurpsy.2017.01.2008
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard
Depositing User: Peter Langdon
Date Deposited: 09 Jul 2017 10:03 UTC
Last Modified: 16 Feb 2021 13:46 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/62242 (The current URI for this page, for reference purposes)
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