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

Langdon, Peter E., Thompson, Paul, Sheptstone, Lee, Perez-Olivas, Gisela, Melvin, Clare L., Barnoux, Magali F.L., Alexander, Regi, Roy, Ashok, 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, 36 (1). pp. 196-204. ISSN 1360-2322. E-ISSN 1468-3148. (doi:10.1111/jar.13051) (KAR id:97803)

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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: Article
DOI/Identification number: 10.1111/jar.13051
Uncontrolled keywords: Assuring Transformation, Transforming Care, learning disabilities, hospital admission, transforming care, neurodevelopmental disorders
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard
Funders: University of Kent (https://ror.org/00xkeyj56)
Depositing User: George Austin-Coskry
Date Deposited: 14 Nov 2022 09:31 UTC
Last Modified: 04 Jul 2023 14:42 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/97803 (The current URI for this page, for reference purposes)
Langdon, Peter E.: https://orcid.org/0000-0002-7745-1825
Melvin, Clare L.: https://orcid.org/0000-0001-5621-3417
Barnoux, Magali F.L.: https://orcid.org/0000-0001-7921-8819
Alexander, Regi: https://orcid.org/0000-0002-3554-2948
Roy, Ashok: https://orcid.org/0000-0002-8432-981X
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