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Review
. 2017 Feb 13;3(1):41-56.
doi: 10.1192/bjpo.bp.116.003616. eCollection 2017 Jan.

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

Catrin Morrissey  1 , Peter E Langdon  2 , Nicole Geach  3 , Verity Chester  4 , Michael Ferriter  5 , William R Lindsay  6 , Jane McCarthy  7 , John Devapriam  8 , Dawn-Marie Walker  9 , Conor Duggan  10 , Regi Alexander  11
Affiliations
Review

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

Catrin Morrissey et al. BJPsych Open. .

Abstract

Background: There is limited empirical information on service-level outcome domains and indicators for the large number of people with intellectual disabilities being treated in forensic psychiatric hospitals.

Aims: This study identified and developed the domains that should be used to measure treatment outcomes for this population.

Method: A systematic review of the literature highlighted 60 studies which met eligibility criteria; they were synthesised using content analysis. The findings were refined within a consultation and consensus exercises with carers, patients and experts.

Results: The final framework encompassed three a priori superordinate 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 behaviours, reactive and restrictive interventions, quality of life and patient satisfaction.

Conclusions: To index recovery, services need to measure treatment outcomes using this framework.

Declaration of interest: None.

Copyright and usage: © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Attribution (CC BY) licence.

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Figures

Fig. 1
Fig. 1. Flow chart of study selection process.
See this image and copyright information in PMC

References

    1. Health and Social Care Information Centre. Learning Disabilities Census Report. HSCIC, 2013.
    1. Devapriam J, Rosenbach A, Alexander R. In-patient services for people with intellectual disability and mental health or behavioural difficulties. BJPscyh Adv 2015; 21: 116–23.
    1. Royal College of Psychiatrists’ Faculty of Psychiatry of Intellectual Disability. People with Learning Disability and Mental Health, Behavioural or Forensic Problems: The Role of In-Patient Services. RCPsych, 2013.
    1. Esan F, Chester V, Gunaratna IJ, Hoare S, Alexander RT. The clinical, forensic and treatment outcome factors of patients with autism spectrum disorder treated in a forensic intellectual disability service. J Appl Res Intellect Disabil 2015; 28: 193–200. - PubMed
    1. Alexander R, Hiremath A, Chester V, Green F, Gunaratna I, Hoare S. Evaluation of treatment outcomes from a medium secure unit for people with intellectual disability. Adv Ment Health Intellect Disabil 2011; 5: 22–32.