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

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

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.

2056-4724
41-56
Morrissey, Catrin
625dc0f7-4d54-4360-9f94-eaa8c497b78d
Geach, Nicole
24e41688-5543-4b2e-98e5-9e629fc3fece
Chester, Verity
aeaac881-a973-4d88-8ba5-e6b430e58104
Ferriter, Michael
440e7155-26ac-45e4-8d54-4450a6e46d78
Lindsay, William R.
43de8320-980e-40ed-9c23-ff3aae8efa70
McCarthy, Jane
15d49b65-2f85-4d60-a43e-f3703a2658a1
Devapriam, John
d7bb8b01-029d-4114-8c44-329f55c2446b
Walker, Dawn Marie
5d4c78b7-4411-493e-8844-b64efc72a1e8
Duggan, Duggan
9fb7c3f1-8cd3-4109-ba0d-0f062d0f64e7
Alexander, Regi
366054c7-b514-4e02-bea5-ea4939100686
Beattie, Robert
9a66af0b-f81c-485c-b01d-519403f0038a
Langdon, Peter E.
36af6c0b-e22a-4083-a31b-91a4dfd06d8f
Morrissey, Catrin
625dc0f7-4d54-4360-9f94-eaa8c497b78d
Geach, Nicole
24e41688-5543-4b2e-98e5-9e629fc3fece
Chester, Verity
aeaac881-a973-4d88-8ba5-e6b430e58104
Ferriter, Michael
440e7155-26ac-45e4-8d54-4450a6e46d78
Lindsay, William R.
43de8320-980e-40ed-9c23-ff3aae8efa70
McCarthy, Jane
15d49b65-2f85-4d60-a43e-f3703a2658a1
Devapriam, John
d7bb8b01-029d-4114-8c44-329f55c2446b
Walker, Dawn Marie
5d4c78b7-4411-493e-8844-b64efc72a1e8
Duggan, Duggan
9fb7c3f1-8cd3-4109-ba0d-0f062d0f64e7
Alexander, Regi
366054c7-b514-4e02-bea5-ea4939100686
Beattie, Robert
9a66af0b-f81c-485c-b01d-519403f0038a
Langdon, Peter E.
36af6c0b-e22a-4083-a31b-91a4dfd06d8f

Morrissey, Catrin, Geach, Nicole, Chester, Verity, Ferriter, Michael, Lindsay, William R., McCarthy, Jane, Devapriam, John, Walker, Dawn Marie, Duggan, Duggan, Alexander, Regi, Beattie, Robert and Langdon, Peter E. (2018) A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities. BJPsych Open, 3 (1), 41-56. (doi:10.1192/bjpo.bp.116.003616).

Record type: Review

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.

This record has no associated files available for download.

More information

Published date: 2 January 2018
Additional Information: Publisher Copyright: © 2017 The Royal College of Psychiatrists. Copyright: Copyright 2019 Elsevier B.V., All rights reserved.

Identifiers

Local EPrints ID: 451840
URI: http://eprints.soton.ac.uk/id/eprint/451840
ISSN: 2056-4724
PURE UUID: 959e226c-b598-4dc8-915f-8778b134480e
ORCID for Dawn Marie Walker: ORCID iD orcid.org/0000-0003-2135-1363

Catalogue record

Date deposited: 01 Nov 2021 17:30
Last modified: 11 Mar 2022 02:48

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Contributors

Author: Catrin Morrissey
Author: Nicole Geach
Author: Verity Chester
Author: Michael Ferriter
Author: William R. Lindsay
Author: Jane McCarthy
Author: John Devapriam
Author: Dawn Marie Walker ORCID iD
Author: Duggan Duggan
Author: Regi Alexander
Author: Robert Beattie
Author: Peter E. Langdon

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