Service evaluation of an integrated assessment and treatment service for people with intellectual disability with behavioural and mental health problems

In response to rising local need and national drivers such as the Mansell Report, an isolated inpatient ward for people with an intellectual disability and additional mental health and behavioural problems was developed into a more flexible service integrating inpatient beds, day assessment, outreac...

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Bibliographic Details
Published in:Journal of intellectual disabilities 2011-03, Vol.15 (1), p.7-19
Main Authors: Richings, Ceri, Cook, Rachael, Roy, Ashok
Format: Article
Language:English
Subjects:
Admissions
Aggression
Aggression - psychology
Assessment
Behavioural problems
Biological and medical sciences
Community Mental Health Services - methods
Community treatment. Ambulatory treatment. Home care
Comorbidity
Day Care, Medical - methods
Delivery of Health Care, Integrated - methods
England
Female
Health Services Research - methods
Hospitalization
Humans
Intellectual Disability - rehabilitation
Learning disabled people
Length of Stay
Male
Medical sciences
Mental Disorders - rehabilitation
Mental health
Organization of mental health. Health systems
Outcome and Process Assessment (Health Care) - methods
Patient Care Management - methods
Patient Care Team
Program Evaluation - methods
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Referral and Consultation
Social psychiatry. Ethnopsychiatry
Treatments
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Summary:In response to rising local need and national drivers such as the Mansell Report, an isolated inpatient ward for people with an intellectual disability and additional mental health and behavioural problems was developed into a more flexible service integrating inpatient beds, day assessment, outreach and the local community learning disability teams. The functioning of the new service is evaluated on the basis of the way it was utilized in its first 2 years, and its outcomes, and compared with the pre-existing, more traditional inpatient ward. Although the new service model treated a higher number of people, it was more able to prevent or shorten inpatient admissions and to prevent placement breakdown and reduce aggressive incidents amongst inpatients during their stay. The integrated model described, whilst not being immune to the problem of delayed discharge, has in its first 2 years been a more effective, more flexible and safer service than the previous more traditional model.
ISSN:1744-6295
1744-6309
DOI:10.1177/1744629511403563