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

Morrissey, Catrin, Langdon, Peter E. ORCID: https://orcid.org/0000-0002-7745-1825, Geach, Nicole, Chester, Verity, Ferriter, Michael, Lindsay, William R., McCarthy, Jane, Devapriam, John, Walker, Dawn-Marie, Duggan, Conor and Alexander, Regi (2017) A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities. BJPsych Open, 3 (1). pp. 41-56.

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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.

Item Type:	Article
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Psychological Sciences (former - to 2018) Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation
Related URLs:	http://bjpo.rcpsych.org/lookup/doi/10.11...
Depositing User:	Pure Connector
Date Deposited:	02 Mar 2017 01:41
Last Modified:	13 May 2023 00:02
URI:	https://ueaeprints.uea.ac.uk/id/eprint/62816
DOI:	10.1192/bjpo.bp.116.003616

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