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

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Morrissey, Catrin, Langdon, Peter E., 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
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Depositing User: Pure Connector
Date Deposited: 02 Mar 2017 01:41
Last Modified: 06 Feb 2025 07:05
URI: https://ueaeprints.uea.ac.uk/id/eprint/62816
DOI: 10.1192/bjpo.bp.116.003616

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