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Hassiotis, Angela, Kouroupa, Athanasia, Jones, Rebecca, Morant, Nicola, Courtenay, Ken, Hall, Ian, Crossey, Vicky, Romeo, Renee, Taggart, Laurence, Langdon, Peter 
ORCID: https://orcid.org/0000-0002-7745-1825, Ratti, Victoria, Kirchner, Vincent and Lloyd-Evans, Brynmor
(2021)
Clinical and cost evaluation of intensive support team (IST) models for adults with intellectual disabilities who display challenging behaviour: a comparative cohort study protocol.
BMJ Open, 11 (3).
ISSN 2044-6055
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Abstract
Introduction: Approximately 17% of adults with intellectual disabilities (ID) living in the community display behaviours that challenge. Intensive support teams (ISTs) have been recommended to provide high-quality responsive care aimed at avoiding unnecessary admissions and reducing lengthy inpatient stays in England. We have identified two models of ISTs (model 1: enhanced provision and model 2: independent provision). This study aims to investigate the clinical and cost-effectiveness of the two models of ISTs. Methods and analysis: A cohort of 226 adults with ID displaying behaviour that challenges who receive support from ISTs from each model will be recruited and assessed at baseline and 9 months later to compare the clinical and cost-effectiveness between models. The primary outcome is reduction in challenging behaviour measured by the Aberrant Behaviour Checklist-Community (ABC-C). The mean difference in change in ABC score between the two IST models will be estimated from a multilevel linear regression model. Secondary outcomes include mental health status, clinical risk, quality of life, health-related quality of life, level of functioning and service use. We will undertake a cost-effectiveness analysis taking both a health and social care and wider societal perspective. Semistructured interviews will be conducted with multiple stakeholders (ie, service users, paid/family carers, IST managers/staff) to investigate the experience of IST care as well as an online survey of referrers to capture their contact with the teams.
| Item Type: | Article |
|---|---|
| Additional Information: | Funding Information: Funding The study is funded by the National Institute of Health Research (NIHR) Health Services and Delivery Research (HS&DH) programme (project reference: 16/01/24). This publication presents independent research funded by the NIHR. |
| Uncontrolled Keywords: | adult psychiatry,delirium & cognitive disorders,organisation of health services,psychiatry,medicine(all),sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/2700 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 25 Jul 2023 13:30 |
| Last Modified: | 03 Aug 2023 08:31 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/92678 |
| DOI: | 10.1136/bmjopen-2020-043358 |
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