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Development and implementation of a discharge pathway protocol for detained offenders with intellectual disabilities
- Authors:
- TAYLOR John L., et al
- Journal article citation:
- Journal of Intellectual Disabilities and Offending Behaviour, 8(3), 2017, pp.144-154.
- Publisher:
- Emerald
Purpose: Building the Right Support, a national plan for people with intellectual disabilities (ID) in England aims to avoid lengthy stays in hospital for such people. Discharge planning is understood to be helpful in facilitating successful transition from hospital to community services, however, there is little guidance available to help those working with detained patients with ID and offending histories to consider how to affect safe and effective discharges. The paper aims to discuss these issues. Design/methodology/approach: In this paper, the development and implementation of a multi-faceted and systemic approach to discharge preparation and planning is described. The impact of this intervention on a range of outcomes was assessed and the views of stakeholders on the process were sought. Findings: Initial outcome data provide support for the effectiveness of this intervention in terms of increased rates of discharge, reduced lengths of stay and low readmission rates. Stakeholders viewed the intervention as positive and beneficial in achieving timely discharge and effective post-discharge support. Practical implications: People with ID are more likely to be detained in hospital and spend more time in hospital following admission. A planned, coordinated and well managed approach to discharge planning can be helpful in facilitating timely and successful discharges with low risks of readmission. Originality/value: This is the first attempt to describe and evaluate a discharge planning intervention for detained offenders with ID. The intervention described appears to be a promising approach but further evaluation across a range of service settings is required. (Publisher abstract)
Child or young person: hospital CETR (non-secure). Workbook 5: Care, Education and Treatment Review (CETR): key lines of enquiry
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 25
- Place of publication:
- London
A workbook for panel members to record their findings during a Care, Education and Treatment Review (CETR) for children and young people with autism or learning disabilities in a non-secure hospital setting. The workbook is based on the key lines of enquiry (KLOE) and shows what sort of questions to ask and where to find evidence. It also provides space to record findings and to record what you think if the person’s quality of care overall for each KLOE. The key lines of enquiry are: Does the child or young person need to be in hospital; Is the child/young person getting the right care, education and treatment; Is the child/young person involved in their care, education and treatment; Are the child/young person’s health needs known and met? Is there a clear, safe and proportionate approach to the way risk is assessed or managed? Are any autism needs known and met?; Is there active planning for the future and for discharge with clear ownership?; Are family and carers being listened to and involved?; Are the child/young person’s rights and freedoms being protected and upheld?; and Is enough attention being given to the particular needs of the child or young person? It will also help with deciding what goes into the CTR report. It is one of a series of 6 workbooks, which each cover different types of Care and Treatment Review (CTR) and CETR panels. (Edited publisher abstract)
Adult - hospital CTR (non secure). Workbook 2: Care and Treatment Review (CTR): key lines of enquiry
- Author:
- NHS ENGLAND
- Publisher:
- NHS England
- Publication year:
- 2017
- Pagination:
- 23
- Place of publication:
- London
A workbook for panel members to record their findings during a Care and Treatment Review (CTR) for adults with autism or learning disabilities in a non-secure hospital setting, including assessment and treatment units. The workbook is based on the key lines of enquiry (KLOE) and shows what sort of questions to ask and where to find evidence. It also provides space to record findings and to record what you think if the person’s quality of care overall for each KLOE. The KLOEs, are: Does the person need to be in hospital?; Is the person receiving the right care and treatment?; Is the person involved in their care and treatment?; Are the person’s health needs known and met?; Is the use of any medicine appropriate and safe?; Is there a clear, safe and proportionate approach to the way risk is assessed or managed?; Is there active planning for the future and for discharge?; and Are family and carers being listened to and involved? It will also help with deciding what goes into the CTR report. It is one of a series of 6 workbooks, which each cover different types of CTR and Care, Education and Treatment Review panels. (Edited publisher abstract)
A trade in people: the inpatient healthcare economy for people with learning disabilities and/or Autism Spectrum Disorder
- Authors:
- BROWN Mark, JAMES Elaine, HATTON Chris
- Publisher:
- Lancaster University. Centre for Disability Research
- Publication year:
- 2017
- Pagination:
- 24
- Place of publication:
- Lancaster
This report looks at the increasing role of independent sector companies in delivering inpatient services and Assessment and treatment units for people with autism and/or learning difficulties. The report has been produced as part of the 7 Days of Action campaign, which aims to get people with autism and learning difficulties out of in-patient settings and back into their communities and in their own homes. The report provides an analyses of data on the different rates of inpatient provision in different Transforming Care Partnerships. It also looks at the experiences of people with learning disabilities who are detained in inpatient provision and the impact on their families. In analysing the data, the report concludes that inpatient rates are influenced by the independent sector locating in areas where house prices are lower. Once placed in care, the length of stay in hospital will be influenced by the care infrastructure that is in place. The findings show that people with learning disabilities and autism are staying in Assessment and treatment units (ATUs) much longer than necessary. The report argues that the current system has a significant effect on people with learning disabilities ability to maintain links with their home communities and their ability to maintain relationships that are important to their long term well-being and their right to an ordinary life. (Edited publisher abstract)
Attitudes of healthcare staff in the treatment of children and adolescents with intellectual disability: a brief report
- Author:
- ONG Natalie
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 42(3), 2017, pp.295-300.
- Publisher:
- Taylor and Francis
Background: Children with an intellectual disability (ID) have complex health needs that extend beyond the expected cognitive deficits, affecting a myriad of developmental domains. These children frequently receive inadequate health care such that their needs remain poorly managed. Methods: Staff from the Sydney Children’s Hospital Network (N = 160) completed a survey on attitudes, experiences, and training satisfaction when working with patients with ID. The 48-question needs analysis survey was distributed electronically to staff from a variety of disciplines and experience levels. Results: Although staff considered themselves broadly competent in caring for children with ID, they were less confident in specific skills, such as managing associated challenging behaviours in the clinic. As confidence in skills such as these decreased, the desire for further training increased. (Publisher abstract)
Local support for people with a learning disability
- Author:
- NATIONAL AUDIT OFFICE
- Publisher:
- National Audit Office
- Publication year:
- 2017
- Pagination:
- 54
- Place of publication:
- London
This report examines how the NHS in England and local authorities seek to improve the lives of the 129,000 people aged 18 to 64 who use local authority learning disability support services. It also assesses the setting up of the Transforming Care programme, which aims to move some of the 2,500 people with a learning disability and/or autism out of mental health hospitals, and progress of the programme. Key findings include: central and local government spend £8 billion each year supporting adults with a learning disability; the Department, NHS England and local authorities have limited measures to assess the quality and impact of health and social care support; from 2012 to 2015, the Department’s progress in moving people out of mental health hospitals and into the community was poor; early indications are that the Transforming Care programme is making progress in reducing the number of people in mental health hospitals; however, programme partners do not yet have confidence that partnerships can close the planned number of beds by 2019 and a number of complex challenges need to be resolved if the ambition of a substantial shift away from reliance on inpatient care is to be achieved. (Edited publisher abstract)