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dc.contributor.authorJohnston, Susan J.
dc.contributor.authorMiddleton, Hugh
dc.date.accessioned2017-09-20T16:01:53Z
dc.date.available2017-09-20T16:01:53Z
dc.date.issued2004
dc.identifier.citationThomas, S. D., Dolan, M., Johnston, S. J., Middleton, H., Harty, M. A., Carlisle, J., Thornicroft, G., Appleby, L. & Jones, P. (2004). Defining the needs of patients with intellectual disabilities in the high security psychiatric hospitals in England. Journal of Intellectual Disability Research, 48 (6), pp.603-610.
dc.identifier.other10.1111/j.1365-2788.2004.00629.x
dc.identifier.urihttp://hdl.handle.net/20.500.12904/10615
dc.description.abstractBackground Previous studies have suggested that a substantial proportion of the patients with intellectual disabilities (ID) in the high security psychiatric hospitals (HSPHs) should be transferred to more appropriate services to cater for their specific needs in the longer term. Method The individual and placement needs of high secure psychiatric patients detained under the legal category of mental impairment or severe mental impairment were assessed in a cross-sectional survey. Results Patients had a large number of needs (on average 10.8), about a third of which were rated as unmet and therefore represented significant continuing problems. Approximately one-third of the sample could be moved out of HSPHs if appropriate alternatives were available. Factors associated with the continued need for high security included higher treatment and security needs, younger age, recent violent conduct and their index offence profile. Conclusions High security services are still required for a number of patients with ID. New and existing services need to be configured to meet specific profiles of need and provide long-term rehabilitation and specialist care. Declaration of interest This was part of a larger project funded by grants from the High Security Psychiatric Services Commissioning Board and Department of Health.
dc.description.urihttp://onlinelibrary.wiley.com/doi/10.1111/j.1365-2788.2004.00629.x/full
dc.subjectCognition disorders
dc.subjectHealth services needs and demand
dc.subjectPsychiatric hospitals
dc.subjectMental health services
dc.titleDefining the needs of patients with intellectual disabilities in the high security psychiatric hospitals in England
dc.typeArticle
html.description.abstractBackground Previous studies have suggested that a substantial proportion of the patients with intellectual disabilities (ID) in the high security psychiatric hospitals (HSPHs) should be transferred to more appropriate services to cater for their specific needs in the longer term. Method The individual and placement needs of high secure psychiatric patients detained under the legal category of mental impairment or severe mental impairment were assessed in a cross-sectional survey. Results Patients had a large number of needs (on average 10.8), about a third of which were rated as unmet and therefore represented significant continuing problems. Approximately one-third of the sample could be moved out of HSPHs if appropriate alternatives were available. Factors associated with the continued need for high security included higher treatment and security needs, younger age, recent violent conduct and their index offence profile. Conclusions High security services are still required for a number of patients with ID. New and existing services need to be configured to meet specific profiles of need and provide long-term rehabilitation and specialist care. Declaration of interest This was part of a larger project funded by grants from the High Security Psychiatric Services Commissioning Board and Department of Health.


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