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

Catrin Morrissey; Peter Langdon; Nicole Geach; Verity Chester; Michael Ferriter; William R. Lindsay; Jane McCarthy; John Devapriam; Dawn Marie Walker; Duggan Duggan; Regi Alexander

doi:10.1192/bjpo.bp.116.003616

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

Catrin Morrissey, Peter Langdon, Nicole Geach, Verity Chester, Michael Ferriter, William R. Lindsay, Jane McCarthy, John Devapriam, Dawn Marie Walker, Duggan Duggan, Regi Alexander^*

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

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.

Original language	English
Pages (from-to)	41-56
Number of pages	16
Journal	BJPsych Open
Volume	3
Issue number	1
DOIs	https://doi.org/10.1192/bjpo.bp.116.003616
Publication status	Published - Jan 2017
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2017 The Royal College of Psychiatrists.

ASJC Scopus subject areas

Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1192/bjpo.bp.116.003616Licence: Creative Commons: Attribution (CC BY)

Cite this

@article{fd9eb1b5083c47208ef195e24316e731,

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

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.",

author = "Catrin Morrissey and Peter Langdon and Nicole Geach and Verity Chester and Michael Ferriter and Lindsay, \{William R.\} and Jane McCarthy and John Devapriam and Walker, \{Dawn Marie\} and Duggan Duggan and Regi Alexander",

note = "Publisher Copyright: {\textcopyright} 2017 The Royal College of Psychiatrists.",

year = "2017",

month = jan,

doi = "10.1192/bjpo.bp.116.003616",

language = "English",

volume = "3",

pages = "41--56",

journal = "BJPsych Open",

issn = "2056-4724",

publisher = "Royal College of Psychiatrists",

number = "1",

}

TY - JOUR

T1 - A systematic review and synthesis of outcome domains for use within forensic services for people with intellectual disabilities

AU - Morrissey, Catrin

AU - Langdon, Peter

AU - Geach, Nicole

AU - Chester, Verity

AU - Ferriter, Michael

AU - Lindsay, William R.

AU - McCarthy, Jane

AU - Devapriam, John

AU - Walker, Dawn Marie

AU - Duggan, Duggan

AU - Alexander, Regi

PY - 2017/1

Y1 - 2017/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85052010918&partnerID=8YFLogxK

U2 - 10.1192/bjpo.bp.116.003616

DO - 10.1192/bjpo.bp.116.003616

M3 - Review article

AN - SCOPUS:85052010918

SN - 2056-4724

VL - 3

SP - 41

EP - 56

JO - BJPsych Open

JF - BJPsych Open

IS - 1

ER -

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

Abstract

Bibliographical note

ASJC Scopus subject areas

UN SDGs

Access to Document

Fingerprint

Cite this