Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data

Peter E. Langdon; Paul A. Thompson; Lee Shepstone; Gisela Perez-Olivas; Clare L. Melvin; Magali Barnoux; Regi Alexander; Ashok Roy; John Devapriam

doi:10.1111/jar.13051

Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data

Peter E. Langdon^*, Paul A. Thompson, Lee Shepstone, Gisela Perez-Olivas, Clare L. Melvin, Magali Barnoux, Regi Alexander, Ashok Roy, John Devapriam

^*Corresponding author for this work

Social Policy and Society

Research output: Contribution to journal › Article › peer-review

31 Downloads (Pure)

Abstract

Background: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce.

Method: Using linear regression, with auto-regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021.

Results: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post-admission CTRs were associated with increased discharges over time.

Conclusions: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.

Original language	English
Pages (from-to)	196-204
Number of pages	9
Journal	Journal of Applied Research in Intellectual Disabilities
Volume	36
Issue number	1
Early online date	15 Nov 2022
DOIs	https://doi.org/10.1111/jar.13051
Publication status	Published - Jan 2023

Bibliographical note

Publisher Copyright:
© 2022 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley & Sons Ltd.

Keywords

assuring transformation
hospital admission
learning disabilities
neurodevelopmental disorders
transforming care

ASJC Scopus subject areas

Education
Developmental and Educational Psychology

Access to Document

10.1111/jar.13051Licence: Creative Commons: Attribution-NonCommercial-NoDerivs (CC BY-NC-ND)

LangdonP2022PsychiatricFinal published version, 1.03 MBLicence: Creative Commons: Attribution-NonCommercial-NoDerivs (CC BY-NC-ND)

Cite this

Langdon, P. E., Thompson, P. A., Shepstone, L., Perez-Olivas, G., Melvin, C. L., Barnoux, M., Alexander, R., Roy, A., & Devapriam, J. (2023). Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data. Journal of Applied Research in Intellectual Disabilities, 36(1), 196-204. https://doi.org/10.1111/jar.13051

@article{f474c3f573d148f0a40731801c39741a,

title = "Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data",

abstract = "Background: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce. Method: Using linear regression, with auto-regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021. Results: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post-admission CTRs were associated with increased discharges over time. Conclusions: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.",

keywords = "assuring transformation, hospital admission, learning disabilities, neurodevelopmental disorders, transforming care",

author = "Langdon, \{Peter E.\} and Thompson, \{Paul A.\} and Lee Shepstone and Gisela Perez-Olivas and Melvin, \{Clare L.\} and Magali Barnoux and Regi Alexander and Ashok Roy and John Devapriam",

note = "Publisher Copyright: {\textcopyright} 2022 The Authors. Journal of Applied Research in Intellectual Disabilities published by John Wiley \& Sons Ltd.",

year = "2023",

month = jan,

doi = "10.1111/jar.13051",

language = "English",

volume = "36",

pages = "196--204",

journal = "Journal of Applied Research in Intellectual Disabilities",

issn = "1360-2322",

publisher = "Wiley",

number = "1",

}

Langdon, PE , Thompson, PA, Shepstone, L, Perez-Olivas, G, Melvin, CL, Barnoux, M, Alexander, R, Roy, A & Devapriam, J 2023, 'Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data', Journal of Applied Research in Intellectual Disabilities, vol. 36, no. 1, pp. 196-204. https://doi.org/10.1111/jar.13051

TY - JOUR

T1 - Psychiatric inpatient admissions and discharges of people with intellectual disabilities

T2 - A time series analysis of English national data

AU - Langdon, Peter E.

AU - Thompson, Paul A.

AU - Shepstone, Lee

AU - Perez-Olivas, Gisela

AU - Melvin, Clare L.

AU - Barnoux, Magali

AU - Alexander, Regi

AU - Roy, Ashok

AU - Devapriam, John

PY - 2023/1

Y1 - 2023/1

N2 - Background: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce. Method: Using linear regression, with auto-regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021. Results: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post-admission CTRs were associated with increased discharges over time. Conclusions: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.

AB - Background: We examined whether a series of variables were related to the number of psychiatric inpatients using publicly available data about English psychiatric bed utilisation and NHS workforce. Method: Using linear regression, with auto-regressive errors, we examined relationships between variables over time using data from December 2013 to March 2021. Results: Over time, the number of inpatients reduced by either 6.58 or 8.07 per month depending upon the dataset utilised, and the number of community nurses and community nursing support staff reduced by 7.43 and 2.14 nurses per month, respectively. Increasing numbers of consultant psychiatrists were associated with fewer inpatients over time. More care and treatment reviews (CTRs) were associated with more admissions over time, while more post-admission CTRs were associated with increased discharges over time. Conclusions: Future studies should examine whether psychiatric bed utilisation elsewhere within the NHS by people with intellectual disabilities has increased.

KW - assuring transformation

KW - hospital admission

KW - learning disabilities

KW - neurodevelopmental disorders

KW - transforming care

UR - http://www.scopus.com/inward/record.url?scp=85142236858&partnerID=8YFLogxK

U2 - 10.1111/jar.13051

DO - 10.1111/jar.13051

M3 - Article

C2 - 36380661

AN - SCOPUS:85142236858

SN - 1360-2322

VL - 36

SP - 196

EP - 204

JO - Journal of Applied Research in Intellectual Disabilities

JF - Journal of Applied Research in Intellectual Disabilities

IS - 1

ER -

Psychiatric inpatient admissions and discharges of people with intellectual disabilities: A time series analysis of English national data

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

Fingerprint

Cite this