People with learning disabilities placed out of area: the South London experience

Abstract

learning disabilities to be sent to placements outside their local area. The increasing number of such placements probably contributes to the dramatic rise in social services expenditure on learning disability services and there is some evidence that people placed out of area may experience worse services (Department of Health

Predictive validity of the HCR‐20 for inpatient aggression: the effect of intellectual disability on accuracy

“…However, factors relevant to aggression and offending including antisocial attitudes, personality disorder, major mental illness and prior violence (Turner 2005;Lindsay et al 2006;Keeling et al 2007) are found in all offender populations and may partly explain why they are also predictive for exclusively ID samples (Camilleri & Quinsey 2011). The high base rates of aggression in the ID group in our study are to be expected as aggression is a strong predictor of use of the criminal justice pathway, secure mental health care and out-of-area placement for individuals with ID (Chaplin et al 2010;Lindsay et al 2010).…”

“…The high base rates of aggression in the ID group in our study are to be expected as aggression is a strong predictor of use of the criminal justice pathway, secure mental health care and out‐of‐area placement for individuals with ID (Chaplin et al . ; Lindsay et al . ).…”

Characteristics of prisoners with intellectual disabilities

“…For many, it is the 'forensic' label that appears to prevent access to local services. This continues to occur despite evidence that the needs of those who end up placed out of area are no different to those who remain 'in area' (Chaplin et al 2010). This needs to be addressed given the human and financial costs of exporting people far from home.…”

Is “transforming care” failing people with autism?

“…Mansell's reports in 1993 and2007 highlighted that people with intellectual disabilities and autism with additional mental health needs and/or behaviour that challenges, were often faced with repeated placement breakdowns and crisis presentations resulting in hospital admissions into ATUs that were often located far away from their families and with a lack of community placements to be discharged back to (Mansell, 2007). Once people were moved to services out of area, the need to build specialist local community services appeared to be less of a local priority to many health providers and decisions to move people out of area became commonplace (Chaplin et al, 2010). This increase in demand for placements out of area, in part contributed to the proliferation of ATUs which resulted in more and more being people "lost" to their local NHS services and local authorities.…”