Predictors, costs and characteristics of out of area placement for people with intellectual disability and challenging behaviour

Allen, David G.; Lowe, Kathy; Moore, Kate; Brophy, Sam

doi:10.1111/j.1365-2788.2006.00877.x

Cited by 75 publications

(62 citation statements)

References 13 publications

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“…87 Median MOAS scores were a little lower than those recorded in a trial of neuroleptic drug treatment for aggressive behaviour in people with intellectual disabilities, which reported a median [interquartile range (IQR)] MOAS score of 12 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) at baseline in the placebo-treated group, and a dramatic fall (to a median score of ~3: considerably lower than the present participants) during subsequent weekly assessments under placebo treatment. 115 There is a limit to the extent of challenging behaviour that could in principle be observed in this study because most of the services from which participants were recruited would often exclude individuals who are overtly challenging.…”

Section: Challenging Behaviourcontrasting

confidence: 67%

“…18 Aggression resulting from uncontrolled anger can lead to serious consequences, which include exclusion from services, breakdown of residential placements, and involvement with the criminal justice system. [19][20][21] Aggressive behaviour can also have an impact on the psychological well-being of care staff 22 and the quality of care they provide 23 and on the health and well-being of family carers.…”

Section: Anger In People With Intellectual Disabilitiesmentioning

confidence: 99%

See 1 more Smart Citation

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

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This report should be referenced as follows:Willner P, Rose J, Jahoda A, Stenfert Kroese B, Felce D, MacMahon P, et al. A cluster randomised controlled trial of a manualised cognitive-behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities. Health Technol Assess 2013;17(21). This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/). Health Technology Assessment is indexed and abstracted inEditorial contact: nihredit@southampton.ac.ukThe full HTA archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hta. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Technology Assessment journalReports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 08/53/34. The contractual start date was in May 2009. The draft report began editorial review in May 2012 and was accepted for publication in August 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the ...

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Section: Challenging Behaviourcontrasting

confidence: 67%

Section: Anger In People With Intellectual Disabilitiesmentioning

confidence: 99%

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

Willner

Rose²,

Jahoda³

et al. 2013

Health Technol Assess

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“…Degree of learning disability was not entirely consistent across studies but this may relate to the methods and categories used. Allen et al (2007) noted that the characteristics of individuals in out-of-area placements may indicate areas of in-area service deficiencies.…”

Section: Discussionmentioning

confidence: 99%

High Cost Residential Placements for Adults with Intellectual Disabilities

McGill

Poynter²

2012

Research Intellect Disabil

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“…Mental ill-health is recognised to have a negative impact on long term outcomes for individuals with autism and intellectual disabilities (Billstedt et al, 2005;Bradley et al, 2006). Furthermore, problem behaviours are associated with increased family (Lecavalier, Leone, & Wiltz, 2006), and carer stress (Tyrer et al, 2006), and in adults with autism and intellectual disabilities has a strong association with the risk of being moved to an out of area placement, and increased service costs (Allen, Lowe, Moore, & Brophy, 2007). Research is required to develop an understanding of the risk and vulnerability factors relevant to the development of mental illhealth in children, young people and adults with intellectual disabilities.…”

Section: Future Directionsmentioning

confidence: 99%

“…To minimise the negative long term impacts of mental ill health on the quality of life of persons with autism and intellectual disabilities (Allen et al, 2007) there is a need to develop effective interventions and services. Relatively little research has been carried out to examine the efficacy and effectiveness of interventions for mental ill-health experienced by adults with autism and intellectual disabilities.…”

Section: Future Directionsmentioning

confidence: 99%

The Prevalence and Incidence of Mental Ill-Health in Adults with Autism and Intellectual Disabilities

Melville

Cooper

Morrison

et al. 2008

J Autism Dev Disord

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The prevalence, and incidence, of mental ill-health in adults with intellectual disabilities and autism were compared with the whole population with intellectual disabilities, and with controls, matched individually for age, gender, ability-level, and Down syndrome. Although the adults with autism had a higher point prevalence of problem behaviours compared with the whole adult population with intellectual disabilities, compared with individually matched controls there was no difference in prevalence, or incidence of either problem behaviours or other mental ill-health. Adults with autism who had problem behaviours were less likely to recover over a two-year period than were their matched controls. Apparent differences in rates of mental ill-health are accounted for by factors other than autism, including Down syndrome and ability level.

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Predictors, costs and characteristics of out of area placement for people with intellectual disability and challenging behaviour

Abstract: Identifying predictors for out of area placement can be used to highlight deficiencies in local services and individuals at increased risk of exclusion from local services.

Cited by 75 publications

References 13 publications

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

A cluster randomised controlled trial of a manualised cognitive behavioural anger management intervention delivered by supervised lay therapists to people with intellectual disabilities

High Cost Residential Placements for Adults with Intellectual Disabilities

The Prevalence and Incidence of Mental Ill-Health in Adults with Autism and Intellectual Disabilities

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