Women’s experiences of special observations on locked wards

Fish, Rebecca

doi:10.1080/09687599.2022.2034112

Cited by 1 publication

(1 citation statement)

References 19 publications

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“…Within the included studies, there was little focus on these domains other than restrictive practices, and this should be addressed in future studies. There is literature focused on understanding the experience of being restrained for people with intellectual disabilities that indicates that it is a negative experience, leading to increased distress in some cases, with some having experienced abuse; 45 , 46 , 47 there is also some evidence that increased observation levels may improve engagement and relationships 48 , and little focus upon children and adolescents.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of in-patient psychiatric care for people with intellectual disabilities and/or autism: effectiveness, patient safety and experience

et al. 2022

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Background An increasing number of children, adolescents and adults with intellectual disabilities and/or autism are being admitted to general psychiatric wards and cared for by general psychiatrists. Aims The aim of this systematic review was to consider the likely effectiveness of in-patient treatment for this population, and compare and contrast differing models of in-patient care. Method A systematic search was completed to identify papers where authors had reported data about the effectiveness of in-patient admissions with reference to one of three domains: treatment effect (e.g. length of stay, clinical outcome, readmission), patient safety (e.g. restrictive practices) and patient experience (e.g. patient or family satisfaction). Where possible, outcomes associated with admission were considered further within the context of differing models of in-patient care (e.g. specialist in-patient services versus general mental health in-patient services). Results A total of 106 studies were included and there was evidence that improvements in mental health, social functioning, behaviour and forensic risk were associated with in-patient admission. There were two main models of in-patient psychiatric care described within the literature: admission to a specialist intellectual disability or general mental health in-patient service. Patients admitted to specialist intellectual disability in-patient services had greater complexity, but there were additional benefits, including fewer out-of-area discharges and lower seclusion rates. Conclusions There was evidence that admission to in-patient services was associated with improvements in mental health for this population. There was some evidence indicating better outcomes for those admitted to specialist services.

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Section: Discussionmentioning

confidence: 99%