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Cambridge University Press, Bjpsych Open, 1(3), p. 41-56, 2017

DOI: 10.1192/bjpo.bp.116.003616

Cambridge University Press, European Psychiatry, S1(41), p. S152-S152, 2017

DOI: 10.1016/j.eurpsy.2017.01.2008

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

Journal article published in 2017 by Lindsay Wr, Catrin Morrissey, W. L. Lindsay, Langdon Pe, William R. Lindsay, W. R. Lindsay, Jane McCarthy, Dm-M. Walker, Nicole Geach, Michael Ferriter, Verity Chester ORCID, Regi A. Alexander, Peter E. Langdon, John Devapriam, Conor Duggan and other authors.
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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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.