Predictors, costs and characteristics of out of area placement for people with intellectual disability and challenging behaviour.
BACKGROUND: Out of area placements for people with challenging behaviour represent an expensive and often ineffective strategy for meeting the needs of this service user group. METHODS: More than 800 agencies and service settings in a large area of South Wales were screened to identify children and...
| Publicado en: | Journal of Intellectual Disability Research Vol. 51; no. 6; pp. 409 - 417 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105874545&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105874545 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09642633 EUL jtl: Journal of Intellectual Disability Research issn: 09642633 maglogo: Y pubinfo: dt: Jun2007 vid: 51 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105874545 105874545 2009584173 10.1111/j.1365-2788.2006.00877.x NLM17493024 105874545 ppf: 409 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Predictors, costs and characteristics of out of area placement for people with intellectual disability and challenging behaviour. aug: au: Allen DG Lowe K Moore K Brophy S affil: Special Projects Team, Bro Morgannwg NHS Trust, Cardiff, UK sug: subj: Catchment Area (Health) Community Mental Health Services Economics Health Care Delivery Standards Health Services Accessibility Mental Disorders Rehabilitation Intellectual Disability Rehabilitation Adult Child Cluster Analysis Community Mental Health Services Statistics and Numerical Data Health Care Costs Health Services Needs and Demand Interviews Learning Disorders Therapy Mental Disorders Psychosocial Factors Intellectual Disability Psychosocial Factors Needs Assessment Predictive Value of Tests Questionnaires Risk Assessment Wales Human Adult: 19-44 years Child: 6-12 years ab: BACKGROUND: Out of area placements for people with challenging behaviour represent an expensive and often ineffective strategy for meeting the needs of this service user group. METHODS: More than 800 agencies and service settings in a large area of South Wales were screened to identify children and adults with challenging behaviour against a number of defined operational criteria. Detailed data on identified individuals and the services they received were collected by interviewing key informants. Univariate and multivariate statistics were employed to identify predictors of out of area placement. RESULTS: In total, 1458 people were identified. Full data were available for 901 participants, 97 of whom were placed out of area. Predictors of out of area placement included behaviours resulting in physical injury and exclusion from service settings, a history of formal detention under the mental health act, the presence of mental health problems, a diagnosis of autism and higher total score on the Adaptive Behaviour Scale. Out of area placements were typically of high cost, and associated with only limited evidence of improved service quality. CONCLUSIONS: 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. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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