Factors Associated With Length of Hospital Stay for Forensic Psychiatric Inpatients With Intellectual Disabilities

IF 2.1 3区医学 Q2 PSYCHOLOGY, EDUCATIONAL

Journal of Applied Research in Intellectual Disabilities Pub Date : 2025-05-08 DOI:10.1111/jar.70065

Penelope McKenna, Rosie England, Carmen Fadzelmulla-Moreno, Paul A. Thompson, Harm Boer, Peter E. Langdon

{"title":"Factors Associated With Length of Hospital Stay for Forensic Psychiatric Inpatients With Intellectual Disabilities","authors":"Penelope McKenna, Rosie England, Carmen Fadzelmulla-Moreno, Paul A. Thompson, Harm Boer, Peter E. Langdon","doi":"10.1111/jar.70065","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>The aim of this study was to examine factors associated with length of stay within a psychiatric hospital for patients with intellectual disabilities who have a forensic history.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Data about 111 patients were gathered retrospectively from historical records for the period of February 2011 to March 2021. Negative binomial regression was then used to examine the relationship between selected predictor variables and length of stay.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Patients who were older upon admission and those who had received psychological therapies or positive behavioural support (PBS) had a significantly longer length of stay. Those with a diagnosis of a neurodevelopmental disorder had a significantly shorter length of stay. All other predictors were not statistically significant.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>There was evidence of a clinical improvement at discharge and those with autism or ADHD had a shorter length of stay. Similar studies with larger sample sizes should be completed across England.</p>\n </section>\n </div>","PeriodicalId":51403,"journal":{"name":"Journal of Applied Research in Intellectual Disabilities","volume":"38 3","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jar.70065","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Applied Research in Intellectual Disabilities","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/jar.70065","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, EDUCATIONAL","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

The aim of this study was to examine factors associated with length of stay within a psychiatric hospital for patients with intellectual disabilities who have a forensic history.

Methods

Data about 111 patients were gathered retrospectively from historical records for the period of February 2011 to March 2021. Negative binomial regression was then used to examine the relationship between selected predictor variables and length of stay.

Results

Patients who were older upon admission and those who had received psychological therapies or positive behavioural support (PBS) had a significantly longer length of stay. Those with a diagnosis of a neurodevelopmental disorder had a significantly shorter length of stay. All other predictors were not statistically significant.

Conclusions

There was evidence of a clinical improvement at discharge and those with autism or ADHD had a shorter length of stay. Similar studies with larger sample sizes should be completed across England.

查看原文本刊更多论文

智力残疾法医精神科住院病人住院时间的相关因素

本研究的目的是研究有法医病史的智力残疾患者在精神病院住院时间的相关因素。方法回顾性收集2011年2月至2021年3月111例患者的历史资料。然后使用负二项回归来检验所选预测变量与住院时间之间的关系。结果入院时年龄较大、接受心理治疗或积极行为支持（PBS）的患者住院时间明显延长。那些被诊断为神经发育障碍的人的住院时间明显更短。其他所有预测因子均无统计学意义。结论：有证据表明，出院时临床改善，患有自闭症或多动症的患者住院时间较短。类似的样本量更大的研究应该在整个英格兰完成。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Applied Research in Intellectual Disabilities Multiple-

CiteScore

4.70

自引率

12.50%

发文量

期刊介绍： JARID is an international, peer-reviewed journal which draws together findings derived from original applied research in intellectual disabilities. The journal is an important forum for the dissemination of ideas to promote valued lifestyles for people with intellectual disabilities. It reports on research from the UK and overseas by authors from all relevant professional disciplines. It is aimed at an international, multi-disciplinary readership. Topics covered include community living, quality of life, challenging behaviour, communication, sexuality, medication, ageing, supported employment, family issues, mental health, physical health, autism, economic issues, social networks, staff stress, staff training, epidemiology and service provision.