Evidence map›Paper›PMID 29988967›Full record

ArticleBJPsych open2018

Long-stay patients with and without intellectual disability in forensic psychiatric settings: comparison of characteristics and needs.

Verity Chester, Birgit Völlm, Samuel Tromans, Chaya Kapugama, Regi T Alexander

Abstract read
In one paragraph

Article in BJPsych open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Markers of predicting discharge from forensic psychiatric hospitals in Czechia.The International journal of social psychiatry · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Verity ChesterResearch & Projects Associate, Priory Group, St John's House, Diss and PhD candidate, University of East Anglia, UK.ORCID 0000-0003-0710-6177
Birgit VöllmProfessor in Forensic Psychiatry, Institute of Mental Health, University of Nottingham, UK.
Samuel TromansSpeciality Registrar, Leicestershire Partnership NHS Trust, Leicester & Academic Clinical Lecturer, Department of Health Sciences, University of Leicester, UK.
Chaya KapugamaSpeciality Registrar, Leicestershire Partnership NHS Trust, Leicester, UK.
Regi T AlexanderConsultant Psychiatrist, Hertfordshire Partnership University NHS Foundation Trust and Honorary Senior Lecturer, Department of Health Sciences, University of Leicester, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, concerns have been raised that too many patients stay for too long in forensic psychiatric services and that this is a particular problem in those with an intellectual disability.

aimsTo compare the characteristics, needs, and care pathways of long-stay patients with and without intellectual disability within forensic psychiatric hospital settings in England.

methodFile reviews and questionnaires were completed for all long-stay patients in high secure and a representative sample of those in medium secure settings in England. Between-group analyses comparing patients with and without intellectual disability are reported.

resultsOf the 401 long-stay patients, the intellectual disability and non-intellectual disability groups were strikingly similar on many sociodemographic, clinical and forensic variables. The intellectual disability group had significantly lower lengths of stay, fewer criminal sections, restriction orders and prison transfers, and higher levels of behavioural incidents and risk assessment scores.

conclusionsIn spite of similar offence histories and higher risk levels, those with intellectual disability appear to be diverted away from the criminal justice system and have shorter lengths of stay. This has implications about the applicability of the Transforming Care programme to this group.

Indexed as

forensic mental healthforensic psychiatryin-patient servicesLearning disabilitymentally disordered offenderstransforming care

Identifiers

PMID29988967
PMCPMC6034466

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.