Evidence map›Paper›PMID 40506663›Full record

ArticleJournal of intellectual disability research : JIDR2025

Specialist Psychiatric Bed Utilisation by People With Intellectual Disabilities and Autistic People: A Time-Series Analysis Using the English Assuring Transformation Dataset.

Atiyya Nisar, Paul A Thompson, Harm Boer, Haider Al-Delfi, Peter E Langdon

Abstract read
In one paragraph

Article in Journal of intellectual disability research : JIDR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. Article
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.

Atiyya NisarIntellectual Disabilities Research Institute (IDRIS), University of Birmingham, Birmingham, UK.
Paul A ThompsonIntellectual Disabilities Research Institute (IDRIS), University of Birmingham, Birmingham, UK.
Harm BoerCoventry and Warwickshire Partnership NHS Trust, Coventry, UK.
Haider Al-DelfiREACH OUT West Midlands Provider Collaborative for Adult Secure Care, Birmingham, UK.
Peter E LangdonIntellectual Disabilities Research Institute (IDRIS), University of Birmingham, Birmingham, UK.ORCID 0000-0002-7745-1825

Funding

University of Warwick Policy Support Fund 2023-24
6 · The paper itself

Abstract

backgroundUsing nationally available anonymised and aggregated English data, we examined specialist and nonspecialist psychiatric bed utilisation by people with intellectual disabilities and/or autism.

methodsUsing data about specialist psychiatric bed utilisation from the Assuring Transformation Dataset, from March 2015 to January 2024, we applied linear regression (with moving average or autoregressive errors) to explore the relationships between a set of outcome variables (e.g., number of inpatients and length of stay) and a set of sociodemographic, clinical and service-related predictor variables (e.g., age, ethnicity, admission source, legal status, admission source, discharge destination, Care (Education) and Treatment Reviews) over time. Comparisons were made with data from the Mental Health Services Data Set about nonspecialist psychiatric bed utilisation.

resultsOver time, there was an average reduction of 8.07 inpatients per month. This reduction was due to a reduction in the number with a length of stay longer than 2 years, and fewer inpatients with intellectual disabilities without autism over time, rather than fewer autistic inpatients without intellectual disabilities; instead, the number of autistic inpatients increased by 6.02 per month. However, overall, there were fewer inpatients in specialist psychiatric beds than in nonspecialist beds by an average of 877 patients, and the number in specialist beds reduced faster than the number in nonspecialist beds over time. We found that more hospital spells were associated with more inpatients older than 18, more detentions under Part III of the Mental Health Act, more inpatients not known to the local authority, and an increased number of White inpatients. More admissions were associated with fewer discharges, while those with a hospital stay longer than 2 years were less likely to have had a postadmission Care (Education) and Treatment Reviews and were more likely to use advocacy.

conclusionsThe number of inpatients with intellectual disabilities in specialist psychiatric beds continues to decline over time, while the number of autistic inpatients without intellectual disabilities is increasing. Future research should utilise participant-level data to explore patient long-term trajectories.

Indexed as

Autism Spectrum DisorderAutistic DisorderIntellectual DisabilityLength of StayMental Health ServicesPatient Acceptance of Health CareAdolescentAdultAgedChildEnglandFemaleHumansMaleMiddle AgedYoung Adultautisminpatientintellectual disabilitieslength of staypsychiatric bedstime seriestransforming care

Identifiers

PMID40506663
PMCPMC12576362

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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.